AT - Smiths-Rapiscan Decommission Checklist.pdf

Section Yes No

T es ti n g T es ti n g

Conveyor belt stops?

Warning lights illuminate?

Unit scans when belt moves forward?

AVS Computer, Keyboard, and Mouse?

Evaluation Criteria

Conveyor belt stops?

Conveyor belt reverses?

AT System?

Power Supply?

Keys? (Keyboard/Computer Door)

Operator Cart? (2 Monitors/Keyboard)

Queuing Conveyor?

Infeed Conveyor?

High Speed Conveyor belt moves at correct speed?

(Rapiscan - 44cm/s; Smiths - 54cm/s)

Queuing Conveyor belt moves at correct speed? (Rapiscan -

16cm/s)

Infeed Conveyor belt moves at correct speed? (Rapiscan -

22cm/s; Smiths - 24cm/s)

Operator/Maintenance Manual?

AVS Monitors?

AVS Keys? (Cabinet/Computer)

System Keys?

High Speed Conveyor?

Entry Roller Table?

Exit Roller Table?

UPS?

In v en to ry

The comments/concerns section may be used to provide further detail concerning unit quality, quantity, or general notes on unit/part condition

Decommission Checklist For Smiths/Rapiscan

Advanced Technology (AT)

Operation Test Kit? (OTK, if removing 4 or more units)

AT S/N: TSA/FAA Bar Code Number:

Airport Code: Terminal: Date of Test: Time:

Software is up to date?

Conveyor belt moves forward?

Comments/Concerns

T es ti n g

E-stop performs as expected?

Scanned image transmitted to AVS?

Date of last radiation survey? (in comments)

Passed image quality test?

Take photo of the unit PACKAGED and document any damage or concerns.

Panels are flush and fit satisfactorily?

Conveyor belts are free from tears?

Roller tables in good condition?

U n it

P a ck a g in g

Take a photo of the unit while OPERATIONAL and document any damage or concerns.

Take a photo of the FRONT of the unit and document any damage or concerns.

Take a photo of the SIDES of the unit and document any damage or concerns.

Take a photo of the BACK of the unit and document any damage or concerns.

AVS Photos? (Operational, front, sides, back, serial number, barcode)

Roller tables legs attached with all hardware?

Subcontractor Contact Information and Verification

Printed Name

Sign and date this Decommission Checklist and leave a copy with the unit.

Performed By:

V is u a l V er if ic a ti o n U n it

C o n d it io n

Is the labeling correct on the packaging?

Does the unit have any Exterior Damage?

(i.e. broken pieces, dents, paint chipping, locally added stickers)

Does the unit have Interior Damage?

(i.e. broken pieces, dust, locally added stickers)

Visible hardware tightened and secured?

Operator Cart Photos? (Rapiscan Only)

Take a photo of the SERIAL NUMBER and BARCODE on the unit and document any damage or concerns.

Operator Cart raises and lowers?

Email Address Phone Number

Signature DateCompany Name

Yes No

Signature Date

Evaluation Criteria Comments/Concerns

System Integrator Section (This section should be filled in by the System Integrator ONLY)

Has all damage been documented? If NO, please specify in the comments section.

Systems Integrator Additional Comments

Are there any components missing? If YES, please specify in the comments section.

Is a Verification Kit being returned with this unit? If YES, please note it in the comments section.

DateSignature

Federal Employee Comments/Concerns

Federal Employee Verification

As a witness, sign and date this Decommission Checklist to confirm the document was completed on-site.

Confirmed By:

Printed Name

Systems Integrator Contact Information and Verification

Sign and date this Decommission Checklist and leave a copy with the unit.

Reviewed By:

Printed Name Email Address Phone Number

Company Name