4_PWS_IH_2023.05.22 notes.pdf

Nebraska Army National Guard Industrial Hygiene Services

1.0 General: This is a non-personal services requirement that will anticipate, recognize, and evaluate potential health hazards associated with processes performed at Army National Guard (ARNG) facilities. Contractor shall be required to provide sound recommendations for hazard control. The surveys shall serve as a baseline of workplace conditions or provide an update for a previously conducted survey. The purpose of a survey is to document a worker’s history of exposures for both civilian and military employees.

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary to perform industrial hygiene surveys, as defined in this PWS. The exception is specified in Paragraph 4.0 as Government Furnished.

1.2 Objectives: The contractor shall conduct a comprehensive industrial hygiene survey and prepare a comprehensive report for the specified facilities as defined in this PWS.

1.3 Background: In accordance with (IAW) The Occupational Safety and Health (OSH) Act of 1970, Title 29 of the Code of Federal Regulation, Section 25, Part 1960, paragraph (c) states that “all areas and operations of each workplace, including office operations, shall be inspected at least annually. More frequent inspections shall be conducted in all workplaces where there is an increased risk of accident, injury, or illness due to the nature of the work performed.” In addition, Department of Defense Instruction (DODI) 6055.01, paragraph E3.7.a.1, and Army Regulation (AR) 385–10 also require annual workplace inspections conducted by qualified safety and occupational health personnel. The industrial hygienist is included in the definition of “qualified safety and health personnel” from all three references cited.

1.4 Qualifications:

1.4.1 A Board for Global EHS Credentialing Certified Industrial Hygienist must approve all work completed during the performance of this contract.

1.4.2 If requested by the contracting officer’s representative, the contractor will submit resumes for all personnel to the contracting officer’s representative for review and approval of personnel prior to beginning survey work or at any time during the contract.

1.5 Period of Performance (PoP): The contract will be an option contract. There will be one base year and five option years.

1.4.3 Base Year – Contract award date to October 31, 2023.

1.4.4 Option Year One – April 1, 2024, to October 31, 2024.

1.4.5 Option Year Two – April 1, 2025, to October 31, 2025.

1.4.6 Option Year Three – April 1, 2026, to October 31, 2026.

1.4.7 Option Year Four – April 1, 2027, to October 31, 2027.

2.0 General Information

2.1 Place and Performance of Services: The contractor shall provide services between the hours of each facility is open during the week 0730-1730 on Monday through Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. The contractor shall always maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons.

2.2 Telework: The Government does not permit the contractor to telework in support of this requirement.

2.3 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving

Sehnert, Zachery L CIV NG NEARNG (USA) Where we at on this Jarod?

Epp, Jarod W CIV NG NEARNG (USA) According to the gov't a company with no experience is permitted to be hired. So, we are not reviewing resumes, the fail-safe is the CIH has to sign/approve the report. Meaning he is taking the responsibility for the report and the inspection. Similar to Architecture and Engineering, they sign the designs proving everything is correct with their license on the line.

Glenn, Anthony L CIV NG NEARNG E-mailed Response

Epp, Jarod W CIV NG NEARNG (USA) We can ask for the CIH certificate.

violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

2.4 The contractor’s employees shall become familiar with and obey the regulations of the installation, including fire, traffic, safety, and security regulations while on the installation.

Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall always carry proper identification with them and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

2.5 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

2.5.1 New Year’s Day: January 1st

2.5.2 Martin Luther King, Jr.’s Birthday

2.5.3 President’s Day

2.5.4 Memorial Day

2.5.5 Juneteenth National Independence Day: June 19th

2.5.6 Independence Day: July 4th

2.5.7 Labor Day

2.5.8 Columbus Day

2.5.9 Veteran’s Day: November 11th

2.5.10 Thanksgiving Day

2.5.11 Christmas Day: December 25th

2.6 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS).

A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

2.7 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

2.8 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

2.8.1 Failure to comply with these requirements may result in withholding of final payment.

2.8.2 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website: https://jko.jten.mil/courses/atl1/launch.html

2.8.3 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance.

The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

2.8.4 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

2.8.5 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm

2.8.6 For contractors that do not require CAC but require access to a DoD facility or installation:

Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

2.9 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

2.9.1 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

https://jko.jten.mil/courses/atl1/launch.html https://securityawareness.usalearning.gov/opsec/index.htm

2.9.2 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

2.9.3 Identification of Contractor Employees: Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

2.9.4 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles pass) to the KO within 14 days of an employee’s departure.

