Atch 2 PWS.doc

Attachment 2, PWS

FA561320Q0027

PERFORMANCE WORK STATEMENT (PWS)

for Occupational Health Care (OHC) and Consultation Service of Local National Civilians at Ramstein Air Base, Germany 29 Jun 20 Table of Contents

1. Description of Services

1.1. Technical Definitions Peculiar to this PWS

1.2. Occupational Health Care

1.3. Fitness for Duty Examinations

1.4. Occupational Safety and Health Advisory/Consultation Service

1.5. Personnel

1.6. Communication

1.7. Security Requirements

1.8. Hours of Operation

1.9. Government Observations

1.10. Standard Definitions

1.11. Contractor Furnished Items and Services

1.12. Quality Control

2.0. Services Summary (SS)

3.0. Government-Furnished Services

4.0. Appendices

4.1. Abbreviations and Translation Terms in PWS

4.2. List of Applicable Publications (current editions)

4.3. List of Air Force Host Medical Treatment Facilities with Occupational Health Offices in Germany and their supported Geographically Separated Units (GSU)

4.4. G-Codes

1. Description of Services. This is a non-personal services Performance Work Statement (PWS) for Occupational Health Care (OHC) (Arbeitsmedizinischen Vorsorge (ArbMedVV)) and consultation services for Local National (LN) civilians employed under the Collective Tariff Agreement II (CTA II), working for the United States (US) Air Forces in Germany, under the area of responsibility of the host medical treatment facilities at Ramstein Air Base (RAB) Germany, and its Geographically Separated Units (GSUs). Services are required in accordance with (IAW), but not limited to, paragraph (para) 11 of the German Occupational Safety Law (Arbeitsschutzgesetz (ArbSchG)), para 3 of the Ordnance on Occupational Health Care (Verordnung zur Arbeitsmedizinischen Vorsorge (ArbMedVV)), paras 1 and 19 of the German Law on Company Physicians, Safety Engineers and other Safety Specialists – Industrial Safety Law (Arbeitssicherheitsgesetz (ASiG)), respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and US regulations listed in Appendix 4.2. The contractor shall provide all personnel, equipment, tools, materials, supervision and other items and services necessary to perform OHC and occupational safety and health advisory/consultation.

1.1. Technical Definitions Peculiar to this PWS.

1.1.1. The Government. Refers to the United States Government, as used herein, it refers specifically to the United States Air Force in Europe (USAFE).

1.1.2. Contracting Officer (CO). The only person authorized to obligate funds on behalf of the Government. Any changes to this PWS and contract requirements must be coordinated and approved through the CO, prior to any changes in work being performed.

1.1.3. Contracting Officer’s Representatives (CORs). The persons designated for the surveillance of contractor performance throughout the life of the contract. Maintains liaison with own staff, the contracting officer, the contractor, and customers related to the project.

1.1.4. Medical Occupational Health Administrators (MOHAs). Military or LN civilian public health technician and/or officer assigned to the occupational health section of the Public Health Flight (PHF) at RAB authorized to place service calls on behalf of the Government.

1.2. Occupational Health Care. The contractor shall provide OHC to designated employees IAW the most current version of the ArbMedVV, Statutory Accident Prevention Regulations (Gesetzliche Unfallverhütungsvorschriften, the Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examinations (Berufsgenossenschaftliche Grundsätze (G-sätze) für Arbeitsmedizinische Vorsorgeuntersuchungen), and in some instances U.S. legal norms. (See para 4.2.) The contractor shall perform the OHC and provide completion certificate within the following periods:

Care

1.3. Fitness for Duty Examinations. Fitness for duty determination must be based upon a physical examination of the LN employee. The examination performance shall be within 5 workdays of MOHA’s suggested date and results provided within 15 workdays of completed examination.

