PWS_10_Jan_18.pdf

Performance Work Statement

60th Medical Support Squadron Hospital Laundry Service

David Grant Medical Center Travis AFB, CA January 10, 2018

Jan 18

Table of Contents

Section Title Page

1 Description of Services 3

2 Services Summary 6

3 Government Furnished Property 7

4 General Information 7

Appendix A Applicable Publications 9

Appendix B Laundry Workload Estimates 10

Appendix C Example Identification, Standard Packaging 12 And Method of Finish

Appendix D Pickup and Delivery Schedule 15

Appendix E Linen Serviceability Standards 16

Appendix F Laundry Checklist 24

1.0. DESCRIPTION OF SERVICES

The contractor shall provide everything necessary to provide laundry services, including pick-up and delivery, to the 60th Medical Group, David Grant Medical Center, Travis Air Force Base, California. The contractor shall perform these services in accordance with the standards specified in this contract and in accordance with AFI 44-108, Infection Prevention and Control Program and CDC guidelines for Environmental Infection Control in Health-Care Facilities, The Joint Commission (TJC) standards, The Center for Disease Control and Preventions’ Guidelines for Environmental Infection Control Health-Care Facilities, Occupational Safety and Health Administration Standards, Healthcare Laundry Accreditation Council (HLAC) and any other applicable Federal, State and local regulations and guidelines. All linen from David Grant Medical Center (DGMC) shall be processed and washed separately from all other facilities’ linen. The estimated quantities of work are listed in Appendix B, titled Workload Estimates.

These laundry services are considered a mission essential.

1.1. Scope of Work

11.1.1 Pick-up and Delivery. The contractor shall pick up soiled linen six (6) days per week and deliver clean laundry six (6) days per week, Monday through Saturday, with a 48-hour turnaround, between the hours of 6:00 a.m. and 8:00 a.m., for the next delivery day. Linen picked up on Saturdays shall be delivered on Mondays. New linen/Special Handling is to be picked up six (6) days per week and delivered no later five (5) days from the day it is sent to the contractor for cleaning. Contractor shall provide, at no additional cost to the government, pick-up and delivery of linen on Sundays and holidays when emergency delivery is required (See paragraph 2.“Emergency Linen Procedures”). See Appendix D

a. Pick-up and Delivery Points. Loading dock, Building 777, 60th Medical Group, David Grant Medical Center, Travis Air Force Base, CA. Inside the loading dock, the clean linen room number is #1B303, and the soiled linen room number is #1B215.

b. Holiday deliveries. The contractor is not required to provide service on the following holidays: Thanksgiving Day, Christmas Day, and New Year’s Day.

1.1.2. Emergency Linen Procedures. The contractor shall provide emergency delivery of clean linen on hand at the contractor’s facility when requested by representatives from DGMC when linens run out due to unusually heavy consumption. The government estimates approximately two (2) emergency calls per year. Government personnel authorized to request an emergency delivery of linen are: Administrator (SGA) or Facilities Management (SGSLF). All clean linen ready for shipment shall be provided to DGMC within three (3) work hours of each request. The business and home phone numbers of the contractor and his or her on-call representative shall be provided to contracting officer and the Contracting Officer Representative (COR) of the DGMC linen contract.

1.1.3. Weighing and Counting.

a. Delivery. The contractor shall record the number of pounds of clean linen and new linen delivered on the delivery ticket and the government representative will verify the amount. Soiled linen is measured in pounds. The contractor will count pieces of clean linen and provide to DGMC for reporting purposes. The contractor shall provide the tickets and furnish DGMC the original and one copy. The difference in weight between clean laundry and picked up soiled laundry shall not exceed a monthly bulk variance off 3% percent. New linen and special handling shall be delivered to DGMC in carts separate from routine linen. The service ticket will specify new linen or special handling. Linen shall be in plastic carts that are lined with a plastic liner or barrier.

b. Pick-up. Weighing of soiled linen and itemized counting of new linen shall be done by government personnel prior to pick-up. The contractor shall sign a government-issued ticket for soiled linen picked up and, within two working days after pickup, Monday through Friday, notify the government COR in writing of agreement or disagreement with the weight and count. The pick-up slip will be retained by the government for computing variance in weight when clean/dry laundry is delivered.

