S02_-_Exhibit_3_-_Additional_VAPHS_Requirements.pdf

Exhibit 3: Additional VAPHS Requirements

The following known additional requirements are required for the VA Pittsburgh Healthcare System

(VAPHS) locations. These requirements may change at the time of order award. However, please address these additional requirements in your quote to demonstrate your company’s ability to address site-specific needs.

1. Cardboard boxes: RMW needs labeled with PA RMW PA HC 0196; UN3291: all containers need lawful shipping and generator labeling, generator stickering and labeling placard for each box or container, 50lbs cardboard box (total needed at UD is about 200 boxes, HJH 12 boxes per week), RMW red trash bags 50 lbs. capacity for lining the containers, four boxes per month as standard par level on hand both campus, no greater or more than requested. Dimensions are approximately 16.5’ W x 23.5” h x 16.5” depth. No greater than 50 lbs. capacity.

2. Large rolling RMW box cart. Reusable 18”x18” containers. UD needs 100 per day. Stericycle call these TB02. Par level need each day is 8 each. Each cart is on caster wheels, lid. HJH needs none.

3. Reusable standard container, 18”x18”, par level is 144 containers per 24-hour day at UD. HJH needs 18 per week. No greater than 18 at HJH. Room has limited capacity for clean sharps and clean RMW product. Same for soiled RMW.

4. Company shall be capable of providing refrigerated containers and trucking containers upon request.

5. Company shall be capable of providing 5 gallon and smaller RMW containers.

6. The contractor shall furnish legal and appropriate color and labeled and proper sized bags for purpose of generator lining containers and/or boxes. Appropriate level provided such as 4 cases

RMW trash bags per month, week. Colors both yellow and red.

7. Additional Contingency Plan Requirements:

Annually the contractor must furnish training documentation, update the plan, furnish licensing, trucking licensing, bi annual and annual DOT training certificates, safety and infection control training every year at the time of the start of this contract. The due date is first month of contract no later. The plan must be written, typed and created in standard conventional document. The contractor is expected to be able and capable of carrying out the plan into action. One or more items are required by DOT laws and requirements. Electronic submissions must meet maximum allowable email attachment, and paper copy of plan acceptable.

a. Contingency plan must include an incident command plan. Contractor must be capable in carrying out specifications of plans.

b. The plan for spills and handling on site and transportation spills. The contractor must furnish plan for report a spill, provide annual evidence in form of training provided to transportation and handling employees. Plan conforms with DOT regulations.

c. A plan for providing information to infection prevention staff investigating epidemiological events, TB and other illness, disease and pathogens as related to perform work for VA. The contract and its employees must furnish annual certification of TB and/or other pathogens as related to IP policy and annual pathogen surveillance required of employees and contractor employees. In keeping privacy past TB testing has been achieved with physician notes or contractor providing this verification.

d. Plan for security and homeland security requirements. All contractor employees, the contractor must furnish training documentation as related HAZMAT and DOT and security requirements for RMW transports. This includes all transport drivers.

e. The plan for storing large quantity of RMW on site includes general information about containers, sizes, refrigeration cargo containers, and any given volume contingency.

f. Plan for high incident pathogens, storms, man- made incidents or natural disasters such as hurricanes, tidal, snow storms, iced over roadways, floods etc.

8. The contractor must provide monthly weight report documenting total number of re-usable containers used, detailing the size, empty weight of the containers. Provide monthly weights and use report of all products that are re-usable containers. Provide monthly weights and measures of products going to landfill. Example total weight of carboard boxes used each month. Total number of sharps containers used each month and total weight. Ultimately the stations want to capture pounds and tons of containers diverted from landfill.

9. The contractor is expected to furnish how the treatment plant for RMW treats waste. This could be in form of scheduled plant inspections, written document describing water reclamation, energy conservation, waste diversion, how VA waste is processed, recycling, vehicles and trucking, fuel conservation methods, etc.

10. VAPHS does have some disposable sharps containers in the facilities. They will be disposed of as part of bulk RMW and billed at the price per pound for RMW.

11. Contractor staff are required to have annual TB testing. Contractor shall provide FCOR with proof and verification of TB testing.

12. If the Contractor elects to change the brand of reusable sharps containers utilized at VAPHS or make any changes requiring installation or removal throughout the period of performance, the following additional requirements apply:

o The installation/removal contractors shall comply with the attached specification, EC-051 Safety and Health During Construction. Preliminary ICRA requirements are for Class II preventative measures as defined within EC-051.

o During any construction, demolition, and repair work, the Contractor shall be responsible for placing barricades in appropriate location to protect the well-being and safety of patients, visitors and staff. These barricades shall be removed by the Contractor when work is completed or at the end of the workday.

o Contractor shall be responsible for keeping the work site clean, neat and orderly, ensuring that there are no unnecessary cables, hoses, ladders, or other equipment left in an appropriate location that could interfere with the operation of the medical center or be a cause of risk or hazard to patients, visitors or staff.

o All equipment shall be removed from any work site that is located within a pedestrian area daily at the end of the workday.

o All equipment being used in mechanical rooms or on roofs shall be secured daily but may be left overnight providing that this equipment is not in a position to be a risk or hazard to medical center personnel who may be called in to these areas after hours.

o Doorways, hallways and aisles shall be kept clear at all times.

o At no time shall equipment be left unattended, including breaks and lunch.

o Any damage detected during the performance of work that was not caused by the Contractor shall be reported to the COR, on a daily basis.

o Contractor shall provide a status to the COR on the progress of the project along with any deficiencies noted.

13. Contractor must inspect inside and outside of container for contamination, residue, and objects protruding from container or any other damage. Odor, extraneous material, liquid or other gross contamination inside or exterior of re-usable or RMW containers will be not meeting expectations. The contractor will be given notice and expected to furnish compliant containers within 4 hours of being given notice by phone or making arrangements with COR. Ultimately clean containers or boxes are expected to be sanitary, clean, free of gross particles, odor, extraneous materials or other biohazard.

14. The contractor is expected to sanitize all containers with approve disinfection chemical and methods prior to delivery of clean re-usable products/containers. Containers/boxes must be inspected prior to delivery and contractor ensures compliance. VA employees assigned to RMW duty will likely be key in quality assurance inspections of product being delivered.