Statement_of_Work.pdf

Department of Defense Education Activity (DoDEA) Mid-Atlantic District Field Site PR

Drivers Annual Physical Examination

Statement of Work

Department of Transportation (DOT) Federal Compliance-DOT Standard 49 CR Chapter III, 391.43

Medical Surveillance

SCOPE:

Federal DOT requires an annual physical examination for any drivers with Category 8 driver licenses and above. DoDEA

Schools Mid-Atlantic District Field Site Puerto Rico provides bus transportation services for three (3) schools in the San Juan metropolitan area and one (1) school Ramey located in the island west coast (Aguadilla). 45 bus drivers are required to complete the physical examination to be in compliance with the DOT Standard 49 CR Chapter III.

A Department of Transportation (DOT) physical examination must be conducted by a licensed "medical examiner" listed on the Federal Motor Carrier Safety Administration (FMCSA) National Registry. The term includes, but is not limited to, doctors of medicine (MD), doctors of osteopathy (DO), physician assistants (PA), advanced practice nurses (APN), and doctors of chiropractic (DC).

The National Registry of Certified Medical Examiners is a listing of medical personnel who have been approved to conduct medical exams on DOT-regulated commercial motor vehicle drivers.

Medical examination must include:

Physical Examination:

Medical Record-File o The Federal Motor Carrier Safety Administration requires that interstate commercial motor vehicle drivers maintain a current Medical Examiner’s Certificate (MEC), Form MCSA-5876 to drive. As part of the physical, drivers are required to fill out the medical history portion of the Medical Examination Report

(MER) Form, MCSA-5875.

Vital Signs (weight, pressure, pulse, stature)

Vision Test

Audiometric Test

Alcohol Breath Test

Laboratory Tests must include necessary supplies and equipment to complete the following tests:

Urinalysis (U/A)

Board Controlled Substances-Panel 5 (SAMHSA Certified) – NIDA-5: The five-panel drug screen will test through a urine sample and able to detect the following substances: Marijuana (THC), cocaine, amphetamines/methamphetamines (Ecstasy, Crystal meth, opiates (heroin) and phencyclidine (PCP).

Place of Performance:

DoDEA Mid-Atlantic District Field Site Puerto Rico Transportation Facilities

566 Columbus Street

Ft. Buchanan, San Juan, Puerto Rico 00934

All DoDEA driver personnel will report to Ft. Buchanan for the physical exam. Tentative scheduled date and time to be determine after school year ends. This requirement should be completed in one day (1) only. Personnel absent during the physical exam will be provided an alternate date for the physical examination. Should this be required, the COR will coordinate with the Contractor on the alternate date and location for the physical examination.

Specifications:

Contractor shall submit credentials of medical personnel performing the examinations and tests to the COR prior to performing the services.

Contractor shall provide medical examination to ALL (45) drivers during the specific time frame provided by the

COR.

Contractor shall provide laboratory testing to all drivers.

Contractor shall perform medical examination and laboratory testing on personnel whose name appears on the provided listing only.

Contractor shall maintain record of all test results for all drivers.

Contractor shall evaluate all abnormal test findings and make necessary referral immediately.