TE-R -Deactivation Worksheet.pdf

PDF 1 MB Posted

Attached to
FY 2026 ICIDS MAINTENANCE MONITORING AND REPAIR
Solicitation number
W911S826RA017
Issued by

About this file

This is a Deactivation Checklist for the DES (Security & Access Control – Physical Security) program under reference numbers 966-6868/966-9497/966/0654. The checklist is a template used to document the systematic deactivation and inspection of physical security systems and infrastructure when a secure facility or room is being closed or transitioned.

The checklist captures essential administrative information including the unit identifier, building/room number, point of contact details, and relevant dates (inspection date and exit date). It requires documentation of DA Form 4604 (Security Construction Statement) and verification of deactivation across multiple security components: restricted area signage, alarm system signs, entry and daycage doors, eyebolts, lighting, windows, and hardline communications. The Alarm System Components section confirms the powered-down status of the Building Management System (BMS), duress button, motion sensors, keypads, and control panels. Additionally, the checklist verifies key control procedures for standard doors, vault doors, and daycage doors. The inspection must be completed and signed off by an authorized inspector, with the document shown as completed by Patchett. This template is used to ensure compliance with security protocols during facility deactivation and to maintain an audit trail of security system disposition.

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Text version

DES (Security & Access Control – Physical Security)

966-6868/966-9497/966/0654

Deactivation Checklist

Unit: Building/Room #:

POC Name: POC Phone #:

Date: Exit Date:

DA Form 4604 (Security Construction Statement):

Date of Statement:

Remarks:

Restricted Area Sign: Alarm System Sign:

Entry Door: Eyebolts:

Daycage Door: Lights:

Hard Line: Windows:

Alarm System Components:

BMS: Duress Button:

Motion Sensor: Panel:

Keypad:

Remarks: Powered down/comms off

Key Control:

Door :

Vault Door:

Daycage Door:

Remarks:

Inspection Completed By: Patchett

File details come from the government source that posted it. Updated .