A3. QASP - Occupational Health Exams.pdf

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Occupational Health Exam Providers
Solicitation number
W912K3-24-Q-0011
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This document is a Quality Assurance Surveillance Plan (QASP) for a federal contract to provide Occupational Mobile Exams. The QASP outlines the roles and responsibilities of the Contracting Officer Representative (COR) and Contracting Officer in monitoring contractor compliance with the Performance Work Statement (PWS). It defines performance measures, acceptable quality levels, and surveillance methods for key PWS requirements such as providing medical exams, using certified staff and equipment, and properly disposing of medical waste. The QASP also includes a deliverables schedule and a quality assurance worksheet.

The related federal contract opportunity is a Request for Quote (RFQ) to provide Occupational Health Exam Services for multiple Army National Guard locations. This is a 100% small business set-aside under NAICS code 611519. The contract will be firm-fixed price with a base period from July 2024 to December 2024 and four one-year option periods. The RFQ includes 32 Contract Line Item Numbers (CLINs) for exam services and mobilization fees at different locations. Responses are due by June 26, 2024 and the government will award a single contract based on price and past performance.

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B1.RFQ Attachment 1.xlsx XLSX spreadsheet
A2. PWS - Occupational Health Exams.pdf PDF

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QUALITY ASSURANCE PLAN

FOR

Occupational Mobile Exams

1. PURPOSE

This plan will be used by Contracting Officer Representative (COR) to ensure contractor compliance in accordance with the PWS.

2. OBJECTIVE

This QASP is designed to provide the COR an effective systematic surveillance method for each item listed on the Performance Work Statement. The premise of commercial contracting is for the Contractor to assume responsibility for the work they produce. The government will also rely on the Contractor's submitted Quality Control Plan for ensuring contractual requirements are met.

3. RESULTS

The results in managing this acquisition through this QASP are to provide the Washington Army

National Guard (WAARNG) with NON-PERSONAL services and as described in the PWS that are acceptable and timely while protecting government resources.

4. MULTI-FUNCTIONAL TEAM ROLES & RESPONSIBILITIES

The following government officials will participate in performance management of the contractor. Their roles and responsibilities are described as follows:

4.1. COR: Responsible for monitoring, assessing, recording and reporting on contractor compliance with the terms and conditions of the contract. These individuals will have primary responsibility for completing quality assurance monitoring forms that will be used to document the inspection and evaluation of the contractor’s performance. The COR will maintain surveillance documentation, notify the Contracting Officer (CO) of any significant performance deficiencies and recommend improvements to the QASP and Statement of Work (SOW) throughout the life of the contract.

4.2. The Contracting Officer (CO): Has overall responsibility for overseeing the contractor’s performance. The CO will also be responsible for the day-to-day monitoring of the contractor’s performance in the areas of contract compliance, contract administration, cost control, and property control; reviewing the COR assessment of the contractor’s performance; and resolving all differences between the COR version and the contractor’s version of events. The CO is the only person with the authority to direct the contractor in the performance of his duties under the contract and to make interpretations of and changes to the contract.

5. COR APPOINTMENT AND TRAINING

5.1. A primary and alternate COR will be appointed for this contract. The CO is the designating authority.

5.2. Each COR will be available to receive training provided before they can perform contractor surveillance.

5.3 The COR’s name and contact information shall be provided in writing prior to the start of performance.

6. GENERAL

Government surveillance will be conducted by inspections that mirror the SOW. All documentation of this surveillance plan will be marked, "For Official Use Only".

6.1 PERFORMANCE MEASURES. The following standards and measures will be used to evaluate Contractor performance and compliance under the contract. This information will be used to prepare past performance evaluations

6.2 The COR will prepare a surveillance performance checklist for random task orders. If services are unacceptable, the contractor will be allowed to comment and submit a correction for the discrepancy.

Performance Requirements Summary

PWS Paragraph Task Performance

Standard Acceptable Quality

Levels (AQL) Surveillance

Method

1.2

The contractor shall provide Technician Occupational Medical Surveillance Examinations to all technicians requiring medical surveillance 100% of the time.

The contractor shall complete all personnel requiring medical surveillance, 100% of the time each month.

2% failure to provide Technician Occupational Medical Surveillance Examinations to all technicians available requiring medical surveillance.

Periodic Inspection- COR will review all testing and exam results for completeness and accuracy against the master roster of employees to be tested

5.1.7 provide Occupational Medical Surveillance Examinations in accordance with DoD and OSHA Regulations

The contractor shall perform occupational medical surveillance examinations based on regulation 100% of the time each month.

0% failure to provide the specified components of the regulatory Occupational Medical Surveillance Examinations.

Periodic Inspection – COR will review examinations to ensure regulatory compliance.

5.1.9 notify the technician both verbally and in writing if there is

The contractor shall notify the technician both verbally and in writing if there is an abnormality requiring farther follow-up.

Any abnormalities that are related to work place hazard exposures require notification to the

OHN

0% failure to notify of abnormal results

Periodic Inspection of records abnormality in the exam or laboratory results and recommended medical follow-up. Any abnormality that may be related to the job hazard exposure will require notification of the Occupational Health Nurse both verbally and in writing.

Any non- work related abnormality should include written recommendation for follow-up, 100% of the time.

5.1.9 and 5.1.10

The contractor shall The contractor shall 0% failure to provide certified staff to perform Technician Occupational Medical Examination services each month.

Periodic Inspection -provide physicians, provide certified staff COR will review provider technicians and/or within the established certification.

certified staff in timeframes 100% of accordance with all legal and regulatory the time each month.

requirements of the

State of WA.

5.1.11

The contractor shall The contractor shall 0% failure to provide certified equipment in the performance of Technician Occupational Medical Examinations.

Periodic Inspection- COR will review equipment certification logs provide provide equipment instrumentation that is certified and instrumentation that meets or exceeds meets performance performance standards 100% of standards.

the time

5.1.12

The Contractor shall dispose of all Infectious Waste 100 % of the time.

All sharp instruments, blood, and urine is handled and disposed of in accordance with federal, state, and

0% failure to dispose of all infectious waste.

Periodic Inspection – COR will observe for proper handling and disposal of potentially infected materials local regulations

100% of the time.

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference /

Deliverable Title

Frequency Number of

Copies

Medium/Format Submit To

5.4 – Copy of employee’s examination findings

30 business days following medical examination

Hardcopy

Hardcopy

OHN

Patient

5.4 – Summary

Spreadsheets

30 business days following medical examination

Internet Database

OHN

QUALITY ASSURANCE PLAN WORKSHEET

Performance Rating

Deliverable/Service Quality

Rating Causative Factors Effect on Mission

Action Required

Date

Technical Specification

PWS para 1.2

Green Comments Unnecessary for “Green” QA Rating.

Yellow

Red

PWS para 5.1.7

PWS para 5.1.9

PWS para 5.1.9 and 5.1.10 Green Comments Unnecessary for “Green” QA Rating.

Yellow

Red

PWS para 5.1.11

PWS para 5.1.12

Results of surveillance:

Frequency:
MediumFormat:
Submit To:
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