1.1.4. Transportation of Linen. To prevent contamination, soiled items and clean items shall not be transported in the same vehicle at the same time. All clean items are to be protected from contamination and soiling during transit to DGMC. Additionally, a hygienically clean plastic liner shall be placed at the bottom of the cart and a clean plastic cover placed over the cart during transport to prevent contamination for the exception of the Hyperbaric cart which will be lined with paper and wrapped in paper. Separate containers shall be used for transporting clean and soiled linen and will comply with HLAC standards.

a. Vehicle Cleaning Requirements. The vehicle used in the transportation of the items called for in this contract shall be clean, conform to commercial standards, and be equipped to protect against contamination of all items during transport as mandated by the HLAC. All clean items are to be protected from contamination and soiling during transit. After transporting soiled and contaminated laundry, the vehicle interior shall be cleaned and sanitized. After vehicle has been sanitized, it shall be free from dirt, dust, litter, debris, dry soil and odor before loading the clean linen. Vehicles being used to transport laundry shall be subject to examination at all times by the COR. If the government COR discovers that clean linen has been delivered in dirty vehicles or with soiled linen, the contractor shall treat this laundry as contaminated and shall re-launder all items at no additional cost to the government.

b. Linen Cart Cleaning Requirements. After transporting soiled linen, linen carts shall be cleaned and sanitized in accordance with HLAC standards, inside and outside by means of steam cleaning or cleaning with an EPA registered detergent/disinfectant. After carts have been sanitized, they shall be free from dirt, dust, litter, debris, dry soil and odor before loading the clean linen. The contractor shall remove any string or plastic that has been lodged around the wheels of the carts.

c. Linen Cart Maintenance. Any cart that has been identified as damaged due to negligence of the contractor will be repaired or replaced by the contractor. The Contracting Officer will determine if items will be replaced or repaired when damage is due to contractor’s negligence.

1.1.5. Repairs.

a. Serviceable Repairs. Except for articles determined to be unserviceable or worn beyond economical repair and no longer usable for the purpose intended by the government Functional Requirements Evaluator Designee (FRED) , the contractor shall repair all minor rips, tears (less than four inches), open seams, minor hemming, broken zippers and holes using thread and materials of the same quality, compatible color, colorfastness, and texture as that used in the manufacture of the articles. In addition, the contractor shall replace all broken and missing buttons with buttons of matching color and similar appearance and quality. All such repairs are performed at no additional cost to the government.

All repairable items shall be repaired and returned to use within five (5) working days. See Appendix E, Linen Serviceability Standards

ab. Damaged Items. Any linen that is identified as damaged due to negligence of the contractor will be repaired or replaced by the contractor. The contracting officer will determine if items will be replaced or repaired when damaged due to contractor’s negligence.

cb. Unserviceable Articles. After laundering, all linen determined by the contractor as unserviceable/non-repairable articles will be separated by the contractor. These articles shall be identified as items that are worn beyond economical repair and no longer usable for the purpose intended, to include items with rips or tears larger than four inches, and permanent stains that cannot be removed by commercial laundering, and shall be marked and bundled separately and returned to the Medical Center for appropriate disposition by the DGMC. Then returned to the contractor for rag out as a part of the contract.

1.1.6. Washroom Tests. The contractor shall obtain washroom test services from an approved laboratory, at no additional cost to the government, on a quarterly basis or when requested by the FRED. National Association of Institutional Linen Management (NAILM), 2130 Lexington Road, Suite H, Richmond KY 40475, and International Fabricare Institute (IFI), 1251 Tech Road, Silver Spring MD 20904, are two known acceptable laboratories. Should the contractor propose to obtain these services from a laboratory other than one of these two, the name and address of the proposed laboratory shall be submitted to the FRED, for approval, at the pre-performance conference, or two weeks prior to performance start date, whichever is earlier.

a. Test Requirements. Once each quarter perform washroom tests for tensile strength and whiteness retention in accordance with the laboratory instructions. The test shall be conducted on swatch test pieces furnished by the contractor. Two (2) copies of the test results shall be provided to the FRED not later than five (5) workdays from the date of receipt by the contractor from the laboratory.

b. Test Standards. Tensile strength loss shall meet the established laboratory standard for “Satisfactory” and an appearance rating of at least “Good” for whiteness degree and yellowness.

c. Corrective Action. Whenever tensile strength loss or whiteness retention deficiencies occur, the contractor shall take corrective action within five (5) working days and retest. This process shall be repeated until tensile strength loss and whiteness retention are within prescribed tolerances, or the contractor is notified of the government intent to terminate the contract because of unacceptable performance. The test items shall be processed according to instructions required for the test and provided by the contractor to obtain the laboratory results. In the event test results are unsatisfactory, the contractor shall take necessary corrective action to meet the required standards.