1.4. Occupational safety and health advisory/consultation service (Ref para 3 of ASiG, respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and as stated in para 6 of the ArbMedVV). This service can be provided in writing, by phone or in person and is tracked in time units of 15 minutes. The contractor’s physician shall support the Government in all matters of health protection in connection with occupational safety and health and in dealing with accident prevention. In particular, provide guidance especially as regards the planning, construction and maintenance of operating facilities and of social and sanitary facilities,

a) the procurement of technical work equipment and the introduction of working methods and substances,

b) the selection and testing of personal protective equipment ,

c) issues associated with the physiological and psychological aspects of work and other ergonomic and industrial hygiene matters, in particular, the work schedule , the provisions concerning working hours and breaks, the design of the workplace, the work flow and the working environment ,

d) assessment of the working conditions,

e) examine the causes of job-related illnesses, record and evaluate the results of these examinations, and propose measures for avoiding such illnesses to the employer.

1.4.1. Safety and Health Council Meetings. The contractor’s physicians shall participate in LN Safety and Health Council Meetings (Arbeitsschutzausschüssen) on Government installations upon request by the unit commanders and in coordination with the MOHA. The service will be tracked in time units of 15 minutes. Travel time will not be reimbursed, billed visit time starts at arrival at the Government visit or meeting site.

1.4.2. Work Site Visits. Work site visits by the contractor’s physician on Government installations must be scheduled through MOHAs / CORs. The contractor physician shall provide a written report of findings and recommendations on corrective measures to the MOHAs within 20 workdays after the visit. The format of the report will be determined by the MOHAs. The actual visit and the time required to do research and write the report will be tracked in time units of 15 minutes. Travel time will not be reimbursed, billed visit time starts at arrival at the Government visit or meeting site.

1.5. Personnel.

1.5.1. Contract Manager (CM). The contractor shall identify a primary CM responsible for reporting services and an alternate representative in the event of absences by the primary. Names and telephone numbers shall be submitted in writing to the CO and each MOHAs within 5 workdays after contract award.

1.5.2. Primary Physicians. The contractor shall assign primary physician(s) to the Air Force host medical treatment facility listed in para 4.3. of this PWS, who will provide the required service and will be the appointed occupational medicine physician for the installation.

1.5.3. Employees.

1.5.3.1. Contractor’s Personnel. The selection, assignment, reassignment, transfer, supervision, management, and control of contractor employees shall be the sole responsibility and prerogative of the contractor; however, the contractor shall comply with the general intent and specific policies set forth in this PWS. When the CO directs, the contractor shall restrict the employment under the contract or remove from performance on the contract any person who is identified as a potential threat to the health, safety, security, general well-being or operational mission of the Government.

1.5.3.2. Certifications and Licenses (Ref para 4 of the ASiG, respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and para 7 of ArbMedVV). The contractor shall ensure that employees have current and valid professional certifications/licenses and health certificates when performing services. The contractor’s physicians must be licensed to practice medicine in the Federal Republic of Germany. They must also be trained in the specialty of occupational medicine or under the direct supervision of a physician trained in the specialty. The contractor ensures availability of certificates/licenses for Government review upon request. Any change of personnel or any change to their status must be submitted to the CO, CORs and MOHAs within 3 days after it occurs.

1.6. Communication. The contractor shall provide at least one individual at each examining facility (see para 4.3 of this PWS) who is able to read, write, speak and understand German and English at a level necessary to fully perform all required duties and tasks described in the PWS. The OHC certificate and the results of the Fit for Duty examinations shall be written in German and in English.

1.7. Security Requirements.

1.7.1. Confidentiality. The contractor, employed doctors, and secondary staff shall maintain confidentiality concerning all Air Force (AF) internal matters revealed to them during their surveillance or consultation with the agency, especially agency’s business secrets. This also applies to all documentation in the possession of the contractor.

