36C24119Q0540-002.docx

PERFORMANCE WORK STATEMENT

MEDICAL GAS AND VACUUM SYSTEM INSPECTION & TESTING

SECTION 1: GENERAL REQUIREMENTS

1.01 Program Information

A. The contractor shall provide all personnel, management, materials, parts, equipment, tools, supplies, labor, and transportation require to perform the inspection and testing of the medical gas and vacuum systems at the Department of Veterans Affairs, Edith Nourse Rogers memorial Veterans Hospital at 200 Springs Road, Bedford, MA.

B. All work shall be conducted in accordance with NFPA 99: Health Care Facilities Code, 2012 edition, NFPA 55: Compressed Gases and Cryogenic Fluids Code, 2010 edition, ASSE 6000: Professional Qualifications Standard for Medical Gas Systems Personnel, 2013 edition, United States Pharmacopeia/Compressed Gas Association Standards, and all other applicable codes and standards for medical gas and vacuum systems.

C. All work shall be conducted in accordance with the most recently published VA Environment of Care Standard (EC) per the following:

1.) EP 1 - Critical Components of piped medical gas systems, including master alarm panels, area alarm panels, automatic pressure switches, shutoff valves, flexible connectors, and outlets are inspected, tested, and maintained 2.) EP 2 – Piped medical gas and vacuum systems are tested for purity, correct gas, and proper pressure when installed, modified, or repaired.

3.) EP 3 – Main supply and area shutoff valves are accessible and clearly identified what the valve controls D. If the following inspection and testing methods and procedures or those identified in the equipment manufacturer’s operation and maintenance manuals cannot be followed, a substitute procedure shall be submitted to the owner for review and approval prior to conducting inspection and testing.

E. This program shall be designed to provide the Bedford VA Hospital with a complete and thorough inspection and testing of all medical gas systems serving their facilities.

F. All work shall be conducted by individuals who are technically competent certified, and experienced in the field of medical gas and pipeline testing, who meeting the requirements of ASSE 6020, Professional Qualifications Standard for Medical Gas Systems Inspectors, ASSE 6330, Professional Qualifications standards for Medical Gas Systems verifiers, ASSE 6040, Professional Qualification Standards for Medical Gas Systems Maintenance Personnel, All inspections and testing shall be conducted by personnel who are MGPHO Credentialed Medical Gas Verifiers (CMGV).

G. Certification shall be submitted with the offer.

H. No work will begin until a schedule for work has been submitted and approved by the department point of contact. Once approved the contractor and all individuals associated with this contract reports to Engineering Administration Office and is given an ID Badge and contractor will notify the department point of contact that they are on station.

I. The Individuals working on any Medical Gas Systems must show proof of the following certification. ASSE 6020, ASSE 6330, ASSE 6040, ASSE 6010 J. All certifications must be up to date. Any Contractors/Vendor not showing proof of Certifications shall be disqualified.

K. Once work begins the individuals conducting the work shall not leave the Hospital until the contractor has met with department point of contact and the contractor has given written summary of issues and work completed.

L. Once the work has been completed, this contractor shall provide a complete written and itemized report of all findings and certifications within 14 working days and this contractor will also provide a printable report via e-mail to the department point of contact as well as three written color copies of said report sent to Engineering Service 200 Springs Road, Bedford, Ma 01730 within 14 working days.

M. The work shall include providing a written outline of recommendations from NFPA 99, 2012 Edition.

N. The work shall include notification to the department point of contact immediately if life threatening condition exist during the inspections and testing.

1.02 Testing Agency Responsibilities

A. The testing agency shall become familiar with the medical gas systems in their entirety to the commencement of any work at the Veteran Affairs facility at 200 Springs Rd, Bedford, and Ma.

B. The testing agency shall provide project management for a complete turnkey inspection and testing program.

C. The testing agency shall provide all required materials and labor to complete this work D. The testing agency shall coordinate the schedule of work with the POC of this contract and shall provide a written request 2 weeks prior to proceeding with work.

E. The testing agency shall provide a work schedule for each area of the facility where work will be completed.

F. The testing agency’s work plan includes requirements for respirators or confine space entry, then the testing agency’s written program must be submitted for review to the POC of this contract.

G. All work shall be completed in a manner that causes the least amount of disruption to patients, staff, visitors, and patient care areas and shall not interfere with patient care operation of the facility.

H. All work shall be conducted during hours that meet the scheduling requirements of the individual departments and business operations of the facility. The work shall be coordinated with and approved by the department point of contact of this contract.

I. The testing agency shall take all reasonable precautions necessary to protect persons and property from injury or damage during performance of this work. The testing agency shall be responsible for any injury to himself/herself, his/her employees, as well as for any damage to any personal or public property that occurs during the performance of this work that is caused by his/her fault or negligence, and shall maintain, profession and /or personal liability and property damage insurance as required by law of the State of Massachusetts.

