PWS IH DRAFT.pdf

Ver. April 2022

PWS IH PR 11907519 W912JM23R00## TN 10 Maint Facilities FMS 1 Gray FMS 2 Knoxville

FMS 3 Athens FMS 4 Cookeville FMS 5 Chattanooga FMS 7 Tullahoma FMS 8 Winchester

FMS 17 Mt Carmel and AASF 2 Knoxville Shoothouse in TullahomaAL

DEPARTMENT OF THE ARMY AND THE AIR FORCE

NATIONAL GUARD BUREAU

REGIONAL INDUSTRIAL HYGIENE SOUTHEAST OFFICE

AIRPORT PLAZA SUITE 1530

510 PLAZA DRIVE

COLLEGE PARK, GA 30349

Performance Work Statement Cover Sheet

Service Site State: Tennessee

Solicitation #: W912JM-23-R00## Purchase Request #: 11907519 PCF Cabinet: PANNGB-23-P-0000 004015

Type of Facility: Maintenance Facility

To include the following locations: (10) Maint Facilities FMS #1 Gray, FMS #2 Knoxville, FMS #3 Athens, FMS #4 Cookeville, FMS #5 Chattanooga, FMS #7 Tullahoma, FMS #8 Winchester, FMS #17 Mt Carmel and AASF #2 Knoxville Shoothouse in Tullahoma

Schedule Site Survey no later than: Thirty (30) calendar days from Contract award date

Complete Report Submission: Not to exceed ninety (90) calendar days from Scheduled site visit date

Period of Performance: Base Year: 1 APR 2023 – 31 OCT 2023

Option Year 1: 1 NOV 2023 – 31 OCT 2024

Option Year 2: 1 NOV 2024 – 31 OCT 2025

Option Year 3: 1 NOV 2025 – 31 OCT 2026

Option Year 4: 1 NOV 2026 – 31 OCT 2027

Designated Laboratory: Wisconsin Occupational Health Laboratory

Quote submissions must use supplied Industrial Hygiene Quote Template

PERFORMANCE WORK STATEMENT (PWS)

FOR

Industrial Hygiene Services for National Guard Bureau Industrial Hygiene

Region Southeast Army National Guard Facilities

Contents

1.0 General:

2.0 Definitions and Acronyms

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S)

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E)

5.0 Requirements:

6.0 Applicable Publications

TECHNICAL EXHIBIT 1

TECHNICAL EXHIBIT 2

Exhibit 1: Equipment Request Form (ERF)

Exhibit 2: Regulatory Programs Review

Exhibit 3: Process Personal Protective Equipment Inventory

Exhibit 4: ARNG Shop Local Exhaust Ventilation Memorandum

Exhibit 5: Example of Operation Description Format for Reports

Exhibit 6: Deficiency Log

Exhibit 7: Facility Information

Exhibit 8: Health Risk Assessment Codes

Exhibit 9: Noise Risk Assessment Code (RAC)

Exhibit 10: Noise Survey - DD Form 2214

Exhibit 11: Hearing Notification Letter

Exhibit 12 Typical Processes that occur at ARNG Facilities

PERFORMANCE WORK STATEMENT (PWS)

FOR

Industrial Hygiene Services for National Guard Bureau Industrial Hygiene Region Southeast Army National Guard Facilities

1.0 General: This is a non-personal services requirement that will anticipate, recognize, and evaluate potential health hazards associated with processes performed at Army National Guard (ARNG) facilities. Contractor shall be required to provide sound recommendations for hazard control. The surveys shall serve as a baseline of workplace conditions or provide an update for a previously conducted survey. The purpose of a survey is to document a worker’s history of exposures for both civilian and military employees.

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary to perform industrial hygiene surveys, as defined in this PWS. The exception is specified in Paragraph 3.0 as Government Furnished.

1.1.1 Objectives The contractor shall conduct a comprehensive industrial hygiene survey and prepare a comprehensive report for the specified facilities as defined in this PWS.

1.2 Background: The RIHS has a requirement to anticipate, recognize, and evaluate potential health hazards associated with processes performed at National Guard (NG) working facilities and to provide sound recommendations for hazard control. The surveys will serve to establish a baseline of workplace conditions or update a previous baseline so that a worker’s history of exposures is provided for both civilian and military employees (Army Regulation (AR) 385-10 The Army Safety Program).

1.3 Period of Performance (PoP): The Period of Performance shall be 1 Base Year of 7 months and 4 Option Years of 12 months. The contractor will have no more than thirty

(30) calendar days from award of Contract to schedule the appointment/ Site visit through the Point of Contact (POC) at the survey site. The contractor will have no more than ninety

(90) calendar days from scheduled survey date to complete all survey requirements to include submission of report to RIHS office and survey samples to appropriate laboratories.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of each facility is open during the week 0730-1730 on Monday through Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons.