1.7.2. Automated Data Processing System. The contractor shall store and process all data necessary to fulfill the requirements of this PWS and maintain accountable records in its own automated data processing system (compatible with industry standard equipment). The contractor shall protect LN employees’ data according to the Data Protection Act of the Federal Republic of Germany (Bundesdatenschutzgesetz), the US Privacy Act of 1974 and its applicable amendments.

1.7.3. Assessment Data. The contractor has the sole responsibility for the accuracy of assessment data inputs and outputs as well as for a safe maintenance of this data in its record keeping system. Any assessment data shall not be released except as specified in this PWS or as specifically required by the German regulations. The contractor shall also cooperate, if needed, with the Unfallversicherung Bund und Bahn (UVB) (Federal Accident Insurance Carrier) and the Bundesamt für Infrastruktur, Umweltschutz und Dienstleistungen der Bundeswehr (BAIUDBw) (Federal Office for Infrastructure, Environmental Protection & Services of the German Armed Forces) which are the accident prevention and occupational safety and health supervising authorities responsible for the US Forces in Germany.

1.7.4. Disposition of Employee Records. The contractor shall maintain and dispose of all medical records as described in Arbeitsmedizinische Regel (AMR) 6.1 (Occupational Medicine Rule) to the ArbMedVV.

1.7.5. Cooperation in Transition. If a transition of performance will become necessary upon contract expiration, the contractor shall cooperate with a subsequent contractor to assure uninterrupted services and inform the subsequent contractor of all pending requirements for examinations. Medical records shall be forwarded to a subsequent contractor upon request and with the LN employee’s consent.

1.7.6. Monthly Reporting Requirement. The contractor shall prepare a list of all LN employees that received OHC and were examined for fitness for duty. This list shall contain names, ID numbers, AF location, and date and type of service performed. This report shall be provided to the MOHAs on a monthly basis by the 10th calendar day of the following month.

1.7.7. Packaging. All required contract data submittals shall be packaged and delivered IAW commercial trade practice. The CORs/Safety and Occupational Health Specialists or Safety Engineer will provide the contractor with appropriate addresses.

1.8. Hours of Operation.

1.8.1. Normal Hours. The contractor shall provide the required services Monday through Friday, during the work hours 0800-1600 excluding German holidays.

1.8.1.1. Recognized German Holidays:

New Year's Day 1 January

Holy Three Saints (only for the states of Bayern and Baden-Wuerttemberg)

Good Friday varies yearly

Easter Monday varies yearly

Labor Day 1 May

Ascension Day varies yearly

Whit Monday varies yearly

Corpus Christi varies yearly (only for the states of Baden-Wuerttemberg, Bayern, Hessen, Nordrhein-Westfalen, Rheinland-Pfalz, and Saarland)

Assumption Day 15 August (only for the states of Bayern and Saarland)

Day of German Unity 3 October

All Saints Day 1 November (only for the states of Baden-Wuerttemberg, Bayern, Nordrhein-Westfalen, Rheinland-Pfalz, and Saarland)

1st and 2nd Christmas Day 25 and 26 December

1.8.2. Inclement Weather Conditions. On occasion, due to inclement weather conditions, bases may be closed. The Government will not be financially liable for any missed scheduled appointments of LN employees. For this or any other reason payment will be made only for services rendered or examinations performed.

1.9. Government Observations. Government personnel, i.e., to include but not limited to COs, CORs, Safety and Occupational Health Specialists or Safety Engineer and other appropriate personnel, may periodically observe but not interfere with contractor operations.

1.10. Standard Definitions.

1.10.1. Quality Assurance. Those actions taken by the US Government to assure services meet the requirements of the PWS.

1.10.2. Quality Control. Those actions taken by a contractor to control the performance of services so that they meet the requirements of this PWS.

1.11. Contractor Furnished Items and Services.

1.11.1. General. Except for those services specifically stated to be Government furnished in para 3.0., the contractor shall furnish all items and services required to perform the work.