1.1.7. Workmanship and Sanitation. The contractor will ensure proper washroom procedures are followed, including personnel wearing protective clothing during finish process, proper supplies are used and washing formulas are selected to enable extraction of various stains. Delivered finished articles shall conform to the generally accepted industry standards of quality of cleanliness, finish, and appearance. The items shall not only be clean in the sense of being free from soil, stains and odor, free of lint and soap residue and other foreign matter, but also free from bacteria, fungi, and other microorganisms, including pathogens or disease-producing organisms.

a. Contractor’s Facility. The contractor’s facility shall be equipped and ventilated so as to prevent dissemination of contaminants. The ventilation system should include adequate intake filtration, exchange rate, and exhaust in accordance with local, state, federal, and HLAC requirements. All work performed shall be done under sanitary, dust and vermin-free conditions. The government reserves the right to inspect the contractor’s facility and observe in-process work to assure performance is in accordance with contract requirements including those outlined in Appendix F, titled Laundry Facility Checklist.

b. Reperformance of Laundering. Any items found not to meet the requirements of paragraph 7 shall be rewashed at no additional cost to the government. Such items found by DGMC personnel will be identified by the FRED to the contractor’s representative at the next scheduled pick up after the unsatisfactory condition is discovered. The weight of the returned items shall be deducted from the total daily weight on the day the discrepancy was noted. After the items are rewashed, the contractor shall pack these items separately and identify them by marking “Attention FRED”.

c. Polyester/Cotton White/Blue Provider Coats. Polyester/cotton white/blue provider coats shall be washed, dried and pressed in such a manner as to prevent wrinkles and shrinking of fabric.

Serviceable white/blue uniforms shall be returned on stain-resistant hangars and covered with plastic.

d. Nursery and Pediatric Garments. Nursery and pediatric garments shall be laundered separately from routine linen, rinsed free of soap, treated with a souring agent and a sufficient quantity of textile softening agent to ensure garments are fluffy, smell fresh, sanitized, color retained, and free of lint.

Any soaps, detergents or cleaning agents known to the industry to be harmful to infants shall not be used.

e. Packaging. The contractor shall separate and package all like items, by size, by drawstring, by elastic into bundles in accordance with Appendix C, Example Identification, Standard Packaging and Method of Finsih. All like items shall be bundled and securely tied together by plastic string. All smocks and lab coats will be returned on hangars. Hangars shall be of the type that does not stain garments.

f. Special Handling Items. All items that need special attention will be sent out as special handling and sent back seperately. Special handling Hyperbaric’s linen “Wrap only in paper to avoid static electricity” No Plastic! “Fabric softener required” Wash separately. The vet clinic linen will be washed alone and not mixed with the other linen. New linen, aprons, lab coats and suicide blankets, etc.

will be sent out as special handling.

1.1.8. Maximum Weight Variance. The weight variance allowable in servicing the laundry is 3% percent of the weight recorded on delivery tickets when the laundry is picked up. The maximum weight variance will be calculated once a month at time of monthly invoice verification by the Government.

The contractor shall pay the Government the replacement value for lost or damaged articles.

II. SERVICES SUMMARY.

Performance Objective Ref Performance Threshold Meet and maintain pick-up and delivery schedule.

Section I, Para 1.1.1., a.,

b. & Appendix D

No more than 1 scheduled pick-up or delivery time missed per month. Gate delay greater than 30 minutes does not constitute a delay.

Provide and maintain contractor-furnished vehicles and government-furnished carts in clean and operable conditions to meet and HLAC infection control procedures and standards.

Section I, Para 1.1.4. a., b., c.

0 Defects. Failure will require re-performance.

Perform serviceable repairs on linen items and return to use within 5 working days.

Section I, Para 1.1.5.,.a.,b.

98% of articles picked up are returned to the government in a serviceable condition within the allotted timeframe.

Perform and provide Washroom Test Services from NAILM or IFI- tensile strength and whiteness retention IAW lab instructions.

Section I, Para 1.1.6.a., b., c

0 Defects. Corrective action must be taken within five days and retest when deficiencies occur.

Provide laundry articles in properly packaged units.

Section I, Para 1.1.7.,e & Appendix C

No more than 1 delivery to the medical center can be packaged improperly per month.

Provide and maintain dust and vermin-free conditions at the laundry facility IAW HLAC and DGMC infection Control standards of quality of cleanliness and appearance. Facility must be equipped and ventilated IAW local, state, and federal requirements.

Section I, Para 1.1.7.,a Only 3 minor defects may be observed during yearly Infection Control visits to the laundry facility. Contractor shall respond in writing with corrective action taken.

Laundry is delivered free from soil, stains and odor, free of lint and soap residue and other foreign matter.

Section I, Para 1.1.7 0 Defects. Failure will require re-performance.

Maintain 33% maximum weight variance for total monthly bulk weight for soiled linen, applied once a month.

Section I, Para 1.1.8 0 Defects. Contractor will replace lost or damaged item with an equal in quality and price item.

III. GOVERNMENT FURNISHED PROPERTY AND SERVICES. The government will provide the following equipment, supplies and services listed below:

1. Carts. The Government shall provide the contractor with a minimum of 20 used/serviceable plastic wheeled laundry carts for transportation of soiled/cleaned linen to and from the Medical Center.

2. Replacement of Government-furnished Carts. The contractor shall submit requests for replacement of government-furnished carts to the government FRED for processing. Such requests shall specify the reason for the replacement request. If the requests are accepted, the Government will provide replacement carts.

