Access Request.pdf

Department of Commerce Facility Access Justification Form

For use with NOAA facilities

Background: All non-essential visits, deliveries, or shipments to DOC controlled facilities or activities are suspended or postponed until further notice.

Determination of essential visits, deliveries, and shipments are reserved for the appointed Senior Bureau Official and shall be made based upon the decision framework/criteria identified herein AND when determined to be in the best interest of the Department.

Access is permitted to DOC employees and contractors issued Federal Personal Identity Verification (PIV or CAC) credentials or local facility access control badges so long as they are not in a period of quarantine.

All visits must be sponsored and pre-announced no less than 72 hours prior to the scheduled access. All visitor decisional documentation shall be retained for two (2) years according to the General Records Schedule (DAA- GRS2017-0006-0015) for visitor processing records.

To determine whether the visit is mission critical, the DOC visitor sponsor (federal employee) must complete the justification and approval checklist below. Please compete this form electronically, including all signatures.

The appointed Senior Bureau Official must approve the visit.

Visit Information/Justification

Bureau: LO/SO: Program Office:

Facility (please select your location from the drop-down below. If your location is not listed, please enter it in manually):

Name of Visitor Sponsor:

Date of Request: Sponsor Email:

Date Visit Starts: Date Visit Ends:

Name of Visitor #1:

Name of Visitor #2 (if applicable):

Name of Visitor #3 (if applicable):

Name of Visitor #4 (if applicable):

Name of Visitor #5 (if applicable):

Reason for Visit (please select from the drop-down below:

Please provide a brief description of the visit:

Submission Instructions Please email a completed copy of this form to NOAA.FacilityAccess@noaa.gov

Visit Approval Checklist Decision Point 1: Can the visit to a DOC facility / activity be accomplished by virtual communications means (i.e., Skype, VTC, Telecon)?

if YES, conduct virtually if NO, proceed to Decision Point 2

Decision Point 2: Does this visit, delivery, shipment meet any of the following essential criteria?

• The visit is to perform essential duties related to the protection of life and property

• The visit is for activities essential to national security

• The visit is required by statute or contract

• The visit is for systems or equipment inspections if those systems or equipment are integral to security, safety, or proper functioning of the mission

• The visit is for meetings or trainings required by a grant or to maintain grant funding

• The visit is for training to meet certification or licensing requirements or to maintain critical functional or occupational competencies if NO, do not approve visit if YES, proceed to Decision Point 3

Decision Point 3: Has the individual associated with the visit, delivery, shipment traveled internationally within the last 14 days?

if YES, do not approve visit if NO, proceed to Decision Point 4

Decision Point 4: Has the person been exposed to any confirmed cases of COVID-19 or is the person otherwise under any type of advice to self-quarantine?

if YES, do not approve visit if NO, approve visit as essential

Senior Bureau Official Approval (NOTE: NOAA has delegated this approval authority to the official in charge of each facility)

I have reviewed the above decision matrix and approve this visit as essential

Name Signature

Title Date