Atch 1 Performance Work Statement Medical Linen.pdf

PERFORMANCE WORK STATEMENT

Medical Linen Cleaning Service

Part 1

General Information

1. GENERAL: This is a non-personnel services contract to provide medical linen cleaning service. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform medical linen cleaning service as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: This PWS outlines laundry and dry-cleaning requirements for the Medical Treatment Facility (MTF) located at Cannon AFB, NM.

1.3 Objectives: Objectives include picking up soiled articles and delivering clean articles; complying with all certification or labelling requirements arising from state or local department of health regulations and infection control.

1.4 Scope: Services include laundry services, soiled linen pickup, non-reimbursable repair of minor rips and tears, and compliance with the delivery schedule as outlined in this PWS.

1.5 Period of Performance: The period of performance shall be for 1 Base Year of 12 months and 4 12-month option years. The Period of Performance reads as follows:

Base Year 1 May 2020 – 30 April 2021 Option Year I 1 May 2021 – 30 April 2022 Option Year II 1 May 2022 – 30 April 2023 Option Year III 1 May 2023 – 30 April 2024 Option Year IV 1 May 2024 – 30 April 2025

1.6 General Information

1.6.1 Quality Control: The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract. The contractor shall provide the Contracting Officer (CO) with a copy of the quality control plan at the pre-performance conference.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The contractor will not be required to perform services on Federal holidays.

If a pickup or delivery day is scheduled on a Federal holiday, the contractor shall perform service on the following workday.

1.6.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0700 and 1630 Mountain Time, Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5 Place of Performance: The work to be performed under this contract will be performed at the contractor’s off-site facility with pickup and delivery scheduled for the 27th Special Operations Medical Group, Cannon AFB, NM.

1.6.6 Type of Contract: The government will award a firm fixed-price contract.

1.6.7 Security Requirements: N/A

1.6.7.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use.

1.6.7.2 Key Control: N/A

1.6.8 Special Qualifications: N/A

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The CO, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.

These meetings shall be at no additional cost to the government.

1.6.10 COR: The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions:

assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11 Key Personnel: The follow personnel are considered key personnel by the government: contract manager/alternate contract manager, operations manager, sales manager. The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate 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 shall be available between 0700 and 1630 Mountain Time, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.12 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.6.13 Contractor Travel: N/A

1.6.14 Other Direct Costs: N/A

1.6.15 Data Rights: N/A

1.6.16 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may effect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.6.17 PHASE IN /PHASE OUT PERIOD: N/A

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE. An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: N/A

3.2 Facilities: N/A

3.3 Utilities: N/A

3.4 Equipment: The Government will provide laundry bags.

3.5 Materials: N/A

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: N/A

4.2 Secret Facility Clearance: N/A

4.3. Materials: N/A

4.4. Equipment: N/A

PART 5

SPECIFIC TASKS

5. Specific Tasks:

5.1. Basic Services. The contractor shall provide services for medical linen cleaning service.

5.2. Laundry Services. The contractor shall pick up soiled articles and deliver clean articles in accordance with Technical Exhibit 3, Delivery and Pickup Schedule.

5.2.1. Laundry services include: pickup and delivery schedules are met; correct quantities of articles are delivered; articles are free of all contaminants, dirt, debris, dampness, offensive odors, mildew, and cleansing chemical residue; has a uniform appearance; and articles are properly finished, bundled, and packaged.

5.3. Soiled Laundry Pickup. All articles will be processed for shipment in government-provided laundry bags.

5.3.1. MTF soiled articles are weighed wet in government-provided laundry bags.

5.3.2. MTF articles will be weighed dry upon delivery of cleaned linens.

5.4. Unserviceable Articles. All unserviceable articles and non-reparable articles shall be returned in a separate marked bundle after laundering.

5.4.1. The contractor shall mark the bundle as “Unserviceable”.

5.5. State or Local Department of Health Requirements. The contractor shall comply with all certification or labelling requirements arising from state or local department of health regulations.

5.6. Transporting of Soiled and Clean Articles. The contractor shall keep all clean and dirty linen separate during transport, processing, and delivery.

5.7. Non-reimbursable Repairs. Except for unserviceable articles, the contractor shall repair at no additional cost to the government all minor rips, tears less than four inches, open seams, and holes using thread and materials of the same quality, compatible color, colorfastness, and texture as that used in the manufacture of the articles.

5.7.1. The contractor shall repair by replacements all broken or missing buttons with buttons of matching color and similar appearance and quality.

5.8. Workmanship and Sanitation.

5.8.1. Delivered finished articles shall conform to all standards outlined by AFI 44-108 Infection Prevention and Control Program and OSHA 1910-1030 Bloodborne Pathogens, as well as generally accepted industry standards of quality of cleanliness, freshness, and appearance.

