Hearing Testing Statement of Work Coconino.docx

STATEMENT OF WORK

COCONINO NATIONAL FOREST

Point of Contact:

Tactical Geordie Beck 928-699-2355 Contracting Chris Wissen 218-343-3857

SCOPE OF WORK:

Request audiometric testing for all Coconino National Forest Service employees who are required under the Forest Service’s Southwestern Region Hearing Conservation Program. Affected employees include those with potential exposure to noise levels at or above 85 decibels in accordance with Occupational Safety and Health Administration (OSHA) 29 CFR 1910.95, Occupational Noise Exposure. Identified employees who require testing include; Heavy Equipment Operators/Swampers/Observers, Wildland Firefighters, Engine Equipment Operators, Law Enforcement Officers, Certified Chainsaw Operators, Motor Powered Equipment operators, Construction & Timber Representatives (Contracting Officer Representatives) and other personnel who may be subjected to noise levels at or above 85 decibels.

LOCATION:

Northern Arizona, Flagstaff AZ

REQUIREMENTS:

The contractor will test approximately 200 Coconino National Forest employees’ during the spring onboarding season of 2022. The contractor shall provide a fully equipped mobile testing unit in accordance with 29 CFR 1910.95(h) – Audiometric Test Requirements, that provides self-supported services to the Coconino’s five workstations. The contractor will meet the desired dates and production rates listed below. Each employee’s annual audiogram will be compared to the employee’s baseline audiogram to determine if a standard threshold shift has occurred. Documentation of testing including Standard Threshold shifts will be provided to the Forest Service within 14 days of testing including the employees name, date of the audiogram, the examiners name, and the date of the last acoustic or exhaustive calibration of the audiometer. Recordkeeping shall be maintained by the contract service conducting the test until requested by the Forest Service. Contractor will follow current Center for Disease Control direction to mitigate COVID-19 including mask use and sanitizing of equipment.

DELIVERABLES:

Mobile Unit(s) will be at the following location and dates as follows:

April 19, 2022 - Red Rock Ranger District Office, 8375 St. Rt. 179, Sedona, AZ. 3-hour testing location April 19, 2022 – Coconino NF Supervisors Office, 1824 S Thompson St. Flagstaff, AZ. 3-hour testing location April 20, 2022 – Flagstaff Ranger District Office, 5075 N. Highway 89, Flagstaff, AZ. 3.5-hour testing location April 20, 2022 – Mormon Lake Work Center, 4373 S. Lake Mary Rd., Flagstaff, AZ. 2-hour testing location April 21, 2022 – Mogollon Rim District Office, 8738 Ranger Rd., Happy Jack, AZ., 3.5-hour testing location

Alternate dates:

April 12, 2022 - Red Rock Ranger District Office, 8375 St. Rt. 179, Sedona, AZ. 3-hour testing location April 12, 2022 – Coconino NF Supervisors Office, 1824 S Thompson St. Flagstaff, AZ. 3-hour testing location April 13, 2022 – Flagstaff Ranger District Office, 5075 N. Highway 89, Flagstaff, AZ. 3.5-hour testing location April 13, 2022 – Mormon Lake Work Center, 4373 S. Lake Mary Rd., Flagstaff, AZ. 2-hour testing location April 14, 2022 – Mogollon Rim District Office, 8738 Ranger Rd., Happy Jack, AZ., 3.5-hour testing location

Testing will be performed on approximately 200 employees at the following locations:

INSPECTION AND PAYMENT:

Work performed under this contract will be subject to inspection by the Contracting Officer’s Representative (COR) and any sub-standard performance will be brought to the attention of the Contractor, who, if he/she fails to correct deficiencies as directed may be subject to termination.

Payment: IPP www.ipp.gov

MATERIALS AND WORKMANSHIP:

TESTING REQUIREMENTS, In accordance with OSHA:

29 CFR 1910.95(g)(3) Audiometric tests shall be performed by a licensed or certified audiologist, otolaryngologist, or other physician, or by a technician who is certified by the Council of Accreditation in Occupational Hearing Conservation, or who has satisfactorily demonstrated competence in administering audiometric examinations, obtaining valid audiograms, and properly using, maintaining and checking calibration and proper functioning of the audiometers being used. A technician who operates microprocessor audiometers does not need to be certified. A technician who performs audiometric tests must be responsible to an audiologist, otolaryngologist or physician.

29 CFR 1910.95(g)(6) "Annual audiogram." At least annually after obtaining the baseline audiogram, the employer shall obtain a new audiogram for each employee exposed at or above an 8-hour time-weighted average of 85 decibels.

29 CFR 1910.95(g)(7)(i) Each employee’s annual audiogram shall be compared to that employee’s baseline audiogram to determine if the audiogram is valid and if a standard threshold shift has occurred. This comparison must be done by a technician.

29 CFR 1910.95(h)(1) Audiometric tests shall be pure tone, air conduction, hearing threshold examinations, with test frequencies including as a minimum 500, 1000, 2000, 3000, 4000, and 6000 Hz. Tests at each frequency shall be taken separately for each ear.

29 CFR 1910.95(h)(2) Audiometric tests shall be conducted with audiometers (including microprocessor audiometers) that meet the specifications of, and are maintained and used in accordance with, American National Standard Specification for Audiometers, S3.6-1969, which is incorporated by reference as specified in Sec. 1910.6.

29 CFR 1910.95(h)(3) Pulsed-tone and self-recording audiometers, if used, shall meet the requirements specified in 1910.95, Appendix C: "Audiometric Measuring Instruments."

29 CFR 1910.95(h)(4) Audiometric examinations shall be administered in a room meeting the requirements listed in 1910.95, Appendix D: "Audiometric Test Rooms."

Appendix D – Audiometric Test Rooms Audio booths used for audiometric testing shall not have background sound pressure levels exceeding those in Table D-1 when measured by equipment conforming at least to the Type 2 requirements of American National Standard Specification for Sound Level Meters, S1.4-1971 (R1976), and to the Class II requirements of American National Standard Specification for Octave, Half-Octave, and Third-Octave Band Filter Sets, S1.11-1971 (R1976).

TABLE D-1 - MAXIMUM ALLOWABLE OCTAVE-BAND SOUND PRESSURE LEVEL FOR AUDIOMETRIC TEST ROOMS

Unless otherwise provided in the contract statement of work, the contractor will furnish all materials and equipment necessary for satisfactory contract performance. When not specifically identified in the specifications, such materials and equipment shall be of the most suitable type and grade for the purpose. All workmanship will be first class and also will be subject to the inspection and approval of the Contracting Officer or his/her representative.

US Forest Service Chris Wissen Purchasing Agent Procurement & Property Services Field Procurement Operations Southwest Zone Contracting Service Area #4 Telework Cell: 218-343-3857 christopher.wissen@usda.gov