Attachment 6 - Pricing Model V2.xlsx
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Pricing Model
| ****PLEASE INPUT PROPOSED PRICES IN THIS SHEET*** IF "UNKNOWN" Volume, please still propose propose price. | |||||||
| EXAM TYPE TOTALS (not including A La Carte services) | Volume Estimate/Year | Base Year Total | Option Year 1 Total | Option Year 2 Total | Option Year 3 Total | Option Year 4 Total | Total (Base + OYs) |
| Pre-Employment (Applicant) Physical Examinations | 1,397 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Fitness for Duty (FFD) Periodic Examinations | 12,984 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Department of State/Embassy Personnel Examinations | 542 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Hazardous Materials Response Examinations | 674 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Department of Transportation Physical Exams (Commercial Drivers) | 189 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Federal Aviation Administration Physical Exams (FAA) | 255 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Respiratory Protection Examinations | 1,236 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Diver Examinations – Navy Dive (NOAA) | 99 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Language Specialists | 683 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Travel Medicine Review Exams and/or Immunizations | 5,871 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EXAM TYPE | ||||||||||||
| Pre-Employment (Applicant) Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 1397 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| OSHA Audiogram (Includes review of Hearing History) | 1397 | |||||||||||
| Tuberculosis Test (PPD) (Includes injection & post reading) | 1397 | |||||||||||
| Vision - Peripheral | 1397 | |||||||||||
| Vision - Depth | 1397 | |||||||||||
| Vision - Color- Ishihara | 1397 | |||||||||||
| Resting EKG | 1397 | |||||||||||
| Spirometry | 1397 | |||||||||||
| Completion of FD-967 and written summary of findings | 1397 |
| EXAM TYPE | ||||||||||||
| Fitness for Duty (Periodic) Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 12984 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| OSHA Audiogram (Includes review of Hearing History) | 12984 | |||||||||||
| Tuberculosis Test (PPD) (Includes injection & post reading) | 12984 | |||||||||||
| Vision - Peripheral | 12984 | |||||||||||
| Vision - Depth | 12984 | |||||||||||
| Resting EKG | 12984 | |||||||||||
| Written summary of findings | 12984 |
| EXAM TYPE | ||||||||||||
| Department of State Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 542 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| HIV 1 and 2 | 542 | |||||||||||
| Hemaglobin A1C for known Diabetics | 39 | |||||||||||
| DOS forms | 542 | |||||||||||
| Audiometry | 542 | |||||||||||
| Vision | 542 | |||||||||||
| Hepatitis B Surface Antigen | 542 | |||||||||||
| Hepatitis B Antibody | 542 | |||||||||||
| Hepatitis C Antibody | 542 |
| EXAM TYPE | ||||||||||||
| Hazmat Componets | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| FD-900 review and FD-899 completion | 674 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| RBC and Plasma Cholinesterase Level (1 draw) | 674 |
| EXAM TYPE | ||||||||||||
| Department of Transportation Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Department of Transportation Physical Exams (Commercial Drivers)* Per State Requirement | 189 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EXAM TYPE | ||||||||||||
| Federal Aviation Administration Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Federal Aviation Administration (FAA) Physical Exams - Per Federal Requirement | 255 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EXAM TYPE | ||||||||||||
| Respiratory Protection Componets Exam | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Respiratory Protection Examinations | 1236 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| FD 900 and FD 899 forms | 1236 |
| EXAM TYPE | ||||||||||||
| Diver Componets Exam | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Diver Examinations – Navy Dive (NOAA) | 99 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 99 | |||||||||||
| FD-1095a | 99 | |||||||||||
| PFT | 99 |
| EXAM TYPE | ||||||||||||