5.8.2. The contractor shall deliver all articles in a sanitary and thoroughly laundered condition. All work performed shall be done under sanitary conditions in accordance with generally accepted industry standards and Department of Health regulations.

5.8.3. The contractor’s facility shall be open to inspection of sanitary conditions at any time by a representative of the government. The government reserves the right to perform or cause to have performed any test necessary to determine the sanitary conditions of articles delivered by the contractor.

5.8.4. All articles shall be kept segregated in the contractor’s plant and handled separately from any other customer’s work that may be in progress. The contractor shall ensure that at no time will Cannon AFB articles come in contact with articles of other customers that may be in progress.

5.9. Count of Articles. The contractor and the government shall verify the weight and enter the count on the laundry ticket before signing when articles are picked up and delivered.

5.9.1. The contractor shall furnish the original laundry ticket to the primary Quality Assurance Personnel (QAP) from the MTF.

5.9.2. The contractor shall be liable for the weight of articles turned in for service under this contract.

5.10. Infection control. The contractor is responsible for properly handling contaminated laundry articles in accordance with the Infection Control references listed in this PWS.

5.10.1. The Infection Preventionist (IP) of the MTF will tour the linen facility with the Quality Assurance Evaluator (QAE) prior to contract award and annually thereafter to evaluate and ensure the practice is in accordance with the scope of work for the contract.

5.10.2. The IP will use an annual linen facility inspection report using the Centers for Disease Control Guidelines for Environmental Infection Control in Health Care Facilities and the Healthcare Laundry Accreditation Council’s (HLAC) most current guidelines (Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities). The contractor will be provided a copy of the inspection checklist used and the QAE and MTF personnel will provide a report addressing any discrepancies uncovered during the inspection to provide recommendations.

5.11. Contractor Employee Requirements. The employees of the contractor must receive orientation and annual training in infection control in accordance with OSHA requirements. This training shall include personal hygiene, hand washing, post-exposure procedures, blood-borne pathogen (BBP) transmission, Tuberculosis prevention, and proper use of personal protective equipment (PPE). The contractor shall maintain documentation showing completion of training.

5.11.1. The contractor shall offer Hepatitis B vaccination for all employees at no cost to the employees.

Employees must sign a declination if they refuse the vaccine. The contractor shall maintain documentation of this program.

5.11.2. Appropriate PPE to include cover jackets, gloves, and disposable masks shall be made available by the contractor to all employees.

5.11.3. The contractor shall ensure that employees are free of infections. Infected employees shall be sent home if they are ill.

5.12. Plant Facility Requirements. The ventilation system must have adequate intake, filtration, exchange rate, and exhaust. The soiled linen area must have negative air pressure; the clean linen area must have positive air pressure. A physical barrier shall separate the two areas.

5.12.1. The contractor shall maintain environmental conditions that are adequate, to include temperature, humidity, and cleanliness per OSHA guidelines. A sharps disposal container must be made available. The contractor shall have adequate handwashing facilities for all employees. Eating, drinking, and smoking must be prohibited in work areas.

5.13. Delivery Procedures. The contractor shall transport clean linen in containers used exclusively for clean linen. The containers shall be lined with plastic or reusable liners and securely covered with plastic or reusable covers. Clean and soiled linen shall be separate at all times.

5.13.1. The contractor shall clean carts and trucks with steam or with a soap and water solution, both followed with a germicidal agent.

5.14. Soiled Linen Processing. The contractor shall handle soiled linen as little as possible and with minimum agitation.

5.14.1. Soiled linens shall be washed with soap, detergent, and/or bleach. At a minimum, linens shall be laundered at 71⁰C/160⁰F for 25 minutes. The washer thermometer shall be visible and thermometer calibration data shall be made available at all times.

5.15. Rewash/Re-clean of Laundered or Dry Cleaned Articles. Any articles found to have been unsatisfactorily laundered or dry cleaned shall be rewashed or dry cleaned at no additional cost to the government.

5.15.1. The government’s representative will notify the contractor’s representative after the unsatisfactory condition is discovered. The articles shall be rewashed and returned on the next delivery day.

5.15.2. The contractor shall ensure rewashed articles are segregated from other laundry articles when returned. The contractor shall also ensure articles are readily identifiable to the government as rewashed articles, e.g. articles may be labeled with a tag stating, “Redone”.

5.16. Missing/Lost Articles. If any article is missing from a delivery, the contractor shall issue an IOU (shortage) ticket on the same day the shortage occurs. The contractor shall redeem the ticket on the next scheduled delivery. This shall be at no additional cost to the government.

