PWS_and_Appendices.pdf

FA8571-17-R-0005 ATTACHMENT 2

PERFORMANCE WORK STATEMENT

LAUNDRY CLEANING SERVICES

9 February 2017

1.1 DESCRIPTION OF SERVICES. The Contractor shall provide all personnel, equipment, tools, materials and transportation to provide laundry, dry cleaning, and protective retreatment services for the 402nd Maintenance Group (AMXG,CMXG, & EMXG- Production Groups), 78 FSS (Lodging), 78 MDG (Medical Group), and 5 CMCSS (Communication Facilities) at Robins AFB, GA Robins Air Force Base, Georgia. Robins Air Force Base, Georgia. The contractor shall perform all laundry, drying, folding, and other tasks to include receiving, accounting, processing and returning all organizational items tendered for cleaning (see Appendix 1 and 2). Laundry services include pickup and delivery at the locations as listed in Appendix 3. The contractor shall ensure all schedules are met, correct quantities are delivered, and laundry is delivered free of all visible dirt, debris, dampness, odors, mildew, and cleaning chemicals residue. The laundry shall have a uniform appearance and items shall be properly finished and packaged. A list depicting the type of facility and an assortment of required articles is addressed below:

a. Production Facilities: Cotton & Gore-Tex coveralls, bullard capes, welding jackets, uniforms (shirts & pants) bath towels

b. Medical Facilities: Cotton blankets, sheets (bedding), pillowcases, medical coats, scrubs, patient and x-ray gowns, eye sheets, curtains (fire-retard treatment), curtains (cubicle), towels (bath and hand), washcloths, mop heads, eye sheets,

c. Lodging Facilities: Bedspreads (queen & twin), sheets (queen & twin), blankets, mattress pads, bath mats, towels (bath and hand), washcloths, pillows (foam), pillowcases, rugs

d. Communication Facilities: Sleeping bags, insect net, chem jackets and pants, helmet covers, white gloves, poncho liners, parkas with hood, parka (cold weather), pants (cold weather), wool socks, boot inserts, pile cap (cold weather), large flags

1.2 TASKS

1.2.1 Service, Pickup and Delivery. The Contractor’s scheduled route shall be completed by 10:30 a.m. for each facility or as indicated on Appendix 3. The Contractor shall notify the Contracting Officer's Representative (COR) during the scheduled timeframe if the daily schedule will be delayed. The Contractor shall return the original articles retrieved for laundering to the respective pick-up and delivery location. The contractor shall package the laundered articles as coded in Appendix 2. No more than 2 customer complaints per month per pickup point. No more than 2 late pick-up or deliveries per month per facility.

1.2.2 Outgoing articles will be counted by Government personnel prior to pick up. The Contractor shall verify the count and sign a pickup ticket acknowledging receipt of the items using Appendix 6-Pickup Ticket. The Contractor’s signature constitutes agreement to the

Government’s count. Exceptions to the Government’s count must be annotated on the Pickup Ticket (Appendix 6) at the time of pickup and signed by the Contractor and the Government representative. A copy of this pickup ticket will be retained by the Government.

1.2.3 The Contractor shall provide laundry carts (no less than 30 bushel capacity) as referenced in Appendix 3 and when requested by the COR.

1.2.4 The Contractor shall return unserviceable and non-repairable articles in a separately marked bundle to the Government after laundering or dry cleaning. Unserviceable and non-repairable articles are defined as those articles no longer usable for the purpose intended. The contractor shall record the number of items delivered on his copy of the delivery ticket. The Government representative shall verify this amount and annotate any shortages or overages on the delivery ticket. The delivery ticket shall be signed by the Contractor and the Government representative. In the event that the Contractor’s representative does not remain for the joint count, the Government’s count will govern.

The Contractor shall deliver any missing articles during the next scheduled delivery at no additional cost to the Government.

1.2.5 Any article found to not meet the requirements of the PWS shall be re-cleaned at no additional cost to the Government. After the articles are re-cleaned, the Contractor shall pack these articles separately and identify them as “Re-performed”. In situations where re-performance is not practical, the Government reserves the right to adjust the invoice as appropriate.

1.2.6 The contractor shall process the linen in accordance with all applicable federal, state and local standards of health and safety regulations as applicable to laundry and linens used in healthcare facilities to include the following:

1.2.6.1 Joint Commission on Accreditation of Healthcare Organizations.

1.2.6.2 Center for Disease Control Guidelines for Laundry in Healthcare Facilities.

1.2.6.3 OSHA Regulation (Standards-29CFR) Blood borne Pathogens 1910.1030

1.2.7 The Contractor shall invoice monthly for work accomplished during the prior month. The monthly invoices shall include:

(a) A cumulative monthly total by building number, item description, item unit price, monthly quantity, and total dollar amount.

(b) A log of each daily pick-up, including article description and quantity for quality assurance purposes to include contract number and building number (see Appendix 4).

