Atch_2 _PWS_22_Apr_15_final.doc

Attachment 2, PWS

FA5613-15-R-0007

PERFORMANCE WORK STATEMENT (PWS)

For Occupational Health Care (OHC) and Consultation Service of Local National Civilians at Ramstein Air Base and at Spangdahlem Air Base Germany 05 May 2015 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 in Germany, under the area of responsibility of the host medical treatment facilities at Ramstein Air Base (RAB) and at Spangdahlem Air Base (SAB) Germany and their 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.

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 Representative (COR). The person 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 Administrator (MOHA). Military or LN civilian public health technician and/or officer assigned to the occupational health section of the Public Health Flight (PHF) at RAB and SAB will be 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:

Completed Care

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 MOHA’s 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). 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 MOHA.

1.4.2. Work site visits. Worksite visits by the contractor’s physician on Government installations must be scheduled through MOHA/COR. The contractor physician shall provide a written report of findings and recommendations on corrective measures to the MOHA within 15 workdays after the visit. The format of the report will be determined by the MOHA.

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 MOHA within 5 work days after contract award.

1.5.2. Primary Physicians. The contractor shall assign primary physician(s) to each Air Force host medical treatment facility, listed in paras 4.3.1 and 4.3.2 of this PWS, who will provide the required service and will be the appointed occupational medicine physician for the respective base.

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 physicians 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, COR and MOHA 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 Intrastructure, 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 MOHA 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 COR will provide the contractor with appropriate addresses.

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 Assurance. Those actions taken by the US Government to assure services meet the requirements of the PWS.

1.10.2. 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.

1.11.2. Examination Facilities. All OHC and examinations shall be conducted at contractor’s facilities within 45 kilometers (km) of RAB and SAB and their designated GSU in Germany (list of identified in appendix 4.3.) unless otherwise requested by the MOHA. The contractor shall have personnel and technical ability to perform the service at the AF installation if requested by MOHA (exam days on base). If the contractor does not have a facility within 45 km of the air base, the contractor shall provide a mobile unit and all necessary tools, equipment, labor and transportation to render service at the Air Force 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.

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)

Threshold Method of Assessment

SS-1

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

tracked by MOHA

SS-2

Availability of physician for

Consultations/Work center visits

tracked by MOHA

SS-3

Receipt of visit report within required timeframe

tracked by MOHA

3.0. Government-Furnished Services/Information

3.1. The MOHA will supply the contractor with the employee health data sheet to request OHC or exams according to workplace exposure.

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 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

RAB

Ramstein Air Base

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 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) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht Verordnung zur Arbeismedizinische Vorsorge (ArbMedVV) (Ordinance on Occupational Health Provision) http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht 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)

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. 86th Medical Group/SGPM, Ramstein Air Base

Bann

Baumholder

Einsiedlerhof

Geibelstadt

Grafenwohr

Hanau

Heidelberg

Illesheim

Kaiserslautern

Kapaun

Katterbach

Landstuhl

Mannheim

Pirmasens

Rhine Ordinance Barracks

Schweinfurt

Sembach

Stuttgart-Vaihingen

Vilseck

Vogelweh

Wiesbaden

Wuerzburg

4.3.2. 52nd Medical Group/SPGM, Spangdahlem Air Base

Binsfeld

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 compounds) / Blei oder seine Verbindungen (mit Ausnahme der Bleialkyle) ArbMedVV

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)

G13

Integrated in G14

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

G17

G18

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

Obstructive airway disorders / Obstruktive Atemwegserkrankungen

G24

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

G28

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 Nitro-o. Aminoverbindungen ArbMedVV

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

G43

X003

Biotechnology

GenTSV

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

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