Performance Work Statement_400hz Converter Services_Redacted.pdf

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PERFORMANCE-BASED WORK STATEMENT (PWS)

Organization: AFSC/SWTF-T

Title: Lab 400Hz Converter Services

U.S AIR FORCE

2/18/2026 Version 1 iii

TABLE OF CONTENTS

1 DESCRIPTION OF SERVICES

2 BACKGROUND

3 BASIC SERVICES

4 PLACE OF PERFORMANCE

5 PROGRAM MANAGEMENT

6 SECURITY

7 CONFLICTS OF INTEREST………………………………………………………………..9

8 GENERAL INFORMATION

9 GOVERNMENT OBSERVATIONS

10 ENVIRONMENTAL

Appendix A – Name of Appendix Appendix C………………………………………………………………………………………14

1 DESCRIPTION OF SERVICES

This PWS is for the Contractor to provide evaluation services and preventative maintenance services for 400Hz Converter products for the SWTF-T organization of the Software Directorate. If parts and labor are required for repairs resulting from the evaluations, then the needed parts and labor hours will need to be approved by the Resource Advisor (RA) and authorized for Government purchase prior to any parts procured, labor hours utilized and repairs made. All additional parts and labor required to fulfill the maintenance portion shall be pre-authorized prior to any work performed.

2 BACKGROUND

2.1 The 557 and 558 Squadrons use 400 Hz converters that convert 60Hz to 400Hz. All devices that need 400 Hz power to run will not be able to operate because the devices involved in this procurement are not functioning to enable the required 400Hz. The 557 and 558 Squadrons and Boeing cannot run their test operations because avionics run on 400 Hz. Testing and certifications will not be able to be conducted without the 400 Hz power running to them.

One of the three devices that are being evaluated and serviced recently tripped a breaker during operations. To return this device and the other two devices to full operation, a trained technician who can properly evaluate 400 Hz converters is required to evaluate the devices and safely bring the breaker back to full functionality. The government currently does not have the expertise to evaluate, diagnose and service the devices and concurrently return the breaker to full operation safely.

2.2 Applicable Documents and Standards

Title Report Format Due Date

2.2.1 Comprehensive Repair List Contractor Format 1 week after contract award

2.2.2 Machine Health Contractor Format 1 week after contract award All such documents shall be delivered and verified by a Government Point of Contact (GPOC) in the office where these deliverables are going to.

2.2.1 This report shall provide a comprehensive diagnosis of each machine with a breakdown of each line item and part that requires repair.

2.2.2 This report shall provide a comprehensive overview of the overall health of each machine.

3 BASIC SERVICES

3.1 This service includes estimated travel expenses and on-site labor time for preventative maintenance for UFC-200F, P/N 198-18020-22, S/N 606; P/N 198-18020-22, S/N 607 and P/N 198-18020-22, S/N 608 as specified in Appendix A. The Contractor shall abide by the Health and Safety Plan of which the Contractor shall supply their own document.

This document will be verified by the Contracting Officer (CO).

Not more than 10 days after contract award, the contractor shall submit a Safety and Health Plan for the work to be performed. The government will review the contractor’s proposed Safety and Health Plan, and the contractor shall promptly resolve any comments arising from government review. When requested by the contracting officer, Department of War (DoW) qualified safety and health personnel may participate in the government review of the contractor’s proposed Safety and Health Plan. Upon the contracting officer’s determination that the government’s comments (if any) have been satisfactorily resolved, the government shall approve the Safety and Health Plan in writing, and the approved Safety and Health Plan will be considered part of this contract.

Unless approved in writing by the contracting officer, the contractor shall not commence physical on-site work at the government installation/facility prior to approval of the Safety and Health Plan.

3.1.1 The requirement to be fulfilled shall focus on UFC-200F, P/N 198-18020-22, S/N 606, UFC-200F, P/N 198-18020-22, S/N 607 and UFC-200F, P/N 198- 18020-22, S/N 608 and conduct routine and preventative maintenance of these device part numbers. In addition to this, for each of these devices, there shall be an initial evaluation which initially does not include cost of any parts or materials that may be required for repair or replacement. All necessary parts and materials associated with repairs shall be quoted and then approved by a GPOC separately after the evaluation of the unit. If any additional parts or labor are needed to complete the repair, all recommendations and estimated pricing shall be submitted through proper channels upon government request. This device requires trouble shooting to determine the problems and required repairs. Part of trouble shooting this device shall require the Contractor to go through the device to find out why it is not operational and to figure out why the associated breaker was tripped.

3.2 Security

3.2.1 Upon arrival at the Tinker gate, the Contractor shall receive a personnel pass.

The Contractor shall request a contractor temporary pass at Pass/ID. The government sponsor will meet the contractor at Pass/ID and request the pass.

The 72 Air Base Wing (ABW) security forces will ask for driver’s licenses and perform a background check of each contractor personnel. When the background check is accomplished, a pass will be issued for each individual.

When the Contractor arrives at the building, they shall check in with the Security office on the north side of the building in door number 103 room number 102. A GPOC will then escort the Contractor whenever they are in the building.

3.3 Technical Lead

Depending on how many Contractor personnel are sent, the Contractor Technical Lead and/or the Contractor shall serve as the focal point to work with the assigned Government Leads and/or Program Manager (PM). All Contractor personnel shall be identified on the Personnel Roster received by 3220 Facility Management personnel.