2.9.5 Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

2.9.6 Contractor Travel: No travel expenses will be reimbursed. All expected travel expenses to include lodging, airfare and mileage will be included in the quote.

2.9.7 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

3.0 Definitions and Acronyms

3.1 Definitions

3.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

3.1.2 Critical Item: An item that the failure of or disclosure of which is likely to result in hazardous or unsafe conditions for individuals using, maintaining, or depending upon the item; or is likely to prevent performance of a vital Government mission.

3.1.3 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

3.1.4 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

3.1.5 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

3.1.6 Physical Security: Actions that prevent the loss or damage of Government property.

3.1.7 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

3.1.8 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

3.1.9 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of a product or service shall meet contract requirements.

3.1.10 Subcontractor: One that enters a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

3.2 Acronyms

AASF Army Aviation Support Facility ACOR Alternate Contracting Officer’s Representative AEI Army Enterprise Infrastructure AFARS Army Federal Acquisition Regulation Supplement AIHA American Industrial Hygiene Association ANG Air National Guard AQL Acceptable Quality Levels AR Army Regulation ARNG Army National Guard ASTM The American Society for Testing and Materials AT Antiterrorism AT/OPSEC Antiterrorism/Operational Security AUP Acceptable Use Policy AVCRAD Combined Maintenance Aviation Classification Repair Activity Depot BBP Best Businesses Practice CA Contract Administrator CFR Code of Federal Regulations CMF Combined Maintenance Facility COMSEC Communications Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf CS Contract Specialist CSMS Combined Support Maintenance Shop CST Civil Support Team CUI Controlled Unclassified Information DA Department of the Army DD250 Department of Defense Form Receiving Report DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense DODD Department of Defense Directive FAR Federal Acquisition Regulation FMS Field Maintenance Shop FPCON Force Protection Condition GFP/M/E/S Government Furnished Property/Material/Equipment/Services HHIM Health Hazard Information Forms HHSC Health Hazard Severability Code

HIPAA Health Insurance Portability and Accountability Act of 1996 HQDA Headquarters, Department of the Army IA Information Assurance IH Industrial Hygiene IS Information System(s) IT Information Technology KO Contracting Officer MATES Maneuver Area Training Equipment Site NEARNG Nebraska Army National Guard NG National Guard NGB National Guard Bureau NLT No Later Than OCI Organizational Conflict of Interest OCONUS Outside Continental United States ODC Other Direct Costs OEL Occupational Exposure Limit OPSEC Operational Security OSHA Occupational Safety and Health Administration P&C Purchasing and Contracting PII Personally Identifiable Information PIPO Phase In / Phase Out POC Point of Contact PoP Period of Performance PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RC Readiness Center RIHS Regional Industrial Hygiene Office Southeast SEG Similar Exposure Group SF Standard Form STEL Short Term Exposure Limit TASMG Theater Aviation Sustainment Maintenance Group TE Technical Exhibit TWA Time Weighted Average USPFO United States Property and Fiscal Office UTES Unit Training Equipment Site

4.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

4.1 Property: The Government will not provide property for the performance of this contract.

4.2 Materials: The Government will provide materials for the performance of this contract as outlined in sections 6.1.8.2 and 6.1.11.1.

4.3 Equipment: The Government will not provide equipment for the performance of this contract.

4.4 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The

Epp, Jarod W CIV NG NEARNG (USA) This statement conflicts with 6.1.8.2 and 6.1.11.1.

Glenn, Anthony L CIV NG NEARNG E-mailed response contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

5.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E)

5.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 4.0, the contractor shall furnish everything required to perform these services as indicated in section 6.0.

6.0 Requirements.

6.1 Inspection

6.1.1 Buildings to be inspected are listed in “PWS_Inspection Locations”.

6.1.2 Conduct a thorough IH investigation to determine the potential for any IH and/or occupational health and safety hazards in the facility where NG employees work as defined by AR 385-10 Army Safety Program.

6.1.2.1 The contractor shall list all known potentially hazardous processes in the facility whether they are planned soon, currently operational, or previously occurred. Report the number of personnel performing the process, as well as the duration and frequency of each process. Describe all equipment (grinders, saws, pneumatic tools, sanders, etc.) used in each process.

