6100066302 Attachment B.docx
DOCX document 15 KB Posted
- Attached to
- PSP BCI CLRT Member Physical Examinations
- Solicitation number
- 6100066302
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
This file is a Medical Certification form for the Clandestine Laboratory Training Program, developed to support the Pennsylvania State Police (PSP) Bureau of Criminal Investigation (BCI) Clandestine Laboratory Investigations Unit (CLRT). The document serves as the attachment to the physical examination requirements for CLRT members who perform clandestine laboratory duties. The form establishes medical clearance standards aligned with DEA guidelines and requires physician certification that personnel can safely perform the specialized duties associated with clandestine laboratory investigations. The related contract opportunity requests initial and annual physical examinations for PSP BCI CLRT members on an as-needed basis. Questions regarding the solicitation must be submitted in writing to RA-SPPSPBIDS@PA.GOV no later than July 14, 2026 at 11:00 a.m. Bidders must complete the cost matrix provided, submit the Worker Protection and Investment form BOP-2201, and provide current certificates of insurance listing PSP as the certificate holder with supplemental language naming PSP as an additional insured. All bid responses must be submitted electronically through the Pennsylvania Supplier Portal at www.pasupplierportal.state.pa.us.
The medical certification form requires physicians to evaluate candidates' ability to perform duties including strenuous physical activity, pursuit and confrontation of suspects, extended work in full protective equipment including respirators and chemical-resistant suits, and operations in uncontrolled laboratory settings with potential exposure to unidentified chemicals, fire, and explosion hazards. Specific evaluation criteria include capability for strenuous work, tolerance for high heat and humidity environments, fitness to use air-purifying respirators and self-contained breathing apparatus, and capacity to perform strenuous exercise while wearing approximately 40 pounds of additional equipment. The form permits physicians to document limitations and restrictions based on individual medical evaluations, ensuring that only personnel medically cleared to perform these hazardous duties are approved for CLRT assignment.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6100066302 Cost Matrix.xlsx | XLSX spreadsheet | |
| 6100066302 Terms and Conditions.pdf | ||
| BOP-2201 Worker Protectionand Investment Form.docx | DOCX document | |
| 6100066302 Attachment A.docx | DOCX document | |
| 6100066302 Bid Specifications.pdf |
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Text version
(ATTACHMENT “B”)
Clandestine Laboratory Training Program for State and Local Police Officers
Medical Certification
I reviewed the existing medical records and the guidelines listed below for ___________ and on _____________ find him/her to be medically eligible according to the DEA standards to perform clandestine laboratory duties without unusual medical risk of harm to the individual or others.
Physician’s Signature _______________________________ Date __________________
Physician’s Printed Name ____________________________
Guidelines for Medical Clearance
Personal Protective Equipment (PPE)
Patient is able to wear a twin cartridge, full face mask, air purifying (MSA Advantage 1000) respirator (APR), and MSA Airpac (pressure demand, open circuit) self-contained breathing apparatus (SCBA). Patient must run or walk distances using the above equipment.
Patient is able to wear neoprene boots, chemically resistant gloves, and a chemically resistant (vapor barrier) suit made of Tyvek or Saranex.
Type of Work
Patient is able to fully participate in activities including pursuit, confrontation, control and arrest of suspects which may involve strenuous physical activity. Includes light to moderate exertion while wearing PPE with increased work of breathing, cardiovascular stress, and heat load. Includes responsibility for the safety of others and responsiveness in rescue and emergency situations. Such work may be done up to daily or once a month or less; up to 8 hours at a time. Patient will participate in strenuous raid activities involving chemical spray.
Work Setting
Patient is able to work in uncontrolled, poorly ventilated makeshift laboratories with unidentified chemical processes in progress. Potential for fire, explosion, and chemical spills are likely. Potential for exposure to known and unknown chemicals and hot environments both indoors and out.
MEDICAL CERTIFICATION
I examined ______________________________________ on _____________________ (Name) (Date) and find the individual to be medically able to perform the duties described on the first page without unusual medical risk of harm to the individual or others.
COMMENTS:
| 1. | Is the employee capable of strenuous work? | YES _____ NO _____ |
| If No, explain limitations: | ||
| __________________________________________________________________ |
| 2. | Is employee able to work in high heat and humidity? YES _____ NO _____ |
| If No, explain limitations: | |
| __________________________________________________________________ |
| 3. | Is the employee medically able to use the described |
| respiratory protective equipment (APR & SCBA)? | YES _____ NO _____ |
If No, explain limitations:
| 4. | Is the employee capable of strenuous exercise while |
| wearing an additional 40 pounds of equipment? | YES _____ NO _____ |
If No, explain limitations:
Physician’s Name ____________________________________________ (Print or Type)
Physician’s Signature _________________________________________ Date ________
File details come from the government source that posted it. Updated .