| Language Specialists Exams | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Language Specialists Audiogram Only | 683 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| EXAM TYPE | ||||||||||||
| Travel Medicine Review Exams and/or Immunizations | Volume Estimate/Year | Price Per Exam- Base | Base Year Total | Price Per Exam- OY1 | Option Year 1 Total | Price Per Exam- OY2 | Option Year 2 Total | Price Per Exam- OY3 | Option Year 3 Total | Price Per Exam- OY4 | Option Year 4 Total | Total (Base + OYs) |
| Travel Medicine Review Exams and/or Immunizations | 5,871 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| A LA CARTE SERVICES | Volume Estimate/Year | Price Per Service- Base | Base Year Total | Price Per Service- OY1 | Option Year 1 Total | Price Per Service- OY2 | Option Year 2 Total | Price Per Service- OY3 | Option Year 3 Total | Price Per-Service-OY4 | Option Year 4 Total | Total (Base + OYs) |
| Chest X-ray | 99 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Complete Blood Count (CBC) | 14381 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Blood Chemistry w/Lipids | 14381 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Routine Urinalysis | 14381 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Blood Lead (Includes Zinc Protoporphyrin) | 672 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| RBC and Plasma Cholinesterase Level (1 draw) | 672 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| PFT (Spirometry) | 99 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Hepatitis A vaccine | Unknown | |||||||||||
| Hepatitis B vaccine | Unknown | |||||||||||
| HIV I and HIV II | Unknown | |||||||||||
| Glycosylated Hemoglobin (A1C) | Unknown | |||||||||||
| Hepatitis B Antigen / Antibody | Unknown | |||||||||||
| Hepatitis C Antibody | Unknown | |||||||||||
| G6PD | Unknown | |||||||||||
| Twinrix | Unknown | |||||||||||
| Meningitis | Unknown | |||||||||||
| MMR | Unknown | |||||||||||
| Inactivated Polio | Unknown | |||||||||||
| Tetanus/Diptheria OR Tetanus/Diptheria/Pertussis | Unknown | |||||||||||
| Varicella | Unknown | |||||||||||
| Thyphoid | Unknown | |||||||||||
| Yellow Fever | Unknown | |||||||||||
| Rabies | Unknown | |||||||||||
| Quantiferon Gold | Unknown | |||||||||||
| Whisper Test | Unknown | |||||||||||
| Blood Group and Type | Unknown | |||||||||||
| Expedited Services Fee | Unknown | |||||||||||
| Seasonal Influenza (ADMINISTRATION OF VACCINE ONLY) | Unknown | |||||||||||
| Seasonal Influenza | Unknown | |||||||||||
| Anti-Malaria Medication | Unknown | |||||||||||
| Antibiotics for Travelers Diarrhea | Unknown | |||||||||||
| Medication for Altitude Sickness | Unknown | |||||||||||
| Anthrax | Unknown | |||||||||||
| Smallpox | Unknown | |||||||||||
| COVID-19 (ADMINISTRTION OF VACCINE ONLY) | Unknown | |||||||||||
| COVID-19 vaccine | Unknown | |||||||||||
| Japanese Encephalitis | Unknown |
Estimated Volumes
| Blue - Field Office Location / Yellow- Corresponding Resident Agency to each Field Office/ Green - Other Locations not associated with one Field Office This sheet is for information purposes only. Do not enter in values. | WFO HQ | WFO Manasas | FBIHQ | Redstone Arsenal, Huntsville, AL | New York- HQ | New York -JFK Airport | New York - Woodhaven/ Brooklyn-Queens RA | New York - Goshen/Hudson Valley, NY | New York - Melville/Long Island | New York - Rye | Boston HQ | Boston - Portland, ME | Boston - Augusta | Boston - Bangor, ME | Boston - Bedford | Boston - Lakeville, MA | Boston - Lowell, MA | Boston - Portsmoth, RI | Boston - Providence, RI | Boston - Springfield, MA | Boston - Worcester, MA | Los Angeles - HQ | Los Angeles - Riverside | Los Angeles - Lancaster | Los Angeles - Long Beach | Los Angeles - Orange | Los Angeles - Palm Spring | Los Angeles - Santa Maria | Los Angeles - Ventura | Los Angeles - Victorville | Los Angeles - West Covina | Houston HQ | Houston - Corpus Christi | Houston - Texas City | Houston - Beaumont | Houston - Bryan | Newark HQ | Newark - Trenton | Newark - Atlantic City/Northfield | Newark - Red Bank | Newark - Summerset | Newark - West Patterson | Philadelphia HQ | Philadelphia -Harrisburg | Philadelphia - Allentown | Philadelphia -Fort Washington | Philadelphia - Newtown Square | Philadelphia - State College | Philadelphia - Scranton |
| Estimated Volumes by Exam Type all FFD Employees Per Year - Volumes are for One Year Only | |||||||||||||||||||||||||||||||||||||||||||||||||
