Attachment 9 Data Requirements Description (DRD).pdf

Attachment 9 Data Requirements Document 80AFRC26Q0005

Table of Contents DRD 001 – AED Check Sheet and Bi-annual Meeting DRD 002 – Competency Assessments for Nursing Personnel DRD 003 – Exposure Assessment Status Report DRD 004 – Health Unit Staffing Report DRD 005 – IH & OM Productivity Reports DRD 006 – Information Technology (IT) Security Management Plan DRD 007 – Monthly Accident Report DRD 008 – Program Reviews / Self-Audit / Accomplishments & Tri-Annual Audit Prep DRD 010 – Staffing Plan & Key Personnel DRD 011 – Staff Licenses and Certifications DRD 012 – Standard Threshold Shift Reports DRD 013 – Standing Orders and Protocols DRD 014 – Medical Emergency Response Vehicle (MERV) Mileage Report DRD 015 – 911 Emergency Response Quality Assurance Review Sheet DRD 016 – Office Safety Surveys (3 Sites) DRD 017 – EH Program Improvements DRD 018 – Ergonomic Program Metrics DRD 019 – Tri-Annual Audit Preparation DRD 020 – EH Program Orientation Handbook DRD 021 – Safety and Occupational Health and Environmental Plan (SHEMP)

1. DRD Title: AED Check Sheet and Bi-annual meeting

2. DRD No.: 001 3. Data Type: 2 4. OPR: MEDICAL AND

HEALTH BRANCH

5. Solicitation No.: 80AFRC26Q0005

6. Contract No.: TBD

7. Date Issued: TBD

8. Date Revised: N/A 9. DRD Category:

Technical ☐Administr ative ☒

S&MA ☐

10. Description/Use: Establishes compliance for Contractors providing support to NASA AFRC

11. Distribution:

1. Contracting Officer Representative (COR)

2. I:\XV\Occupational Health\OHM3

3. OHM monthly meeting

Initial Submission: Within 1st 30 days of contract award

Submission Frequency:

1. Submission of checklist shall be Quarterly, by the 10th of that month (January, April, July and October).

2. Submission of update to OHM3 file shall be monthly

3. Reporting at OHM3 shall be done monthly

Format: NASA-provided spreadsheet

Interrelationship: N/A

Applicable Documents: N/A

12. Scope: AED check sheet shall be recorded each quarter. Any changes in between quarters will be updated and reported at the monthly OHM meeting. Coordinate and participate in the AFRC- AED coordination mtg. per OCHMO audit request.

13. Contents:

The Automated External Defibrillator (AED) Coordinator shall report in writing every quarter the following information:

(1) Location of each AED on site

(2) Point of Contact (Name and Extension)

(3) AED Identification Number (i.e., serial number)

(4) Lock Number

(5) Battery Expiration Date

(6) Battery Insert Date

(7) Battery Lot Number

(8) Pads Expiration Date

(9) Pads Lot Number

(10) Spare Pads Expiration Date

(11) Spare Pads Lot Number

(12) Date AED last checked

14. Remarks: N/A

15. Maintenance: Revisions to this DRD shall be incorporated by page change or complete reissue.

1. DRD Title: Competency Assessments for Nursing Personnel

2. DRD No.: 002 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: Nursing skills performed at an adequate level need to be verified and documented annually.

11. Distribution:

1. Contracting Officer Representative (COR)

2. I:\XV\Occupational Health\OHM3

3. OHM monthly meeting

4. Chief Medical Officer

Initial Submission: Within 30 days of contract award

Submission Frequency: Submission shall be annually by the anniversary date of award.

Format: NASA-provided template

Interrelationship: N/A

Applicable Documents: NASA-provided template.

12. Scope: Contractor shall complete the NASA-provided spreadsheet addressing nursing skills required in the Health Unit.

13. Contents:

The Contractor shall assess and score performance in the following categories for all Nursing Personnel:

(1) IV Insertion and Maintenance

(2) Universal Precautions

(3) Pulse Oximeter Application

(4) Spirometry

(5) Medication Administration

(6) 911 Call Response

(7) Phlebotomy

(8) Cerumen Management

(9) Audiometry

(10) Vision Screening

(11) Morning Equipment Checks and Calibrations

(12) Physical Exams (Vital Sign Assessments) *The scoring is outlined in the NASA-provided Spreadsheet.