The SWTF team typically has a detailed knowledge of daily activities associated with the PWS and is responsible for day-to-day communication with the Government Leads, PM’s and/or GPOCs. Personnel from SWTF will be the main POCs for this procurement and will authorize repair actions. Contractor Lead shall notify Government Leads, PMs and/or GPOCs daily of any manpower shortages.

The Contractor shall not employ persons for work on this contract if such employee is identified to the Contractor by the SWEG Security Office as a potential threat to the health, safety, security, general well-being, or operational mission of the installation and its population.

The Contractor’s employees shall be required to identify themselves as Contractor personnel by introducing themselves or being introduced as Contractor personnel and displaying distinguishing badges or other visible identification for meetings with Government personnel. Contractor’s employees shall identify themselves as Contractor employees in telephone conversations and in formal and informal written correspondence.

4 PLACE OF PERFORMANCE

4750 East Drive Building 3220 Rm. 123 Tinker AFB, 73145

5 PROGRAM MANAGEMENT

5.1 Data Rights Management

All data rights under this contract shall be managed IAW applicable data rights clauses outlined in the FAR and DFARS. Specific clauses governing data rights are identified within this contract and shall dictate the level of rights granted to the Government for data, technical data, and computer software. The Contractor is responsible for adhering to these clauses to ensure full compliance. Any limitations on data rights must align with those specified in the completion of FAR 52.227-15, "Representation of Limited Rights

Data and Restricted Computer Software." Only the restrictions proposed and accepted under this clause will be considered valid under this contract.

5.2 Government-Provided Support

The Government will provide necessary working space, including heat, light, ventilation, and electrical outlets for the use of Contractor’s personnel. The Government will provide access to the necessary facilities where the equipment resides. Government telephones will be used for official business only. The Contractor shall be responsible for safeguarding all Government property provided for Contractor use.

5.3 Quality Assurance

5.3.1 The CO will perform assessments of the Contractor’s performance. Subsequent to contract award, the specific name and contact information of the employees with a letter defining duties and authority will be furnished to the Contractor.

5.3.2 The CO will inform the task manager in person when discrepancies occur and will request corrective action. The CO will make a notation of the discrepancy on the assessment checklist with the date and time the discrepancy was noted and will request the task manager (or authorized representative) to initial the entry on the checklist.

5.3.3 The Government may inspect each task as completed or increase the number of quality control inspections if deemed appropriate because of repeated failures discovered during quality control inspections or because of repeated customer complaints.

5.3.4 Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the PCO.

5.3.5 The services to be performed by the Contractor during the period of this contract are, at all times and places, subject to review by the PCO or authorized representative.

5.4 Safety and Health Standards

5.4.1 The Contractor shall follow and adhere to the Air Force as part of the Occupational Safety and Health Administration (OSHA).

5.4.2 The Contractor shall provide from its OSHA 300 information the Total Case Incident Rate/Days Away Restricted or Transferred (TCIR/DART) rate by 15 January of each year to the CO for submission as part of the installation's annual OSHA VPP self-evaluation report.

5.4.3 System Safety Program Plan. IAW Appendix C, the Contractor shall implement a safety program that ensures protection of Government personnel and property. As part of the Safety Program, the Contractor shall establish a Safety Plan IAW Appendix C of this PWS. The Contractor shall submit the Safety Plan within 15 days after contract award.

6 SECURITY

6.1 General Security Requirements

6.1.1 The Contractor shall comply with all Security, Force Protection, and Antiterrorism requirements. The Contractor shall comply with local unit in- and out-processing procedures for all Contractor personnel to ensure proper security-related briefings and debriefings are accomplished. Specific in- and out-processing checklists may be included at the task order level.

6.1.2 The Contractor understands that any Contractor employee may be summarily and immediately removed from or denied access to any Government property, facility, and installation at the sole discretion of competent Government authority if that authority determines such action is necessary to protect or preserve Government property, safety, and security, or to maintain good order and discipline.

6.2 Base Access

The Contractor shall schedule all visits and coordinate Base entry by contacting their Government Sponsor. The Contractor shall be escorted at all times.

6.3 Display of Identification

6.3.1 When Contractor employees are inside a secure work area within Tinker AFB, they shall wear visible Contractor-provided identification either as a part of, or attached to, their outer clothing. The identification shall clearly identify the individual as being a Contractor employee.

6.4 Obtaining/Returning Identification

6.4.1 During performance of the contract, the Contractor shall be responsible for obtaining required identification for newly-assigned personnel. Upon the termination or completion of the contract, or in the case of an employee who no longer requires access to the work site, the Contractor shall be responsible for promptly returning credentials to the Security Forces Pass and Registration Office. Lost badges shall be reported to the 76 SWEG Security Officer within one working day of the badge being lost. The Contractor shall return all badges to the 76 SWEG Security Office upon contract completion.

6.5 Defense Biometric Identification System (DBIDS)

6.5.1 The Contractor shall utilize DBIDS Badge/Controlled/Restricted Authorization Badge (CAB/RAB) IAW Air Force Instruction 36-3026 and Tinker Installation Defense Plan.

6.5.2 The Contractor shall submit a completed Air Force Materiel Command (AFMC) Form 496, Application for AFMC Identification Card, to the GPOC. The GPOC will complete and forward Form 496 to the SM for signature and processing. The SM will notify the GPOC after Form 496 is approved with instructions for obtaining a DBIDS.

