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This document contains an employee separation checklist for federal contractors. The checklist outlines a series of actions that contractors must take upon an employee's separation from a federal contract, whether friendly or unfriendly. Actions include removing system access, collecting authentication tokens, retrieving badges and keys, reviewing employee responsibilities, and more. Contractors must certify in writing that the listed actions were completed for each separating employee.

The related federal contract opportunity is a solicitation from the National Institute of Allergy and Infectious Diseases for a Clinical Data and Safety Management Center to support a range of clinical research data management, safety monitoring, and pharmacovigilance activities. Examples of research programs included are the Immune Tolerance Network, Asthma and Allergic Diseases Clinical Research Programs, Atopic Dermatitis Research Network, Consortium for Food Allergy Research, Inner City Asthma Consortium, Autoimmune Diseases Clinical Research Programs, Transplantation Clinical Research Programs, and various statistical and clinical coordinating centers. The purpose is to solicit offers to provide these services for NIAID-funded clinical trials and studies of immune-mediated diseases.

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EMPLOYEE SEPARATION CHECKLIST

Contractor: _________________________________________________ Contract No: __________________________

Departing Staff Member’s Name: ________________________________ Separation Date: _______________________

Check and complete one of the columns below as appropriate:

I. FRIENDLY SEPARATION II. UNFRIENDLY SEPARATION

Date (Mandatory) Action

Date (Mandatory) Action

Remove all network and system access privileges.

Disable system access as quickly as possible–preferably just before the individual is notified of his or her dismissal.

Collect any authentication tokens. Terminate access to systems immediately when an employee notifies the Department of a resignation that is on unfriendly terms.

Retrieve any access cards or Departmental identification badges.

Notify support functions (e.g., help desk) that an employee is no longer authorized access.

Recover all keys. Restrict the area and function of employees during the period between termination and leaving.

Brief employee on continuing confidentiality and privacy responsibilities.

Immediately notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager of the time of removal.

Review any employee contracts that remain valid after separation.

Request the Project Officer to have the combinations changed on all locks to which the contractor employee has access.

Return property belonging to the United States Government.

Collect any authentication tokens.

Identify any unique problems, filing schemes, or data backups created by the employee.

Retrieve any access cards or Departmental identification badges.

Instruct employees on proper “clean up” procedures for their personal computers (PC) before leaving.

Recover all keys.

Determine the employee’s access termination date, and notify the Project Officer, appropriate NIH security officials, and the assigned IT Systems Manager within 24 hours of the time of termination.

Review the employee’s duties and responsibilities under this contract with the Project Officer and assess the level of risk to the Government.

Notify the Project Officer in writing upon completion of these actions.

Escort individual off premises in cases where the potential for retaliation is high.

Notify the Project Officer in writing upon completion of these actions.

CERTIFICATION: By signing below, I certify that the above actions were taken on the dates indicated.

Typed Name of Individual Authorized to Certify for Contractor

Title of Individual Authorized to Certify for Contractor

Signature and Date

Accessibility Report

Filename:

Emp-sep-checklist.pdf

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Summary

The checker found no problems in this document.

Needs manual check: 0

Passed manually: 2

Failed manually: 0

Skipped: 1

Passed: 29

Failed: 0

Detailed Report

Document

Rule Name Status Description

Accessibility permission flag Passed Accessibility permission flag must be set

Image-only PDF Passed Document is not image-only PDF

Tagged PDF Passed Document is tagged PDF

Logical Reading Order Passed manually Document structure provides a logical reading order

Primary language Passed Text language is specified

Title Passed Document title is showing in title bar

Bookmarks Passed Bookmarks are present in large documents

Color contrast Passed manually Document has appropriate color contrast

Page Content

Rule Name Status Description

Tagged content Passed All page content is tagged

Tagged annotations Passed All annotations are tagged

Tab order Passed Tab order is consistent with structure order

Character encoding Passed Reliable character encoding is provided

Tagged multimedia Passed All multimedia objects are tagged

Screen flicker Passed Page will not cause screen flicker

Scripts Passed No inaccessible scripts

Timed responses Passed Page does not require timed responses

Navigation links Passed Navigation links are not repetitive

Forms

Rule Name Status Description

Tagged form fields Passed All form fields are tagged

Field descriptions Passed All form fields have description

Alternate Text

Rule Name Status Description

Figures alternate text Passed Figures require alternate text

Nested alternate text Passed Alternate text that will never be read

Associated with content Passed Alternate text must be associated with some content

Hides annotation Passed Alternate text should not hide annotation

Other elements alternate text Passed Other elements that require alternate text

Tables

Rule Name Status Description

Rows Passed TR must be a child of Table, THead, TBody, or TFoot

TH and TD Passed TH and TD must be children of TR

Headers Passed Tables should have headers

Regularity Passed Tables must contain the same number of columns in each row and rows in each column

Summary Skipped Tables must have a summary

Lists

Rule Name Status Description

List items Passed LI must be a child of L

Lbl and LBody Passed Lbl and LBody must be children of LI

Headings

Rule Name Status Description

Appropriate nesting Passed Appropriate nesting

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