1. DRD Title: Exposure Assessment Status Report

2. DRD No.: 003 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: To proactively identify and mitigate health risks in the work environment, exposure assessment will be accomplished on a continual basis

11. Distribution:

1. Contracting Officer Representative (COR)

2. I:\XV\Occupational Health\OHM3

3. OHM monthly meeting

Initial Submission: Within 30 days of contract award

Submission Frequency:

Update will be provided at the OHM3 mtg monthly Updated submission shall be monthly, on the 10th of the month

Format:

NASA-Provided exposure assessment layout NASA-Provided spreadsheet

Interrelationship: N/A

Applicable Documents:

NASA-Provided exposure assessment layout NASA-Provided spreadsheet

12. Scope: The Contractor will accomplish approximately 30 exposure assessments throughout NASA AFRC.

13. Contents:

NASA AFRC is broken up into different branches and within those branches, NASA has identified similar exposure groups (SEGs). These SEGs are listed in the first column of a NASA-provided spreadsheet, and the various IH programs are listed sequentially along the top row of the spreadsheet. When the exposure assessment for a worksite is accomplished or updated, the status will be indicated appropriately in the spreadsheet. The spreadsheet will be updated continually as the exposure assessments are regularly performed.

1. DRD Title: Health Unit Staffing Report

2. DRD No.: 004 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: To ensure Licensed Medical Providers (LMPs) are available to provide medical coverage, as well as respond to 911 calls.

11. Distribution:

1. Contracting Officer Representative (COR)

2. I:\XV\Occupational Health\OHM3

3. OHM monthly meeting

4. Chief Medical Officer

Initial Submission: Within the first 30 days of contract award

Submission Frequency:

Update will be provided at the OHM3 mtg monthly Submission shall be monthly, on the 10th of the month

Format: Contractor format in Microsoft Office or PDF format

Interrelationship: N/A

Applicable Documents: N/A

12. Scope:

The contractor shall provide two LMPs at all times available to attend any 911 call and any emergency or walk-ins at the main campus bldg. 4822 Health Unit. The contractor will provide a report of the schedules of the LMPs working under this contract for the hours 7:30 AM to 5:00 PM on normal workdays and 7:30AM to 4:00PM on alternate Fridays in the main Center campus at Edwards, CA.

The Contractor shall provide report of schedule of LMPs working under this contract in support of 911 and medical coverage.

13. Contents: The report shall include the days of the week each LMP is scheduled to work in the Health Unit located at AFRC Main campus for the upcoming month.

1. DRD Title: IH & OM Productivity Reports

2. DRD No.: 005 3. Data Type: 2 4. OPR: MEDICAL AND

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10. Description/Use: The contractor shall track and record the productivity of Environmental Health (EH) and Occupational Medicine (OM)

11. Distribution:

1. Contracting Officer Representative (COR)

2. I:\XV\Occupational Health\OHM3

3. OHM monthly meeting

Initial Submission: Within 30 days of contract award

Submission Frequency:

Update will be provided at the OHM3 mtg monthly Submission shall be monthly, on the 10th of the month

Format: NASA provided spreadsheets

Interrelationship: N/A

Applicable Documents: NASA provided spreadsheets

12. Scope:

The Contractor will complete two NASA-provided spreadsheets on a monthly basis outlining the listed activities performed; one spreadsheet for EH and one for OM.

13. Contents:

The EH productivity areas are:

1. Number and title of program/project Reviews/Permits

2. Number and program Evaluations/Assessments

3. Number and program Surveys (e.g. Number of Rf surveys, personnel sampling for OSHA-regulated chemicals, Indoor Air Quality surveys, etc.)

4. Number and type of Samples Taken

5. Number of Equipment Calibration Activities

6. Number and update on monthly schedule of Equipment Bump-testing/operation testing (e.g. /all equipment tested for MONTH)

7. Training Events (e.g. Training campaigns/Training Title/Number of employees trained categorized between contractor/civil servant/JPL/other).