6.1.2.2 The contractor shall list any unknown potentially hazardous processes in the facility whether they are planned soon, currently operational, or previously occurred. Report the number of personnel performing the process, as well as the duration and frequency of each process. Describe all equipment (grinders, saws, pneumatic tools, sanders, etc.) used in each process.

6.1.2.3 Notify the COR immediately of any Immediately Dangerous to Life and Health (IDLH) concerns identified during the survey.

6.1.3 Obtain a shop layout plan and clearly depict the location of operations identified during the survey.

6.1.4 Take photographs of the exterior and interior of each facility. Photograph all potential hazards or items of concern noted during survey. Catalog and describe each photograph by location and concern.

6.1.5 Evaluate each facility for applicable Army and OSHA specific programs (see Exhibit 2).

The evaluation shall include a determination that program documents exist and are readily available.

6.1.6 Workplace control evaluation. Properly document the existing engineering, administrative and personal protective equipment used in each process. Annotate noise reduction ratings for all hearing protection devices as well as the specific type of protective gloves used.

Contractor shall provide this information whether the process is or isn’t performed during the survey.

6.1.7 Ventilation survey.

6.1.7.1 When respiratory protection is identified, annotate the type of respirator (half-face, full-face, supplied air, etc.), type of respirator cartridge, respirator storage and the existence of respiratory protection program.

6.1.7.2 All existing and operational ventilation systems shall be evaluated for compliance with OSHA, NGB or applicable standards/guidance (NGB vehicle exhaust rates are provided in Exhibit 3). Provide evaluation details including type of ventilation (local exhaust or dilution), process/operations (spray painting, vehicle exhaust, welding, etc.), recorded measurements used to determine compliance (face or capture velocity) and other observations made during the evaluation. Note any damaged or inoperable ventilation systems.

Epp, Jarod W CIV NG NEARNG (USA) Is this part of the report?

Glenn, Anthony L CIV NG NEARNG Yes, this is to be included with the overall report.

Epp, Jarod W CIV NG NEARNG (USA) Is this part of the report?

Glenn, Anthony L CIV NG NEARNG Yes, this is to be included with the overall report.

Epp, Jarod W CIV NG NEARNG (USA) Is this part of the report?

Glenn, Anthony L CIV NG NEARNG Yes, this is to be included with the overall report.

Epp, Jarod W CIV NG NEARNG (USA) Should this be in the report section?

Yes

6.1.7.3 To determine occupational exposure levels for Federal employees, conduct air breathing zone sampling to represent full-shift sampling when determining compliance with an 8-hour TWA. Full-shift sampling is defined as a minimum of the total time of the work shift less one hour. Every effort should be made to sample the segments of the work shift when the highest exposure is anticipated. Ensure that sufficient air sampling volume is achieved so that the laboratory limit of detection is less than the hazard occupational exposure limit (OEL). The exposure results shall be used to determine the work shift TWA or STEL for each targeted hazard. If the sample results exceed the applicable hazard OEL (use ACGIH TLV when more conservative than OSHA PEL) contact the RIHS office immediately via the office mailbox at ng.ga.gaarng.mbx.rihse@army.mil If the work shift is greater than 8 hours, adjust the OEL accordingly.

6.1.8 Air sampling.

6.1.8.1 Personal air sampling for hexavalent chromium shall be conducted using an Institute of Medicine (IOM) sampler with polyvinyl chloride (PVC) filter.

6.1.8.2 The contractor shall submit a sample media request to the COR two weeks prior to the site survey if air sampling is anticipated. The COR will obtain sample media with one of the approved laboratories. Sample media shall be returned to the appointed laboratory for analysis. Analysis will be charged to the government.

(i) The contractor is responsible for shipping collected samples to the laboratory.

(ii) Any unused media shall be returned to the laboratory, or the contractor will be billed directly for analytical costs.

6.1.9 Noise survey.

6.1.9.1 Conduct noise survey measuring sound levels using calibrated sound level meters and properly completing DD Form 2214 – Noise Survey (see Exhibit 4). Perform noise dosimetry on as many employees as possible to ensure the Army Safety and OSHA standards are met (listed on DD Form 2214). When noise dosimetry is performed on Federal employees, personnel shall be separated into similar exposure groups (SEGs) based on the process(es) performed (vehicle maintenance, sanding/grinding, spray painting, etc.) and/or position description/job duties. Noise dosimetry shall be conducted for a minimum of 75% of the worker’s normally scheduled workday. The collected data will be used to obtain and provide results as an 8-hour TWA.