1.3 ORGANIZATIONAL REQUIREMENTS

1.3.1 MEDICAL TREATMENT FACILITIES: Articles submitted for laundering consists of laundry bags, medical coats, hospital scrubs, patient gowns, cubicle curtains, fire-retardant curtains, blankets, sheets, pillowcases, towels, washcloths, shampoo bonnets, and cotton mop heads (see Appendix 1C).

1.3.1.1 Special Laundry Conditions: Aseptic cleaning solutions and techniques shall be used to wash, deodorize and dry articles exposed to blood or other contagions to minimize exposure to hospital micro-organisms, OSHA Bloodborne Pathogen Standard 1910.1030.

1.3.1.2 Infection Control Inspection: The Contractor's facilities shall be inspected by the Government Infectious Control Officer, Housekeeping Official, and COR on an annual basis (AFI44-108 Para 3.11.1.2). The checklist for laundry facilities providing services to a health care facility outlines criteria for maintaining industry standards (see Appendix 5). This task requires compliance at all times.

1.3.2 LODGING FACILITIES: Articles submitted for laundering will consist of mattress pads, bedspreads, blankets, sheets, pillows, pillow protectors, towels, washcloths, bath mats, and rugs (see Appendix 1B).

1.3.2.1 Water Temperatures: Articles shall be washed IAW manufacturer instructions.

(a) Pillow Protectors – Machine wash warm water, no bleach on gentle cycle, tumble dry on medium heat, remove promptly, cool iron shall be used.

(b) Pillows – Wash and dry in temperatures not to exceed 160 F°. Remove from hot dryer immediately.

1.3.3 COMMUNICATIONS GROUP: Articles submitted for laundering will consist of sleeping bags, chem jackets, chem pants, insect nets, helmet covers, caps, gloves, parkas, and flag(s) (see Appendix 1).

1.3.3.1 Laundry Instructions – Articles shall be laundered IAW manufacturer instructions.

1.3.4 PRODUCTION FACILITIES: Articles submitted for laundering are cotton coveralls, Gore-Tex coveralls, bath towels, uniforms (shirts & pants), and bullard capes (see Appendix 1). In addition, clothing is potentially contaminated with chemicals such as Methyl Ethyl Ketone (MEK), Methylene Chloride, Alodine, jet fuel, oil, paint, de-painter or similar industrial chemicals.

1.3.4.1 Articles that require special cleaning methods, repair(s), or articles exposed to hazardous materials (HAZMAT), and garments requiring protective retreatment will be identified by the Government.

1.3.4.2. Hazardous Materials: Articles exposed to hazardous materials such as Chromium VI, Cadmium, or lead shall be laundered separately in order to prevent cross-contamination. The Government will segregate, enclose, and identify articles contaminated with hazardous materials. The Government will place items in sealed, impermeable bags and collect in separately labeled HAZMAT containers for pick-up.

1.3.4.3 Gore-Tex Coveralls: The contractor shall launder coveralls IAW manufacturer instructions. Chlorine bleach or fabric softener shall not be used. Coveralls identified for retreatment will require REVIVEX Water and Stain Repellent applications EACH

AND EVERY TIME they are picked up by the contractor. Silicone water-repellant treatments cannot be used. No more than 2 articles returned for rework per month per pickup point.

1.3.4.4. Bullard Capes: The contractor shall launder IAW manufacturer instructions.

The capes shall be air dried and volatile solvents to clean the capes will not be used as strong cleaning and disinfecting agents can damage the plastic.

1.3.4.5 Government personnel will label coveralls with a permanent ink marker on the inside, next to the size label, with the building number of the pick-up/delivery location.

Labels may also be used to identify point of origin or individuals name and location.

1.3.4.6 The Government will provide a point-of-contact and phone number for each facility. The Government will also identify facilities, by building number, for garments that may have been exposed to hazardous materials (see Appendix 4).

1.3.4.7 The COR will establish a monthly pick-up and delivery log indicating the date, name of article, quantity, and repairs submitted for servicing. The monthly log will be maintained based on the weekly service schedule and compared with the Contractor’s monthly invoices.

2.0 SERVICES SUMMARY

PERFORMANCE OBJECTIVES

REF

PARAGRAPH

PERFORMANCE

THRESHHOLD

Pick-up and delivery completed on schedule

1.1.1 No more than 2 late pick-up or

deliveries per month per facility

Pass Infection Control Inspection 1.2.1.2 100% Annual compliance

All laundered items shall be packaged IAW special instructions

1.1.1; Appendix

No more than 2 customer complaints per month per pickup point

3.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES - N/A

3.1 CONTRACTOR-FURNISHED PROPERTY, SERVICES AND EQUIPMENT

3.1.1 The contractor shall provide all laundry carts required to facilitate the pick-up of soiled laundry and delivery of the clean linen. The delivery vehicle shall keep the soiled laundry separated from the clean during transport and interim stops.

The contractor shall furnish:

a. Delivery vehicle

b. All packaging and marking materials

c. Delivery tickets

d. Any other supplies, materials, and equipment necessary to perform the services required by this contract.