The Contractor shall return completed Form 496 to issuing SM to begin the in-processing. Contractor employees with issues associated with their information on their Form 496 will be disapproved for DBIDS and will not be granted access to the installation.

6.5.3 NOTE: Escort authority will not be authorized, and Force Protection “Bravo” is the minimum established by Security Forces Squadron (SFS). Contractors with a current DBIDS have authority to sponsor (not escort) onto the installation and must follow installation procedures for doing so. Contractors who do not require access to DoW IT systems will be issued a DBIDS only.

6.5.4 Contractor employees approved for DBIDS will require sponsorship onto the installation to Pass and ID (Building 6611) to be issued a DBIDS. Employees going to SFS without being sponsored are considered to be on the installation illegally.

6.5.5 NOTE: Common issues with a denied Form 496: derogatory background, such as felony criminal charges (current or past), foreign national, missing information on form, failed to receive DBIDS within allotted time frame after approval.

6.5.6 If denied access, the Contractor shall return all Government-issued credentials and shall vacate the installation immediately. A separate notification will be provided by the 72 ABW/CC if an appeal is requested for access.

6.6 Computer/Local Area Network (LAN) Access

6.6.1 The Contractor shall meet the same security requirements as Government employees for access to Tinker AFB's network or AIS.

6.6.2 For those Contractor employees who require Government computer access only, a National Agency Check with written Inquiries (NACI) shall be accomplished through the Government.

6.6.3 Contractor employees shall complete Network User Licensing Computer Based Training (CBT) per AFI 33-115 Volume 2, paragraph 5.4.

6.6.4 Contractor employees requiring a Government provided e-mail account shall annually complete the Information Assurance Awareness training. Interim access may be granted by Designated Approving Authorities only after submission of the NACI and favorable fingerprint determination has been received by the applicable security manager.

6.6.5 Contractors who no longer need network or AIS access shall report within three business days to the appropriate security manager and the Functional System Administrator.

6.6.6 While in the Controlled Areas, Contractor employees shall display the access badge in a holder, furnished by the Contractor company, between the shoulders, above the waist, and in the front of the body whenever inside an identified controlled area.

6.6.7 Controlled Area Training will be completed, initially and annually thereafter, in order to obtain, and maintain, an access badge. Employees who fail to meet training requirements will have their credentials removed.

6.6.8 Training will be sent to the Contractor, by the Group SM initially and annually, to their respective email addresses. The Contractor shall complete the training and send an email back to the Group SM that it is complete. Training is scheduled by the Group SM and will be tracked for annual retraining.

6.9 Security Incidents

Should a security incident occur, the Contractor shall:

6.9.3 Immediately report to the site location Group SM and GPOC all available facts related to each instance.

6.9.4 Take such precautions as the SM may reasonably require for security purposes.

6.9.5 Take reasonable and prudent action to establish control of the scene, prevent further violation, and to preserve evidence until released by proper authority.

6.9.6 Cooperate fully and assist Government personnel as the Government conducts an investigation of the violation.

6.9.7 Participate in the investigation until it is complete.

6.10 Keys, Building Access Cards, and Building Badge Control

6.10.1 The Contractor shall establish and implement methods of making sure that all keys and building badges issued to the Contractor by the Government are not lost, misplaced, or used by unauthorized persons. This shall be documented in the Contractor’s management plan, if required.

6.10.2 The Contractor shall not duplicate any keys issued by the Government.

6.10.3 The Contractor shall immediately report the occurrence of a lost key to the appropriate building Facility Manager and building badges to the appropriate SMs.

6.10.4 The Contractor shall prohibit the opening of locked areas by the Contractor employees to permit entrance of persons other than the Contractor’s employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the SMs.

6.11 Communications Security (COMSEC)

6.11.1 All communications with DoW organizations are subject to COMSEC review.

6.11.2 The DoW authorizes the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoW organizations.

6.11.3 The Contractor shall adhere to COMSEC procedures any time they place a call to, or receive a call from, a DoW organization.

6.11.4 The Contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with official DoW information.

6.12 Operations Security (OPSEC)

6.12.1 Contractors who have access to Tinker Air Force Base, 76 SWEG facilities, or CI shall be trained on OPSEC, human relations, and security education and motivation within 90 days after initial assignment IAW AFI 10-701 para. 4.1-4.2. Initial training will be provided by Group SM and lasts approximately one hour, with recurring annual training lasting approximately one-half hour. The Contractor shall immediately comply with Installation and Group OPSEC programs.

6.12.2 Public release of any information is not authorized and, if requested, will comply with Public Affairs and all other OPSEC measures to ensure the best balance of lawful disclosure for the American public and denial of advantage for U.S. adversaries.

6.12.3 No photography or videotaping is allowed on the installation without approval from the owning organization’s Group Director/Commander on an approved photography letter from 76 SWEG Security Manager.

6.12.4 Critical items/information shall not be discussed outside normal contract conditions.

A critical items/information list (CIL) can be provided and should not be considered all inclusive.

6.12.5 Controlled Unclassified Information (CUI) generated by the contract, and its employees, shall ensure protective measures are applied. ALL DoW unclassified information must be reviewed and approved for release before it’s provided to the public IAW DoDD 5230.09, Reference J.