6.1.10 Illumination.

6.1.10.1 Conduct an illumination investigation to determine if lighting is adequate in each area in the facility where personnel perform job duties.

6.1.11 Lead contamination.

6.1.11.1 The contractor shall submit a sample media request to the COR two weeks prior to the site survey when surface lead dust sampling is required.

(i) Surface sampling shall be conducted IAW ASTM E1792 and ASTM E1728.

(ii) The contractor shall request analysis of lead using EPA Method 600/r-93/200

(modified), EPA SW-846 7000B from the appointed laboratory.

(iii) The contractor is responsible for shipping collected samples to the laboratory.

6.2 Reports.

6.2.1 Survey report.

(a) At the contractor’s discretion, a draft report may be submitted to the COR for review.

(b) All reports, for each region, must be signed by a CIH and approved by the COR prior to invoicing.

6.3.1.1 Address report to the Shop Supervisor of each facility.

6.3.1.2 Name report files as: State_Facility_City_mm_yyyy

(i.e. NE_CSMS A_Lincoln_10_2023).

Epp, Jarod W CIV NG NEARNG (USA) This section will be deleted.

Epp, Jarod W CIV NG NEARNG (USA) Does a CIH need to sign the report? We don't mention it.

Yes, CIH signature verbiage should be included.

6.3.1.3 Do not collect or include social security numbers or birth dates on any documents or reports. The full name of the employee, facility name, and job title is sufficient to identify the employees and their exposure records will be updated with additional information by the occupational health nurse.

6.3.1.4 One employee notification letter for each employee who wore a noise dosimeter or air sampling pump/passive badge. The notification letter will provide the sample results as an 8-hour TWA or STEL. Calculate the UTL if there are at least six noise dosimetry or air sampling results for a SEG. (See Exhibits 6 and 7 for an example of the form and to calculate the noise RAC. The information on the form must be adapted depending on the results.)

6.3.1.5 References. Only the references used in writing the report should be included in the reference section. Since publication dates may change, verify that the last published reference date is used.

6.3.1.6 Report Sections

(a) Table of Contents

(b) Executive Summary

(i) Time, date, and location of survey.

(ii) Basic summation of the facility and the processes performed therein.

(iii) Endorsement of the entire survey report and all content therein by CIH signature.

(c) Discussion of Results

(i) Illumination Survey

1. Specifications of the device utilized for survey.

2. Summary of findings compared to NGB IH Design Guide.

(ii) Ventilation Survey

1. Specifications of the device utilized for survey.

2. Method of calculation of ventilation systems surveyed.

3. Summary of findings.

(iii) Sound Level Survey and Noise Dosimetry

1. Specifications of equipment used for survey.

2. Provide Noise Dosimetry measurements.

3. Provide Hearing Conservation Program notification letters.

a. One letter per employee surveyed.

(iv) Surface Wipe

1. Provide surface wipe sample results.

2. Provide analysis for lead concentration in wipe samples.

3. Provide Laboratory Analysis

(v) Air Breathing Zone Sampling

1. Specifications of equipment used for survey.

2. Personal air sampling for hexavalent chromium

a. Provide analysis of collected samples.

b. Provide Laboratory Analysis.

3. Summary of findings.

(vi) Indoor Air Quality

1. Specifications of equipment used for survey.

2. Summary of findings.

(d) Photographs

(e) Facility site map

(i) Attached facility site map clearly depicting the location of processes surveyed.

(f) Attach all laboratory reports as appendices.

(g) Deficiency Summary - After completing a worksite visit, the contractor records identified workplace deficiencies (issues evaluated and non-compliant with Federal standards, Service specific regulations, authoritative standards, and recommended practices) using the spreadsheet attached as Exhibit 5. Each identified deficiency is assigned a risk assessment code (RAC) based on the type of risk: health, noise, safety or ergonomic. Once a RAC is assigned for each deficiency, recommendations are made for corrective actions and included in the installation hazard abatement plan or its equivalent.

(i) Complete exhibit #5 Deficiency Summary. Per deficiency list:

1. Reported Deficiency

2. Description/Comments

3. Regulatory or Applicable Guidance

4. Assigned RAC

5. Recommendation

6.4 Deliverables

Title PWS Date Location Any IDLH Notifications 6.1.3 31 October 2023 All Facilities Survey Report 6.2 31 October 2023 All Facilities

Exhibit 1 Typical Processes

This list is not all inclusive. Using professional judgment list all potentially hazardous processes whether planned in the near future, currently operational, or previously occurred.