3.1.2 A facility equipped and ventilated so as to prevent dissemination of contaminants.

The ventilation systems include adequate intake filtration, exchange rate, and exhaust in accordance with local, states and federal requirements (Reference: Joint Commission Accreditation Manual for hospitals). The contractor’s facility shall be subject to inspection of sanitary conditions at any time by an authorized representative of the government.

3.2 Management. The Contractor shall provide a full-time contract manager who shall be responsible for the performance of the work. The name of this person, and an alternate or alternates, who shall act for the Contractor when the manager is absent, shall be designated in writing to the Contracting Officer. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available to be reached by telephone or pager during normal working hours to discuss problem areas with Government personnel designated by the Contracting Officer and available to meet on the installation within two (2) hours to discuss problem areas, if required. The contract manager and alternate or alternates must be able to read, write, speak, and understand English. The positions shall at no time be vacant. They shall comply with installation rules and regulations at all times.

b. Employees. Contractor personnel shall present a neat appearance and be easily recognized. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges which contain the company name and employee name.

c. Security Requirements. 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. The Contractor shall obtain personal identification passes for all employees and vehicle passes for all Contractor vehicles requiring entry onto Robins AFB.

d. Contract Manpower Reporting. The contractor shall report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the 509 FSS via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance for each Government Fiscal Year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to the CMRA help desk.

Reporting Period: Contractors are required to input data by 31 October of each year.

Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will the data be released to the public with the contractor name and contractor number associated with the data.

User Manuals: Data for Air Force service requirements must be input at the Air Force CMRA link (above). However, user manuals for government personnel and contractors are available at the Army CMRA link at http://www.ecmra.mil.

4.0 GENERAL INFORMATION

4.1 ESSENTIAL SERVICES: Continuation of contractor services during a crisis does not apply.

4.2 GREEN PROCUREMENT PROGRAM: The contractor shall comply with the Green Procurement Program in accordance with Federal (EO 13423) and DoD and AF (GPP) policy.

Green Procurement is the purchase of environmentally preferable products and services. These products are preferred because they conserve resources, create less pollution and waste, or eliminate health and safety risks. The Green Procurement Program (GPP) includes these mandatory components:

a. Recycled content products, also known as Comprehensive Procurement Guideline (CPG) Items located at http://www.epa.gov/cpg/products.

b. Energy Star® and energy-efficient products; energy efficient standby power devices located at http://www.eere.energy.gov/.

c. Bio-based products located at http://www.biobased.oce.usda.gov.

d. Non-ozone depleting substances located at http://www.epa.gov/ozone/snap/lists/index.

4.3 SECURITY REQUIREMENTS: The contractor shall obtain base identification passes for each contractor employee requiring access to Robins AFB and the Flightline/Industrial Area. The Contractor shall contact the Vehicle Control Officer (VCO), (478) 222-2929 or 954-1064, or fax a company letter of request to (478) 926-7013 in order to obtain driver’s training and passes for access to buildings located within the Flighline/Industrial Areas for production facilities.

a. Recycled content products, also known as Comprehensive Procurement Guideline (CPG) Items located at http://www.epa.gov/cpg/products.

b. Energy Star® and energy-efficient products; energy efficient standby power devices located at http://www.eere.energy.gov/.

c. Bio-based products located at http://www.biobased.oce.usda.gov.

d. Non-ozone depleting substances located at http://www.epa.gov/ozone/snap/lists/index.

4.4 SAFETY REQUIREMENTS: The contractor shall comply with safety provisions, i.e., technical specifications, technical publications, Federal Occupational Safety and Health Administration (OSHA) standards, and other nationally or locally recognized sources of safety, health, and fire prevention standards and practices. The contractor will be responsible for the safety and accountability of all their personnel and the Government facilities/property and are subject to enforcement authority by federal and state safety and health officials. The AF is not responsible for ensuring that contractors comply with "personal" safety requirements that do not present the potential to damage Government resources (e.g., hearing protection, safety shoes, AF IMT 55, etc.). The contractor shall provide all personal protective equipment (i.e., hearing protection, gloves, steel-toed shoes, safety glasses, etc.) In addition, the Government is not responsible for medical examinations, hearing testing, substance abuse testing, etc., for contractor employees (AFI 91-301).

4.4.1 Contractor's Safety Requirement: The Air Force is part of the OSHA Voluntary Protection Program (VPP). All shall familiarize themselves with the requirements of VPP. Information on the VPP can be accessed at http://www.osha.gov/dcsp/vpp/index.html. Additionally, the contractor is responsible for the safety and health of all subcontractor employees.

4.5 Mishap/Incident Reporting. The contractor shall report all mishaps/incidents to the Contracting Officer (PCO). The contractor shall immediately secure the mishap scene and damaged property and impound pertinent maintenance and training records until released by the Government’s Safety Office (402 MXW/SEG). Such release shall be accomplished through the PCO. The contractor shall cooperate and assist Government personnel in the investigation of the incident and submit an Accident/Incident Report within 24 hours of the accident/incident. The Contractor shall require all subcontractors to comply with required safety, health and fire standards

4.6 Foreign Object Damage (FOD) Requirements: Contractor will adhere to AFI 21- 101, AFMCSUP 1, Foreign Object Damage (FOD) Prevention Program. The purpose is to eliminate the introduction of any foreign object that could cause damage to any aircraft.