1.11.2. Examination Facilities. All OHC and examinations shall be conducted at contractor’s facilities within 45 kilometers (km) of RAB and its designated GSUs in Germany (list of GSUs identified in appendix 4.3.). If the contractor does not have a facility within 45 km of the Government installations, the contractor shall provide a mobile unit and all necessary tools, equipment, labor and transportation to render service at the Government installations. The contractor shall have personnel and technical ability (mobile unit and all necessary tools, equipment, labor and transportation) to perform the service at the AF installation if requested by the MOHAs (special exam/consultation days on base).

1.12. Quality Control. The Quality Control Plan (QCP) shall be a comprehensive plan detailing how the contractor intends to ensure the delivery of quality services to the Government and how quality levels will be maintained. The QCP shall be provided not later than 15 days after contract award. The QCP shall cover all services described in this PWS. The Contractor is required to notify the COR immediately when there is a problem caused by the Government. The QCP shall include, but is not limited to the following general features:

1.12.1. Methods of communication with the Government regarding performance of this PWS. The communication shall include correspondence, formal meetings with the Government as well as written documentation.

1.12.2. Electronic Format. The QCP shall address how all documentation will be created/maintained in electronic format. Copies of written reports shall be sent electronically.

1.12.3. Surveillance Methods. Specific surveillance techniques of all services required in this PWS shall be described. The surveillance methods shall be comprehensive and adaptable to the reporting system of the QCP.

1.12.4. Corrective Actions. The QCP shall identify potential problem areas and address corrective action for any deficiencies that may occur in performance of this contract, including short-term remedial actions and long-term solutions. The contractor shall address what actions will be taken to ensure responses are prompt to correct deficiencies discovered in contract performance without Government guidance.

Internal records shall be kept of these situations as well as corrective action implemented.

2. Services Summary (SS)

Threshold Method of Assessment

SS-1

OHC services and completion certificates are provided within the specified timeframes.

tracked by MOHAs

SS-2

Availability of physician for

Consultations/Work center visits

tracked by MOHAs

SS-3

Receipt of visit report within required timeframe

tracked by MOHAs

3. Government-Furnished Services/Information

3.1. The MOHAs will supply the contractor with the employee exposure data sheet to request OHC or exams based on possible workplace hazards.

3.2. The Government will provide or make available to the contractor all worksite hazards information and disclosures necessary for the proper performance of OHC IAW occupational health and safety laws.

3.3. The Government will provide access of the contractor’s physicians to the installations when required to participate in meetings, work site visits and inspections.

3.4. For special exam/consultation days on base, requested on the main AF installation (Ramstein Air Base), the Government will provide rooms to help facilitate assessments conducted by the occupational health provider.

4. Appendices

4.1. Abbreviations and Translation Terms in PWS

AF

Air Force

Arbeitsschutzausschuss Safety and Health Council Meeting

ArbSchG

Arbeitsschutzgesetz (German Occupational Safety Law)

ArbMedVV

Verordnung zur Arbeitsmedizinischen Vorsorge (Ordinance on Occupational Health Care)

ASiG Arbeitssicherheitsgesetz (Law on Company Physicians, Safety Engineers and other Safety Specialist – Industrial Safety Law)

Bundesdatenschutsgesetz Data Protection Act of the Federal Republic of Germany

CM

Contract Manager

CO

Contracting Officer

COR

Contract Manager’s Representative

CTA II

Collective Tariff Agreement II

G-sätze

German Berufsgenossenschaftliche Grundsätze für Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examination)

GSU

Geographically Separated Units

IAW

in accordance with

Km

Kilometer

LN

Local National

MOHA

Medical Occupational Health Administrator

PH

Public Health

PHF

Public Health Flight

PWS

Performance Work Statement

QCP

Quality Control Plan

RAB

Ramstein Air Base

UVB

Unfallversicherung Bund Bahn (Federal Accident Insurance Carrier)

USAFE

United States Air Force in Europe

BAIUDBw

Federal Office for Intrastructure, Environmental Protection &

Services of the German Armed Forces)