6.12.5.1 Disclosure of information is prohibited for release of unclassified information to the public without approval of the contracting activity.

6.12.5.2 The Contractor shall comply with CUI requirements detailed in DoDM 5200.01- V4, DoW Information Security Program: Controlled Unclassified Information

(CUI).

6.13 Antiterrorism (AT) Requirements

6.13.1 Contractor personnel who require routine physical access to a federally-controlled facility or military installation shall receive Force Protection Training within 30 days of requiring access and annually thereafter IAW DoW Instruction O-2000.16 Volume 1, DoW AT Program Implementation. Frequency- Initially upon assignment and annually thereafter. Presentation/means: Unit SM, TSS Course MLMW0846, mylearning/TFAT. Source: AFI10-245; AFI71-101V4; AFMAN31-201V4; AFTTP 3-4.6; DoDD 5240.06; & DODI 2000.16.

7 CONFLICTS OF INTEREST

The Contractor shall not assign to the contract or task order performance, any person, including any employee of the U.S. Government, if employing that person would create a conflict of interest under any law, regulation or policy of the United States Government.

Additionally, the Contractor shall not assign to the contract or task order performance, any person who is an employee of the Department of the Air Force, either military, reservist, or civilian, unless such person seeks and receives approval according to DoW Directive 5500.7-R and any other applicable regulation or policy of the Department of the Air Force or its subordinate commands, as applicable, including but not limited to Air Force Materiel Command.

8 GENERAL INFORMATION

8.1 Inherently Governmental Functions

8.1.1 None of the functions to be performed under this requirement are inherently Governmental. Additionally, no part of this PWS, the basic contract or any task order issued under the basic contract shall be construed to require the Contractor to provide personal services to the Government. The Contractor shall comply with this PWS in its entirety.

8.1.2 The Government will neither supervise Contractor employees nor control the method by which the Contractor performs the required tasks. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual Contractor employees. It shall be the responsibility of the Contractor to manage its employees and to guard against any actions that are of the nature of personal services or give the perception of personal services. If the Contractor believes or has reason to believe any actions constitute or are perceived to constitute personal services, it shall be the Contractor’s responsibility to notify the PM, GPOC, and PCO immediately. These services shall not be used to perform work of a policy/decision making or management nature, i.e., inherently Governmental functions. All decisions relative to programs supported by the Contractor shall be the sole responsibility of the Government.

8.2 Hours of Operation

8.2.1 Normal Hours of Operation: The Contractor shall perform the services required under this contract during the following hours: Monday through Friday 0600-1500 – EXCEPT FEDERAL HOLIDAYS and other base closures.

8.2.2 Federal Holidays: Unless otherwise required by the Government, the Contractor shall not have access to the Government facilities on the following federal holidays:

New Year’s Day, Martin Luther King’s Birthday, Washington’s Birthday, Memorial Day, Independence Day, Juneteenth, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving Day, and Christmas Day. If a holiday falls on Saturday, it is observed on Friday and working hours are Monday through Wednesday for that week. If the holiday falls on a Sunday, it is observed on Monday. Any other circumstances that may prompt base closure, such as Days of National Mourning, may also restrict opportunity to perform the exchanges. In the event of a base closure, exchanges shall be performed on the next business day. There may also be up to six AFMC Goal Days and four Wingman Days per year awarded to Government civilian employees, as well as possible weather-related days and Government directed holidays. On these days, the Contractor shall not generally be required to work, and the Government shall not be billed for work not performed.

8.2.3 NOTE: Good Friday is regarded as a holiday by the Utah Wage Determination;

however, Good Friday is not a Federal Holiday so the Government facilities will be open for work that day. The Contractor shall plan on employees working business as usual on that day, unless the Government supervisor or section chief determines that such services are either unnecessary or will be less than a full normal workday.

8.2.4 Down Days/Weather Days: The Government will notify the Contractor when official notice has been given for Energy/Weather Down days. The Contractor is not expected to work on any Energy/Weather Down days.

8.2.5 Rescheduling: Down Days/Weather days may be rescheduled if conditions/emergency operations require.

8.3 Conservation of Utilities (Only required when work is performed on base)

The Contractor shall instruct their employees in utilities conservation practices. The Contractor shall be responsible for operating under conditions which prevent the waste of utilities.

8.4 Safety Program (Only required when work is performed on base)

8.4.1 As part of the Safety Program, the Contractor shall establish a Safety Plan IAW Appendix C of this PWS that ensures the protection of Government personnel and property. The Contractor shall submit the Safety Plan within 15 days after contract award.

8.4.2 In the event of an accident/mishap, the Contractor shall take reasonable and prudent action to establish control of the accident/mishap scene, prevent further damage to persons or property, and preserve evidence. An email copy of the mishap/incident notification shall be sent within three calendar days to the GPOC.

9 GOVERNMENT OBSERVATIONS

During the PoP, Government personnel other than CO may, from time-to-time, observe Contractor operations. However, these personnel may not interfere with Contractor performance.

10 ENVIRONMENTAL

Weather Hazards. The Contractor may encounter hazardous weather conditions including snow, heavy rain, lightning, extreme dust, and other conditions that warrant appropriate precautions.

APPENDIX A – NAME OF APPENDIX

OC No or

Equipment ID No

Description Manufacturer Model No.