| Exam Type Totals | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Pre-Employment (Applicant) Physical Examinations | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Fitness for Duty (FFD) Periodic Examinations | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | 9 |
| Department of State/Embassy Personnel Examinations | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hazardous Materials Response Examinations | 17 | 7 | 28 | 15 | 22 | 1 | 1 | 0 | 4 | 0 | 5 | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 13 | 0 | 1 | 0 | 0 | 7 | 1 | 1 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 0 |
| Department of Transportation Physical Exams (Commercial Drivers) | 1 | 0 | 9 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Federal Aviation Administration Physical Exams (FAA) | |||||||||||||||||||||||||||||||||||||||||||||||||
| Respiratory Protection Examinations | 48 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 0 | 25 | 0 | 0 | 0 | 0 | 0 | 20 | 0 | 0 | 0 | 0 | 0 | 0 |
| Diver Examinations – Navy Dive (NOAA) | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Language Specialists | 35 | 5 | 63 | 0 | 58 | 0 | 1 | 4 | 3 | 1 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 35 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40 | 1 | 0 | 0 | 1 | 11 | 0 | 0 | 0 | 0 | 0 | 6 | 1 | 0 | 0 | 0 | 0 | 0 |
| Travel Medicine and/or Immunizations | 0 | 0 | 0 | 69 | 0 | 11 | 63 | 40 | 56 | 40 | 0 | 11 | 2 | 3 | 16 | 11 | 7 | 3 | 18 | 15 | 9 | 0 | 56 | 11 | 50 | 94 | 6 | 15 | 19 | 4 | 46 | 0 | 8 | 8 | 6 | 17 | 0 | 28 | 17 | 12 | 14 | 16 | 0 | 23 | 12 | 13 | 11 | 6 | 9 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Pre-Employment (Applicant) Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| OSHA Audiogram (Includes review of Hearing History) | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Tuberculosis Test (PPD) (Includes injection & post reading) | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Vision - Peripheral | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Vision - Depth | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Vision - Color- Ishihara | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Resting EKG | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Spirometry | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| Completion of FD-967 and written summary of findings | 108 | 0 | 0 | 0 | 125 | 0 | 0 | 0 | 0 | 0 | 39 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 80 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Fitness for Duty (Periodic) Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | 9 |
IRBY, DIANNE E. (HRD) (FBI): IRBY, DIANNE E. (HRD) (FBI):
| Check volumes for Columbia | 5 | 2 | 8 | 4 | 11 | 7 | 3 | 2 | 53 | 7 | 4 | 1 | 8 | 6 | 2 | 1 | 52 | 3 | 2 | 83 | 20 | 8 | 3 | 2 | 4 | 1 | 12 | 1 | 64 | 13 | 2 | 2 | 3 | 113 | 12 | 3 | 2 | 126 | 41 | 14 | 2 | 8 | 55 | 7 | 9 | 99 | 19 | 3 | 4 |
| OSHA Audiogram (Includes review of Hearing History) | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | |
| Tuberculosis Test (PPD) (Includes injection & post reading) | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | |
| Vision - Peripheral | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | |
| Vision - Depth | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | |
| Resting EKG | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 | |
| Written summary of findings | 571 | 212 | 1209 | 69 | 854 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 445 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 245 | 7 | 7 | 6 | 16 | 187 | 27 | 16 | 12 | 14 | 16 | 217 | 21 | 12 | 13 | 11 | 6 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Department of State Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| HIV 1 and 2 | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hemaglobin A1C for known Diabetics | 3 | 0 | 30 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| DOS forms | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Audiometry | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Vision | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hepatitis B Surface Antigen | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hepatitis B Antibody | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Hepatitis C Antibody | 26 | 0 | 344 | 0 | 17 | 0 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Hazmat Componets | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| FD-900 review and FD-899 completion | 17 | 7 | 28 | 15 | 22 | 1 | 1 | 0 | 4 | 0 | 5 | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 13 | 0 | 1 | 0 | 0 | 7 | 1 | 1 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 0 |