3. Cart Covers. The Contractor shall provide the Government with disposable plastic liners or barriers that are to be used in each cart that transports clean linen to the facility.

4. Emergency Medical Treatment. In the event contractor personnel are injured while performing contract duties on the base and emergency treatment is required, the Medical Center services may be used. If used, the contractor will be billed for the service at the standard rate for civilian emergencies.

IV. GENERAL INFORMATION

1. Management. The contractor shall provide a POC who shall be responsible for ensuring that the contract services are provided satisfactorily. The name of this person, and an alternate or alternates, who shall act for the contractor when the POC is absent, shall be designated in writing to the contracting officer. The contract manager or alternate(s) shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate(s) shall be available during the hours of 7:30 a.m. to 4:30 p.m., to discuss problem areas. The contract manager and alternate(s) must be able to read, write, speak, and understand English.

2. Contractor personnel shall present a neat appearance and be easily recognized as a contractor employee. Drivers delivering to the base shall wear contractor-furnished uniforms which are clearly distinguishable from all U. S. military uniforms.

3. Training. The contractor shall provide necessary training for all individuals working with or around the medical center linen. This training shall consist of infection control, safety, proper handling of hospital linen, and contamination of linen. This training shall be documented covering the following topics: duration of training, names of trainers, and names of attendees (signatures). Annually, the Government will offer Antiterrorism Threat Level I training to the contractor. The training is computer based, listed on the wing web page under base briefings.

4. Performance of Services During Crisis Declared by the President or Secretary of

Defense. All services shall continue uninterrupted according to the Department of Defense Instruction 3020.37, “Continuation of Essential DoD Contractor Services During Crisis.” In accordance with AFI 63-124, the Functional Commander is responsible to identify mission essential services, to include developing the necessary documents in accordance with DoDI

3020.37. Annually services contracts are reviewed by the 60 CONS/CC.

5. Performance Evaluation Meetings. The contracting officer may require the contract manager to meet with the contracting officer, contract administrator, government POC, and other government personnel as deemed necessary. The contractor may request a meeting with the contracting officer when he or she believes such a meeting is necessary. Written minutes of any such meetings shall be recorded in the contract and signed by the contract manager and the contracting officer or contract administrator. If the contractor does not concur with any portion of the minute’s non-concurrence shall be provided in writing to the contracting officer within seven

(7) calendar days following receipt of the minutes.

APPENDIX - A

Applicable Publications

Publications and forms applicable to this Performance Work Statement (PWS) are listed below and are coded as mandatory (M). The Contractor shall follow mandatory publications to the extent (that is, the specific procedure in a paragraph, section, chapter or volume) specified in the PWS, to meet requirements in this PWS. The Government may issue supplements or amendments to listed publications from any organizational level during the life of the contract. The contractor shall keep up-to-date on all publications listed, and shall immediately implement those changes in publications which result in a decrease or no change in the contract price. Before implementing any revision, supplement, or amendment that may result in an increase in contract price, the Contractor shall submit to the contracting officer (CO) a price proposal approval. Price proposals shall be submitted within 30 calendar days from the date the Contractor receives notice of the revision, supplement, or amendment-giving rise to the increase in cost of performance. The Government and the Contractor will negotiate an equitable adjustment to the contract under provisions of the “Changes” clause.

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS INSTRUCTIONS/DIRECTIVES.

DoD Directives can be found at http://west.dtic.mil/whs/directives. Regulations are followed by a “- R” (e.g., DoD 6025.18-R) and can be located on the website by clicking on “Publications” instead of “Directives”.

DoDD 5200.2 Personnel Security Program (M) DoDD 5400.11 DoD Privacy Program (M) DoD 6025.18R DoD Health Information Privacy Regulation (M)

AIR FORCE INSTRUCTIONS AND PUBLICATIONS. Air Force Instructions and Publications can be found at http://www.e-publishing.af.mil.

AFI 23-111 Management of Government Property in Possession of the Air Force (M) AFI 31-218 Motor Vehicle Traffic Supervision AFI 31-501 Personal Security Program Management (M) AFI 31-601 Industrial Security Program (M) AFI 33-322 Records Management Program (M) AFI 44-108, Infection Prevention and Control Program AFI 91-204 Safety Investigation & Reports AFI 91-207 US Air Force Traffic Safety Program (M)

AFMAN 33-363 Management of Records

Occupational Safety and Health Act (OSHA) (Public Law 91-596) Occupational Safety and Health Act (OSHA) Standards 29 CFR 1910 and 29 CFR 1926

APPENDIX - B

LAUNDRY WORK LOAD ESTIMATES

(WEIGHT MAY FLUCTUATE DUE TO INCREASE OR DECREASE OF PATIENT LOAD)

ITEM Dry Weigh

Monthly Average

Estimated Lbs.

