PWS_for_Laundry_Service.pdf

PERFORMANCE WORK STATEMENT (PWS)

LAUNDRY SERVICES

AT

JOINT BASE PEARL HARBOR-HICKAM, HAWAII

June 2017

SECTION 1

DESCRIPTION OF SERVICES

1. DESCRIPTION OF SERVICES. The contractor shall provide all personnel, equipment, materials, supervision, and other items and services necessary to perform laundry services, to include pick-up and delivery services for Joint Base Pearl Harbor-Hickam, Hawaii. Work shall be performed to the standards set forth in this Performance Work Statement (PWS).

1.1 SPECIFIC MEDICAL/CLINIC LAUNDRY SERVICE REQUIREMENTS:

1.1.1 Service. The contractor shall provide laundry service with a 48-hour turn around for the medical/clinical items listed in the Technical Exhibit 1 (TE-1). Laundry services, as a minimum, include cleaning, pick-up and delivery, repairing tears, holes, and ripped seams, and protective wrapping.

1.1.2 Quality Standards. The contractor shall perform laundry service in accordance with manufacturer’s recommendations/instructions and commercial standards and practices. Contractor shall comply with all Federal, State and local Department of Health regulations. In addition, the contractor shall comply with medical laundry standards as outlined by the Joint Commission (JC) on Accreditation for Healthcare Organization (JCAHO), AFM 23-110 (title), Occupational Safety and Health Administration (OSHA) Standards, Centers for Disease Control and Prevention, APIC text of Infection Control & Epidemiology Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities, IAW AFI 44-108, Infection Control Program, 15th Medical Group Instruction 44-108, Infection Prevention Program. The contractor shall ensure items are clean, free of soil and stains, and free of bacteria, fungi, and other micro-organisms, including pathogens or disease producing organisms. Additionally, the items shall have tears and ripped seams and holes repaired to match existing thread and color, at no additional cost to the government. Repairs are to be made only to tears and ripped seams that are 3 inches or less. Repairs are required on holes that are 1 inch or less, in diameter.

1.1.3 Handling of Soiled Items. Handling of soiled items shall be minimal to prevent gross microbial contamination of the air and personnel. To prevent contamination, items, including laundry bags, shall be counted at the contractor’s facility. Protective equipment must be worn (i.e. gloves) during handling of soiled linen. Soiled linen will be handled in a manner that minimizes dispersal of particles into the air and surrounding area.

1.2 LAUNDERING.

1.2.1 Soiled Linen Processing. Soiled linen is handled as little as possible and with minimum agitation. Compliance with standard/universal precautions is observed in the soiled linen area with sharps disposal units available. The wash formula should have adequate temperature, time/soap/detergent/bleach used: 71C/160F X 25 minutes per highest levels; all computer controlled. The washer thermometer must be visible with water temperature monitored and documented daily. Linens to be destroyed are processed prior to disposal.

1.2.2 Boost Shorts. Due to the infection control risks, these shorts require medical grade laundering. Per the manufacture the shorts should be washed in a gentle cycle in cold or warm water and be hung to dry; they should NOT be placed in a dryer. Any mild or delicate wash detergent (sports specific types preferred) can be used to wash the shorts on a gentle cycle.

1.3 PACKAGING OF CLEAN LAUNDRY. The contractor shall ensure clothing items are appropriately wrapped (i.e. placed on hangers with plastic film unless determined otherwise by the Customer) to prevent wrinkles and/or soil. All other non-clothing items shall be wrapped according to type, color and size. The quantity of items to be wrapped shall be in accordance with Technical Exhibits 1 (TE-1). The wrapped items shall be labeled as to their contents and can be easily identified when placed on shelves.

1.4 PICK-UP AND DELIVERY. The contractor shall pick-up and deliver all government-furnished items at those locations and according to the schedules indicated on Technical Exhibit 3 (TE-3). Cleaning of cars/trucks is properly done by steam cleaning or with soap and water solution. In either case, followed by germicidal agent.

1.4.1 Pick-up. The customer will count the laundry amounts and keep track of them on Count Sheets. The contractor shall sign the Count Sheet when laundry is picked-up and provide a delivery ticket/receipt that will be verified by the government. The contractor shall not pick up laundry amounts exceeding the maximum range listed in the Technical Exhibit 1 (TE-1), unless authorized by the 766 Specialized Contracting Squadron.