8. The OM productivity areas are the number of:

9. Equipment Calibration and Maintenance Activities

10. Medical Clearances/Clinic Visits

11. Fitness Center Usage

12. Training Events

1. DRD Title: Information Technology (IT) Security Management Plan

2. DRD No.: 006 3. Data Type: 2 4. OPR: Center Information Security

Office

☐Administr ative ☒

S&MA ☐

10. Description/Use: Ensure compliance to Information Technology (IT) Security as defined and required by NASA and the United States Government is managed by Contractor and its agents, e.g. employees and subcontractors.

11. Distribution:

1. Contracting Officer (CO)

2. COR

3. Chief Information Security Officer (CISO)

Initial Submission: First day of contract phase-in. CISO approved plan will become a contract attachment.

Submission Frequency: As necessary

Format: NASA Template

Interrelationship: N/A

Applicable Documents: NFS 1852.204-76, NPR 2810.1A - Security of Information Technology; AFPD-2800.2-001

- Managing Information Technology, NIST SP 800-64 – Security Considerations in Information System Development Life Cycle, OMB Circular A-130, Appendix III - Security of Federal Automated Information Resources

12. Scope:

In accordance with NFS 1852.204-76 Security Requirements for Unclassified Information Technology Resources, the Contractor shall develop and deliver an IT Security Management Plan.

13. Contents:

A. In accordance with the contract the Contractor shall maintain an IT Security Management Plan describing and addressing how the Contractor will manage personnel and processes associated with IT Security requirements related to the performance of the contract.

B. The IT Security Management Plan shall address how the contract requirements will be met and shall address at a minimum:

1. Title, contract number, preparer, NASA concurrence signatures, approver(s), revision with date, page numbers, table of contents, list of applicable definitions, revision history, introduction, scope.

2. Contract and subcontract management, including requirement review and execution.

3. Supplier control - flow down of contract requirements to subcontractors/suppliers, with necessary means to assure compliance over the duration of the contract.

4. Compliance with AFRC and NASA Information Technology related purchase supply chain risk assessment process.

5. Description of the method to periodically demonstrate that the Contractor IT Security system, strategy, and measures are effective and compliant with contract requirements.

6. Employee security clearance process, assurance for meeting Public Trust Position (ref SF Form 85).

7. Compliance with NASA required annual, role-based and employee remedial training requirements.

8. Access and control of NASA and Government electronic assets, databases, websites, email system, and accounts.

9. Description of how the Contractor shall ensure currency and effectiveness of its IT Security system.

(The Contractor shall, anticipate and upon discovery, identify conflicts with contract requirements, then immediately provide recommended solutions in writing to the COR and IT Security Office.

Recommendations can include suggestions to improve the AFRC governing system, processes, and policies).

10. Description of resolving a discrepancy/issue, the strategy for timely implementation for effective corrective actions coordinated with NASA and report method to the COR, Contractor staff and AFC IT Security Office (typically the TOM).

11. Description of data management strategy; contractor shall comply with all NASA data being stored and managed using AFRC or NASA authorized services.

12. Shall document compliance with NASA Policy regarding use of unauthorized devices, e.g. personal computers, cell phones, watches, scanners, USB or other connecting devices, video/cameras, memory devices, broadcast, recording, and “cloud” products and privately-owned software applications.

13. Reference (NPR 2810.1, Security of Information Technology) - The Contractor shall employ, and demonstrate compliance with the following Federal Security documents:

a. NIST 800 series documents

b. Federal Information Security Management Act (FISMA)

c. FIPS 200 Minimum Security Requirements for Federal Information and Information systems

d. FIPS 199, Standards for Security Categorization of Federal Information and Information systems

14. Handling of customer supplied material, product, and equipment.

15. Description of how the approved IT Security Management Plan and all revisions are fully implemented upon approval and will serve as a focal point for IT Security related matters to the COR and AFRC IT Security Office.

C. Description of how the Contractor shall support the Government audit/surveillance of Contractor plans, procedures and processes when deemed necessary by the Government.

D. The IT Security Management Plan shall describe how the Contractor shall manage and provide a documented IT Security and related records system for all tasks defined in contract subordinate to the AFRC IT Security system, processes, policies, and management. (The document(s), processes, and procedures including revisions are subject to AFRC approval/acceptance prior to start of work or implementation.