Do not limit evaluation to the operations on this list.

Facility Type Processes

ASP

CSMS

MATES

UTES

FMS

CMF

VMF

Vehicle and Equipment Maintenance, Inspection, and Repair Battery Charging and Maintenance Brake Pad Replacement Solvent Use and Parts Washing Vehicle Idling Welding, Grinding, and Cutting Metals Machining Spray Painting (Aerosol Can and/or Compressed Air Application) Canvas and Vinyl Repair Woodworking and Crate Construction Flammable and Combustible Materials Storage Warehousing and Storage Electronics Repair and Soldering Weapons Storage, Repair, and Test Firing Night Vision Device (NVD) Repair and Nitrogen Purging Spent shell casing sorting, deforming, and recycling

AASF

Rotary Aircraft Maintenance, Inspection, and Confined Space Entry – Fuel Cells and Tail Boom Battery Charging and Maintenance Solvent Use and Parts Washing Welding, Grinding, and Cutting Metals Machining Spray Painting (Aerosol Can and/or Compressed Air Application) Aviation Life Support Equipment (ALSE) Canvas and Vinyl Repair Flammable and Combustible Materials Storage Warehousing and Storage Electronics Repair and Soldering Aircraft Blade Repairs (solvents, epoxy, isocyanates) Engine Testing

Exhibit 2 Regulatory Programs Review

Program Standard/Guidance Applies

Program Documents Reviewed

OSHA Standard Chemicals 29 CFR 1910.1001

29 CFR 1910.1025

29 CFR 1910.1026

29 CFR 1910.1027

29 CFR 1910.1028

29 CFR 1910.1052

If Yes, specify

Hazard Communication (HAZCOM) 29 CFR 1910.1200 Electro-Magnetic Frequency (EMF) 29 CFR 1910.97 Respiratory Protection 29 CFR 1910.134

AR 11-34

Compressed Breathing Air (Supplied Air Respirators)

29 CFR 1910.134(i)(1)(ii) Grade D Air Testing

Noise 29 CFR 1910.95

DA PAM 40-501

Lasers 29 CFR 1910.1096

DA PAM 40-506

Ionizing Radiation 29 CFR 1910.1096 Permit-Required Confined Space 29 CFR 1910.146 Bloodborne Pathogens 29 CFR 1910.1030 Add other Programs

Exhibit 3 ARNG Maintenance Shop Local Exhaust Ventilation Measurements

Exhibit 4 Noise Survey – DD Form 2214

Exhibit 5 Facility Hazard Abatement Log

Facility Name Deficiency Summary - Survey Date

Reported Deficiency Description/Comments Regulatory or Applicable Guidance Assigned RAC Recommendation

Exhibit 6

DERIVING RISK ASSESSMENT CODES (RACs) FOR CHRONIC HAZARDS Department of Defense Instruction 6055.01, Appendix to Enclosure 3

Department of Defense Occupational Safety and Health Program, 14 October 2014

1. DETERMINE THE HEALTH HAZARD SEVERITY CODE (HHSC). Use the following procedures to assess exposure and medical effects points and determine the health hazard severity category (HHSC). The HHSC reflects the magnitude of exposure to a single physical, chemical, or biological agent and the effects of chronic exposure.

a. Determine Exposure Points.

AER Possible?

Exposure Condition

95th percentile <10% of OEL

95th percentile between 10% of OEL and 50% of OEL

95th percentile between 50% of OEL and

OEL

95th percentile

>OEL

No 0 3 5 7 Yes 1 – 2 4 6 9

AER = Alternate exposure route, such as skin absorption, ingestion.

OEL = Occupational Exposure Limit, such as OSHA PEL or ACGIH® TLV®.

b. Determine Medical Effects Points.

Condition Points No medical effect, such as nuisance noise and nuisance odor 0 Temporary reversible illness requiring supportive treatment, such as eye irritation and sore throat 1 - 2

Temporary reversible illness with a variable but limited period of disability, such as metal fume fever 3 - 4

Permanent, non-severe illness or loss of capacity, such as permanent hearing loss 5 - 6

Permanent, severe, disabling, irreversible illness, such as asbestosis, lung cancer, or death 7 - 8

c. Determine the HHSC by totaling the points assessed.

