Medical Infectious Waste pickup SOW 2023.docx

Removal and Disposal of Regulated Medical Waste IHS1469110

1. SCOPE OF WORK – MEDICAL/INFECTIOUS WASTE

a. Contractor shall provide regulated medical waste (RMW) pickup and disposal services including but not limited to the following requirements for the Indian Health Service. Sharps containers to be emptied are Government property and belong to the Red Lake Hospital. RMW shall be picked up at the Red Lake Hospital 24760 Hospital Drive Red Lake, MN 56671.

1) Contractor shall provide all supervision, labor, materials, equipment, and travel for the pickup and disposal of medical waste in accordance with all applicable local, state, and federal regulations, codes, and laws; and comply with The Joint Commission (TJC) standards.

2) Contractor shall provide Twelve (12) 45-gallon plastic collection drums. Each week the contractor shall provide 6 small, 6 medium, and 6 large red bags that are to be used internally for waste collection.

3) All collection drums and all sizes of red bags shall meet or exceed the following standards:

· shall be "red" in color,

· shall be 165 gram dart as a minimum,

· must meet the minimum requirements of ASTM Standard No. D 1709-95,

· the aforementioned shall have infection waste warnings printed thereon.

· outer containers shall be conspicuously marked with a warning legend that must appear in English along with the international symbol for medical waste/biohazardous material,

· the warning shall appear on the sides of the container, twice in English

· the wording shall be as follows: "caution, contains medical waste which may be biohazardous"

b. Contractor is to supply all bags, tags, waste carts and associated materials for packaging, transport and incineration of all regulated medical wastes to include;

· Other potentially infectious material, and

· General waste items that contain patient information.

c. The items must meet all federal, state, OSHA and DOT standards for collection, storage and transport of medical waste. Carts must have wheels and be in good repair at all times. Carts must be labeled as Medical Waste Carts.

d. Contractor is responsible for providing a detailed manifest of all medical waste transported from the Red Lake Hospital to include the date, location and proof of destruction. All medical waste collected from the Red Lake Hospital will be scanned on site and a copy of the manifest stating the date collected, pounds of medical waste per cart and the number of carts must be left with the Contracting Officer Representative (COR) or his designee on the day of collection. The contractor is required to provide a signed and legible manifest attesting to the destruction of the medical waste to the Maintenance & Operations Foreman or designee within 30 days of the destruction of the medical waste.

e. Waste pick-up will be provided once per week from the RED LAKE HOSPITAL designed wastes holding area. The day for pick-up at the RED LAKE HOSPITAL will be established by the Contractor and will remain on the identified day throughout the performance period. The day shall be Monday thru Friday between 7:00 am and 5 pm.

f. Contractor is to provide a documented back-up plan in the event circumstances disrupt his ability to provide pick-up services. Service will be provided within 24 hours of a failure to meet scheduled pick-up times.

g. Pricing – All services are to be based on a price per pound that includes all bags, tags, waste carts, transportation, disposal, manifesting and tracking of the medical waste.

h. The estimated annual poundage of medical waste produced by the medical center is between 15,000 and 25,000 pounds. This is subject to unexpected change (+/- 10-15%) due to changes in the medical center's scope of work.

i. Contractor shall provide a signed receipt for each shipment of regulated medical waste using a form provided by or approved by the MN Department of Health.

j. Contractor shall destroy pathological waste using incineration at temperatures in excess of 2000 degrees Fahrenheit. All other medical waste may be disposed of by a special waste technologies approved treatment method such as:

· chemical disinfection

· encapsulation only for sharp items.

· steam disinfection

· thermal inactivation

· chlorine disinfection

· moist heat disinfection.

· Contractor shall provide a copy of certificates destruction certifying waste was disposed in accordance above approved methods.

k. Spills by the contractor shall be cleaned up immediately.

l. Spills by the contractor shall be reported to the COR at the time of the occurrence.

m. Contractor shall coordinate all activities with the COR that require prior approval of the COR.

2. SUPERVISION BY CONTRACTOR

The contractor shall appoint a project manager who will have responsibility for performance of medical waste removal services. The project manager or designee shall be competent to supervise all aspects of medical waste removal services and shall be available on-site within four (4) hours after notification when problems arise with contractor's work or in the event that emergencies arise at this facility, which pertains to the contractor's responsibilities or duties. The project manager shall, in the absence of the contractor act for the contractor as contractor's representative.