Serial No.

Part No/NSN Location POC:Name

Phone Price

1 UFC-200F

Estimated on-site labor time for

Evaluation

Unitron UFC- 200F S/N 606 198-18020-

4750 East Drive

Building 3220 Rm. 123

Tinker AFB, 73145

2 UFC-200F

Estimated on-site labor time for

Evaluation

Unitron UFC- 200F S/N 607 198-18020-

4750 East Drive

Building 3220 Rm. 123

3 UFC-200F

Estimated on-site labor time for

Evaluation

Unitron UFC- 200F S/N 608 198-18020-

4750 East Drive

Building 3220 Rm. 123

APPENDIX C

INDUSTRIAL SAFETY AND HEALTH REQUIREMENTS

For

400 Hz Converter

March 16, 2026

1.

PR:

PART I

INSTRUCTIONS

The contractor Safety and Health Plan (required IAW AFI 91-202, The US Air Force Mishap Prevention Program) shall address in detail the items listed in Part II through Part III as applicable. Repeating the referenced standard without addressing the company’s specific processes or procedures will not suffice. If task specific procedures are incorporated into a company local document, those procedures must be attached to the submitted Safety and Health Plan. Referencing the company's local procedure/document in the Safety and Health Plan is not adequate. If the company's local procedure/document is not attached; the submitted Safety Plan will be returned NOT ACCEPTED.

PART II

1. ENVIRONMENTAL, SAFETY, AND OCCUPATIONAL HEALTH (ESOH): The contractor is solely responsible for compliance with all federal, state and local laws, the Occupational, Safety and Health Act (OSHA) (Public Law 91-596) and the resulting standards, OSHA Standards 29 CFR 1910 and 1926, as applicable, and the protection of their employees.

Additionally, the contractor is responsible for the safety and health of all subcontractor employees. The contractor must comply with all Federal, State, Air Force, Department of Defense, and Robins Air Force Base permits, laws, and requirements outlined in the Civil Engineering Specifications, 01560-Environmental Requirements.

2. VOLUNTARY PROTECTION PROGRAMS (VPP): The Air Force is part of the OSHA VPP. All contractors are required to familiarize themselves with the requirements of VPP.

Information on VPP can be accessed at http://www.osha.gov. The intent of the Air Force Safety Program is to prevent injuries and to communicate our safety expectations with potential offerors as well as those contractors awarded a government contract. The Air Force’s interest is to protect personnel working in or around contractor operations, and to protect Air Force equipment/property.

3. CONTRACTOR EMPLOYEES: Compliance with OSHA and other applicable laws and regulations for the protection of contractor employees is exclusively the obligation of the contractor. Note: The Air Force Occupational Safety, Fire and Health Standards (DAFMAN 91-203) is frequently annotated because many of the Air Force standards exceed the OSHA standard criteria. If a conflict is noted, the most stringent requirement takes precedence. The government shall assume no liability or responsibility for the contractor's compliance or non-compliance with such requirements. The contractor shall furnish to each of his/her employees a place of employment, `which is free from recognized hazards. The contractor shall brief his/her employees on the safety requirements of this contract and on hazards associated with prescribed tasks. The contractor is responsible for compliance with OSHA Public Law and the resultant standards identified within. In addition, the contractor is required to flow down the safety requirements/specification to all subcontractors. This applies to Federal Acquisition Regulation (FAR) 12 commercial acquisitions as well. This contract shall in no way require persons to work in surroundings or under working conditions which are unsafe or dangerous to their health. The contractor must coordinate and perform work so as not to impact the safety of government employees or cause damage to government property. This requires providing personnel with protective equipment and associated safety equipment as may be necessary. The contractor must also protect personnel from hazards generated by the work. If the contractor employs BILINGUAL speaking employees, they must post bilingual signs and have written procedures for specific tasks in applicable languages.

4. INSPECTIONS: Air Force Environmental, Safety, Occupational Health and Fire protection officials or responsible Quality Assurance Evaluator (QAE) may periodically enter a contractor’s workplace to verify working conditions of Air Force personnel. If an Air Force employee observes improper procedures or unsafe conditions exits which place Air Force personnel or equipment/facilities in jeopardy, the contractor will remove personnel and/or equipment from the unsafe condition and immediately notify the Contracting Officer and the Installation Safety Office. Department of Labor, OSHA inspectors are authorized right of entry to inspect any place of employment operated by an Air Force contractor. They are for the most part, “NO NOTICE” inspections. NOTE: Notify the Safety Office at (478)-222-0043 if an OSHA inspector visits your site unescorted by an Air Force Safety Technician. Noncompliance with safety requirements can result in work stoppage, inexcusable delays, and/or costly fines issued by the DOL. The government shall assume no liability or responsibility for the contractor's compliance or non-compliance with such requirements. Fines and additional costs for violations levied against the contractor as a result of OSHA findings, and/or installation safety, fire, health or environmental are the sole responsibility of the contractor and shall not be passed through to the Government.