E. The IT Security Management Plan may be transmitted electronically, PDF (signed) and Word formats, unless COR requires otherwise. Government will provide email addresses. Submit the IT Security Management Plan and revisions via encrypted email to:

1. Contracting Officer (CO)

2. Contracting Officer’s Representative (COR)

3. IT Security Office, Code 640

Note: The Contractor can expect at least 10 business days for review to conclude in either approval or rejection.

AFRC reserves the right to reject or disapprove the IT Security Management Plan and/or associated processes utilized in performance of the contract, if either fails to comply with requirements or exhibits significant adverse trends in product/service quality, conflicts with, or does not otherwise conform with contract, compromises security, degrades protection (or results in loss) of intellectual property, or can cause/has caused safety issues or injury, death, damage, or loss of resources to public or NASA or Contractor including employees. The Contractor shall furnish all resources to ensure continuous implementation of the IT Security Management Plan as approved.

15. Maintenance: Changes shall be incorporated by complete reissue.

1. DRD Title: Monthly Accident Report

2. DRD No.: 007 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☐

S&MA ☒

10. Description/Use: Documents monthly compliance for Contractors providing support to NASA AFRC.

11. Distribution:

1. COR

2. Safety and Environmental Quality Office

3. I:\XV\Occupational Health\OHM3

4. OHM3 monthly meeting

Initial Submission: Within 30 days of contract award

Submission Frequency:

Update will be provided at the OHM3 mtg monthly Submission shall be monthly, on the 10th of the month

Format: AFRC Form 80034, Contractor Monthly Accident Report

Interrelationship: N/A

Applicable Documents: AFRC Form 80034, Contractor Monthly Accident Report

12. Scope: AFRC Form 80034, Contractor Monthly Accident Report

13. Contents:

The following information will be provided in the Contractor Monthly Accident Report:

1. Average number of employees this month

2. Number of work hours worked this month

3. Number of injuries this month

4. Number of lost-time injuries this month

5. Lost-time days this month

6. Total work hours year-to-date

7. Total lost-time occurrences year-to-date

8. Total lost-time days year-to-date

1. DRD Title: Program reviews/self-audit/accomplishments and tri-annual audit prep

2. DRD No.: 008 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: To ensure that the Center’s EH and (OM) programs are operating in accordance with Fed and State Regs and NASA’s NPRs.

11. Distribution:

1. COR

2. I:\XV\Occupational Health\OHM3

3. OHM3 monthly meeting

Initial Submission: Within 30 days of contract award

Submission Frequency:

Update will be provided at the OHM3 mtg monthly.

Submission shall be annually 30 days prior to the end of the calendar year, unless NASA Center policy is up for renewal. Then contractor will provide review 90 days prior to expiration date of document.

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship:

Applicable Documents:

1) NASA-provided audit checklists

2) Radiation Safety Program Evaluation Report format will be provided by NASA

3) Other Review/Accomplishment Report format provided by contractor

3) NASA will provide editable copy of the Center docs

4) Spreadsheet of program review schedule provided by contractor

Once yearly, the contractor will accomplish the following:

1. Program document reviews of all EH/OH AFRC program standard/procedure/plan (e.g. ventilation, IAQ, asbestos and lead, laser, radiofrequency, ionizing radiation, ergonomics, etc.) against federal and state regulation and NASA’s Procedural Requirements (NPR 1800.1).

2. Schedule for completion of EH program reviews.

3. Comprehensive Program review of the AFRC Radiation Program to include (Ionizing and Non- ionizing radiation) following format required by NASA’s OCHMO. In addition to NASA doc and NPR reviews this annual evaluation also includes source inventories for lasers, UV lamps, rf/em and ionizing radiation/training/calibration/surveys/leak tests/permits/aggregate dosimetry report/etc.

4. EH and OH Overall Program review utilizing NASA-provided self-audit checklists reviewing specific practices in various functional areas and/or EH and OH preparation of package (responding to audit questionnaire and checklists) for the tri- annual OCHMO audit.

5. Report review package will include all findings with reference, a proposed action plan, proposed new set of program metrics (e.g. # of ergonomic assessment performed a year, increase in the number of employees trained by 5% in the next year, etc.) and a draft copy of the proposed modification to the NASA AFRC policy/procedural/plan/instruction/checklist document.