per Year

Aprons, Black 0.5 257 1542

Bathrobe, Snap (XS,S, M, L, XL, 2XL, 3XL,0.91 158 1725

Bathrobe, Tie 0.91 50 546

Blanket, Baby (Blue & Pink) 0.2 424 1018

Blanket, Bath 1.3 110 3960

Blanket, Snag-free, Bed, Thermal, White 3.5 3813 160,146

Blanket, Suicide, Black 3 5 180

Blanket, Wool 3.7 170 7548

Coat/Top, PJ, Adult (XS,S, M, L, XL, 2XL, 3XL 4XL 5XL)

0.43 348 1,796

Coat/Top, PJ, Hyperbaric (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 65 335

Coat/Top, PJ, Pediatric (XS, S, M, L, XL) 0.43 10 52

Coat, Lab Blue (XS,S, M, L, XL, 2XL, 3XL, 4XL 5XL)

0.85 5 51

Coat, Lab White (XS,S, M, L, XL, 2XL, 3XL, 4XL 5XL)

0.85 40 408

Curtain, Cubicle 3.6 336 14,515

Curtain, Window, Drape 5 1 60

Gown, Exam, X-Ray (3-Arm Hole) 0.65 404 3151

Gown, Mental Health, Green 0.43 120 620

Gown, IV, Snap Adult 0.79 3,519 33,360

Gown, IV, Snap Child 0.25 1 3

Gown, Obese 1.14 436 5,964

Gown, Tie 0.72 469 4,052

Jackets, Warm-up, Blue (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.65 4,495 35,061

Jackets, Warm-up Green (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.65 100 780

Lift, Patient 2 5 120

Pants, Hyperbaric, Green (XS, S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 57 294

Pants, Scrub, Drawstring, Blue (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 10,100 52,116

Pants, Scrub, Elastic, Blue 4 East (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 50 258

Pillows, Hyperbaric, Gold 1 10 120

Pillow Case, Hyperbaric, Gold 0.25 12 36

Pillow Case, Green 0.25 1,502 4,506

Pillow Case, White 0.25 5,930 17,790

Sheet, Fitted, Blue, Gurney 1.2 2,789 3,347

Sheet, Fitted, White, Knitted 1.3 1,308 20,405

Sheet, Flat, Green 1.4 1,351 22,697

Sheet, Flat, Gold, Hyperbaric 1.4 58 974

Sheet, Flat, White 1.4 7,523 126,386

Sheets, L&D, Fitted, Foot, Green trim 0.7 100 840

Sheets, L&D, Fitted, Head, Orange trim 0.8 100 960

Sheet, Split, OB Green 0.75 325 2.925

Sliders, Breeze Positioners 0.9 1,203 12,992

Smock, Blue, Dental 0.43 50 258

Tablecloth 2.5 10 300

Towel, Bath (White) 0.67 6,664 53,579

Towel, Hand, Blue 0.25 5,904 17,712

Towel, Hand, Green (Surgical) 0.25 165 495

Trousers/Pant, PJ, Adult (XS, S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 542 2,797

Trousers/Pant, PJ, Hyperbaric, Green (XS, S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

0.43 57 294

Trousers/Pants, PJ, Pediatric (XS, S, M, L,XL) 0.25 10 30

Undershirt, Infant 0.1 20 24

Wrapper, Eye 0.2 35 84

Wrapper 36” 0.5 200 1,200

Wrapper 54” 0.9 100 1,080

Miscellaneous 1 100 695

APPENDIX - C

EXAMPLE IDENTIFICATION, STANDARD PACKAGING, AND METHOD OF FINISH

The following are the routine requirements for packaging of laundry and method of finish for this contract. Any other special packaging requirements or methods of finish will be specified in writing at the time that service is requested.

Definitions of abbreviations for methods of finish are as follows:

B Bundled by Plastic No Strings F Folded H On a Hanger P Pressed S Sort by Color, Size W Shrink-Wrapped or in Plastic

The items listed in Exhibit A will be included in the yearly laundry service. Additional Instructions:

Packaged amounts less than the quantities specified will be identified on the bundle.

LAUNDRY

ITEM # PER

BUNDL

SPECIAL

HANDLIN

Aprons, Black 10’s F, B

Bathrobe, Snap (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL) 5’s F, S, B, W

Bathrobe, Tie 5’s F, S, B, W

Blanket, Baby (Blue & Pink) 10’s F, B, W

Blanket, Bath 5’s F, B, W

Blanket, Snag-free, Bed, Thermal, White 3's F, B, W

Blanket, Suicide, Black 2’s F, B

Blanket, Wool 2’s F, B

Coat/Top, PJ, Adult (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

10’s P, F, S, B, W

Coat/Top, PJ, Hyperbaric (XS,S, M, L, XL, 2XL, 3XL, 4XL 5XL)

10’s P, F, S, Coat/Top, PJ, Pediatric (XS, S, M, L, XL) 10’s F, S, B, W

Coat, Lab Blue (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL) 1 F, S, B, H