5. MISHAP NOTIFICATION: The contractor shall notify the Safety Office telephonically at (478)-222-2838 during duty hours and (478)-926-3567 after hours, within four (4) hour after initial notification of all mishaps or incidents for damage to DoW property (material plus labor) entrusted by this contract and employee injuries as a result of the contract operation. A follow-up (written or e-mail) of this mishap/incident notification shall be sent within three calendar days to the Government Representative, the Procurement Contracting Officer (PCO) or the Administrative Contracting Officer (ACO) (with a copy to program manager), who will forward it to the Safety Office. The information that is not available at the time of the initial notification shall be provided within 20 calendar days after the mishap. Mishap notification shall contain, as a minimum, the following information:

a. Contract, Contract Number, Name and Title of Person(s) Reporting

b. Date, Time and exact location of accident/incident

c. Brief Narrative of accident/incident (Events leading to accident/incident)

d. Cause of accident/incident, if known

e. Estimated cost of accident/incident (material and labor to repair/replace)

f. Impound Authority Name and Phone Number (as applicable)

g. Nomenclature of equipment and personnel involved in accident/incident

h. Corrective actions (taken or proposed)

i. Other pertinent information

Note: If requested by Government Personnel (PCO/ACO), the contractor shall immediately secure the mishap scene/damaged property and impound pertinent maintenance and training records, until released by the investigating safety office. If the government investigates the mishap, the contractor and the subcontractors shall cooperate fully and assist the government personnel until the investigation is finalized and closed out.

*A CLASS A mishap is: A fatality or permanent total disability and property damage cost totaling 2 million dollars or more.

*A CLASS B mishap is: An injury resulting in permanent or partial disability or property damage cost totaling of 500,000 dollars or more but less than $2,000,000.

*A CLASS C mishap is: An injury or occupational illness resulting in lost workdays or property damage cost totaling of 60,000 dollars or more but less than $500,000.

*A CLASS D mishap is: An injury or occupational illness resulting in restricted days, transfer days, or property damage cost totaling of 25,000 dollars or more but less than $60,000.

* These numbers are subject to change.

*A CLASS E event is: An unplanned occurrence, or series of occurrences, that does not meet the reporting criteria of a mishap.

6. IMPOUNDMENT PROCEDURES: The contractor shall establish written impoundment procedures, as part of their Safety and Health Plan. Impound data must be included in the Mishap Notification Procedures as applicable. As a minimum, the procedures must address:

a. Appointment of Impound Authority in writing (copy faxed to QAP and Safety Office)

b. Impound Authority e-mail address and phone numbers.

c. Specific instructions (cordon, facility locked facility, etc.) to secure the site or government asset, to prevent tampering with the aircraft, site or government assets.

d. Specific instructions or measures to ensure only authorized personnel directly involved in management, SAFING, troubleshooting, or repair of aircraft or equipment gain access to the impound site

e. Additional guidance is located within AFI 21-101, AFMC Supplement 1 and WR-ALC I 91-204

7. CONTRACTOR SAFETY AND HEALTH PROGRAM: The contractor shall establish and maintain an acceptable safety and health program.

a. Contractor Safety and Health Manager. As part of the Contractor Safety and Health Program, the contractor shall assign in their plan, by name and phone number, a person who will be the primary point of contact for safety and health issues for the on-site operation.

b. Contractor’s Safety and Health Plan. Contractor shall prepare a safety and health plan in accordance with PART I, PART II, and PART III; incorporating the listed elements above, and the flagged items below in PART II and PART III of this Appendix, prior to award. The contractor shall ensure that each element identified below is adequately addressed in detail in the safety and health plan. The plan must be accepted by the government prior to work commencing and will be incorporated into the awarded contract. Should a master safety and health plan remain on file with the Installation Safety Office; the contractor must ensure that it is current, updated, and includes all elements below. An addendum to the plan must include the processes noted below:

(1) Changes to the Plan. If, during the performance of this contract, changes to the contractor’s Safety and Health Plan are required, the contractor shall submit a revised Safety and Health Plan to the following Contracting Monitor: 402 MXSG/OB, (478) 926-8579. The accepted revised Safety and Health Plan shall then be incorporated by contract modification as an attachment or by reference.

(2) Tracking Rates. The Contractor’s Safety and Health Plan shall identify how their Total Case Incident Rate (TCIR) & Days Away, Restricted and/or Transferred (DART) rates, or comparable insurance rates or compensation injury rates will be tracked, and the corrective measures to be used if these rates begin to decline. The contractor must also describe the processes and procedures to be used to track their compliance with their Safety and Health Plan and how they will correct any deviations from the plan, when and if identified.

PART III

The following checked items are required elements for performance of this contract. The contractor’s safety and health plan shall address how compliance with these requirements will be ensured. The safety plan shall clearly define company procedures on specific tasks/processes, personnel qualifications, how facilities comply with fire requirements to include the electrical wiring and fire protection systems installed (i.e., fire suppression, fire detection, fire extinguishers, firewall ratings, etc.) required equipment used to accomplish tasks and other necessary requirements to fulfill the checked items for the protection of government personnel and property. The contractor’s safety and health plan shall meet but may exceed the referenced standards. The contractor must ensure AF Civil Engineering Support Agency (AFCESA) Engineering Technical Letters (ETL) are incorporated into their safety and health plan as applicable.