6. EH and OH Overall Annual Accomplishments Summary report (e.g. increased the number of vaccinations by x% from last year without increase in budget by performing vaccination campaigns with local pharmacies; reduced potential overall cost of foreign travel vaccinations by x% by performing titrations; increased the number of employees trained in ergonomics by x % by performing three training campaigns, increase capability of the code to perform x, by internal/cross training, etc.)

13. Contents:

(1) Occupational Medicine

(2) Flight Medicine (those aspects of OM dealing specifically with FAA and NASA flight physicals)

(3) Fitness Center Management

(4) Industrial Hygiene

(5) Health Physics (Radiation Safety Programs)

(6) Fitness and Wellness Campaigns

(7) Food Safety

1. DRD Title: Staffing Plan & Key Personnel

2. DRD No.: 010 3. Data Type: 1 4. OPR: Office of Procurement

☐Administr ative ☒

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10. Description/Use: Provide staffing plan and qualifications of contractor employed key personnel responsible for leading or managing specific contract functions

11. Distribution:

1. CO

2. COR

Initial Submission: Due with proposal

Submission Frequency:

1. Final and Approval: Contract start + 30 calendar days.

2. Update Frequency: As required.

Format: Electronic distribution in Microsoft Office or PDF format

Applicable Documents: N/A

12. Scope:

The Contractor shall provide résumés to include qualification, education, training, performance references and applicability of related experience of proposed key personnel responsible for leading or managing specific contract functions. The Contracting Officer will approve key personnel employed on a permanent (more than 90-day) basis. Changes in key personnel require approval from the Contracting Officer.

13. Contents: The Contractor shall provide résumés of key personnel (key personnel are identified by the Quoter).

1. DRD Title: Staff Licenses and Certifications

2. DRD No.: 011 3. Data Type: 2 4. OPR: MEDICAL AND

☒Administr ative ☐

S&MA ☐

10. Description/Use: To validate essential credentials for key personnel on the contract for whom licensures and certifications are required.

11. Distribution: COR

Initial Submission: Due with proposal

Submission Frequency: Updates reported during OHM3 management meeting.

Format: Electronic distribution in Microsoft Office or PDF format.

Interrelationship: DRD 010

Applicable Documents:

12. Scope:

The contractor shall provide copies of required licenses and certifications for all personnel requiring such credentials.

Certification and licensure requirements, and the personnel specified, are detailed in the Certifications and Training Requirements attachment.

1. DRD Title: Standard Threshold Shift Reports

2. DRD No.: 012 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: STS report is assembled from data derived from the NASA-provided electronic health record database. STS report on mishap investigations

11. Distribution: COR

Initial Submission: Within 1st 30 days of contract award

Submission Frequency:

1. Submission of checklist shall be Quarterly, by the 10th of that month (January, April, July and October).

2. Submission of update to OHM3 file shall be monthly

3. Reporting at OHM3 shall be done monthly

Format: NASA-provided spreadsheet

Interrelationship: N/A

Applicable Documents: NASA-provided spreadsheet

12. Scope:

The OM contractor shall extract relevant data from the NASA-provided electronic health record database regarding audiometry results for those individuals in the Hearing Conservation Program.

The EH contractor shall perform an IH investigation for all STS and TTS and provide feedback to the NMIS mishap report.

OM STS report- The STS Report lists the total number of audiograms and the total number of ears tested for a given time-frame, as well as the number presenting with an initial Standard Threshold Shift (as defined by OSHA), the number of re-tests performed, the number NOT persisting on re- test, the number persisting on re-test, as well as the number persisting by default (i.e. failure of follow-up). The number of STSs persisting—whether by re-test or by default—divided by the total number of ears tested for that reporting timeframe (multiplied by 100) is the STS RATE and will be reported quarterly. Furthermore, this report will record the number of baseline revisions pending, and the number of baselines revised during the reporting timeframe. Finally, this report will record the number of OSHA-Reportable Shifts (ORSs) for the reporting timeframe.

EH STS report- The EH STS report shall identify locations the employee works around, the equipment the employee uses, noise levels/dosimetry for these areas and equipment, duration these noisy activities occur, warning signage, types of hearing protection devices used and their respective attenuation rating, their personal attenuation rating (only for earplugs), employee’s practices when using hearing protection, identify exposures to ototoxin chemicals, and any additional employee input. The EH STS report will be completed within 30 days of the date the STS was reported to NMIS.