These regulations apply to contracted services where work is performed in, on, around, or requires travel through areas near aircraft, support equipment, engines, or components including personnel operating vehicles and equipment on AFMC flight lines, runways, taxiways, ramps, and in aircraft hangars or maintenance areas.

4.7 Sanitation: Contractor delivered finished articles shall conform to the standards of quality of cleanliness, finish and appearance as defined in Appendix B. All work performed shall be done under sanitary conditions. The items shall not only be clean, in the sense of being free from soil and stains, but also free from bacteria, fungi and other microorganisms, including pathogens, or disease producing organisms that can be removed or neutralized via industry standards and practices allowed by local and state DERM and federal EPA.

4.8 Workmanship: Re-performance of laundering. Notwithstanding the provision of this contract covering inspections, acceptance and deduction from payment; any items found to have been unsatisfactorily cleaned shall be re-cleaned at no additional cost to the government.

4.9 Hangers: Hangers shall be of a type that will not stain the garments.

4.10 Bundling: Items will be folded and bundled according to type and size. All items in a single bundle will be the same size and type of linen article and stretch wrapped.

4.11 Missing Articles: Any articles missing from a delivery shall be delivered by the contractor in the next regularly scheduled delivery (if necessary) at no additional cost to the government.

4.12 Cart Exchange Service: Contractor must insure that there are a sufficient number of clean and serviceable laundry carts or the equivalent available for use at all times to hold laundry.

4.13 Personnel: The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and alternate(s), who shall act for the contractor when the manager is absent, shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available during normal duty hours 0730-1630 to discuss problem areas with government personnel within two (2) hours. After normal duty hours the manager or designated alternate shall be available within 24 hours.

4.14 Hours/Days of Operation

a. Normal. The Contractor shall perform the services required under this contract on the days/hours specified in Appendix 3.

b. Holidays and Productivity Days/Down Days. When a service is required on a holiday or Military Productivity Day/Down Day, the work shall be accomplished on the day following or preceding the holiday or Military Family Day/Down Day. The Contractor is not required to provide service on the following holidays or the day designated to recognize a particular holiday:

New Year’s Day Martin Luther King Day Washington’s Birthday Memorial Day Independence Day Labor Day Columbus Day Veteran’s Day Thanksgiving Day Christmas Day

4.15. Quality Control. The contractor shall establish and maintain a complete quality control program for the performance requirement of the contract. The program shall ensure laundry and dry cleaning services are performed in accordance with the terms of this contract and commonly accepted commercial practices. The Contractor shall provide one copy of the Contractor’s quality control plan to the Contracting Officer for acceptance no later than the pre-performance conference. Complete records of all inspection work performed by the Contractor as part of their quality control program shall be maintained and made available for review by the Government if requested.

4.16. Transition-In. The incumbent contractor will continue to perform at full capacity until the end of the transition period. To ensure a smooth transition in the change of work effort from the current contract, the new contractor shall begin a 5-day Transition Period prior to the end of the existing contractor’s performance period. The purpose of this Transition Period is to:

Observe work accomplished by current employees Become thoroughly familiar with work requirements and work procedures Complete personnel requirements for hiring of personnel to assure satisfactory performance at the start of the first performance period Obtain security clearances

Process vehicle fleet registrations Complete training requirements and accomplish necessary training of employees Complete the development of necessary work plans and procedures

4.16.1. The successor contractor will be allowed access to the facilities to familiarize supervisors, key personnel and staff with equipment, reporting, work scheduling and procedures. However, such access shall not interfere with the production efforts of current personnel. To preclude such interference, arrangements for access to the Government facilities shall be made with the COR and CO.

4.16.2. At the completion of the Transition Period the successor contractor shall be fully capable of providing all services outlined in the PWS.

4.17 Transition-Out. If there is a change in Contractor, the incumbent contractor shall provide familiarization to the follow-on contractor. During the Transition-out familiarization period, the incumbent shall be fully responsible for all Base Operation Services.

5.0 APPENDICES:

(1) Appendix 1: Item and Quantity Estimate

Appendix 1a: 402nd Maintenance Wing Appendix 1b:78 FSS/FSVL Services/Lodging Appendix 1c: 78 MDG/SGSM Medical Group

Appendix 1d: 5 CBCSS/SCS Communications Group

(2) Appendix 2: Cleaning Instructions-All Items (all groups)

(3) Appendix 3: Pick-Up and Delivery Schedule (all groups)

(4) Appendix 4: Points of Contact (all groups)

(5) Appendix 5: Infection Control Checklist (Medical group only)