Coat, Lab White (XS,S, M, L, XL, 2XL, 3XL, 4XL, 5XL) 1 F, S, B, H

Curtain, Cubicle 1 F, H, P

Curtain, Window, Drape 1 F, H, P

Gown, Exam, X-Ray (3-Arm Hole) 10’s F, S, B, W

Gown, Mental Health, Green 10’s F, S, B, W

Gown, IV, Snap Adult 10’s F, S, B, W

Gown, IV, Snap Child 10's F, S, B, W

Gown, Obese 5’s F, S, B, W

Gown, Tie 10’s F, S, B, W

Jackets, Warm-up, Blue (XS,S, M, L, XL, 2XL, 3XL, 4XL 5XL)

5's F, S, B, W

Jackets, Warm-up Green (XS,S, M, L, XL, 2XL, 3XL, 4XL 5XL)

5's F, S, B, W

Lift, Patient 1’s F, B, W

Pants, Hyperbaric, Green (XS, S, M, L, XL, 2XL, 3XL, 4XL 5XL)

5’s F, S, Pants, Scrub, Drawstring, Blue (XS,S, M, L, XL, 2XL, 3XL 4XL 5XL)

20’s F, S, B, W

Pants, Scrub, Elastic, Blue 4 East (XS,S, M, L, XL, 2XL, 3XL 4XL 5XL)

10’s F, S, B, W

Pillows, Hyperbaric, Gold 1’s See note below

Pillow Case, Hyperbaric, Gold 20’s See note below

Pillow Case, Green 20’s F, B, W, P

Pillow Case, White 20’s F, B, W, P

Sheet, Fitted, Blue, Gurney 5’s F, B, W

Sheet, Fitted, White, Knitted 5’s F, B, W

Sheet, Flat, Green 10’s F, B, W, P

Sheet, Flat, Gold, 10’s See note below

Sheet, Flat, White 10’s F, B, W, P

Sheets, L&D, Fitted, Foot, Green trim 5’s F, B, W

Sheets, L&D, Fitted, Head, Orange trim 5’s F, B, W

Sheet, Split, OB Green 5’s F, B, W

Sliders, Breeze Positioners 10’s F, B, W

Smock, Blue, Dental 5’s F, B, W

Tablecloth 5’s F, B, W

Towel, Bath (White) 10’s F, B, W

Towel, Hand, Blue 25’s F, B, W

Towel, Hand, Green (Surgical) 25’s F, B, W

Trousers/Pant, PJ, Adult (XS, S, M, L, XL, 2XL, 3XL, 4XL 5XL)

10’s F, S, B, W

Trousers/Pant, PJ, Hyperbarics, Green (XS, S, M, L, XL, 2XL, 3XL, 4XL, 5XL)

10’s F, S, B, W

Trousers/Pants, PJ, Pediatric (XS, S, M, L,XL) 10’s F, S, B, W

Undershirt, Infant 10’s F, B, W

Wrapper, Eye 20’s F, B, W

Wrapper 36” 10’s F, B, W

Wrapper 54” 10’s F, B, W

Miscellaneous 1’s F, W

Note: Hyperbaric linens: “Wrap only in paper to avoid static electricity” No Plastic! “Fabric softener required” Wash separately.

Hyperbaric linens

Vet Clinic please wash separately Vet Clinic

SPECIAL ITEMS

ITEM # PER

BUNDLE

SPECIAL HANDLING

Coats, Laboratory (Blue and White), Long Sleeve

1’s Pressed, Hanger, Plastic- Covered

Hyperbarics, Linens See Note Above

Vet Clinic, Linens 10’s F, B ,W See Note Above

Aprons, Black 10’s F, B ,W

Lift, Patient 1’s F, B ,W

Some special items cannot be defined ahead of time, as this definition includes special handling items (such as those requiring re-wash or the occasional personal item). Specific instructions for items not herein defined will be provided at the time such items are given to the Contractor for laundering.

APPENDIX - D

PICKUP AND DELIVERY SCHEDULE

The following pickup and delivery chart specifies regular pickup and delivery points for this contract. All pick-ups and deliveries shall be accomplished as stated below (military time):

Delivery Delivery Delivery Pick Up Pick Up Pick Up

Location Day Time Location Day Time

Bldg. 777 Sunday Bldg. 777 Sunday

Bldg. 777 Monday 0600 to 0800 Bldg. 777 Monday 0800

Bldg. 777 Tuesday 0600 to 0800 Bldg. 777 Tuesday 0800

Bldg. 777 Wednesday 0600 to 0800 Bldg. 777 Wednesday 0800

Bldg. 777 Thursday 0600 to 0800 Bldg. 777 Thursday 0800

Bldg. 777 Friday 0600 to 0800 Bldg. 777 Friday 0800

Bldg. 777 Saturday 0600 to 0800 Bldg. 777 Saturday 0800

Soiled laundry for Bldg. 777 will be picked up after the first delivery of clean laundry is delivered. It will be weighed first at the time specified for pick up above (0600 to 0800).