1. DRD Title: Standing Orders and Protocols

2. DRD No.: 013 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☐

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10. Description/Use: To ensure there is consistent medical practice meeting the Standard of Care, even when a clinician is absent, the contractor shall provide written standing order and protocols addressing: 1) Chest Pain,

2) Anaphylactoid Reaction and 3) Initial Emergency Response

11. Distribution: COR

Initial Submission: Within 30 days of contract award.

Submission Frequency: Updated when modifications occur.

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship:

Applicable Documents:

NASA-provided templates for each of the three conditions listed above. NOTE: These templates are to be used as a guide ONLY.

These standing orders and protocols shall be written and signed by the Contractor’s physician (i.e. Medical Director) and must receive the written concurrence of the AFRC Chief Medical Officer prior to implementation.

The Contractor shall Develop specific, written standing orders and protocols for the contract Health Unit staff (to include the Nurse Practitioner and the Registered Nurses) to address, at a minimum, the following THREE conditions:

(1) Chest pain.

(2) Anaphylactoid reaction.

(3) Initial steps of Emergency Response beyond Basic Life Support (e.g. placing an intravenous line, administering oxygen, applying a cardiac monitor, etc.).

1. DRD Title: Medical Emergency Response Vehicle (MERV) Mileage Report

2. DRD No.: 014 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: Establishes monthly compliance for a mileage report submission on the MERV.

11. Distribution: COR

Initial Submission: Within 30 days of contract award.

Submission Frequency: I

Submission shall be monthly, on the 10th of the month Update will be provided at the OHM3 mtg monthly

Format: Email

Interrelationship:

Applicable Documents: N/A

Mileage reporting on the MERV shall be reported each month.

13. Contents:

An email shall be submitted to the Transportation Officer, located in Code F-Facilities, Engineering and Asset Management Office, detailing the following:

1) The Vehicle identified

2) The odometer reading

3) The date the reading occurred

1. DRD Title: 911 Emergency Response Quality Assurance Review Sheet

2. DRD No.: 015 3. Data Type: 2 4. OPR: MEDICAL AND ative ☒

S&MA ☐

10. Description/Use: This is a checklist used for recording performance data during Emergencies

11. Distribution: COR

Initial Submission: Per Occurrence

Submission Frequency:

The 911 Call Review checklist consists of:

(1) Twenty-one yes/no questions.

(2) Summary of Response narrative.

(3) Corrective Action Recommendations.

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship:

Applicable Documents: AFRC 10870, 911 Call Review

12. Scope:

The contractor shall complete AFRC 10870 after every emergency occurrence.

13. Contents:

The 911 Call Review checklist consists of:

(4) Twenty-one yes/no questions.

(5) Summary of Response narrative.

(6) Corrective Action Recommendations.

1. DRD Title: Office Safety Surveys (3 sites)

2. DRD No.: 016 3. Data Type: 2 4. OPR: MEDICAL AND ative ☒

S&MA ☐

10. Description/Use: Office Safety Surveys (3 sites)

11. Distribution: COR

Initial Submission: Within 30 days of contract award

Submission Frequency:

Submission shall be monthly, on the 10th of the month

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship:

Applicable Documents: AFRC Form 80260c

12. Scope:

The AFRC Form shall be used for three sites: B4877- Fitness Facility, B4822- Occupational Health Unit and B703/N234-Medical Office

The AFRC 80260c consists of 14 questions addressing the following areas:

(1) Housekeeping, Egress, Walking Surfaces.

(2) Earthquake Safety.

(3) Electrical Safety.

(4) Fire Protection.

1. DRD Title: EH Program Improvements

2. DRD No.: 017 3. Data Type: 2 4. OPR: MEDICAL AND ative ☒

S&MA ☐

10. Description/Use: To strengthen and develop Environmental Health Programs.

11. Distribution: COR

Initial Submission: Within one year of contract award.

Submission Frequency:

Action Plan progress status will be provided at the OHM3 meetings (January, March, May, July, September, November).

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship:

Applicable Documents: NASA RAC Spreadsheet.