Note regarding Motor Vehicles: Installation Commanders of all DoW installations in the United States and over which the United States has exclusive or concurrent legislative jurisdiction are delegated the authority to establish additional vehicular and pedestrian traffic rules and regulations for their installations. All persons on a military installation shall comply with locally established vehicular and pedestrian traffic rules and regulations. A person found guilty of violating, on a military installation, any State vehicular or pedestrian traffic law or local DoW 5525.4, paragraph 3 – 4: Pursuant to the authority established in Enclosure 1, installation vehicular or pedestrian traffic rule or regulation made applicable to the installation under the provisions of this directive is subject to a fine of not more than $50 or imprisonment for not more than 30 days, or both, for each violation (40 U.S.C., Section 318c (reference d).

X, Yes, does apply to this contract

Note: MANDATORY for on installation services.

PEDESTRIAN CROSSWALKS: All contractor personnel are required to use the closest crosswalk, or traffic-controlled intersection when crossing the road. Pedestrians must look both ways to ensure the coast is clear before stepping out into the crosswalk. Pedestrians DO NOT have the right of way unless they are already in the crosswalk. Contractor vehicle operators have the same responsibilities as pedestrians, to share the road and mutually observe and yield to pedestrians.

X, Yes, does apply to this contract

MOTOR VEHICLES: Contractor shall comply with the standards in: DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 32, DoW Directive 5525.04, Enforcement of State Traffic Laws on DoW Installations", *, DoDI 6055.04, DoW Traffic Safety Program, *, AFI 91-207, USAF Traffic Safety Program, *, and AFI 91-207, AFMC Supp 1, *.

Each applies to all persons at any time on an Air Force installation and includes all leased, owned, or privatized property including housing areas. In addition, DAFI 13-213, Airfield Driving, *, and applicable local guidance applies to all contractors, sub-contractors, vendors, commercial delivery companies, and all other private business vehicles who operate anywhere on an Air Force installation, including the airfield (to include the industrial areas and any buildings or hangars located upon the airfield) in support of their mission. Note: Installation commanders of all DoW installations in the United States and over which the United States has exclusive or concurrent legislative jurisdiction are delegated the authority to establish additional vehicular and pedestrian traffic rules and regulations for their installations. All persons on a military installation shall comply with locally established vehicular and pedestrian traffic rules and regulations. IAW DoW Directive 5525.04, paragraph 3.4.; a person found guilty of violating, on a military installation, any State vehicular or pedestrian traffic law or local installation vehicular or pedestrian traffic rule or regulation made applicable to the installation under the provisions of this Directive is subject to a fine of not more than $50 or imprisonment for not more than 30 days, or both, for each violation (40 U.S.C., Section 318c (reference d).

X, Yes, does apply to this contract

PROTECTIVE BARRIERS/WARNING SIGNS: Contractor shall comply with the standards in: 29 CFR 1926, Subpart G, Sections 200, 201 and 202 and EM 385-1-1, US Army Corps of Engineers Manual, Safety and Health Requirements, 3 Nov 03, Sections 4, 8 and 24. Barricades must be provided by the contractor in an area for excavation, open manholes, overhead work, or the protection of personnel from hazardous operations, moving equipment or cranes. Barricades are required to cover holes in the ground properly (e.g.: rigid/protective – 200-pound load capacity for fall protection, Red & White rope for warning barricades. The contractor must barricade the area for overhead work to protect personnel from hazardous operations. For crane operations, the barricaded area must encompass one- and one-half times the longest extended length of the erected boom. Barricades must be erected before the work begins. If the barricades are in a roadway or walkway, blinking lights must be used after dark. When the work is complete, the barricades must be removed from the job site. Kerosene lamps and open flame pots shall not be used for or with warning signs or devices.

SIGNAGE: Mandatory for contractors working on an AF installation. A sign will be prominently posted on the contractor’s site at the entry/access point and shall contain the following information:

- Company Name, Contract Number, Site Superintendent & Phone Number, Site Safety Rep & Phone Number, QAP/ QAE Monitors & Phone Number.

X, Yes, does apply to this contract

WALKING – WORKING SURFACES: Contractor shall comply with the standards in:

DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 7, 29 CFR 1910, Subpart D and NFPA 101, Life Safety Code. All interior walking and working surfaces which are part of the means of egress shall remain clear at all times and comply with the requirements of NFPA 101. Floors shall be kept in good condition and free of defects that can endanger workers or interfere with the handling of materials. Housekeeping – methods and controls are in place to minimize tripping hazards, the accumulation of flammable/combustible materials, etc. Portable metal ladders – methods and controls are in place to ensure inspection and safe use. Open-sided floors/platforms/runways must be protected and not left uncovered to prevent injury.

SCAFFOLDING: Contractor shall comply with the standards in: DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 17, 29 CFR 1910 Subpart D and 29 CFR 1926 Subpart L. Scaffolds are used for persons engaged in work that cannot be done safely from the ground or from solid construction. A competent and qualified person must be on site to make decisions on scaffolding operations. Contractor’s Safety Plan shall also address:

- Safety requirements for construction (as applicable), operation, maintenance, railings, toeboards, inspections, fall protection, and use

- Rails

- Bracing

- Toeboards

- Fall Protection

X, Yes, does apply to this contract

POWERED PLATFORMS, MANLIFTS AND VEHICLE-MOUNTED WORK

PLATFORMS: Contractor shall comply with the standards in: DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 16, and 29 CFR 1910 Subpart F.

Manlifts are used for the purpose of allowing workers to perform duties at elevated levels. A competent and qualified person must be onsite to make decisions on manlift operations.