Laundry cleaned exceeding the maximum range listed in the Technical Exhibit 1 (TE-1) without authorization from 766 Specialized Contracting Squadron will be cleaned at no charge to the Government. If laundry in excess of the maximum amount needs to be cleaned, the customer will contact the contracting office to determine how the laundry will get cleaned. The contractor shall provide sufficient empty laundry carts and/or bags for storage and transportation of linens. Additional carts and bags shall be provided upon request. Empty carts shall be left at locations during pick up of soiled items.

1.4.2 Delivery. The contractor shall deliver clean items with proof of delivery ticket and a Count Sheet with the contractors laundry count, see section 1.6.1. If discrepancies cannot be resolved by the customer and contractor, 766 Specialized Contracting Squadron will intervene. Any item(s) that the contractor has not delivered in accordance with Technical Exhibit 3 (TE-3) shall be delivered on the next regularly scheduled delivery. All shortages need to be annotated on a shortage slip provided and signed by a company representative or employee. Packaging, transport, and storing clean linen by methods that will ensure their cleanliness and protect them from dust and soil during inter-facility loading, transport, and unloading. All clean linen transported shall be protected by plastic film or waterproof covering to prevent cross contamination during transport of both clean and contaminated linen. Clean linens and soiled linens MUST be kept separate during transportation. Clean linen will remain protected until the point of use and use of gloves must be worn to prevent linen contamination.

1.5 TURN-AROUND TIME. See TE-3 for the schedule of pick-up locations and turn-around times. If delivery falls on a Federal holiday, the delivery date is the next workday. In the event items require an extended turn-around time, the contractor must inform Quality Assurance personnel prior to normal delivery date.

1.6 ACCOUNTABILITY. The contractor shall prevent loss, damage, and shrinkage of government-furnished items. Any item(s) found damaged due to contractor’s negligence in taking necessary precautions shall be replaced or repaired at no additional cost to the Government. The Government shall approve all substitutions. All repaired items shall match existing conditions prior to damage.

1.6.1 Count Sheets. The contractor must provide a proposed count sheet to be approved by the Government not less than 10 days prior to commencing of work on the contract. The Count Sheet, at minimum, shall include date of pickup, a column for: quantity, item description(s) per location and per customer, organization name, signature block, and location. Count sheets shall document outgoing and returned items, accounting for pick-up and delivery of each item to the proper unit. Count sheets will be provided to the Government for verification of quantity and item description for each pick-up and location.

Upon delivery, a completed Count Sheet shall be issued to Government with both contractors or company employee and Government signature. The signing of count sheets by either party is a written agreement of the documents validity and accuracy and shall be used in an event an invoice discrepancy occurs, see Section 1.13. It is the responsibility of the contractor to verify item count(s) and item description(s) are in accordance with the Contract.

1.7 NON-REIMBURSABLE REPAIRS. All laundry serviced under this contract shall be repaired to include rips, tears, open seams (up to three (3) inches in length), holes, broken zippers replaced, and damages caused by contractor processing. This is accomplished by using thread and materials of the same quality, color, colorfastness, and texture as that used in manufacture of the articles. The contractor shall replace all missing buttons of matching color and similar appearance and quality. Such repairs and replacements are performed at no additional cost to the government and called “Non-reimbursable Repairs”.

1.8 UNAUTHORIZED ITEMS/ EXCESS AMOUNTS. The contractor shall not clean items that are not listed and quantities above the maximum range in the Quantity Ranges of Technical Exhibit 1 (TE-1). If non-listed items are found, they will be bagged and returned un-cleaned to the using agency. The contractor shall not be reimbursed for the cleaning of non-listed items and excess items. A modification to the Laundry Contract shall be executed before the contractor is authorized to launder/process additional items and not listed items in the Quantity Ranges of Technical Exhibit 1 (TE-1).

1.9 RE-PERFORMANCE OF LAUNDRY. Re-accomplishment of all unsatisfactorily laundered items under this contract shall be re-cleaned and returned at no cost to the Government. Government personnel shall separate unsatisfactory items from new laundry by placing the items in a bag and completing a separate count sheet that is marked “Re-perform” at the top.

1.10 PICK-UP COUNTS. Prior to pick-up, the Government representative at each pick-up location shall accomplish the counting of items to be laundered. The contractor shall receive the signed original of the Count Sheet and the Government will retain additional copies of the count sheets.

1.11 DELIVERY COUNTS. The contractor shall ensure the correct items and quantities are returned to the location they were picked-up according to the scheduled pick-up/drop off times (reference TE-3). The contractor shall record the quantity of items returned laundered on the delivery ticket and count sheet. The contractor and Government representatives will verify the amounts/sizes at the time of delivery by signing the delivery ticket and count sheet. The Government representative for each authorized user will retain a copy of the delivery ticket.

1.12 INCORRECT COUNTS. The contractor will return all items to the Government cleaned and the Government will be charged based on the contractor’s clean count on a daily basis. Both the contractor and Government reserve the right to contact the other to inquire status of turned-in/returned items if it is significantly different than what was turned-in/returned. Both are obligated to investigate into the matter, determine where the discrepancy is, and resolve the matter within thirty (30) calendar days. If the quantity on the delivery ticket is less than what is returned, contractor agrees to replace the items unaccounted for and deliver such the same day at no cost to the Government. If what is on the delivery ticket is more than what is returned, the Government will notify contractor of excess items immediately and arrange for pick-up. If any discrepancy cannot be resolved, the 766 Specialized Contracting Squadron will intervene.

1.13 INVOICING. The contractor shall perform all clerical and bookkeeping functions as to provide accountability for billing using standard accounting practices. A monthly invoice for each contract line item and corresponding authorized users must be submitted monthly through Wide Area Workflow (further directions in “Wide Area Workflow instructions attachment). All invoices shall be received no later than the 3rd working day of the following month. Contractor shall not invoice for amounts exceeding the total value of the verified quantities per item, established price range, and customer for each month. If discrepancies exist, the Government shall rely upon Count Sheets as mutually agreed upon calculations and monthly values of performance. Failure to properly submit invoices may prevent timely reimbursement for service provided.

1.14 WATER REPELLENT ITEMS. Water repellent items as identified in TE-1 shall be treated in accordance with acceptable industry procedures for water repellent treatment and included in contractor’s price proposal.

SECTION 2

SERVICE DELIVERY SUMMARY

2.1 SERVICE DELIVERY 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 Standards Chart

Performance Objective

PWS Paragraph Method of Surveillance Performance Threshold

Pick-up/delivery of laundry items on the designated days and times.

Paragraph 1.4 Technical Exhibit 3, Authorized Users, Pick up/Delivery Locations, and Schedule

Periodic Surveillance and Customer Complaint

Items must be picked up/delivered at least 95% of the scheduled days and times and there can be no more than 2 valid customer complaints per month. Third complaint will be considered a defect.

All items processed in accordance with Medical Laundry Standards.

Paragraphs 1.1.2 and 1.2.2

Periodic Surveillance and Customer Complaint

95% of all serviced items must meet Medical/Healthcare Standards for Laundry processing and there can be no more than 2 valid customer complaints per month. Third complaint will be considered a defect.

Packaging of Items as required in this PWS.

Paragraph 1.3

Periodic Surveillance and Customer Complaint

95% of all serviced items must meet the stated mode of packaging and there can be no more than 2 valid customer complaints per month. Third complaint will be considered a defect.

Correct quantities picked up or also returned.

Paragraphs 1.10 and 1.11

Periodic Surveillance and Customer Complaint

Must deliver no less than 95% of quantity on delivery ticket, and there can be no more than 2 valid customer complaints per month allowed. Third complaint will be considered a defect.

Furnish Laundry Carts or Laundry Bags

Paragraph 3.3 Periodic Surveillance and Customer Complaint

Contractor must deliver additional carts/laundry bags requested by the customer no depending on the needs of each location.

more than 5 days after request. More than 5 days will be a write-up. There can be no more than 2 valid customer complaints/month.

Third complaint will be considered a defect.

Medical Specific.

Comply with vehicle cleanliness, handling of soiled linens, and linen separation requirements.

Paragraphs 1.2.1, 1.2.2, 1.4.2, 3.2, 3.3, 3.4

Periodic Surveillance and Customer Complaint

Vehicles must be completely sanitized after transporting soiled linens and pass visual inspection. 100% separation of cleaned and soiled linens.

Soiled linens handled with gloves 100% of the time.

2.2 PERFORMANCE OBJECTIVE. Comply with sanitation requirements, state and local laws/regulations to provide clean linen and other prescribed items. Provide clean linen and quality customer service. Comply with OSHA and APIC standards regarding rules for blood borne pathogens to protect against disease transmission through textile. Comply with sanitation requirements, state and local laws/regulations to provide clean linen and other prescribed items.

2.3 PERFORMANCE THRESHOLD. The using organizations have determined that the contractor must meet minimum acceptable levels of service for each objective to be considered acceptable.

2.4 PERFORMANCE STANDARDS. Contractor performance should be aligned with our Description of Services as stated in PWS Para. 1.1-1.14.

2.5 METHODS OF SURVEILLANCE.

2.5.1 Customer Complaint. Two valid customer complaints per month will be acceptable. A third valid complaint will be considered a defect. A valid complaint is when the complaint is delivered from the Quality Assurance Personnel and provided to the Contracting Officer for validity and corrective action.

2.5.2 Periodic Surveillance. Assigned government personnel will conduct periodic surveillance on the contractor on a monthly basis. If verifiable discrepancies are found, the contractor will be notified and required to respond within three (3) business days.

SECTION 3

CONTRACTOR RESPONSIBILITIES

3. CONTRACTOR FURNISHED PROPERTY AND SERVICES. Except for those items or services specifically stated in “GOVERNMENT FURNISHED PROPERTY AND SERVICES”, the contractor shall furnish everything needed to perform this contract according to all of its terms and conditions.

3.1 PERSONNEL. The contractor shall not employ any person who is an employee of the U.S.

Government if employing that person would create a conflict of interest. The contractor shall ensure all employees are qualified to perform the requirements of this PWS. Contractor employees shall present a neat appearance and be easily recognized as contractor employees.

Employees must have in their possession and present upon request, personnel and vehicle passes issued by the Government. Contractor personnel shall not wear military type uniforms such as battle dress uniforms (BDUs). All laundry facility personnel must:

3.1.1 Receive orientation and annual training in infection prevention and control IAW OSHA requirements (e.g., BBP, PPE, post-exposure procedures, hand hygiene, TB) through their company with documentation available.

3.1.2 Comply with OSHA BBP-ECP, TB prevention, employee health program, and hand hygiene program.

3.1.3 Use appropriate PPE especially in the receiving dock and separation area for contaminated linen and remove before leaving receiving/sorting area.

3.1.4 Adhere to environmental and ventilation requirements.

3.1.5 Use appropriate temperatures and chemicals used during the washing process.

3.1.6 Separate clean and dirty linen during transport, processing and delivery, and provide appropriate packaging of linen.

3.1.7 Report any sharps found when separating contaminated linen to prevent exposures to personnel. Ensure discovery is communicated to the MTF where the linen was collected.

(NOTE: Attachement 1 and Attachment 2 below are the inspection checklists.)

3.1.8 The IP will report findings and any recommendations to the ICF.

3.1.9 Ensure staffing is adequate and personnel are free of infections.

3.1.10 Ensure Hepatitis B vaccine is offered for all employees or must sign declination

3.2 VEHICLE. All clean laundry items delivered under this contract shall be transported in sanitized, clean and enclosed vehicles provided by the contractor. Laundry which is considered clean will not be transported alongside contaminated laundry unless the vehicle is maintained in a sanitary condition to prevent cross contamination.

3.3 EQUIPMENT. Laundry Carts/Bags. Contractor shall provide laundry carts and laundry bags in sufficient quantities at each location. All clean linen will be transported and stored in carts used exclusively for clean linens or in linen carts that are cleaned and disinfected after being used to transport soiled linen. If the cart to be used to transport soiled items, it is imperative that it not be used until it has been appropriately disinfected. The cart must be covered or wrapped for protection from contamination during transport. Package, transport of clean linen by methods that will ensure their cleanliness and protect them from dust and soil during interfacility loading, transport and unloading. Vehicles should be disinfected per Contractor guidelines prior to reloading clean linen. The linens must be transported in sanitary vehicles. All carts and other containers used to store or to transport clean or soiled linen shall be identified for soiled linen only or for clean linen only and shall be kept covered when not in use.

3.4 QUALITY CONTROL. The contractor shall develop and maintain a quality program to ensure “Laundry Services” are performed in accordance with medical/healthcare standards and practices. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. As a minimum, the contractor shall develop quality control procedures, addressing the areas identified in the Periodic Surveillance Standards Chart listed in the Service Delivery Summary. The QC Plan shall be provided to, reviewed and accepted by the government prior to start of work. The Infection Prevention and Control Officer (IPCO) will tour the linen facility with the Linen QAE prior to contract performance, and annually thereafter, to evaluate and ensure the practice is IAW the scope of work for the contract.

If deficiencies are found re-inspection will occur within 30 days to ensure compliance.

3.5 MANDATORY PUBLICATIONS. The contractor shall comply with the following:

AFI 24-111, Management of Government Property in Possession of the Air Force.

AFI 34-246, Air Force Lodging Program

DODR 4145-19, Storage and Warehousing of Facilities and Services

AFI 44-108

OSHA Field Safety and Health Manual

CDC Guidelines for Environmental Infection Control in Health-Care Facilities

SECTION 4

GOVERNMENT RESPONSIBILITIES

4. GOVERNMENT FURNISHED PROPERTY AND SERVICES.

4.1 GENERAL. The Government will provide the services, items, equipment, and/or facility as identified in this PWS.

4.2 EQUIPMENT. The Government will provide no equipment.

4.3 PICK-UP/DELIVERY LOCATIONS. The Government shall provide pick-up and delivery points as specified in Technical Exhibit 3 (TE-3).

SECTION 5

GENERAL INFORMATION.

5. HOURS OF OPERATION. The contractor shall provide service between the hours of 8:00 a.m. through 4:00 p.m., Monday, Wednesday, and Friday. Specific daily schedule of hours shall be coordinated and approved by the Quality Assurance Personnel (QAP) from 15th Services

Squadron. If contractor is unable to comply with arranged dates and times, he/she will notify the QAP no later than 24 hours before time of scheduled pick-up/delivery.

5.1 PERFORMANCE OF SERVICES DURING CRISIS. Hickam Air Force Base requires continued performance of services during any crisis declared by the National Command Authority or Overseas Combatant Commander. Laundry services are deemed as “vital to mission continuance” and essential for continued quality service during any crisis. Schedule and hours of operation for contract laundry services will be maintained as normal. The Quality Assurance personnel will notify the laundry services contractor as soon as possible after implementation of heightened security posture.

5.2 DELIVERY DELAYS. The contractor will not be held responsible for excusable delays such as: real world events, Wing exercises, deployments, and/or contingencies that require higher level base security nor will the contractor be provided compensation for such delays.

Inexcusable delays will be assessed by the Contracting Officer on a case-by-case basis and may result in corrective action.

5.3 QUALITY ASSURANCE. The Government will evaluate the contractor’s performance by conducting periodic inspections, the Customer Complaint system, and the contractor’s quality control program.

5.4 PERSONNEL/VEHICLE SECURITY REQUIREMENTS. The contractor shall obtain the required pass and registration items for all contract personnel and vehicles requiring entrance to all locations on Joint Base Pearl Harbor - Hickam under this contract.

5.5 COMPLIANCE WITH INSTALLATION SECURITY. All personnel employed by the contractor in the performance of this contract, or any representative of the contractor entering the Government installation, shall abide by all security regulations of the installation.

5.6 SAFEGUARD GOVERNMENT PROPRETY. The contractor shall be responsible for safeguarding all Government property provided for contractor laundering/cleaning.

SECTION 6

SPECIAL REQUIREMENTS

6. INSURANCE. The contractor is required to carry the minimum insurance required by State Law for worker’s compensation and employer’s liability as well as general liability. Proof of such insurance will be required before start of contract.

SECTION 7

TECHNICAL EXHIBITS

Technical Exhibit 1. Estimated Workload D

Technical Exhibit 2. Authorized Users

Technical Exhibit 3. Pick up/Delivery Locations and Schedule.

SECTION 8

QUALIFYING FACTORS

8. Background Checks. Contractor/Supplier shall perform Background, Sex Offender and Criminal Record Checks on all selected Contracted Permanent/ Temporary employees requiring access onto the Department of Defense/Air Force installation. The background checks must be current as of 120 calendar days from the start of the contract to receive access onto the USAF installation. (Hawaii Criminal History Records Check, for an example, is sufficient source.

For Non-U.S. Citizen applicants, background checks will be verified with the Department of Homeland Security/Immigrations and Customs Enforcement)

8.1 Disqualifying Factors for Unescorted Installation Access. The Contractor/Supplier will ensure Contracted Permanent/ Temporary employees requiring access onto the Department of Defense/Air Force installation DO NOT meet any of the following disqualifying factors Disqualifying factors for denied access are as follows [Ref 15 AWI 31-101]:

- U.S. citizenship, immigration status, or Social Security Account Number cannot be verified.

- Barred from entry/access to any military installation or facility.

- Wanted by federal or civil law enforcement authorities, regardless of the offense/violation (i.e., an “order of arrest” has been issued by a judge).

- Incarcerated for 12 months or longer within the past five years, regardless of offense/violation.

- Any conviction of espionage, sabotage, treason, terrorism or murder.

- Conviction of a sexual assault or classified as a sexual offender, rape, child molestation, armed assault/robbery, firearms or explosives violation, drug possession with intent to sell, or drug distribution within the past 10 years.

- Name appears on any federal agency’s “watch list” or “hit list” for criminal behavior or terrorist activity.

-Individual is currently serving their first year of parole or probation for any felony offense.

8.2 CRIMINAL RECORDS/SEX OFFENDER CHECK. Prior to the assignment of any Permanent/Temporary personnel at Department of Defense/Air Force facilities, CONTRACTOR/SUPPLIER Permanent/Temporary personnel must be subjected to a criminal records/sex offender check. CONTRACTOR/SUPPLIER shall be required to complete a criminal records/sex offender check on selected candidates only. CONTRACTOR/SUPPLIER will arrange, conduct and absorb all expenses of the criminal records/sex offender check. In accordance with applicable law, a check for felony and misdemeanor criminal convictions and conviction of any sex offense shall be conducted in all states, and all counties of state or states where the Permanent/Temporary candidate/employee has resided in, has been employed in, or attended school in for the past seven (7) years. Permanent/Temporaries convicted of any offense, misdemeanor or felony shall not be allowed installation access without review and written approval from Installation Contracting office with concurrence from the installation’s Chief of Security Forces.

8.3 EMPLOYEES OF THE CONTRACTOR/SUPPLIER. No one except authorized employees of the CONTRACTOR/SUPPLIER is allowed onto Department of Defense/Air Force installations/facilities. CONTRACTOR/SUPPLIER employees are NOT to be accompanied onto the installation or in their work area, (unless authorized as escort by the 15th Security Forces Squadron Pass and Registration Section), by acquaintances, family members or any other person(s) unless said person(s) is authorized by the contract to perform services required under the contract for CONTRACTOR/SUPPLIER.

8.4 EMPLOYMENT CREDENTIALS ISSUE AND TURN-IN.

The CONTRACTOR/SUPPLIER agrees to retain all Passes/Badges, and any other pertinent documents issued by the Department of Defense/Air Force. The CONTRACTOR/SUPPLIER agrees to return all Passes/Badges, and any other pertinent documents to the Installation/Facility Contracting officer who will in turn recover them to the Installation/Facility Pass and Registration office upon completion of the contract. In the event of contract termination, employee termination, or failure of an employee to return to work the CONTRACTOR/SUPPLIER agrees to retain/recover all Passes/Badges, and any other pertinent documents issued by the Department of Defense/Air Force to the Installation/Facility Contracting officer who will in turn recover them to the Installation/Facility Pass and Registration office. When Passes/Badges, and any other pertinent documents issued by the Department of Defense/Air Force cannot be recovered by CONTRACTOR/SUPPLIER, the CONTRACTOR/SUPPLIER agrees to reimburse the replacement cost to the Department of Defense/Air Force.

TECHNICAL EXHIBIT 1 (TE-1)

ESTIMATED WORKLOAD DATA

Note: Estimated workload data does not guarantee

15th MDG : Building # 559

Item Description Below Average Average Above Average

1 Lab Coat 0 - 15 15 - 30 30 - 45 2 Eye Sheet Drape** 0 - 10 10 - 20 20 - 30 3 Pillowcase 0 - 15 15 - 30 30 - 45 4 Flat Sheet 0 - 15 15 - 30 30 - 45 5 Operating Scrub Shirt 0 - 300 300 - 600 600 - 900 6 Dentist Smock 0 - 300 300 - 600 600 - 900 7 White Hand Towel 0 - 10 10 - 20 20 - 30 8 Operating Scrub Trousers 0 - 300 300 - 600 600 - 900 9 Absorbent Towels 0 - 100 100 - 200 250 - 300

10 Thermal Blanket 0 - 15 15 - 30 30 - 45 ** Water repellant item HPARC : Building # 1113

Item Description Below Average Average Above Average

1 Thermal Blanket 0 - 5 5 - 10 10 - 15 2 Bath Towel 0 - 300 300 - 600 600 - 900 3 Pillowcase 0 - 300 300 - 600 600 - 900 4 Flat Sheet 0 - 250 250 - 500 500 - 750 5 Boost Shorts 0 - 25 25 - 75 75 - 150

735th AMS : Building 2037 Item Description Below Average Average Above Average

1 Airline Blanket 0 - 350 350 - 700 700 - 1050 2 Crib Sheets 0 - 15 15 - 30 30 - 45

TECHNICAL EXHIBIT 2 (TE-2)

AUTHORIZED USERS

The following are authorized users of this Laundry Service Contract. Additional users shall be added as needed. A contract modification shall be executed to incorporate additional pick-up and delivery points. Each authorized user shall complete a count sheet, and the contractor shall issue a separate delivery ticket and shall invoice by CLIN on the contract.

AUTHORIZED USERS

Unit Name Nickname Bldg 1 735TH AMS FLEET SERVICE Fleet /735th BLDG 2037

2 15 MDG/CLINIC MEDICAL GROUP CLINIC BLDG 559

3 15 MDG/HPARC HUMAN PERFORMANCE

REHABILITATION CENTER

HPARC BLDG 1113

TECHNICAL EXHIBIT 3 (TE-3)

PICK UP/ DELIVERY LOCATIONS AND SCHEDULE

The contractor shall pick-up and delivery to the listed facilities within the specified time frame and on the scheduled days as follows:

Unit Location (Building #)

CLIN

Pick up /Delivery Days

Hours Available for Pick up/Delivery

735 AMS Fleet Services 2037 0002 Wed & Fri 0800 – 1600

15 Med Group (Clinic) 559 0003 Mon, Wed, Fri 0800 – 1600

15 Med Group (HPARC) 0005 Wed & Fri 0800 - 1600

Attachment 1:

INSPECTION OF LAUNDRY SERVICES

Facility: Date:

Conducted by:

References:

APIC Text of Infection Control & Epidemiology

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

A. PLANT FACILITY YES NO

1. Ventilation system has adequate intake, filtration, exchange rate and exhaust to keep dust/lint level down.

2. Separation of clean and soiled areas by a physical barrier (separate room with closed door) or air flow (soiled linen room = negative pressure; clean linen room = positive pressure)

3. Environmental conditions are adequate: temperature, humidity, cleanliness of area etc.

4. Adequate hand washing facilities available

5. Eating, drinking and smoking is prohibited in all work areas

B. PERSONNEL

1. Employees participate in relevant continuing education program with documentation available. For example, training in personal hygiene, hand washing, and bloodborne pathogen transmission and proper use of personal protective equipment (PPE)

2. Personal protective equipment available and in use: cover jackets, gloves, and disposable masks

3. Employees remove PPE before leaving receiving/sorting area

4. Hepatitis B vaccine is offered for all employees; must sign declination

5. Personnel are free of infections

6. Staffing is adequate

C. DELIVERY

1. Clean linen transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in clean cart with a secure plastic or reusable cover

2. Separation of clean and soiled linen. (The containers used to transport soiled linen may be used to transport clean linen if they are properly cleaned first)

3. Cleaning of carts/trucks is properly done by steam cleaning or with soap and water solution. In either case, followed by germicidal agent.