12. Scope:

At least yearly, review the NASA provided “Recognize Assess Control (RAC) file” and update the ranking for identified hazards/programs.

For each Fiscal year: Contractor will develop action plans for the top four Hazards/programs (with the greatest risk score) on the RAC file. Submit the action plan for NASA review and approval. Upon approval, complete the action plans within the same fiscal year.

Action plans will identify what risk score element (e.g. program effectiveness or uncertainty [e.g. data gathering required]) it will address and the proposed activities.

NASA RAC Spreadsheet. Action plan is added to the NASA RAC spreadsheet.

1. DRD Title: Ergonomic Program Metrics

2. DRD No.: 018 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

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10. Description/Use: To document the efficacy of the ergonomics program.

11. Distribution: COR

Initial Submission: Within one year of contract award.

Submission Frequency: Action Plan progress status will be provided at the OHM3 meetings (January, March, May, July, September, November).

Format: Electronic distribution in Microsoft Office or PDF format

Interrelationship: N/A

Applicable Documents: N/A

12. Scope: Center ergonomic programs shall be re-evaluated at least annually and changes implemented to ensure coverage of all potential ergonomics hazards. Metrics that document the efficacy of the ergonomics program shall be maintained and used to improve the program and further reduce MSD risks. Develop an action plan (set new metric goals) based upon the evaluation. Action plans shall be approved by NASA. Complete the action plan.

13. Contents:

Overview of the Ergonomic program. Metrics for Office/workstation evaluations. Metrics for industrial process evaluations.

Metrics for teaching/promoting ergonomic practices.

Recommended Action plan/ metric goals.

1. DRD Title: Tri-annual audit Preparation

2. DRD No.: 019 3. Data Type: 2 4. OPR: MEDICAL AND ative ☒

S&MA ☐

10. Description/Use: Coordinate the logistics for the tri-annual audit.

11. Distribution: COR

Initial Submission: NASA Headquarters Audit team will provide approximately 45-day notice of when information needs to be submitted.

Submission Frequency: Frequency is once every 3 years.

Format: Electronic files will be placed in share drive folders.

Interrelationship: N/A

Applicable Documents: N/A

12. Scope:

Coordinate the logistics for the audit team.

13. Contents:

Schedule room location for audit team to use.

Coordinate in brief and out brief meetings.

Provide the information requested by the lead auditor regarding the logistics of the audit.

(Examples of information to gather may include the following:

• A map of the Center/Facility showing building names/numbers and where possible, room numbers.

• The latest Center/Facility organizational chart showing the management hierarchy from the Center Director to the Occupational Health staff; both NASA and Contractor.

• Current Statements of Work for any contracts associated with Occupational Health (EAP, Fitness Center, Medical Clinic, Industrial Hygiene, Food Safety, Health Physics, and/or Childcare Center).

• Any Occupational Health, Safety or Environmental Compliance related internal and external surveys, audits, assessments and reviews over the past year.

• A list of all contractors and tenants’ onsite and an explanation regarding how and to what extent the NASA

OH policies apply to them.

• Instructions for dialing (1) local numbers; (2) local off-Center numbers; and (3) long distance numbers.

Instructions for wireless Internet connection.)

14. Remarks: N/A

15. Maintenance: Revisions to this DRD shall be incorporated by page change or complete reissue.

1. DRD Title: EH Program Orientation Handbook

2. DRD No.: 020 3. Data Type: 2 4. OPR: MEDICAL AND

☐Administr ative ☒

S&MA ☐

10. Description/Use: To help new EH contract personnel understand the different elements of the AFRC EH Programs.

11. Distribution: COR

Initial Submission: Within 30 days of contract award

Submission Frequency: As needed

Format: Electronic files will be placed in share drive folders.

Interrelationship: N/A

Applicable Documents: N/A

12. Scope: Develop an Orientation handbook that will be used by future new EH contract personnel.

13. Contents:

• AFRC Organization Tree

• Useful websites (e.g. SATERN, CORITY, Odie, NPR, etc.)

• Useful AFRC phone numbers (e.g. IT, Health Unit, EAP, Help Desk Facilities, Security, Safety, etc.)