Total Points (sum of Exposure Points [1a] and Medical Effects Points [1b]) HHSC

13 – 17 I

9 – 12 II

5 – 8 III

0 – 4 IV

2. DETERMINE THE EFFECT PROBABILITY CATEGORY (EPC). Use the following procedures to assess exposure frequency and duration to determine the effect probability category (EPC). The EPC is a function of the duration and frequency of exposure and the number of exposed personnel.

a. Determine Duration and Frequency of Exposure Points. Add exposure duration points and exposure frequency points, divide total by 2, then round UP.

Point s

Exposure Duration >8 hours/d ay

6-8 hours/day

4-6 hours/d ay

2-4 hours/d ay

1-2 hours/d ay

30-60 minutes/ day

15-30 minute s/ day

0-15 minute s/ day

8 8 6 5 4 3 2 1

Point s

Exposure Frequency

Daily 2-3 times/we ek

Weekly 2-3 times/ month

Monthly

Quarterl y or 2-3 times/ye ar

Annual Less than

Annual

8 7 6 5 4 3 2 1

b. Determine Number of Exposed Personnel Points.

Number of Exposed Workers Points < 5 1 - 2

5 - 9 3 - 4 10 - 49 5 - 6

> 49 7 - 8

c. Determine the EPC by totaling the points assessed.

Total Points (sum of Exposure Duration and Frequency Points [2a] and Exposed Personnel

Points [2b])

EPC

13 – 17 A 9 – 12 B 5 – 8 C 0 – 4 D

3. Determine the RAC for Chronic Hazards.

HHSC EPC

A B C D

I 1 1 2 3

II 1 2 3 4

III 2 3 4 5

IV 3 4 5 5

4. RAC Descriptor.

RAC Descriptor 1 Critical 2 Serious 3 Moderate 4 Minor 5 Negligible

DERIVING RACs FOR SAFETY HAZARDS

1. Use the matrix and descriptive definitions below as a model to determine the RAC for safety hazards:

a. Determine Accident Probability.

b. Determine Hazard Severity.

Code Description A Likely to occur immediately B Probably will occur in time C Possible to occur in time D Unlikely to occur

Code Description I Death, permanent total disability or loss of facility or asset

II Permanent partial disability, temporary total disability in excess of 3 months or major property damage

III Lost-workday injury or compensable injury or minor property damage

IV Minimal threat to personnel or property, first-aid, minor supportive medical treatment, but still a violation of a standard

2. Determine the RAC for health hazards by using the following matrix to measure safety severity and mishap probability factors.

HAZARD

SEVERITY

CODE

ACCIDENT PROBABILITY CODE

A B C D

I 1 1 2 3

II 1 2 3 4

III 2 3 4 5

IV 3 4 5 5

From Table 3 of Department of Defense Instruction 6055.1, Department of Defense Occupational Safety and Health Program, 19 August 1998 (reference 1).

3. RAC DESCRIPTOR

RAC DESCRIPTOR

1 CRITICAL

2 SERIOUS

3 MODERATE

4 MINOR

5 NEGLIGIBLE

Exhibit 7 Determining the Noise Risk Assessment Code (RAC)

To determine the Noise Risk Assessment Code (RAC).

1. Determine the number of personnel in a similar exposure group (SEG).

Example: 20 personnel at the aviation facility wear noise dosimeters. 10 are aircraft mechanics, 5 are ground support personnel, and 5 are machinists. There are three SEGs/OEGs, they are ‘aircraft mechanics’, ‘ground support’, and ‘machinists.

2. Calculate the Upper Tolerance Limit (UTL) for groups of 6 or more in a SEG/OEG.

Example: The 10 aircraft mechanic results are used to calculate a UTL of 91 dBA. The ground support and machinist personnel have individual noise TWA8s because there are not at least 6 in their SEG/OEG.

3. Compare each to the simplified noise RAC table.

Results for individual or group UTL # of people in SEG/OEL

< 10 10 or more < 82 dBA 4 3 82 dBA and over 3 2

Example: The aircraft mechanics UTL of 91 dBA results in a noise RAC 2 (10 or more people + 82 dBA or greater). Two sample results for the machinists were 78 TWA8 dBA and 83 TWA8 dBA. The 78 TWA8 dBA results in a noise RAC 4 and the 83 TWA8 dBA results in a noise RAC 3 using the simplified noise RAC table.