5.16.1. Articles not delivered within 24 hours of the original scheduled delivery time will be considered missing.

5.16.2. If the missing articles are not delivered by the last workday of the month the articles shall be considered lost. The contractor shall reimburse the government with an equitable replacement for all lost, damaged, or destroyed articles at contractor’s facility.

PART 6

APPLICABLE PUBLICATIONS

6. APPLICABLE PUBLICATIONS (CURRENT EDITIONS)

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures.

PART 7

ATTACHMENT/TECHNICAL EXHIBIT LISTING

7. Technical Exhibit List:

7.1. Technical Exhibit 1 – Performance Requirements Summary

7.2. Technical Exhibit 2 – Deliverables Schedule

7.3 Technical Exhibit 3 – Delivery & Pickup Schedule

7.4 Technical Exhibit 4 – Industry Regulations, Codes, and Standards

7.5 Technical Exhibit 5 – Pre-award Laundry Facility Inspection Checklist

7.6 Technical Exhibit 6 – Post-award Laundry Facility Inspection Checklist

TECHNICAL EXHIBIT 1

Performance Requirements Summary

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

Standard Performance Threshold

Method of Surveillance

PRS # 1.

The contractor shall provide pickup/delivery service within the hours specified. (5.2)

The contractor provided pickups and deliveries in accordance with the schedule.

No more than 3 late pickups/deliveries per quarter.

Valid customer complaint

PRS # 2

The contractor shall deliver the correct quantities of articles of linen. (5.9)

The monthly average of the total net weight for bulk laundry delivered during the month shall be no less than 92% of the average total net weight picked up during the month.

No more than 1 failure per quarter.

Valid customer complaint

PRS # 3

The contractor shall provide finished packaging that conforms to the accepted industry standards of quality, appearance, and cleanliness. (5.8.1)

The contractor provided acceptable finished packages.

No more than 3 packages returned for re-performance per month.

Valid customer complaint

PRS # 4

The contractor shall transport clean linen in containers used exclusively for clean linen. The containers shall be lined with plastic or reusable liners and securely covered with plastic or reusable covers. (5.13)

The contractor correctly packaged linens in laundry bags and containers.

No more than 3 incorrect packages per month.

Valid customer complaint

TECHNICAL EXHIBIT 2

Deliverables Schedule

Deliverable Frequency # of Copies Medium/Format Submit To Quality Control Plan At the pre-award conference and within 5 business days following a change or update.

Hard copy, Word document, or PDF

CO

Key Personnel List Once and within 5 business days following a change or update.

1 Hard copy. Word document, or PDF

CO & COR

TECHNICAL EXHIBIT 3

Delivery & Pickup Schedule

All laundry and dry cleaning articles will be processed and returned the following scheduled day after pickup.

Delivery/pickup location:

27 Special Operations Medical Group 224 West D L Ingram Ave Bldg 1408 Cannon AFB, NM 88103

Delivery/Pickup Dates & Times

Tuesday and Thursday – between the hours of 0730 and 0830 Mountain Time. Facility point of contact will call at least 12 hours in advanced to cancel delivery/pickup in the event of an MTF down day.

TECHNICAL EXHIBIT 4

Industry Regulations, Codes, and Standards

Mandatory regulations, codes, and standards applicable to this PWS are listed below. The contractor shall follow these publications to the extent specified in the PWS. The contractor shall keep abreast of and comply with changes in all regulations and codes applicable to the contract.

Applicable Industry Regulations

OSHA Standards 29 CFR 1910.1030 Blood-borne Pathogens

NIOSH 2000-135 What Every Worker Should Know: How to Protect Yourself From Needlestick Injuries

Health Care Infection Control Practices Advisory Committee (HICPAC) Guidelines for Environmental

Infection Control in Healthcare Facilities – 2003

The Healthcare Laundry Accreditation Council (HLAC) Accreditation Standards for Processing Reusable

Textiles for Use in Healthcare Facilities

Air Force Instruction (AFI) 44-108 Infection Prevention and Control Program, para. 4.7.(5 June 2019)