APPENDIX – E

LINEN SERVICEABILITY STANDARDS

Bath Blanket No dark stains allowed

3 light stains up to 7" acceptable

Mend holes up to 1 - 1/2" diameter

Mend tears up to 7" long on perimeter only

Mend all hems and selvages

Blanket/Spread

3 light stains up to 7" acceptable

Mend holes up to 1 - 1/2" diameter

Mend tears up to 7" long on perimeter only

No more than 4 repaired holes or tears

Incontinent Pads

No stains allowed

No holes or tears allowed

Washcloth

No holes or tears allowed

Yellow/Blue Protect Gown

3 light stains up to 5" acceptable

Patch all holes

Repair ties, hems and seams

Patient Gowns (includes patient, magna, mothers, exam and in/telemetry gowns)

No stains in front

Light stains acceptable up to 3" in back

Replace missing/broken ties or snaps

Mend all hems, seams and pocket

Mend holes up to 1 1/2" diameter

Mend tears up to 5" long

No more than 4 repaired holes/tears

Excessively faded fabric not acceptable

Adult Bib

Light stains acceptable

Replace missing ties

No more than 3 holes of 1/2" diameter

Mattress Pad

No dark stains

3 light stains up to 7" long acceptable

Mend holes up to 1 - 1/2" diameter

Pajama Pants

Light stains acceptable up to 3" in back

Mend holes up to 1 - 1/2" diameter

Mend tears up to 5" long

Mend all hems, seams and pockets

Replace drawstring ties

Patient Robe

Light stains acceptable up to 3" in back

Mend holes up to 1 - 1/2" diameter

Mend tears up to 5" long

Mend all hems, seams and pockets

Replace or mend ties

Pillow Slips

No holes allowed in center

2 holes not exceeding 1/2" diameter acceptable on edges

No mending in center

Mend holes up to 1" diameter

Mend all hems and seams

Center of Case: 24" L x 15" W

Flat Sheet (includes white flat, blue flat, draw and pediatric crib sheets)

3 light stains up to 4" acceptable on selvage edge

No stain in center

No mending in center

2 holes not exceeding 3/4" on selvage edge

No holes in center

Mend holes up to 3/4" diameter

Mend tears up to 7" long on perimeter only

Mend all hems and selvages

Center of Sheet:

o White Flat 65” L x 30” W o Draw 30” L x x30” W o Crib 50” L x 30” W

Fitted Sheets (includes white regular, knit and blue)

3 light stains up to 4" on selvage edge acceptable

No stain in center

No mending in center

2 holes not exceeding 3/4" on selvage edge

No holes in center

Mend holes up to 3/4" diameter

Center of Sheet: 65" L x 30"W

Terry Towel (includes bath towel, x-large and hand)

Mend all hems and selvages

4 holes not exceeding 3/4" acceptable

Huck Towel

Mend all hems and selvages

4 holes not exceeding 3/4"

Baby Blanket

Mend all hems and selvages

4 holes not exceeding 1/4" acceptable

Excessively faded unacceptable

Diaper includes newborn prefold, premature prefold, and pediatric diapers

No mending allowed

Diaper Cover

Medical stain acceptable

Mend hems and out seams

No dryer bum

Infant Shirt

Mend seams

4 holes not exceeding 1/2" diameter

Pin holes acceptable

Barrier/Wrapper

Light stains up to 3" acceptable

Number of patches allowed

24 x 24 = 6 patches per side

30 x 30 = 6 patches per side

36 x 36 = 9 patches per side

5 x 45 = 16 patches per side

Patches applied to both sides

Curling or lifted patches removed

No overlapping patches on one side

Number of patches not to exceed 12 per 12" square

Repair all edges

Scrub Dress

Discretionary ink stains acceptable Light stains up to 2"

Writing, with the exception of profanity, acceptable

Replace missing/broken ties and snaps

Mend all hems. seams, pockets

Patch all holes up to 2" diameter

Bib Apron

Light stains are acceptable

Replace missing/broken ties

Mend hems and edges

Mend all holes

Mend all tears

Mops

Stains are acceptable

Worn, frayed and ragged mops discarded

Bar Towel

Light and medium stains acceptable

Mend hems, tears, selvages

Hales up to 1" acceptable

Dish Towel

Stains are acceptable

Holes up to 2" acceptable

Up to 4 holes allowed

Laundry Bag (includes blue barrier, grey barrier and reject bags)

Up to 4 dark stains acceptable

Light and medium stains acceptable

Mend seams and edges

Patch holes as needed

Pediatric Gown

2 light stains up to 2"