Note: Fall restraint is the preferred method for fall protection. Contractor’s Safety Plan shall also address:

- Personal Fall Arrest Systems (PFAS) {body harness, lanyard, lifeline, etc., inspections}

- Manlift – maintenance, inspection, and operation

X, Yes, does apply to this contract

PERSONAL PROTECTIVE EQUIPMENT FOR AERIAL LIFT DEVICES: To ensure compliance with 29 CFR 1910.66, Subpart F, Appendix C, 29CFR 1910.133, Personal Protective Equipment, 29CFR 1926.453, Aerial Lifts, 29CFR 1926.104, Safety belts, Lifelines & Lanyards, and 29CFR 1926.501, Duty to have Fall Protection; the contractor will ensure the following: Contractor employees will use fall restraint on all aerial lift devices unless so certified for fall arrest by the manufacturer. Fall restraint is the preferred standard for DoW installation operations with aerial devices. Fall restraint will consist of a harness (no body belts allowed) and a lanyard shortened to the minimum length to allow work but not allow the employee to leave the platform cage or stand on toe-boards or mid-rails. Energy absorbing lanyards are not authorized for fall restraint. Lanyards will have self-closing; self-locking keepers which remain closed and locked until unlocked and pressed open for connection or disconnection. Contractor employees operating, observing and spotting for aerial devices will wear approved hard hats.

X, Yes, does apply to this contract

GENERAL FALL PROTECTION: Contractor shall comply with the standards in: DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 13, 29 CFR 1910.66, Appendix C, Subpart F and 29 CFR 1926.500-502, Subpart M – If a person can fall 4 feet or more; fall protection must be provided to prevent injury. Contractor’s Safety Plan shall also address:

- Guardrail System (height and load rating)

- Safety Net System (location, inspection, and testing)

- Personal Fall Arrest System (PFAS) - life line, lanyard, component strength, and anchorage

- Fall Protection Plan

- Qualifications of persons

X, Yes, does apply to this contract

HAZARDOUS MATERIALS: Contractor shall comply with the standards in 29 CFR 1910.120, Subpart H – The handling and Storing of Hazardous Materials (chemicals, compressed air, acetylene, etc). When handling the hazardous material, the following must be accomplished: Compressed gases – training, handling, storage, use, and PPE; flammable and combustible liquids – training, handling, storage use, and PPE. Contractor’s Safety Plan shall also address:

- Training, handling, storage, use and PPE

- Explosives and blasting agents

- Dipping and coating operations

MATERIALS HANDLING AND STORAGE: Contractor shall comply with the standards in:

DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 12, 29 CFR 1926.250, 953, 957 and 29 CFR 1910.101, Subparts F, H & N; and 29 CFR 1910.178, Powered Industrial Truck. Contractor’s Safety Plan shall also address:

- Storage and handling of materials

- Disposal of trash from elevations

- Personnel lifting techniques--proper storage to prevent shifting, for stability, etc.

- Rigging (requirements, inspection, components, and qualifications)

- Equipment (use in handling materials)

- Industrial trucks (training, inspection, maintenance, and safe use)

X, Yes, does apply to this contract

HAZARDOUS WASTE OPERATIONS: Contractor shall comply with the standards in 29 CFR 1910.120 and 29 CFR 1926.65. Contractor’s Safety Plan shall also address:

- Emergency Response Plan

- Personal Protective Equipment

- Medical Surveillance

- Health and Safety Plan (HASP– required elements have been incorporated)

- Employee Training

X, Yes, does apply to this contract

PERSONAL PROTECTIVE EQUIPMENT: Contractor shall comply with the standards in:

DAFMAN 91-203, Air Force Occupational Safety, Fire and Health Standards, *, Chapter 14, 29CFR1910.132, 134, 136 Subpart I and 29 CFR 1926, 28, 95, 100, 101, 102, & 951.

Personnel protective equipment is required to be worn when employees are exposed to a potential hazard, working overhead, falling objects, etc. Contractor’s Safety Plan shall also address:

- Eye and face protection

- Head protection

- Foot Protection

- Electrical protective equipment

- Hand protection

- Safety harnesses, lifelines, and lanyards.

X, Yes, does apply to this contract

RESPIRATORY PROTECTION PROGRAM ELEMENTS: Contractor shall comply with the standards in 29 CFR 1910.134 and 29 CFR 1926.134. Respirators are required to be worn if employees are exposed to inhalation hazard. Contractor’s Safety Plan shall also address:

- Training

- Medical evaluation

- Fit tests

- Selection of respiratory equipment

- Storage of respiratory equipment

- Pre-use checks

ELECTRICAL: Contractor shall comply with the standards in 29 CFR 1910 Subpart S, 29 CFR 1926 Subpart K, DAFMAN 91-203 Air Force Occupational Safety, Fire and Health Standards, 24 April 2023, Chap 8, Electrical Safety and NFPA 70/70E. All electrical wiring must be IAW National Electrical Codes (NEC) 70/70E. Electrical wiring and equipment shall be a type listed by UL or another recognized listing agent. Contractor’s Safety Plan shall also address:

- Selection and use of work practices

- Training (basic electrical safety knowledge)

- Use of equipment (handling, visual inspection, rating of equipment)

- GFCI Protection for outside contractor drops and wet/damp areas

- Arc Flash

X, Yes,…