1.03 Interruption of Medical Gas Services

A. The interruption of medical gas services (i.e. closure of valves, raising and lowering pressures etc.) shall be prohibited without the approval of the contracts point of contact. Interruption of medical gas services shall be considered a medical gas shutdown and the Facility shutdown procedure shall be followed. Interruption of medical gas service shall be requested using the following procedure.

1. Notification of the contracts point of contact not less than (2) days in advance of the proposed interruption of medical gas services.

2. Do not proceed with interruption of medical gas service without the contracts written permission from the Engineering department.

3. Testing agency shall be responsible for all temporary connections, staffing, and equipment required to maintain operation of the systems, per the contracts requirements, while the system shutdown in is progress.

SECTION 2: INSPECTION AND TESTING REQUIREMENTS

2.01 General

A. The inspection and testing of the medical gas system shall be conducted in accordance with the standards set forth in NFPA 99, 2012 edition, NFPA 55, 2013 edition, and as recommended in the ASSE 6000 Professional Qualifications Standard for Medical Gas Systems.

B. All inspections and testing shall be conducted per the manufacturer’s instructions as identified in the medical gas equipment operation and maintenance manuals.

C. Minor corrections shall be completed at the time of inspection.

D. If the following inspection and testing methods and procedures or those identified in the equipment manufacturer’s operation and maintenance manual cannot be followed, a substitute procedure shall be submitted to the contracts point of contact for review and approval prior to conducting inspection and testing.

F. All recommendations for system improvement shall be provided on a separate “Medical Gas System” Recommendations Report.

2.02 Equipment Inventory

Building# 2

a) Bulk Liquid Oxygen Central Supply System

b) Medical Air Compressor Central Supply System

c) Medical-Surgical Vacuum Central Supply System

d) All Source and Critical Control Valves

e) All Zone Valves

f) All Area Alarms

g) All Station Outlets and Inlets

h) All Patient Panels Building# 4

a) Bulk Liquid Oxygen Central Supply System

b) Medical Air Compressor Central Supply System

c) Medical-Surgical Vacuum Central Supply System

d) All Source and Critical Control Valves

e) All Zone Valves

f) All Area Alarm Panels

g) All Stations Outlets and Inlets

h) All Patient Panels Building# 78

a) Bulk Liquid Oxygen Central Supply System

b) Medical Air Compressor Central Supply System

c) Medical-Surgical Vacuum Central Supply System

d) All Source and Critical Control Valves

e) All Zone Valves

f) All Area Alarm Panels

g) All Station Outlets and Inlets

h) All Patient Panels B. The scope of work shall include the inspection of the system above on a semi-annual basis. System will be inspected and tested twice a year.

SECTION: 3 MAINTENANCE:

Contractor shall supply all labor, test instruments, tools parts, and material required to perform all maintenance works on the medical gas systems as listed

1. BUILDING # 2- PREVENTIVE MAINTENANCE SERVICES

A. Semi-Annual PM Services- Vacuum Systems 1.) Medical Vacuum 2.) Dental Vacuum B. Semi-Annual PM Service- Compressed Air Systems 1.) Medical Air System 2.) Dental Air System C. Biennial PM Service- Medical Air Quality Monitoring Systems

1) Provide install, calibrate sensors for the medical air monitors, Dew point sensor, carbon dioxide sensor, and oxygen sensor.

2. BUILDING # 78 PREVENTIVE MAINTENANCE SERVICES

A. Semi-Annual PM Service- Medical Air and Vacuum Systems 1.) Medical Air System 2.) Medical Vacuum System B. Provide install, calibrate sensors, for medical air monitors, dew point sensor, carbon dioxide sensor, and oxygen sensor.

3. BUILDING # 4 PREVENTIVE MAINTENANCE SERVICES

A. Semi-Annual PM Service- Medical Air and Vacuum Systems 1.) Medical Air System 2.) Medical Vacuum System B. Provide install, calibrate sensors, for medical air monitors, dew point sensor, carbon dioxide sensor, and oxygen sensor

4. BUILDING # 2,4,78 –INSPECTION, TESTING AND PERFORMANCE VERIFICATION SERVICES

1.) Medical Gas Pipeline Purity Testing 2.) Oxygen USP Purity Testing 3.) Medical Air USP Testing

CLARIFICATION AND EXCLUSIONS

All work shall be performed during normal business hours, Contract does not include any premium time unless approved by the department point of contact. The Contractor or Contractor representative shall remove all replaced parts, and materials from the VA property and make sure that the working area and equipment is clean of any debris.

DOCUMENTATION AND REPORTS ON MAINTENANCE PERFORMED

Contractor shall provide a maintenance report complete with all maintenance task that were performed this includes documentation of all maintenance material used and the identification of any equipment not meeting the regulatory requirements. A hard copy of the report shall be sent to the Engineering Department along with a PDF file.

PERFORMANCE STANDARDS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

The Performance Requirements Summary Matrix, paragraph as provided below includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Required Services (Tasks)

Reporting