Statement_of_Work_-_NAF_Physical.docx

Statement of Work for Physicals for Non-Appropriated Fund Employees at USAF Academy, Colorado

27 March 2019

1. Overview. This Statement of Work (SOW) provides mandatory requirements for Non-Appropriated Fund (NAF) employees to receive a physical as a condition of employment. Physical appointments must be available on a walk-in basis Monday – Friday 8 a.m. to 8 p.m., and Saturday and Sunday 8 a.m. to 5 p.m. Examinations will be conducted at the contractor’s medical facility.

2. Physical from Doctor. The Doctor will perform a physical and complete the Optional Form 178 (OF 178) provided by the USAF NAF Human Resources Office (HRO). The provider will recommend to the NAF HRO whether to hire/not hire, explain limitations if present, retain, or take action to separate employee if needed. The completed OF 178 will be given to the employee in a sealed envelope for the employee to hand carry to the NAF HRO.

3. Examination from Doctor. The Doctor will check the following that is listed on the OF 178 provided to include lifting, carrying, pulling, reaching, walking, standing, crawling, kneeling, bending, climbing, mental and muscular coordination, vision, hearing, mental and emotional stability, contact with body fluids and all environmental factors, etc. The Doctor will administer a lifting test based on lifting requirements indicated on the OF 178 and determine if the employee’s strength aptitude meets the minimum requirements for employment. This will be noted on the OF 178.

4. Billing. Provider must be able to invoice under two separate lines of accounting. One for the Child and Youth Center employees (Appropriated funding) and one for all other NAF employees (NAF funding). The employer will provide an attachment to the physical form stating which line of accounting to bill for the employee receiving the physical.