BLS - RespondeR Decomm Checklist 1-23-20.pdf
PDF 104 KB Posted
- Solicitation number
- TSA25-04-03882
About this file
This document contains a decommissioning checklist for a Smiths RespondeR Bottled Liquid Scanner system and related security equipment deployment services solicitation. The decommissioning checklist outlines procedures for inventory, visual inspection, testing, cleaning and documentation of the scanner system and its components upon removal from a checkpoint. It requires photos of the exterior, interior and packaging, as well as verification of all items and signatures by the systems integrator and federal employee witnessing the process. The related solicitation seeks security equipment deployment services for checkpoints and provides a draft statement of work, with a request for industry comments by January 6, 2020. The Transportation Security Administration plans to release the official request for proposal in the second quarter of fiscal year 2020, along with anticipated evaluation criteria, pricing sheets and contract data requirements lists.
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Text version
Section Yes No
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.
In v en to ry
RespondeR BLS System?
Power Supply with AC Adapter?
Safety Enclosure?
(Should be attached to the RespondeR BLS)
Clear Sticker Dispenser?
(Should be attached to the Safety Enclosure)
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?
"Abnormal Object" Test Sample with Red Label?
(NO PASS)
System Keys?
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)
T es ti n g
Does the system turn on?
Does the system allow users to Log On?
Take photo of the unit PACKAGED for shipping and document any damage or concerns.
U n it
P a ck a g in g
Take a photo of the unit while OPERATIONAL and document any damage or concerns. (screen included)
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 the Smiths RespondeR
Bottled Liquid Scanner (BLS)
Operation Test Kit (OTK)?
Take a photo of the MAKE/MODEL of the unit and document any damage or concerns.
Take a photo of the SERIAL NUMBER and BARCODE on the unit and document any damage or concerns.
BLS S/N: TSA/FAA Bar Code Number:
Airport Code: Terminal: Date of Test: Time:
Did the system pass the System Detection Verification
Check Successfully?
Does the system calibrate correctly?
Comments/ConcernsEvaluation Criteria
Email Address Phone Number
Signature DateCompany Name
C le an in g Using a cotton tip applicator, gently clean the lens area to remove any dust or debris.
Using no chemicals, wipe off any dust or debris from the viewing windows.
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
File details come from the government source that posted it. Updated .