(6) Appendix 6: Pickup Ticket

Office Symbol Point of Contact Phone Bldg Nr

Cotton Coverall Cleaning

Bullard Capes

Gore-Tex Coverall

Cleaning & Retreat

Bath Towels

LAB Coat Quantity

Welding Jacket

(cadium & chromium exposure)

AMXG

MXAB

Buford Mallory (Pri) 327-6181

65 160 0 0

C-130 Steve Murry (Alt) 957-5305 91 685 1,850

Chris Spivey (Pri) 258-4534

Chris Spivey (Pri) 258-4534

500 470

Total 1,550 2,480 0 0 0

AMXG

MXAC Brian Dorsey (Pri) 472-6868

30 85 0

C-17 Gregory Brantley (Alt) 468-3651

Total 30 85 0 0 0

AMXG

MXAA Brian Stewart (Pri) 468-1674

C-5 Michael Thompson (Alt) 468-1674

120 20 0

Total 120 20 0 0 0

AMXG

MXAC 0

F-15 Kevin Hooper (Pri) 497-4620 20031

550 0 0 15P 125

Robert W. Hill 468-4057 137 0 0 0 48 300

Total 300 675 0 0 0

CMXG

Mario Largaespada 327-5576

1,604 312 1,604 100

CMXG Anthony Barlow 472-2904

125 110

CMXG Anthony Barlow 472-2904

1,030 0 0 0

CMXG Hiriam Wilson 468-4077

CMXG Shannon Drew 468-1989 146 10

CMXG

Mario Largaespada 327-5576

20128 1,200 1,200 3,959 120 2,804 0 6

EMXG Connie Tussey 497-8737 640 100

TOTAL 5,959 312 3,380 2,804 100 6

402 MXW

402d MAINTENANCE WING

Quantity Estimate-- 9 Feb 2017 Appendix 1A

Point of Contact Phone Bldg Nr

Mr Tony Braswell (Pri) 926-2100 x6108 755 Ronald Jones (Alternate) 926-2100 x4901 755

Item Quantity

Bedspread, Quilted Queen 2,600 Bedspread, Quilted Twin 300 Blanket, Full 1,975 Mats, Bath 38,350 Mattress Pad, Queen 2,500 Mattress Pad, Single 760 Pillow, Foam 4,875 Pillowcase, Standard 24,500 Sheet, Queen 24,500 Sheet, Single 4,250 Towel, Bath 103,550 Towel, Hand 104,160 Washcloth 103,550 Rugs 70 Standard Pillow Protectors 1,374

78 FSS/FSVL

SERVICES/LODGING

Quantity Estimate

Appendix 1B 9-Feb-17

Sandra Revell 497-8281 700

Steven Taylor (Alt) 497-8271 700

Laundered/Dry Cleaned Items Qty (Each)

BAG, LAUNDRY 50

BLANKET, COTTON 80” X 120” 100

BONNET, SHAMPOO 50

COAT, PHYSICIAN, LONG 200

CURTAIN CUBICLE 50

DRAPE, EYE SHEET 300

GOWN, BLUE & GRAY X-RAY 2,000

GOWN, PATIENT 500

MOP HEAD, COTTON 3,000

PILLOWCASE, GREEN/WHITE 32.5” x 20.5”

10,000

SCRUB, BOTTOM (SEPERATED BY

COLOR)

4,800

SCRUB, TOP (SEPERATED BY COLOR) 5,000

SHEET, COTTON 72” x 108”

(SEPERATED BY COLOR)

3,000

TOWEL, BATH 4,000

TOWEL, HAND 3,000

78 MDG/SGSM

MEDICAL GROUP

Appendix 1C- 9 Feb 2017 Quantity Estimate

SSgt Anwar Ford 497-4960 1561

SSgt Godric Ramirez 497-3566 1561

SSgt Rojet Watkis 468-1818 1561

Quantity

Item

Appendix 1D

5 CBCSS/SCS

COMMUNICATIONS GROUP

Qty Estimate- 9 Feb 2017

Pants Cold Weather

Boot Insert Cold Weather per pair

Wool Socks Cold Weather per pair

Pile Cap Cold Weather

LG Flag

Helmet Cover

White Gloves

Poncho Liner

Parka w/Hood

Parka Cold Weather

A-3 Flyers Kit Bag

Sleeping Bag

Chem Jacket

Chem Pants

Insect Net

SPECIAL

INSTRUCTIONS

(See legend below)

(FB) (#1)

(CF) (FB) (#10) (+)

(CF) (FB) (RS) (#2)

(CF) (FB) (RS) (#2)

(CF) (FB) (#5) (+)

(CF)

(FB) (#1 pair)

(D)

(OH) (**)

(FB) (#2) (=)

(FB) (#2) (=)

(CF)

(CF) (*) (OH)

(CF) (OH) (P) (+)

(CB) (FB) (#1) (*) (!) (I)

(CB) (FB) (#1) (*) (!!) (I)

(FB) (P) (#5) (+)

(CF) (FB) (#10) (+)

(D) (CB)

(D) (FB) (#1)

(CF) (FB) (#10) (+)

(CF) (FB) (#10) (+)

(W)