• AFRC Processes to obtain keys, computer, facility access ( e.g. ID MAX elements required to perform jobs)

• AFRC EH Program overviews

• List of DRDs, Required Reports and deadlines (e.g. OHM meeting reports, etc.)

• Copy of the PWS and breakdown of responsibilities and how tasks are issued from NASA.

• Work Schedule and Calendar schedule of tasks. (e.g. Program reviews, audits, calibration, surveys, permitting, training, etc.)

• List of equipment and associated standard operating procedure (SOP) on how to operate the equipment.

• Edwards Site Map

• List of AFRC training courses needed to perform specific functions and use of government equipment (e.g. computer, flight line drivers, HIPAA, etc.)

• Record Management requirements

• And any other information deemed necessary to facility the orientation process.

1. DRD Title: Safety and Occupational Health and Environmental Plan (SHEMP)

2. DRD No.: 021 3. Data Type: 1 4. OPR: Safety and Mission Assurance Office

☐Administr ative ☐

S&MA ☒

10. Description/Use: Ensure safety and occupational health of Contractor, the exposed public, NASA employees, associates, and property in performance of the contract throughout the duration of the contract.

11. Distribution: CO, COR, and Safety and Mission Assurance (S&MA) Office

Initial Submission: First Day of Contract Phase-in

Submission Frequency: S&MA Approved Plan will become an Attachment to the contract

Format: Electronic format shall be compatible with Microsoft Office

Interrelationship: N/A

Applicable Documents: FAR 52.236-13 and Alt I and NFS 1852.223-70

12. Scope: Establishes Center Specific Safety, Occupational Health, and Environmental Plan

13. Contents:

A. In accordance with the contract, the Contractor shall maintain a Safety and Health Plan detailing discussion of the policies, procedures, and techniques that will be used to ensure the safety and occupational health of Contractor employees over the duration of the contract.

B. The Contractor 's Safety and Health Plan shall address how the contract requirements will be met and shall address how the Contractor shall comply with all applicable federal, NASAIAFRC, Edwards Air Force Base, State and Local occupational safety and health requirements and standards

C. The Safety and Health Plan shall include at a minimum:

1. Title, contract number, preparer, approver(s), NASA signatures, revision with date, page numbers, index

2. Contract and subcontract management, including requirement review and execution of Safety and Health requirements.

3. Organizational chart showing responsibilities and authorizations as well as limits to authority, if any.

4. Identification and tailoring, if any, of policies, procedures, and techniques that will be used to ensure the safety and occupational health of Contractor employees, as well as public, NASA employees, associates, prope1iy, and other contractors peripherally associated with Contractor perfo1mance of contract tasks.

5. Periodic checks, audits, training, or other means to assure safety of all working conditions throughout the performance of the contract

6. Role of Contractor supervision in oversight or directly assuring the safe execution of contract tasks.

7. Describing alternative approaches for compliance with contract requirements regarding

Safety and Occupational Health, as authorized only by written approval of the Contracting Officer before implementation.

8. Description of what the Contractor shall do to effect accident prevention including method to identify risks, hazards and their appropriate mitigations, eliminate injuries, damage to property, close calls, immediate reporting of mishaps, and loss of time accidents and monthly report content to CO and Safety Office.

D. The Safety and Health Plan and its revisions may be transmitted electronically, Word format for editing purposes and PDF for signed, approved Plans, unless the COR requires otherwise. Government will provide email addresses. Submit the Safety & Health Plan and revisions via email with subject line leading with OHS DRD-021 Safety and Occupational Health and Environmental Plan (SHEMP)” to:

1. Contracting Officer

2. Contracting Officer’s Representative

3. Safety & Mission Assurance Office

Note: The Contractor can expect at least 10 working days for review to conclude in either approval or disapproval.

AFRC reserves the right to disapprove the Safety and Health Plan and/or associated processes utilized in performance of the contract, if either fails to comply with requirements or exhibits significant adverse trends in product/service quality, conflicts with, or does not otherwise conform with all applicable federal, NASA/AFRC, Edwards Air Force Base, State and Local occupational safety and health requirements and standards or can cause/has caused safety issues or injury, death, damage, or loss of resources to public or NASA or Contractor including employees. The Contractor shall furnish all resources to ensure continuous implementation of the Safety and Health Plan as approved