Attachment 5 - Performance Requirements Summary.pdf
PDF 147 KB Posted
- Attached to
- Medical Surveillance Federal contract opportunity
- Solicitation number
- W911WN23Q3005
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W911WN23Q30005 Amendment 0006.pdf | ||
| Amendment 0006 Summary of Changes.pdf | ||
| W911WN23Q3005 Amendment 0005.pdf | ||
| W911WN23Q3005 0004.pdf | ||
| W911WN23Q30005 0003.pdf | ||
| Price Schedule 0003.xlsx | XLSX spreadsheet | |
| W911WN23Q3005 Amendment 0002.pdf | ||
| W911WN23Q3005 Amendment 0001.pdf | ||
| Attachment 2- Exam Services.pdf | ||
| Attachment 1- USACE LRP Facilities and Contacts.pdf | ||
| Attachment 2- Exam Services.pdf | ||
| Price Schedule.xlsx | XLSX spreadsheet | |
| Appendix III- Blank AHA Form.pdf | ||
| Attachment 3 - Medical Clearance Determination Form.pdf | ||
| W911WN23Q3005.pdf | ||
| Performance Work Statement (PWS).pdf | ||
| Appendix IV - How to Submit an Electronic Invoice.pdf | ||
| Attachment 4 - ENG Form 6227- Diver Medical Instructions and Authorization.pdf | ||
| Attachment 6 - Wage Determinations.pdf | ||
| Appendix I- Quality Control Plan Template.pdf | ||
| Appendix II- PIEE Vendor Registration.pdf |
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Text version
Attachment 5 – Performance Requirements Summary
Performance Standard
Required Services AQL Inspections
4.1.4.b The Contractor shall be responsible for scheduling of the specified Physical and Exam Services within seven (7) days for fit-for-duty examinations and within 30 days for all other Exam Services
a) Fit-for-duty exams scheduled within seven (7) days of request.
b) All other Exam Services scheduled within thirty (30) days of request.
95% What: Exam Scheduling How: Periodic Inspection, Random Inspection, Customer Feedback Who: COR Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: If standard is not met, the KTR shall be penalized:
• A minor (Level I) non-conformance up to
15% cost of the service.
• A major (Level II) non-conformance up to 20% cost of the service.
• A critical (Level III) non-conformance up to 50% cost of the service. Standard(s):
Inspection applies to all standards
Standard(s): Inspection applies to all standards
4.1.5.b Specific examination protocols for each type of Exam Service required by this contract are contained in Attachment 2 of the Performance Work Statement.
a) Exam protocols are performed for each Exam Service IAW Attachment 2 of the Performance Work Statement.
100% What: Examination Protocols How: Periodic Inspection, Random Inspection, Customer Feedback Who: COR Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: If standard is not met, the KTR shall be penalized:
• A minor (Level I) non-conformance is remedied via re-performance of the task when possible.
• A major (Level II) non-conformance is remedied via re-performance of the task when possible plus up to 20% cost of the service.
• A critical (Level III) non-conformance is remedied via re-performance of the task when possible plus up to 50% cost of the service.
Standard(s): Inspection applies to all standards
4.1.5.d Performing only authorized exams based on occupation and exposures.
100% What: Only authorized exams are performed How: 100% inspection Who: COR Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: The Government will not pay for unauthorized services.
4.1.7 Clearances. A
Qualified Occupational Health Physician must provide notes and
a) A Medical Clearance Determination form is completed and signed by a Qualified Occupational Health
100% What: Clearances How: Periodic Inspection, Random Inspection, Customer Feedback Who: COR interpretation of the Exam Services performed to determine if the employee has any detected medical condition which would place the employee at an increased risk of potentially endangering themselves or others.
Physician for each Exam Service.
b) Medical clearances note if abnormal findings are job or exposure related.
c) Diver clearances are documented on ENG Form 6227.
d) “Not fit for duty” or “limitations identified” clearance results are provided within 24 hours to the
USACE, LRP
Occupational Health Program Manager.
e) Medical clearance determinations are provided to the
USACE, LRP
Occupational Health Program Manager within 15 days of the Exam Service or following receipt of follow-up medical information.
f) Copies of medical clearance determinations are provided to each
USACE, LRP
employee.
Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: If standard is not met, the KTR shall be penalized:
• A minor (Level I) non-conformance is remedied via re-performance of the task when possible.
• A major (Level II) non-conformance is remedied via re-performance of the task when possible plus up to 20% cost of the service.
• A critical (Level III) non-conformance is remedied via re-performance of the task when possible plus up to 50% cost of the service.
Standard(s): Inspection applies to all standards
4.3.3 Online
Portal. The Contractor shall provide an online portal to permit the following functions:
exam services scheduling, medical clearance determinations, invoicing, and reports.
a) The portal permits the
USACE, LRP
Occupational Health Program Manager and Supervisors/Points of Contact to schedule Exam Services.
b) The portal permits the
USACE, LRP
Occupational Health Program Manager to view employee medical clearance determinations.
95% What: Online Portal How: Periodic Inspection, Random Inspection, Customer Feedback Who: COR Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: If standard is not met, the KTR shall be penalized:
• A minor (Level I) non-conformance is remedied via re-performance of the task when possible.
• A major (Level II) non-conformance is remedied via re-performance of the task when possible plus up to 20% cost of the service.
• A critical (Level III) non-conformance is remedied via re-performance of the task
c) The portal permits the
USACE, LRP
Occupational Health Program Manager and Operations Division POC to view and submit payment for contract services.
d) The portal permits the
USACE, LRP
Occupational health Program Manager to view the reports identified in Section 4.3.5.
when possible plus up to 50% cost of the service.
Standard(s): Inspection applies to all standards
6.3 The Contractor
shall prepare a single, comprehensive invoice in accordance with FAR 52.212- 4(g). All invoices are to be submitted to the COR for review no later than the 15th day of the month following the month the services are performed.
a) Invoices are submitted to the COR and USACE Finance Center no later than the 15th day of the month following the month the services are performed.
b) Invoices accurately reflects exams performed.
N/A
98%
What: Invoicing How: Periodic Inspection, Random Inspection, Customer Feedback Who: COR Documented: Inspection Reports, Monthly Status Reports, CPARS Remedy: If standard is not met, the KTR shall be penalized:
• A minor (Level I) non-conformance is remedied via re-performance of the task when possible.
• A major (Level II) non-conformance is remedied via re-performance of the task when possible plus up to 20% cost of the service.
Standard(s): Inspection applies to all standards
The Government pays only for those services delivered and accepted.
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