Replace missing/broken ties or snaps

Mend all hems and seams

Mend holes up to 1" diameter

Mend tears up to 3" long

No dryer burn

Excessively faded or pilled unacceptable

Surgeons Gown

Light stains up to 3" allowed

No patching 12" above hem on front panel or on sleeves from cuffs to 16" above seam

Maximum of 3 patches on lower front

Maximum of 3 patches on upper sleeve

Maximum of 9 patches on back panel

Repair ties, snaps, hems and seams

Grid marked after each washing

Gown removed from service when both grids are full (maximum 150 washings)

Drape

Light stains up to 3" allowed

Maximum 3 patches per side

Patches applied to both sides

Curling patches removed

No overlapping patches allowed

Repair all seams

Jumpsuit

Discretionary ink stains acceptable

Light stains up to 2" acceptable

Writing, with the exception of profanity, acceptable

Replace missing/broken ties and snaps

Mend all hems. seams, pockets

Mend holes up to 2" diameter

Mend stockinet cuffs

Scrubs (includes tops and pants)

Light stains up to 2” acceptable

Writing, with the exception of profanity, acceptable

Replace drawstring

Mend all hems. seams, pockets

Mend holes up to 2" diameter

Patch with discretion/modesty

Surgery Towel #1

No patching acceptable

Maximum of 2 snags and 4 towel clip holes acceptable

No frayed edges or tears

Warming Jacket

Light stains up to 2" acceptable

Writing, with the exception of profanity, acceptable

Replace missing/broken ties and snaps

Mend all hems. seams, pockets

Mend holes up to 2" diameter

Patch with discretion/modesty

APPENDIX - F

LAUNDRY FACILITY CHECKLIST

Name of facility:___________________________________ Date:___________________

NOTE: Review guidelines before visiting the laundry facility.

POLICIES/PROCEDURES:

1. Written policies and procedures covering all areas of responsibility relating to service provided to the

MTF?

TRAINING/EDUCATION:

1. Appropriate infection control and OSHA BBP orientation for new personnel?

2. Who conducts newcomers orientation?

3. Appropriate training in personal hygiene and handwashing techniques?

4. Appropriate training for the use of personal protective equipment (PPE)?

5. Training on bloodborne pathogens and Universal Precautions or Standard Precautions per OSHA guidelines?

6. Appropriate Hepatitis B vaccine or signed waiver per OSHA regulation?

7. Appropriate post-exposure follow-up, treatment and record keeping per OSHA regulation?

8. Appropriate annual infection control in-service program?

9. Who conducts the annual in-service?

SOILED LINEN RECEIVING AREA:

1. Do employees adhere to the dress code requirements, appropriate PPE for this area and task?

2. Soiled linen handled as little as possible with minimum of agitation?

3. The carts and trucks used to transport soiled linen are cleaned?

SORTING AND SOILED LINEN AREA:

1. Do employees adhere to the dress code requirements, appropriate PPE for this area and task?

2. Soiled linen handled as little as possible with minimum of agitation?

3. Handwashing facilities located in this area?

4. Sharps disposal containers available?

5. Soiled linen is separated from clean linen processing area either by one or more of the following methods: Physical design or barriers, negative air pressure in soiled area, and/or positive air-flow in clean area.

WASHING AREA:

1. Is the temperature of the water compatible with the detergent?

2. Does the temperature gauge on the washer register the temperature accurately?

3. Does the facility have some method of checking the accuracy of the gauges?

4. Are temperature and time monitored by one or a combination of the following: gauges, graphs and/or computer printouts?

5. Are additional chemicals such as a chlorine agent, sour agents, or water softeners employed to launder the linen?

6. Are the personnel in the washing area different from the personnel assigned to the sorting area?

7. Are the carts used in this area designated clean carts?

8. Is the MTF’s linen washed along with another facility’s linen?

DRYING AREA:

1. Are the dryers adjacent to the washers?

2. Are the temperature and time settings on the dryer specific for each load?

DRYING AREA Continued):

3. Is the lint vent cleaned with each load?

4. Is a clean cart used to remove the dry linen form the dryer?

SORTING AREA FOR FOLDING DRY LINEN:

1. Clean tables/counter surface available to fold clean linen?

2. Is the area clean and free of food and beverages?

3. Is the linen packaged in like bundles per contract requirements?

IRONING AREA:

1. Is the linen damp when sent through the hot presses?

2. Are presses dusted each day?

3. Are the sprayers washed, dried and refilled when emptied?

WRAPPING AREA:

1. Does a moisture repellant wrap cover the entire bundle per contact requirements?

2. Are the wrapped bundles placed in a linen cart that is designed for only clean linen transport to the

MTF?

3. Are the clean linen carts cleaned on a regular basis?

4. Is there dust or lint build up on the overhead pipes?

TRANSPORTATION:

1. Are the transport vehicles cleaned on a regular basis?

OTHERS WHO ACCOMPANIED ON INSPECTION: