PWS LN Occ Health.pdf

PERFORMANCE WORK STATEMENT (PWS)

For

Occupational Health Care (OHC) and Consultation Service of Local National Civilians at Spangdahlem Air Bases, Germany

2 July 2020

Table of Contents

1.0. Description of Services…………………………………………………………….………3

1.1. Technical Definitions Peculiar to this PWS ………………………………….…………..3

1.2. Occupational Health Care ………………………………………………………………...4

1.3. Fitness for Duty Examinations …………………………………………………………

1.4. Occupational Safety and Health Advisory/Consultation Service ……………………….4

1.5. Personnel ……………………………………………………………………………………4

1.6. Communication …………………………………………………………………………….4

1.7. Security Requirements……………………………………………………………………..5

1.8. Hours of Operation ……………………………………………………………………...…6

1.9. Government Observations ……………………………………………………………..….6

1.10. Standard Definitions ………………………………………………………………..……7

1.11. Contractor Furnished Items and Services………………………………………………7

1.12. Quality Control …………………………………………………………………………...7

2.0. Services Summary (SS) ……………………………………………………………………8

3.0. Government-Furnished Services …………………………………………………………8

4.0. Appendices

4.2. List of Applicable Publications (current editions)……………………………………….9

4.1. Abbreviations and Translation Terms in PWS …………………………………………10

4.3. List of Air Force Host Medical Treatment Facilities with Occupational Health Offices in Germany and their supported Geographically Separated Units (GSU) ………………...11

4.4. G-Codes

1.0. Description of Services. This is a non-personal services Performance Work Statement (PWS) for Occupational Health Care (OHC) (Arbeitsmedizinischen Vorsorge (ArbMedVV)) and consultation services for Local National (LN) civilians employed under the Collective Tariff Agreement II (CTA II), working for the United States (US) Air Forces and Defense Logistics Agency (DLA) in Germany, under the area of responsibility of the host medical treatment facilities at Spangdahlem Air Base (SAB) Germany and its Geographically Separated Units (GSUs). Services are required in accordance with (IAW), but not limited to, paragraph (para) 11 of Arbeitsschutzgesetz (ArbSchG) (German Occupational Safety Law); para 3 of Verordnung zur Arbeitsmedizinischen Vorsorge (ArbMedVV) (Ordinance on Occupational Health Provision), paras 1 and 19 of the German Arbeitssicherheitsgesetz (ASiG) (Law on Company Physicians, Safety Engineers and other Safety Specialists – Industrial Safety Law), respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and US regulations listed in Appendix 4.2. The contractor shall provide all personnel, equipment, tools, materials, supervision and other items and services necessary to perform OHC and occupational safety and health advisory/consultation.

Period of Performance: The Period of Performance reads as follows:

Base Year 14 November 2020 – 13 November 2021

Option Year I 14 November 2021 – 13 November 2022

Option Year II 14 November 2022 – 13 November 2023

Option Year III 14 November 2023 – 13 November 2024

Option Year IV 14 November 2024 – 13 November 2025

1.1. Technical Definitions Peculiar to this PWS.

1.1.1. The Government. Refers to the United States Government, as used herein, it refers specifically to the United States Air Force in Europe (USAFE).

1.1.2. Contracting Officer (CO). The only person authorized to obligate funds on behalf of the Government. Any changes to this PWS and contract requirements must be coordinated and approved through the CO, prior to any changes in work being performed.

1.1.3. Contracting Officer’s Representatives (CORs). The persons designated for the administration of the contract. Maintains liaison with own staff, the contractor, and customers related to the project.

1.1.4. Medical Occupational Health Administrators (MOHAs). Military or LN civilian public health technician and/or officer assigned to the occupational health section of the Public Health Flight (PHF) at SAB authorized to place calls on behalf of the Government.

1.2. Occupational Health Care. The contractor shall provide OHC to designated employees IAW the most current version of the ArbMedVV, Gesetzliche Unfallverhütungsvorschriften (accident prevention guidelines), the German Berufsgenossenschaftliche Grundsätze (G-sätze) für Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examinations) and in some instances U.S. legal norms. (See para 4.2.) The contractor shall perform the OHC and provide completion certificate within the following periods:

Examination Type Examination Performance within Workdays of MOHAs suggested date:

Provide Certificate within workdays

Completed Care

Pre-employment 15 10

Periodic 30 20

Vaccinations 15 10

1.3. Fitness for Duty Examinations. Fitness for duty determination must be based upon a physical examination of the LN employee. The examination performance shall be within 5 workdays of MOHAs suggested date and results provided within 15 workdays of completed examination.

1.4. Occupational safety and health advisory/consultation service (Ref para 3 of ASiG, respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and as stated in para 6 of the ArbMedVV). This service can be provided in writing, by phone or in person and is tracked in time units of 15 minutes. The contractor’s physician shall support the Government in all matters of health protection in connection with occupational safety and health and in dealing with accident prevention. In particular, provide guidance especially as regards the planning, construction and maintenance of operating facilities and of social and sanitary facilities,

a) the procurement of technical work equipment and the introduction of working methods and substances ,

b) the selection and testing of personal protective equipment ,

c) issues associated with the physiological and psychological aspects of work and other ergonomic and industrial hygiene matters, in particular, the work schedule , the provisions concerning working hours and breaks, the design of the workplace, the work flow and the working environment ,

d) assessment of the working conditions,

e) examine the causes of job-related illnesses, record and evaluate the results of these examinations , and propose measures for avoiding such illnesses to the employer

1.4.1. Safety and Health Council Meetings. The contractor’s physicians shall participate in quarterly LN Arbeitsschutzausschüssen (Safety and Health Council Meetings) on Government installations upon request by the unit commanders and in coordination with the MOHAs. The service will be tracked in time units of 15 minutes.

1.4.2. Work site visits. Worksite visits by the contractor’s physician on Government installations must be scheduled through MOHAs / CORs. The contractor physician shall provide a written report of findings and recommendations on corrective measures to the MOHAs within 20 workdays after the visit. The format of the report will be determined by the MOHAs/Safety and Occupational Health Specialists or Safety Engineers. The actual visit and the time required to do research and write the report will be tracked in time units of 15 minutes.

1.5. Personnel.

1.5.1. Contract Manager (CM). The contractor shall identify a primary CM responsible for reporting services and an alternate representative in the event of absences by the primary. Names and telephone numbers shall be submitted in writing to the CO and each MOHAs within 5 work days after contract award.

1.5.2. Primary Physicians. The contractor shall assign a primary physician to SAB medical treatment facility who will provide the required service and will be the appointed occupational medicine physician for the respective installation.

1.5.3. Employees.

1.5.3.1. Contractor’s Personnel. The selection, assignment, reassignment, transfer, supervision, management, and control of contractor employees shall be the sole responsibility and prerogative of the contractor; however, the contractor shall comply with the general intent and specific policies set forth in this PWS. When the CO directs, the contractor shall restrict the employment under the contract or remove from performance on the contract any person who is identified as a potential threat to the health, safety, security, general well-being or operational mission of the Government.

1.5.3.2. Certifications and Licenses. (Ref para 4 of the ASiG, respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, and para 7 of ArbMedVV) The contractor shall ensure that employees have current and valid professional certifications/licenses and health certificates when performing services. The contractor’s physician must be licensed to practice medicine in the Federal Republic of Germany. They must also be trained in the specialty of occupational medicine or under the direct supervision of a physician trained in the specialty. The contractor ensures availability of certificates/licenses for Government review upon request. Any change of personnel or any change to their status must be submitted to the CO, CORs and MOHAs within 3 days.

1.6. Communication. The contractor shall provide at least one individual at each examining facility (see para 4.3 of this PWS) who is able to read, write, speak and understand German and English at a level necessary to fully perform all required duties and tasks described in the PWS. The OHC certificate and the results of the Fit for Duty examinations shall be written in German and in English. .

1.7. Security Requirements.

1.7.1. Confidentiality. The contractor, employed doctors, and secondary staff shall maintain confidentiality concerning all Air Force (AF) internal matters revealed to them during their surveillance or consultation with the agency, especially agency’s business secrets. This also applies to all documentation in the possession of the contractor.

1.7.2. Automated Data Processing System. The contractor shall store and process all data necessary to fulfill the requirements of this PWS and maintain accountable records in its own automated data processing system (compatible with industry standard equipment). The contractor shall protect LN employees’ data according to the Bundesdatenschutzgesetz (Data Protection Act of the Federal Republic of Germany), the US Privacy Act of 1974 and its applicable amendments.

1.7.3. Assessment Data. The contractor has the sole responsibility for the accuracy of assessment data inputs and outputs as well as for a safe maintenance of this data in its record keeping system. Any assessment data shall not be released except as specified in this PWS or as specifically required by the German regulations. The contractor shall also cooperate, if needed, with the Unfallversicherung Bund und Bahn (UVB) (Federal Accident Insurance Carrier) and the Bundesamt für Infrastruktur, Umweltschutz und Dienstleistungen der Bundeswehr (BAIUDBw) (Federal Office for Infrastructure, Environmental Protection & Services of the German Armed Forces) which are the accident prevention and occupational safety and health supervising authorities responsible for the US Forces in Germany.

1.7.4. Disposition of Employee Records. The contractor shall maintain and dispose of all medical records as described in Arbeitsmedizinische Regel (AMR) 6.1(Occupational Medicine Rule) to the ArbMedVV.

1.7.5. Cooperation in Transition. If a transition of performance will become necessary upon contract expiration, the contractor shall cooperate with a subsequent contractor to assure uninterrupted services and inform the subsequent contractor of all pending requirements for examinations. Medical records shall be forwarded to a subsequent contractor upon request and with the LN employee’s consent.

1.7.6. Monthly Reporting Requirement. The contractor shall prepare a list of all LN employees that received OHC and were examined for fitness for duty. This list shall contain names, ID numbers, AF location and date and type of service performed. This report shall be provided to the MOHAs on a monthly basis by the 10th calendar day of the following month.

1.7.7. Packaging. All required contract data submittals shall be packaged and delivered IAW commercial trade practice. The CORs will provide the contractor with appropriate addresses.

DEPRIEST, SUSANNE DE USAF USAFE 52 CONS/PKP

The initial paragraph of contract FA5613-15-D-0004 includes AF location

1.8. Hours of Operation.

1.8.1. Normal Hours. The contractor shall provide the required services Monday through Friday, during the work hours 0800-1600 excluding German holidays.

1.8.1.1 Recognized German Holidays:

New Year's Day 1 January

Holy Three Saints (only for the states of Bayern and Baden-Wuerttemberg)

Good Friday varies yearly

Easter Monday varies yearly

Labor Day 1 May

Ascension Day varies yearly

Whit Monday varies yearly

Corpus Christi varies yearly (only for the states of Baden-Wuerttemberg, Bayern, Hessen, Nordrhein-Westfalen, Rheinland-Pfalz, and Saarland)

Assumption Day 15 August (only for the states of Bayern and Saarland)

Day of German Unity 3 October

All Saints Day 1 November (only for the states of Baden-Wuerttemberg, Bayern, Nordrhein-Westfalen, Rheinland-Pfalz, and Saarland)

1st and 2nd Christmas Day 25 and 26 December

1.8.2. Inclement Weather Conditions. On occasion, due to inclement weather conditions, bases may be closed. The Government will not be financially liable for any missed scheduled appointments of LN employees. For this or any other reason payment will be made only for services rendered or examinations performed.

1.9. Government Observations. Government personnel, i.e., to include but not limited to COs, CORs and other appropriate personnel, may periodically observe but not interfere with contractor operations.

1.10. Standard Definitions.

1.10.1. Quality Control. Those actions taken by a contractor to control the performance of services so that they meet the requirements of this PWS.

1.11. Contractor Furnished Items and Services.

1.11.1. General. Except for those services specifically stated to be Government furnished in para 3.0., the contractor shall furnish all items and services required to perform the work.

.11.2. Examination Facilities. All OHC and examinations shall be conducted at contractor’s facilities within 45 kilometers (km) of SAB and its designated GSUs unless otherwise requested by the MOHAs. The contractor shall have personnel and technical ability to perform the service at the AF installation if requested by the MOHAs (exam days on base). If the contractor does not have a facility within 45 km of the Government installation, the contractor shall provide a mobile unit and all necessary tools, equipment, labor and transportation to render service at the Government installations.

1.12. Quality Control. The Quality Control Plan (QCP) shall be a comprehensive plan detailing how the contractor intends to ensure the delivery of quality services to the Government and how quality levels will be maintained. The QCP shall cover all services described in this PWS. The Contractor is required to notify the COR immediately when there is a problem caused by the Government. The QCP shall include, but is not limited to the following general features:

1.12.1. METHODS OF COMMUNICATION WITH THE GOVERNMENT REGARDING

PERFORMANCE OF THIS PWS. THE COMMUNICATION SHALL INCLUDE

CORRESPONDENCE, FORMAL MEETINGS WITH THE GOVERNMENT AS WELL AS WRITTEN

DOCUMENTATION.

1.12.2. Electronic Format. The QCP shall address how all documentation will be created/maintained in electronic format. Copies of written reports shall be sent electronically.

1.12.3. Surveillance Methods. Specific surveillance techniques of all services required in this PWS shall be described. The surveillance methods shall be comprehensive and adaptable to the reporting system of the

QCP.

DEPRIEST, SUSANNE DE USAF USAFE 52 CONS/PKP

Are we listing the QCP as a required submittals somewhere and when is it due? (e.g. with submittal of proposal?)

1.12.4. Corrective Actions. The QCP shall identify potential problem areas and address corrective action for any deficiencies that may occur in performance of this contract, including short-term remedial actions and long-term solutions. The contractor shall address what actions will be taken to ensure responses are prompt to correct deficiencies discovered in contract performance without Government guidance.

Internal records shall be kept of these situations as well as corrective action implemented.

2.0. Services Summary (SS)

Performance Objective PWS Para Performance

Threshold

Method of Assessment

SS-1

OHP services and completion certificates are provided within the specified timeframes.

1.2 95% of the time

100% Inspection tracked by MOHAs/

Safety and Occupational Health Specialists

SS-2

Availability of physician for

Consultations/Work center visits

1.4. 95% of the time

100% Inspection tracked by MOHAs/

Safety and Occupational Health Specialists

SS-3

Receipt of visit report within required timeframe

1.4.2 95% of the time

100% Inspection tracked by MOHAs

3.0. Government-Furnished Services/Information

3.1. The MOHAs will supply the contractor with the employee exposure data sheet to request OHC or exams based on possible workplace hazards.

3.2. The Government will provide or make available to the contractor all worksite hazards information and disclosures necessary for the proper performance of OHC IAW occupational health and safety laws.

3.3. The Government will provide access of the contractor’s physicians to the installations for examinations and when required to participate in meetings, work site visits and inspections.

4.0. Appendices

4.1. Abbreviations and Translation Terms in PWS

AF Air Force

Arbeitsschutzausschuss Safety and Health Council Meeting

ArbSchG Arbeitsschutzgesetz (German Occupational Safety Law)

ArbMedVV Verordnung zur Arbeitsmedizinischen Vorsorge (Ordinance on Occupational Health Provision)

ASiG Arbeitssicherheitsgesetz (Law on Company Physicians, Safety Engineers and other Safety Specialist – Industrial Safety Law)

Bundesdatenschutsgesetz Data Protection Act of the Federal Republic of Germany

CM Contract Manager

CO Contracting Officer

COR Contract Manager’s Representative

CTA II Collective Tariff Agreement II

G-sätze German Berufsgenossenschaftliche Grundsätze für

Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examination)

GSU Geographically Separated Units

IAW in accordance with

Km Kilometer

LN Local National

MOHA Medical Occupational Health Administrator

PH Public Health

PHF Public Health Flight

PWS Performance Work Statement

QCP Quality Control Plan

SAB Spangdahlem Air Base

UkB Unfallkasse Bund (Federal Accident Insurance Carrier)

USAFE United States Air Force in Europe

BAIUDBw Federal Office for Intrastructure, Environmental Protection & Services of the German Armed Forces)

4.2. List of Applicable Publications (current editions)

AFI 48-145* Occupational Health Program (http://www.e-publishing.af.mil/)

AFOSH Standards* (http://www.e-publishing.af.mil/)

29 CFR 1910* OSHA Safety and Health Standards https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1 &p_part_number=1910

DODM 6055.5* Occupational Health Surveillance Manual http://www.dod.mil/pubs/

Threshold Limit Values for Chemical Substances and Physical Agents/Biological Exposure Indices for (current year). American Conference of Governmental Industrial Hygienists.** (http://www.acgih.org/home.htm)

Arbeitsschutzgesetz (Occupational Safety Law) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht http://www.acgih.org/home.htm

Arbeitssicherheitsgesetz (Law on Company Physicians, Safety Engineers and other Safety Specialists – Industrial Safety Law) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht

Gefahrstoffverordung/ TRGS 900, 903, 905 (Ordinance on Hazardous Substances)

Verordnung zur Arbeismedizinische Vorsorge (ArbMedVV) (Ordinance on Occupational Health Provision)

Unfallverhütungsvorschriften**** (Accident Prevention Directives) http://www.dguv.de/de/Datenbanken/index.jsp

Berufsgenossenschaftliche Grundsätze für Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G- Codes) of the German Trade Association for Occupational Medical Examinations). (Purchase source:

Gentner Verlag, Stuttgart) http://www.dguv.de/de/Datenbanken/index.jsp

4.3. List of Air Force Host Medical Treatment Facilities with Occupational Health Offices in Germany and their supported Geographically Separated Units (GSU)

4.3.1. 52nd Medical Group/SPGM, Spangdahlem Air Base

Buechel

Bremerhaven

Geilenkirchen

Kalkar

Kleine-Brogel

Niederkail

Zemmer

4.4. G-Codes

G-Code CLIN Title Reference

G1.1 X003 Mineral Dust, Part 1: Reparable crystalline silica dust / Mineralischer Staub, Teil 1: Quarzhaltiger Staub

ArbMedVV

G1.2 X003 Mineral Dust, Part 2: Dust containing asbestos fibres / Mineralischer Staub, Teil 2:

Asbestfaserhaltiger Staub

ArbMedVV

G1.3 X003 Mineral Dust, Part 3: Man-made minal fibres (aluminum silicate wool) / Mineralischer Staub, Teil 3: Künstlicher mineralischer Faserstaub der Kategorie 1 oder 2 (Aluminiumsilikatwolle)

ArbMedVV

G1.4 X003 Exposure to dust / Staubbelastung ArbMedVV

G2 X003 Lead and its compounds (except alkyl lead ArbMedVV compounds) / Blei oder seine Verbindungen (mit Ausnahme der Bleialkyle)

G3 X003 Alkyl lead compounds / Bleialkyle ArbMedVV

G4 X003 Substances which cause skin cancer or skin alterations which tend to become cancerous / Gefahrstoffe, die Hautkrebs oder zur Krebsbildung neigende Hautveränderungen hervorrufen

ArbMedVV

G5 X003 Ethylene glycol dinitrate and glycerol trinitrate (glycol dinitrate and nitroglycerin) / Glykoldinitrat oder Glycerintrinitrat (Nitroglykol oder Nitroglycerin)

ArbMedVV

G6 X003 Carbon disulfide / Schwefelkohlenstoff ArbMedVV

G7 X003 Carbon monoxide / Kohlenmonoxid ArbMedVV

G8 X003 Benzene / Benzol ArbMedVV

G9 X003 Mercury or its compounds / Quecksilber o. seine Verbindungen

ArbMedVV

G10 X003 Methanol ArbMedVV

G11 X003 Hydrogen sulfide / Schwefelwasserstoff ArbMedVV

G12 X002 Phosphorus (white, yellow) / Phosphor (weißer) ArbMedVV

G13 Chloroplatinate ArbMedVV

G14 X003 Trichloroethene (trichlorethylene) and other chlorinated hydrocarbon solvents / Trichlorethen (Trichlorethylen) und andere Chlorkohlenwasserstoff-Lösungsmittel

ArbMedVV

G15 X003 Chromium-VI-compounds / Chrom-VI- Verbindungen

ArbMedVV

G16 X003 Arsenic and arsenic compounds (with the exception of arsine) / Arsen o. seine Verbindungen

ArbMedVV

G17 Artificial optical radiation / Künstliche Optische Strahlung

G18 Integrated in G14

G19 X003 Dimehtylformamide / Dimethylformamid ArbMedVV

G20.1 X001 Noise / Lärm ArbMedVV

G21 X002 Working in cold environment / Kältearbeiten ArbMedVV

G22 X002 Acidic damage of the teeth / Säureschäden der Zähne

G23 X002 Obstructive airway disorders / Obstruktive Atemwegserkrankungen

G24 X002 Skin diseases (except skin cancer) / Hauterkrankungen (Ausnahme: Hautkrebs)

ArbMedVV

G25 X002 Driving, controlling, monitoring duties / Fahr- ,Steuer-,u. Überwachungstätigkeiten

Labor Law/Shop Agreement (Fit for Duty Exam)

G26 X003 Respiratory protective equipment / Atemschutzgeräte

ArbMedVV

G26.1 X003 < 3 kg Weight of equipment / Gerätegewicht ArbMedVV

G26.2 X003 < 5 kg Weight of equipment / Gerätegewicht ArbMedVV

G26.3 X003 > 5 kg Weight of equipment / Gerätegewicht ArbMedVV

G27 X003 Isocyanates / Isocyanate ArbMedVV

G28 Working in oxygen-reduced atmosphere / Arbeiten in Sauerstoff reduzierter Atmosphäre

ArbMedVV

G29 X003 Benzene series (toluene, xylene isomers) / Benzolhomologe (Toluol, Xylole)

ArbMedVV

G30 X003 Working in hot environment / Hitzearbeiten ArbMedVV

G31 X003 Hyperbaric pressure / Überdruck DruckLVV

G32 X003 Cadmium or its compounds / Cadmium o. seine Verbindungen

ArbMedVV

G33 X003 Aromatic nitro or amino compounds / Aromatische ArbMedVV

Nitro-o. Aminoverbindungen

G34 X003 Fluorine or its inorganic compounds / Fluor o.

seine organischen Verbindungen

ArbMedVV

G35 X003 Working abroad under exceptional climatic conditions and with other health risks/ Arbeitsaufenthalt im Ausland unter besonderen klimatischen und gesundheitlichen Belastungen

ArbMedVV

G36 X003 Vinyl chloride / Vinylchlorid ArbMedVV

G37 X001 Working at Visual display terminals / Bildschirmarbeitsplätze

ArbMedVV

G38 X003 Nickel or its compounds / Nickel o. seine Verbindungen

ArbMedVV

G39 X003 Welding Fumes / Schweißrauche ArbMedVV

G40 X003 Carcinogenic substances-general / Krebserregende Gefahrstoffe - allgemein

ArbMedVV

G41 X003 Duties involving a danger of falling / Arbeiten mit Absturzgefahr

Labor Law/Shop Agreement (Fit for Duty Exam)

G42 (Elementar)

X003 Activities with a risk of infection / Tätigkeiten mit Infektionsgefährdung

ArbMedVV

G44 X003 Hardwood dust / Hartholzstäube ArbMedVV

G45 X003 Styrene / Styrol ArbMedVV

G46 X003 Strain on the musculoskeletal system (including vibration) / Belastungen des Muskel-und Skelettsystems einschließlich Vibrationen

ArbMedVV

SchArb X002 Shift work / Schichtarbeit ArbZG

StrlSch X002 Radiation Protection / Strahlenschutz §§ 60-64 StrlSchV; §§ 37- 41 RöV