Other Industry Standards

National Association of International Linen Management

International Fabricare Institute

Textile Rental Services Association

Institute of Industrial Launderers

Healthcare Service Operations Manual

Guidelines for Healthcare Linen Service

Association for Professionals in Infection Control and Epidemiology

Joint Commission on Accreditation of Healthcare Organizations

All guidelines established by OSHA

Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities, 2011

TECHNICAL EXHIBIT 5

Pre-Award Laundry Facility Inspection Checklist

Plant Facilities

1. The laundry facility should be planned, equipped, and ventilated as to minimize the dissemination of contaminants. The ventilation system should include adequate:

a. Intake

b. Filtration

c. Exchange rate

d. Exhaust

2. Soiled linen separated from clean linen processing by:

a. Physical design or barrier

b. Negative air pressure in the soiled linen area

c. Positive airflow from the clean to the soiled linen area

Soiled Linen

1. Gloves and appropriate PPE based on likelihood of contact of exposed skin and clothing with soiled item.

2. Hand washing facilities in area.

3. Sharps disposal container in area.

Washing Area

1. Temperature gauge on the washer must register the temperature of the water accurately.

2. Washer must be in good mechanical working order and well maintained.

3. Chemicals used to launder linen must be identified in writing.

4. Personnel working in sorting and soiled linen areas must change all PPE, wash hands, then put on new PPE.

Drying Area

1. Dryers must be adjacent to washers.

2. Temperatures and time settings on dryers need to be specific and standardized for each load.

3. Lint vents must be cleaned prior to each load.

4. A clean cart must be used to remove dry, clean linen from each dryer.

Sorting Area

1. A clean table or area must be available to fold linen.

2. The sorting area must be kept clean and free from food, soiled items, and foreign debris.

Ironing Area

1. Linen will be sent through presses in similar processes.

Wrapping Area

1. A moisture repellent wrap will cover the entire bundle of similar assembled linen.

Transportation

1. Transportation truck will be cleaned thoroughly on a monthly basis, sooner if the truck cargo area becomes soiled or contaminated.

2. Clean wrapped linen will be transported in clean carts in the transport truck.

Policies and Procedures

1. Written policies and procedures to cover all areas of responsibility related to service provided for the MTF will be provided and adhered to.

Training and Education

1. Employees will have received Hepatitis B vaccine series or signed waiver of denial on file with employer.

2. A needle stick protocol/follow-up will be available for employees.

TECHNICAL EXHIBIT 6

Post-Award Laundry Facility Inspection Checklist

Plant Facilities

1. The laundry facility should be planned, equipped, and ventilated as to minimize the dissemination of contaminants. The ventilation system should include adequate:

e. Intake

f. Filtration

g. Exchange rate

h. Exhaust

2. Soiled linen separated from clean linen processing by:

d. Physical design or barrier

e. Negative air pressure in the soiled linen area

f. Positive airflow from the clean to the soiled linen area

Soiled Linen

1. Gloves and appropriate PPE based on likelihood of contact of exposed skin and clothing with soiled item.

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

3. Hand washing facilities in area.

4. Sharps disposal container in area.

Washing Area

1. Temperature of water must be at minimum 71⁰C/160⁰F.

2. Temperature gauge on the washer must register temperature of water accurately.

3. Washer must be in good mechanical working order and well maintained.

4. Chemicals used to launder linen must be identified in writing.

5. Personnel working in sorting and soiled areas must change all PPE, wash hands, and put on new

PPE.

Drying Area

1. Dryers must be adjacent to washers.

2. Temperatures and time settings on dryers need to be specific and standardized for each load.

3. Lint vents must be cleaned prior to each load.

4. A clean cart must be used to remove dry, clean linen from each dryer.

Sorting Area

1. A clean table or area must be used to fold linen.

2. The sorting area must be kept clean and free from food, soiled items, and foreign debris.

3. Linen will be packaged in similar plastic packaging prior to shipment.

4. Linen not acceptable due to contamination will be sent back to washers for a secondary washing process.

Ironing Area

1. Linen will be sent through presses in similar processes.

2. Presses will be dusted at the beginning of each day.

Wrapping Area

1. A moisture repellent wrap will cover the entire bundle of similar assembled linen.

2. Wrapped bundles of linen will be placed in linen carts that are specifically designed for only clean linen transport to the MTF.

3. Clean linen transport carts will be cleaned with a disinfectant or steam on a monthly basis, sooner if cart becomes soiled.

Transportation

1. Transportation truck will be cleaned thoroughly on a monthly basis, sooner if the truck cargo area becomes soiled or contaminated.

2. Clean wrapped linen will be transported in clean carts in the transport truck.

Policies and Procedures

1. Written policies and procedures to cover all areas of responsibility related to service provided for the MTF will be provided and adhered to.

Training and Education

1. Appropriate annual and new employee training will be provided to workers covering personal hygiene and hand washing technique.

2. Appropriate annual and new employee training will be provided to workers covering use and application of PPE.

3. Appropriate annual and new employee training will be provided to workers blood-borne pathogen organisms and transmission.

4. Employees will have received Hepatitis B vaccine series or signed waiver of denial on file with employer.

5. A needle stick protocol/follow-up will be available for employees.