4.2. List of Applicable Publications (current editions)

AFI 48-145*

Occupational Health Program (http://www.e-publishing.af.mil/)

AFI 48-127

Occupational Noise and Hearing (http://www.e-publishing.af.mil/)

Conservation Program (former AFOSH Standards*)

29 CFR 1910*

OSHA Safety and Health Standards https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1910

DODM 6055.5*

Occupational Health Surveillance Manual http://www.dod.mil/pubs/ Threshold Limit Values for Chemical Substances and Physical Agents/Biological Exposure Indices for (current year). American Conference of Governmental Industrial Hygienists.** (http://www.acgih.org/home.htm) Arbeitsschutzgesetz (Occupational Safety Law) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht Arbeitssicherheitsgesetz (Law on Company Physicians, Safety Engineers and other Safety Specialists – Industrial Safety Law) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht Gefahrstoffverordung/ TRGS 900, 903, 905 (Ordinance on Hazardous Substances) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht Verordnung zur Arbeismedizinische Vorsorge (ArbMedVV) (Ordinance on Occupational Health Care) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht Unfallverhütungsvorschriften**** (Accident Prevention Directives) http://www.dguv.de/de/Datenbanken/index.jsp Berufsgenossenschaftliche Grundsätze für Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examinations). (Purchase source: Gentner Verlag, Stuttgart)

4.3. Air Force Host Medical Treatment Facility with an Occupational Health Office and its supported Geographically Separated Units (GSU) 86th Medical Group/SGPM, Ramstein Air Base Bann

Einsiedlerhof

Grafenwohr

Hohenfels

Kaiserslautern Katterbach

Kapaun

Landstuhl

Rhine Ordinance Barracks

Sembach Stuttgart-Vaihingen

Vilseck

Vogelweh

Wiesbaden

4.4. G-Codes

G-Code

CLIN

Title

Reference

G1.1

X003

Mineral Dust, Part 1: Reparable crystalline silica dust / Mineralischer Staub, Teil 1: Quarzhaltiger Staub ArbMedVV

G1.2

X003

Mineral Dust, Part 2: Dust containing asbestos fibres / Mineralischer Staub, Teil 2: Asbestfaserhaltiger Staub ArbMedVV

G1.3

X003

Mineral Dust, Part 3: Man-made minal fibres (aluminum silicate wool) / Mineralischer Staub, Teil 3: Künstlicher mineralischer Faserstaub der Kategorie 1 oder 2 (Aluminiumsilikatwolle) ArbMedVV

G1.4

X003

Exposure to dust / Staubbelastung

ArbMedVV

G2

X003

Lead and its compounds (except alkyl lead compounds) / Blei oder seine Verbindungen (mit Ausnahme der Bleialkyle) ArbMedVV

G3

X003

Alkyl lead compounds / Bleialkyle ArbMedVV

G4

X003

Substances which cause skin cancer or skin alterations which tend to become cancerous / Gefahrstoffe, die Hautkrebs oder zur Krebsbildung neigende Hautveränderungen hervorrufen ArbMedVV

G5

X003

Ethylene glycol dinitrate and glycerol trinitrate (glycol dinitrate and nitroglycerin) / Glykoldinitrat oder Glycerintrinitrat (Nitroglykol oder Nitroglycerin) ArbMedVV

G6

X003

Carbon disulfide / Schwefelkohlenstoff ArbMedVV

G7

X003

Carbon monoxide / Kohlenmonoxid ArbMedVV

G8

X003

Benzene / Benzol ArbMedVV

G9

X003

Mercury or its compounds / Quecksilber o. seine Verbindungen ArbMedVV

G10

X003

Methanol

ArbMedVV

G11

X003

Hydrogen sulfide / Schwefelwasserstoff ArbMedVV

G12

X002

Phosphorus (white, yellow) / Phosphor (weißer) ArbMedVV

G13

X003 Chloroplatinate

ArbMedVV

G14

X003

Trichloroethene (trichlorethylene) and other chlorinated hydrocarbon solvents / Trichlorethen (Trichlorethylen) und andere Chlorkohlenwasserstoff-Lösungsmittel ArbMedVV

G15

X003

Chromium-VI-compounds / Chrom-VI-Verbindungen ArbMedVV

G16

X003

Arsenic and arsenic compounds (with the exception of arsine) / Arsen o. seine Verbindungen ArbMedVV

G17

X002

Artificial optical radiation / Künstliche Optische Strahlung

G18

Integrated in G14

G19

X003

Dimehtylformamide / Dimethylformamid ArbMedVV

G20.1

X001

Noise / Lärm ArbMedVV

G21

X002

Working in cold environment / Kältearbeiten ArbMedVV

G22

Acidic damage of the teeth / Säureschäden der Zähne

G23

Obstructive airway disorders / Obstruktive Atemwegserkrankungen

G24

Skin diseases (except skin cancer) / Hauterkrankungen (Ausnahme: Hautkrebs) ArbMedVV

G25

X002

Driving, controlling, monitoring duties / Fahr-,Steuer-,u. Überwachungstätigkeiten Labor Law/Shop Agreement (Fit for Duty Exam)

G26

X003

Respiratory protective equipment / Atemschutzgeräte ArbMedVV

G26.1

X003

< 3 kg Weight of equipment / Gerätegewicht ArbMedVV

G26.2

X003

< 5 kg Weight of equipment / Gerätegewicht ArbMedVV

G26.3

X003

> 5 kg Weight of equipment / Gerätegewicht ArbMedVV

G27

X003

Isocyanates / Isocyanate ArbMedVV

G28

X003 Working in oxygen-reduced atmosphere / Arbeiten in Sauerstoff reduzierter Atmosphäre ArbMedVV

G29

X003

Benzene series (toluene, xylene isomers) / Benzolhomologe (Toluol, Xylole) ArbMedVV

G30

X003

Working in hot environment / Hitzearbeiten ArbMedVV

G31

X003

Hyperbaric pressure / Überdruck DruckLVV

G32

X003

Cadmium or its compounds / Cadmium o. seine Verbindungen ArbMedVV

G33

X003

Aromatic nitro or amino compounds / Aromatische Nitro-o. Aminoverbindungen ArbMedVV

G34

X003

Fluorine or its inorganic compounds / Fluor o. seine organischen Verbindungen ArbMedVV

G35

X003

Working abroad under exceptional climatic conditions and with other health risks/ Arbeitsaufenthalt im Ausland unter besonderen klimatischen und gesundheitlichen Belastungen ArbMedVV

G36

X003

Vinyl chloride / Vinylchlorid ArbMedVV

G37

X001

Working at Visual display terminals / Bildschirmarbeitsplätze ArbMedVV

G38

X003

Nickel or its compounds / Nickel o. seine Verbindungen ArbMedVV

G39

X003

Welding Fumes / Schweißrauche ArbMedVV

G40

X003

Carcinogenic substances-general / Krebserregende Gefahrstoffe - allgemein ArbMedVV

G41

X003

Duties involving a danger of falling / Arbeiten mit Absturzgefahr Labor Law/Shop Agreement (Fit for Duty Exam)

G42 (Elementar)

X003

Activities with a risk of infection / Tätigkeiten mit Infektionsgefährdung ArbMedVV

G44

X003

Hardwood dust / Hartholzstäube ArbMedVV

G45

X003

Styrene / Styrol ArbMedVV

G46

X003

Strain on the musculoskeletal system (including vibration) / Belastungen des Muskel-und Skelettsystems einschließlich Vibrationen ArbMedVV

SchArb

X002

Shift work / Schichtarbeit ArbZG

StrlSch

X002

Radiation Protection / Strahlenschutz §§ 60-64 StrlSchV; §§ 37-41 RöV

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