LN_Occ_Hlth_Draft_PWS_03_Feb_15.pdf

PERFORMANCE WORK STATEMENT (PWS)

For

Occupational Health Provision (OHP) and Consultation Service of Local National Civilians at Ramstein Air Base and at Spangdahlem Air Base Germany

11 December 2014

Table of Contents

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

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

1.2. Occupational Health Provision …………………………………………………………...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 Provision (OHP) (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 OHP 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 Forces 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 the 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 Provision. The contractor shall perform OHP of 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. ** At MOHA’s request of service, the contractor shall perform the OHP and provide completion certificate within the following periods:

Examination Type Examination Performance within Provide Certificate within

Pre-employment 5 workdays 5 workdays

Periodic 20 workdays 10 workdays Vaccinations 10 workdays 10 workdays

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 and results provided within 5 workdays.

1.4. Occupational safety and health advisory/consultation service. The contractor’s physician shall conduct the duties and tasks described in 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.

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 within 15 workdays after the visit.

1.5. Personnel.

1.5.1. Contract Manager (CM). The contractor shall provide 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 five 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 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. The contractor shall ensure that employees have current and valid professional certifications/licenses IAW para 4 of the ASiG, respectively the applicable guideline published by the statutory accident insurance carrier for the US Forces, para 7 of ArbMedVV 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. Any change of personnel or any change to their status must be submitted to the contracting officer 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. The OHP certificate and the results of the Fit for Duty examinations shall be written in German and in English. However, the contract document itself, all modifications to the contract, invoices and all correspondence between the contractor and the CO shall be in English. In the event of conflict between the English language and any translation of the contract, the English language version shall prevail. The English language version shall be binding on both parties regardless of the source of the translation.

1.7. Security Requirements.

1.7.1. Confidentiality. The contractor, employed doctors, and secondary staff shall maintain confidentiality concerning all 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 Unfallkasse Bund (UkB) (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 will keep and deposit 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 on 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 OHP 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. Services may be required on U.S. holidays. There will be no AF public health personnel available for assistance on those days. All arising issues will be handled on the following work day.

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

1.8.1. 2. U.S. Holidays:

New Year’s Day, January 1st Martin Luther King's Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran's Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday.

1.8.2. Inclement Weather Conditions. On occasion, due to inclement weather conditions, bases may be closed. The Government will not be monetarily 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 OHP and examinations will 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)

Performance Objective PWS Para Performance

Threshold Method of

Assessment

SS-1

Availability of physician for Consultations/Work center visits

1.4. 95% of the time 100% Inspection tracked by MOHA

SS-2

Receipt of visit report within required timeframe

1.4.2 95% of the time 100% Inspection

SS-3

Availability of appointments

1.2 95% of the time 100% Inspection

SS-4

Receipt of certificate within required timeframe

1.2 95% of the time 100% Inspection

3.0. Government-Furnished Services

3.1. The MOHA will notify the contractor of individuals to receive OHP and/or be examined and the agent exposure, in writing.

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

3.3. The Government will help coordinate 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 Separate 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

AFOSH Standards*

29 CFR 1910* OSHA Safety and Health Standards

DODM 6055.5* Occupational Health Surveillance Manual

Threshold Limit Values for Chemical Substances and Physical Agents/Biological Exposure Indices for (current year). American Conference of Governmental Industrial Hygienists.**

Arbeitsschutzgesetz*** (Occupational Safety Law)

Arbeitssicherheitsgesetz*** (Law on Company Physicians, Safety Engineers and other Safety Specialists – Industrial Safety Law)

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

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

Unfallverhütungsvorschriften**** (Accident Prevention Directives)

Berufsgenossenschaftliche Grundsätze für Arbeitsmedizinische Vorsorgeuntersuchungen (Guidelines (G-Codes) of the German Trade Association for Occupational Medical Examinations). (Purchase source: Gentner Verlag, Stuttgart, ISBN 978-3-87247-705-7)

Reference internet source:

* http://www.e-publishing.af.mil/ **http://www.acgih.org/home.htm ***http://osha.europa.eu/fop/germany/de/legislation/staatliches_recht ****http://regelwerk.unfallkassen.de/

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. 86 th

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. 52 nd Medical Group/SPGM, Spangdahlem Air Base

Binsfeld

Buechel

Bremerhaven

Geilenkirchen

Kalkar

Kleine-Brogel

Niederkail

Pruem

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) ArbMedVV G13 Integrated in G14 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 Integrated in G14 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 Integrated in G14 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 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

H2 X002 Herbazides / Pflanzenschutzmittel GBG 11 H9 X003 Tree Trimming / Baumarbeiten UVV VSG 1.2 SchArb X002 Shift work / Schichtarbeit ArbZG StrlSch X002 Radiation Protection / Strahlenschutz §§ 60-64

StrlSchV; §§ 37- 41 RöV