3. PERSONNEL QUALIFICATION AND REQUIREMENTS

a. Exposure to Hazardous Working Conditions: Contractor's personnel may be required to perform work under potentially hazardous conditions. Contractor's personnel shall be informed of potentially hazardous situations by contractor trained by contractor in techniques required to recognize and deal with potentially hazardous situations in a manner which will minimize personal risk, and required to adhere to standard techniques for personal protection.

b. Other Requirements: All contract personnel to be instructed that smoking is prohibited on the Red Lake Hospital grounds.

c. Contractor must ensure their personnel working this contract possess basic proficiency in spoken and written English.

d. All conduct of contract personnel should be respectable and sensitive to patients, visitors and Hospital personnel.

4. QUALITY CONTROL/QUALITY ASSURANCE

a. Quality Control: the contractor shall have a Quality Control Program to ensure the requirements of this contract are provided as specified. The program shall include, but will not be limited to, the following:

1) An inspection system covering the services listed in the Scope of Work. It must specify areas of work to be inspected on a scheduled basis.

2) A method of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

3) A record of all inspections conducted by the contractor and corrective action taken. These documents shall be made available to the Government during the term of the contract.

b. Reporting Repairs: The contractor is to report all required repairs or maintenance to the COR.

c. Federal and State Regulatory Requirements: When hauling both non-infectious waste and infectious/contaminated medical waste from the Red Lake Hospital to the appropriate collection site of the waste hauler, the contractor is to comply with all related federal and state waste handling requirements.

5. SAFETY AND FIRE PREVENTION

a. Contractor shall provide all safety equipment for their employees in the performance of this contract while on government property and shall abide by safe working standards.

b. In the performance of this contract, the contractor shall take such safety precautions as necessary to protect the lives and health of occupants of the building.

c. The contractor shall immediately correct any fire and safety deficiencies caused by his/her employee. If the contractor fails or refuses to correct deficiencies promptly, the Contracting Officer may issue an order stopping all or any part of the work and hold the contractor in default of the contract.

d. The contractor shall comply with applicable federal, state and local safety and fire regulations and codes that are in effect at the beginning of the contract period. The contractor shall keep abreast of and comply with changes in these regulations and codes applicable to the contract.

e. If applicable, the contractor is to provide copies of all Safety Data Sheets (SDS) to the Facility Management Service for all chemical products used by the contractor. EPA must approve of all chemicals used.

f. While at the RED LAKE HOSPITAL all contractors, their supervisors and their employees shall comply with the Hospital and Safety Regulations and with the Occupational Safety and Health Act of 1970. The following is a list of the most common violations of Hospital and Safety Regulations and OSHA Standards, which will be most closely monitored and enforced as part of this contract.

1) Occupation Injuries: All injuries sustained by the Contractor’s personnel while on the Red Lake Hospital property must be reported to the Safety Manager.

2) Safety inspections: The Medical Center Safety Manager and Project Inspectors will conduct periodic inspections of work areas for compliance with hospital regulations and OSHA standards. Failure to comply with the hospital regulations and/or OSHA standards may result in immediate work stoppage. Injuries to patients, employees and visitors resulting from unsafe conditions or negligent acts created by workers may result in legal action on the part of the injured.

3) Enforcement: The COR on this project is designated as the person responsible for ensuring that the Fire and Safety Program is carried out to the completion of the work. The COR has the authority to enforce the provisions of these specifications and other applicable fire protection standards.

6. DAMAGE AND EQUIPMENT LOSS

a. All tasks accomplished by contractor personnel will be performed to avoid any damage or disfigurement of government-owned furnishings, fixtures, equipment and architectural or building structures. The contractor will report any damage or disfigurement to these items when caused by the contractor's personnel. This report will be given to the COR and a copy given to the quality assurance evaluator. All damage to facilities and fixtures caused by the contractor during the performance of their required duties according to this contract will be reported to the quality assurance evaluator. The Government is not held responsible for contractor's equipment or belongings that are lost, stolen or damaged during the course of performing their required duties as stated in this contract.

b. The contractor will perform repairs or replace government-owned equipment, fixtures, furnishings, grounds and architectural or building structures to their previously existing condition and, at their own expense, when the quality assurance evaluation determines damage to be caused by the contractor.

7. INTERFERENCE TO NORMAL FUNCTION

Contractor's personnel are required to interrupt their work as stated in the contract, at any time to avoid interference with patient care procedures and the normal functioning of the facility, including utility services, fire protection services and passage of facility patents, personnel, equipment and carts.

8. CLEAN UP

The contractor will remove all residual dirt and soil or other substances that may be left over or caused by the contractor's work.