(FB) (#1)

(CF) (FB) (#10)

(CF) (FB) (#5)

(CF) (FB) (#5)

(CF) (W) (+)

(D)

(D)

(D)

(CF)

(CF) (FB) (P) (#50) (+)

(CF) (FB) (#25)

(CF) (FB) (#3)

(FB) (#1)

(D)

(FB) (P) (#10) (+)

(FB) (P) (#10) (+)

(FB) (P) (#10) (+)

(CF) (FB) (#10)

(CF) (FB) (#10)

(FB) (#1) (CB)

(CW)

(CF) (FB) (#25) (+)

(CF) (FB) (#10)

(CF) (FB) (#10)

(CF) (FB) (#10)

(CF) (FB) (#20)

(CF) (FB) (#25) (+)

COAT, LAB (Cotton twill, Bldg 640)

COAT, LAB (Cotton, Bldg 142) 100

TOWEL, HAND (Building 755) 104,160

TOWEL, HAND (Building 700) 3,000

SLEEPING BAG (Bldg 1561) 150

SOCKS, Wool, cold weather per pair (Bldg 1561) 200

TOWEL, BATH (Building 700) 4,000 TOWEL, BATH (Building 755) 103,550

TOWEL, BATH (Building 20128) 1,200

TOWEL, BATH (Building 142) 1,604

SCRUB, BOTTOM (SEPARATE BY COLOR) (Building 700) 4,800 SCRUB, TOP (SEPARATE BY COLOR) (Building 700)

5,000

SHEET, COTTON 72”x 108” (SEPARATE BY COLOR) (Building 700) 3,000

SHEET, QUEEN (Bldg 755) 24,500 SHEET, SINGLE (Bldg 755) 4,250

PILLOWCASE, GREEN/WHITE 32.5”x20.5” (Building 700) 10,000

PILLOWCASE, STANDARD (Bldg 755) 24,500

PILLOW PROTECTORS (Bldg 755) 1,374

PONCHO LINER (Bldg 1561) 150

RUGS (Bldg 755) 3' X 5'

MOP HEAD, COTTON (Building 700) 3,000 PANTS, COLD WEATHER (Bldg 1561) 100 PARKA w/HOOD (Bldg 1561) 100

PARKA, COLD WEATHER (Bldg 1561) 100

PILLOW, FOAM (Bldg 755) 4,875

HELMET COVERS (Bldg 1561) 150 INSECT NET (Bldg 1561) 150 MATS, BATH (Bldg 755) 38,350 MATTRESS PAD, QUEEN (Bldg 755) 2,500 MATTRESS PAD, SINGLE (Bldg 755) 760

DRAPE, EYE SHEET (Building 700) 300 FLAG, LG (Bldg 1561) 5 GLOVES, WHITE (Bldg 1561) 300

GOWN, BLUE & GRAY X-RAY (Building 700) 2,000 GOWN, PATIENT (Building 700) 500

BOOT INSERTS, cold weather per pair (Bldg 1561) 100

COAT, PHYSICIAN, LONG (Building 700) 200

COVERALLS-Cotton bldg #(see Appendix 1A) 5,959

COVERALLS-Gore-Tex bldg #(see Appendix 1A) 3,380

CURTAIN CUBICLE (Building 700) 50

CAP, PILE cold weather (Bldg 1561) 100

CAPES, BULLARD (Bldg 142) 312 CHEMICAL JACKET (Bldg 1561) 150 CHEMICAL PANTS (Bldg 1561) 150

JACKET, WELDING, Bldg 125 6

2,600 BEDSPREAD, QUILTED TWIN (Bldg 755) 300

BLANKET, COTTON 80”x120” (Building 700) 100

BLANKET, FULL (Bldg 755) 1,975

BONNET, SHAMPOO (Building 700) 50

APPENDIX 2- Cleaning Instructions for all Items

(Total Estimated Yearly Requirement) 9-Feb-2017

LAUNDERED/DRY CLEANED ITEMS

ESTIMATED QTY PER YEAR

(EACH)

A-3 FLYERS KIT BAG (Bldg 1561) 300 BAG. LAUNDRY (Bldg 700) 50 BEDSPREAD, QUILTED QUEEN (Bldg 755)

(CF) (FB) (#25)WASHCLOTH (Building 755) 103,550

LEGEND:

CF

CB

CW

D

FB

I

LS

OH

P

RS

W

Cold Water Wash

Dry cleaned

Folded and Bundled

Directions for cleaning/care

Clear Film Sealed

Inside a Clear Bag

Wash bullard capes per manufacturer’s instructions and air dry only

Wrap one same size jacket with one same size pant

Retreat Gore-Tex Coveralls with Revivex solution EVERY TIME ITEMS ARE PICKED UP FOR

SERVICE.

Fold and bundle shirts together with the label visible for each individual inside a clear bag. Fold and bundle pants together with the label visible for each individual inside a clear bag.