D. SOILED LINEN PROCESSING

1. Soiled linen is handled as little as possible and with minimum agitation

2. Compliance with standard/universal precautions is observed in the soiled linen area – sharps disposal units available

3. Wash formula: adequate temperature, time soap/detergent/bleach used:

71C/160F x 25 minutes

4. Washer thermometer visible

5. Water temperature monitored and documented daily

6. Linens to be destroyed are processed prior to disposal

E. HOUSEKEEPING YES NO

1. Adequate cleaning procedures are developed and implemented regarding:

• Cleaning and care of equipment and work areas

• Maintenance of cleaning schedules

• Documentation of cleaning

F. QUALITY ASSURANCE

1. The provider shall have a written policies and procedures covering areas of responsibility relating to the service provided

2. The provider shall maintain documentation of the identification of problems and methods to resolve them.

3. The provider and the user shall periodically review the laundry/linen program

NOTES:

Attachment 2:

INFECTION CONTROL LINEN FACILITY INSPECTION CHECKLIST

PAGE 1 OF 2 PAGES

NAME OF FACILITY:________________________________________

ADDRESS:__________________________________________________

TELEPHONE:_______________________________________________

OPR

IP

DATE

NO.

ITEM

YES NO N/A

A. ACCREDITATION/LICENSE

1. Does the facility have a current business license? ref: OSHA General guidelines

2. Has the facility been inspected by any other agency since the last inspection *If yes, list agencies:

B. PHYSICAL FACILITY

1. Is the facility overall clean and sanitary (i.e., restrooms supplied with toilet paper, hand soap, running water, paper towels or dryer, working toilets, clean floors)? ref: OSHA 1910.1030

2. Are there adequate hand washing stations? ref: OSHA 1910.1030

3. Are alcohol hand based hand rubs available? ref: OSHA 1910.1030

4. Are sharps containers available and accessible IAW OSHA guidelines?

ref: OSHA 1910.1030 & AFI 44-108

C. PERSONNEL

1. Do the employees have initial/annual training records and are they current?

ref: OSHA 1910.1030

2. Does the training cover the following areas:

Wear and use of PPE ref: OSHA 1910.1030 The identification and handling of contaminated laundry ref: OSHA 1910.1030 How to handle and dispose of sharps (BBP-ECP) ref: OSHA 1910.1030 How and when to wash their hands ref: OSHA 1910.1030 What to do if they are exposed to a biohazard ref: OSHA 1910.1030

3. Compliance with universal/standard precautions is observed?

ref: OSHA 1910.1030

4. Do employees remove PPE before leaving receiving/sorting area?

ref: OSHA 1910.1030

5. Is the Hep B vaccine available for all employees? Or are there signed statements of refusal? ref: OSHA 1910.1030(f)(1).

6. Is eating, drinking, smoking prohibited in all work areas? ref: OSHA

1910.1030

D. PRE-WASH PROCESS

1. Is equipment arranged to prevent cross-traffic of clean and soiled linen?

ref: AFI 44-108, para 3-11

2. Are there separate areas for the processing of soiled and clean linen?

ref: AFI 44-108 para. 3-11

E. WASH PROCESS

1. Is the temperature adequate (71C/160F)? ref: AFI 44-108, para 3-11 & CDC Guidelines

2. Are the chemicals used appropriate (Soap, Detergent/Bleach)? ref: AFI 44- 108, para 3-11 & CDC Guidelines

F. POST WASH PROCESS

1. Are carts, containers, covers, and liners used to collect or transport soiled textiles properly cleaned and disinfected after the cart is emptied and before any next use (whether to transport clean textiles or soiled textiles)? Ref: AFI 44-108, para 3.11.3.

2. Are clean items transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in a clean cart with a secure plastic or reusable cover? Ref: AFI 44-108, para 3.11.3.1.

3. Are clean and soiled textiles transported separately and/or are there physical barriers separating clean from soiled linen? Ref: AFI 44-108, para 3.11.3.1.

4. Clean linen will be stored in clean storage areas (dedicated storage rooms with closing door or covered carts or closed drawers or cabinets) Ref: AFI 44-108, para 3.11.3.1.

5. Clean linen remains protected until point of use. Ref: AFI 44-108, para 3.11.3.2.

REFERENCES:

Air Force Instruction (AFI) 44-108, Infection Prevention and Control, 11 Dec 2014 Occupational Safety and Health Administration (OSHA) Standards www.osha.gov Centers For Disease Control and Prevention (CDC) www.cdc.gov

Inspector signature_______________________________________ Date ___________________________________________________

Inspector signature_______________________________________ Date____________________________________________________

UPDATED: APR 2015 (approved by ICRF)

(END OF DOCUMENT)

http://www.osha.gov/ http://www.cdc.gov/