| RBC and Plasma Cholinesterase Level (1 draw) | 17 | 7 | 28 | 15 | 22 | 1 | 1 | 0 | 4 | 0 | 5 | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 13 | 0 | 1 | 0 | 0 | 7 | 1 | 1 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Department of Transportation Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Department of Transportation Physical Exams (Commercial Drivers)* Per State Requirement | 1 | 0 | 9 | 1 | 2 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Federal Aviation Administration Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Federal Aviation Administration (FAA) Physical Exams - Per Federal Requirement |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Respiratory Protection Componets Exam | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Respiratory Protection Examinations | 48 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 0 | 25 | 0 | 0 | 0 | 0 | 0 | 20 | 0 | 0 | 0 | 0 | 0 | 0 |
| FD 900 and FD 899 forms | 48 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 31 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 37 | 0 | 0 | 0 | 0 | 25 | 0 | 0 | 0 | 0 | 0 | 20 | 0 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Diver Componets Exam | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Diver Examinations – Navy Dive (NOAA) | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Physical Exam (Includes review of Health History Questionnaire, Blood Pressure, Height, Weight, and Near/Far Vision) Includes Temp and HR | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| FD-1095a | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| PFT | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Language Specialists Exams | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Language Specialists Audiogram Only | 35 | 5 | 63 | 0 | 58 | 0 | 1 | 4 | 3 | 1 | 8 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 35 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 40 | 1 | 0 | 0 | 1 | 11 | 0 | 0 | 0 | 0 | 0 | 6 | 1 | 0 | 0 | 0 | 0 | 0 |
| EXAM TYPE | |||||||||||||||||||||||||||||||||||||||||||||||||
| Travel Medicine and/or Immunizations | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume | Volume |
| Travel Medicine and/or Immunizations | 0 | 0 | 0 | 69 | 0 | 0 | 1 | 4 | 3 | 1 | 0 | 11 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
| A LA CARTE SERVICES AND VACCINATIONS | |||||||||||||||||||||||||||||||||||||||||||||||||
| Chest X-ray | 6 | 0 | 13 | 1 | 8 | 0 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 3 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Complete Blood Count (CBC) | 679 | 212 | 1209 | 69 | 979 | 10 | 60 | 35 | 48 | 38 | 259 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 525 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 277 | 7 | 7 | 6 | 16 | 213 | 27 | 16 | 12 | 14 | 16 | 246 | 21 | 12 | 13 | 11 | 6 | 9 |
| Blood Chemistry w/Lipids | 679 | 212 | 1209 | 69 | 979 | 10 | 60 | 35 | 48 | 38 | 220 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 525 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 277 | 7 | 7 | 6 | 16 | 213 | 27 | 16 | 12 | 14 | 16 | 246 | 21 | 12 | 13 | 11 | 6 | 9 |
| Routine Urinalysis | 679 | 212 | 1209 | 69 | 979 | 10 | 60 | 35 | 48 | 38 | 259 | 11 | 2 | 3 | 15 | 11 | 7 | 3 | 18 | 15 | 8 | 525 | 56 | 11 | 47 | 93 | 6 | 14 | 19 | 4 | 46 | 277 | 7 | 7 | 6 | 16 | 213 | 27 | 16 | 12 | 14 | 16 | 246 | 21 | 12 | 13 | 11 | 6 | 9 |
| Blood Lead (Includes Zinc Protoporphyrin) | 17 | 7 | 28 | 15 | 22 | 1 | 1 | 0 | 4 | 0 | 5 | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 13 | 0 | 1 | 0 | 0 | 7 | 1 | 1 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 0 |
| RBC and Plasma Cholinesterase Level (1 draw) | 17 | 7 | 28 | 15 | 22 | 1 | 1 | 0 | 4 | 0 | 5 | 5 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 15 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 13 | 0 | 1 | 0 | 0 | 7 | 1 | 1 | 0 | 0 | 0 | 10 | 1 | 0 | 0 | 0 | 0 | 0 |
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