Items have been exposed to cadmium or chromium particles. Clean in accordance with manufacturer's instructions

Identified with ticket

Light Starch

On Hanger (hangers shall be of a type that does not stain garments)

Pressed

Resized

Warm Water Wash

Number of items in bundle

All items must be free from bacteria, fungi, and other microorganisms, including pathogens or disease producing organisms. All cleaning solutions must be bactericidal, fungicidal, virucidal, and Tbicidal.

Coveralls shall be washed, deodorized and dried to remove dirt, sand, scrap metal, paint, chemical odors, cleaning solutions, media blast dust etc. Some coveralls have been exposed to cadmium or chromium particles. Contractor shall also make necessary repairs as identified by appointed Government Personnel to include collars, cuffs, pockets, sleeves, Velcro and zippers. Fold coveralls so the size label is visible through the plastic bag.

* Denotes Buildings with some garments exposed to Cadmium and/or Chromium particles

BUILDING NR

& NR of CARTS ORGANIZATION DAY TIME

15P/1 Cart AMXG (F-15)- Tool Crib Area Tuesday and Thursday 0700-1030 72-hour turnaround

20031/1 Cart AMXG (F-15) – Hangar location Tuesday and Thursday 0700-1030 72-hour turnaround

*137/2 Carts Haz Mat AMXG (F-15) Tuesday and Thursday, Kevlar Suits – Thurs Only

0700-1030 72-hour turnaround

48/ 1 Cart AMXG (F-15) Tuesday and Thursday 0700-1030 72-hour turnaround

125/No Cart AMXG (C-5) – PSC Area Wednesday 0700-1030 Weekly turnaround

91/2 Carts AMXG (C-130) Monday-Wednesday-Friday 0700-1030 48-hour turnaround

110/1 Cart AMXG (C-130) Tuesday and Thursday 0700-1030 72-hour turnaround

2390/1 Cart AMXG (C-130) Tuesday and Thursday 0700-1030 72-hour turnaround

83/1 Cart AMXG (C-17) Wednesday 0700-1030 Weekly turnaround

*142/1 Cart Haz Mat CMXG Tuesday and Thursday 0700-1030 72-hour turnaround

169/No Cart CMXG Tuesday 0700-1030 Weekly turnaround

180/1 Cart CMXG Tuesday and Thursday 0700-1030 72-hour turnaround

*125/No Cart CMXG Wednesday- once a month 0700-1030 72-hour turnaround

146/ No Cart CMXG Tuesday and Thursday 0700-1030 Weekly Turnaround

20128 CMXG Tuesday and Thursday 0700-1030 72-hour turnaround

640/No Cart EMXG Tuesday 0700-1030 Weekly turnaround

700/No Cart MEDICAL GROUP 78 MDG/SGSM Monday-Wednesday-Friday 0800-1030 48-hour turnaround

207/ No Cart MEDICAL GROUP 78 MDG/SGSM Monday only 0800-1030 48-hour turnaround

755/7-11 Carts LODGING 78 FSS/FSVL Monday thru Friday 0800-1030 24-hour turnaround

1561/1 Cart COMMUNICATIONS Tuesday and Thursday 0800-1030 72-hour turnaround

APPENDIX 3

9-Feb-2017

PICK UP and DELIVERY SCHEDULE

(All laundered items shall be returned to the facility of their origin)

Bldg Number Weapon System Organization Building POC & Phone Nr

C-17 402 AMXG Brian Dorsey (Pri), 222-6868 , Gregory Brantley, 468-3651

C-130 402 AMXG

Buford Mallory (Pri), 327-6181

C-130 402 AMXG

Steve Murray, 957-5305

110, 2390 C-130 402 AMXG Chris Spivey (Pri), (478) 258-4534

C-5 402 AMXG Brian Stewart (Pri), 468-1674 Michael Thompson

(Alt), 468-1674

20031,15P, 137, 48

F-15 402 AMXG Kevin Hooper (Pri) 497-4620, Robert W. Hill, 468-

142 CMXG 402 CMXG Mario Largaespada, 327-5576

169 CMXG 402 CMXG Anthony Barlow, 222-2904

180 CMXG 402 CMXG Anthony Barlow, 222-2904

125 CMXG 402 CMXG Hiriam Wilson, 926-4077

146 CMXG 402 CMXG Shannon Drew, 926-1989

201128 CMXG 402 CMXG Mario Largaespada, 327-5576

640 EMXG 402 EMXG Connie Huffman (Pri), 327-8737

700 & 207 MED GROUP 78 MDSS/SGSM Sandra Revell,497-8281 Steven

Taylor, 497-8271

LODGING 78 FSS/FSVL Tony Braswell (Pri), 926-2100 ext 6108;

Ronald Jones (Alt), 926-2100 ext 4901

COMMUNICATIONS 5 CBCSS/SCS SSgt Anwar Ford 497-4960; SSgt Godric Ramirez 497-3566, SSgt Rojet Watkins 468-1818

APPENDIX 4 POINTS

POINT OF CONTACT

9-Feb-2017

9 Feb 2017

INFECTION CONTROL PROGRAM

INSPECTION OF LAUNDRY SERVICES

Appendix 5

Robins AFB, GA Date:

Conducted by: 78 MDG/SGH

Infection Preventionist: ____________________________

Housekeeping: _____________________________________

References: Association for Professional in Infection Control (APIC):

“Laundry, Linens, and Textiles” Chap 103

AFI 44-108 Infection Prevention and Control

OSHA Bloodborne Pathogen Standard: 1910.1030

Centers For Disease Control (CDC): “Guidelines for laundry in Healthcare Facilities”

Healthcare Laundry Accreditation Council (HLAC) “Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities”

A. PLANT FACILITY YES NO

Ventilation system has adequate intake, filtration, 10ac/hr exchange rate and exhaust to keep dust/lint level down to outdoors.

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)

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

Adequate hand washing facilities and sanitizers available Eating, drinking and smoking is prohibited in all work areas Is the facility equipped with emergency showers, eye wash stations, and other health safety devices i.e. AEDs, spill kits, fire extinguishers?

B. Personnel Employees participate in relevant continuing education program with documentation available. For example, training in personal hygiene, hand washing, how to handle/dispose of sharps, and blood-borne pathogen transmission, biohazard exposure procedure and proper use of personal protective equipment (PPE) and kept for 3 years Personal protective equipment available and in use: gowns, aprons, masks, eye protection

Employees remove PPE before leaving receiving/sorting area Hepatitis B vaccine required for all employees and documentation kept for 3 years

Personnel are free of infections/removed from area if infected Staffing is adequate Staffing employees receive initial and annual training C. Delivery Clean linen transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, if cart isn’t a solid bottom, placed in clean cart with a secure plastic or reusable cover

Clean and soiled laundry is transported separately and/or are there physical barriers separating clean from soiled linen?

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

Linens wrapped in fluid-resistant bundles/wrapped in plastic D. 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- sharps disposal units available

Wash Formula: Adequate temperature, time soap/detergent/bleach used:

71C/160F X 25 minutes

Washer thermometer visible and calibration data available Wash standards by soiling used (cycle time, water level, temp, chem. used) MSDS are available for staff to review Linens to be destroyed are processed prior to disposal Soiled/dirty linen area cleaned & disinfected after each use?

E. CLEAN LINEN PROCESSING

Are items dried at an appropriate temperature Ironing equipment maintained at a temp of at least 300 degrees F Adequate shelving and storage for clean linen Is there a quality control process and is it implemented E. Housekeeping Adequate cleaning procedures are developed and implemented regarding:

Cleaning and care of equipment and work areas Maintenance of cleaning schedules Documentation of cleaning G. Quality Assurance

Provider shall have a written policies and procedures covering areas of responsibility relating to the service provided

Provider shall maintain documentation of the identification of problems and methods to resolve them

Provider and the user shall periodically review the laundry/linen program

H. ACCREDITATION/LICENSE

Does the facility have a current business license Is facility accredited by Health Care Laundry Accreditation Council

(HLAC)

Has the facility been inspected by any other agency since the last inspection- If yes, list Agencies:

NOTES:

APPENDIX 6- PICKUP TICKET

DATE:

# ITEMS

PICKED UP

# ITEMS

RETURNED

# ITEMS

MISSING CTOR INITIALS GOVT INITIALS

BUILDING #__________________

LAUNDERED/DRY CLEANED ITEMS

A-3 FLYERS KIT BAG

BAG. LAUNDRY

BEDSPREAD, QUILTED QUEEN

BEDSPREAD, QUILTED TWIN

BLANKET, COTTON 80”x120”

BLANKET, FULL

BONNET, SHAMPOO

BOOTIE INSERTS, per pair

COAT, PHYSICIAN, LONG

COVERALLS-Cotton

COVERALLS-Gore-Tex

CURTAIN CUBICLE

CAP

CAPES, BULLARD

CHEMICAL JACKET

CHEMICAL PANTS

COAT, LAB (Cotton)

DRAPE, EYE SHEET

FLAG

GLOVES, WHITE

GOWN, BLUE & GRAY X-RAY

GOWN, PATIENT

HELMET COVERS

INSECT NET

MATS, BATH

MATTRESS PAD, QUEEN

MATTRESS PAD, SINGLE

MOP HEAD, COTTON

PANTS, COLD WEATHER

PARKA w/HOOD

PARKA, COLD WEATHER

PILLOW, FOAM (Bldg 755)

WASHCLOTH

JACKET, WELDING

COAT, LAB (Cotton twill)

SLEEPING BAG

SOCKS, Wool, per pair

TOWEL, BATH

SCRUB, BOTTOM (SEPARATE BY COLOR)

SCRUB, TOP (SEPARATE BY COLOR)

SHEET, COTTON 72”x 108” (SEPARATE BY COLOR)

SHEET, QUEEN

SHEET, SINGLE

PILLOWCASE, GREEN/WHITE 32.5”x20.5”

PILLOWCASE, STANDARD

PILLOW PROTECTORS

PONCHO LINER

RUGS