1.4.1.1 Telework: The Government does not permit the contractor to telework in support of this requirement.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation, including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times and shall be subject to such checks as may be deemed necessary.

The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 Failure to comply with these requirements may result in withholding of final payment.

1.4.5.2 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

https://jko.jten.mil/courses/atl1/launch.html

1.4.5.3 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO.

This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.4 Communications Security/Information Technology (COMSEC/IT)

Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.5 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.8 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.9 Identification of Contractor Employees: Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles pass) to the KO within 14 days of an employee’s departure.

1.4.11 Combating Trafficking in Persons: The United States Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel: No travel expenses will be reimbursed. All expected travel expenses to include lodging, airfare and mileage will be included in the quote.

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of

Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of a product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

AASF Army Aviation Support Facility ACOR Alternate Contracting Officer’s Representative AEI Army Enterprise Infrastructure AFARS Army Federal Acquisition Regulation Supplement AIHA American Industrial Hygiene Association ANG Air National Guard AQL Acceptable Quality Levels AR Army Regulation ARNG Army National Guard

AT Antiterrorism AT/OPSEC Antiterrorism/Operational Security AUP Acceptable Use Policy AVCRAD Combined Maintenance Aviation Classification Repair Activity Depot BBP Best Businesses Practice CA Contract Administrator CFR Code of Federal Regulations CMF Combined Maintenance Facility COMSEC Communications Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf CS Contract Specialist CSMS Combined Support Maintenance Shop CST Civil Support Team CUI Controlled Unclassified Information DA Department of the Army DD250 Department of Defense Form Receiving Report DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense DODD Department of Defense Directive FAR Federal Acquisition Regulation FMS Field Maintenance Shop FPCON Force Protection Condition GA ARNG Georgia Army National Guard GA DOD Georgia Department of Defense / Georgia National Guard GA NG Georgia National Guard GFP/M/E/S Government Furnished Property/Material/Equipment/Services HHIM Health Hazard Information Forms HHSC Health Hazard Severability Code HIPAA Health Insurance Portability and Accountability Act of 1996 HQDA Headquarters, Department of the Army IA Information Assurance IH Industrial Hygiene IS Information System(s) IT Information Technology KO Contracting Officer MATES Maneuver Area Training Equipment Site NG National Guard NGB National Guard Bureau NLT No Later Than OCI Organizational Conflict of Interest OCONUS Outside Continental United States (including Puerto Rico, Virgin Islands…)

ODC Other Direct Costs OEL Occupational Exposure Limit OPSEC Operational Security OSHA Occupational Safety and Health Administration P&C Purchasing and Contracting

PII Personally Identifiable Information PIPO Phase In / Phase Out POC Point of Contact PoP Period of Performance PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RC Readiness Center RIHS Regional Industrial Hygiene Office Southeast SEG Similar Exposure Group SF Standard Form STEL Short Term Exposure Limit TASMG Theater Aviation Sustainment Maintenance Group TE Technical Exhibit TWA Time Weighted Average USPFO United States Property and Fiscal Office UTES Unit Training Equipment Site

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space.

3.2 Materials: The RIHS may provide the Contractor with materials necessary to complete the Industrial Hygiene survey upon request from the Contractor. The Contractor must submit an Equipment Request Form no later than (NLT) two (2) weeks prior to on-site survey. Contractor must pick-up the materials from the Industrial Hygiene Southeast Regional Office. (See Exhibit One (1) – Equipment Request Form)

3.3 Equipment: The RIHS may provide the Contractor with equipment necessary to complete the Industrial Hygiene survey upon request from the Contractor. This is a courtesy, not a requirement. The equipment, if available, are on a first come-first serve basis. Contractor must submit an Equipment Request Form no later than (NLT) two (2) weeks prior to on-site survey. Contractor must pick-up the equipment from the RIHS office.

(See Exhibit One (1) – Equipment Request Form) The contractor will be responsible for replacing any lost or damaged equipment. The contractor shall return the equipment NLT thirty (30) days after receiving it, unless authorized to return at a later date. If equipment is not returned in this time, the contractor will no longer be able to use the equipment for future surveys and is responsible for the associated replacement costs. The contractor shall not hold the government liable for any injuries related to use of the borrowed equipment. The contractor is responsible for all costs related to making this equipment available for use (pick-up of equipment), such as payment of all transportation, installation, or rehabilitation costs.

3.4 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

3.5 For contractors that do not require CAC but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in section 5.

5.0 Requirements: The contractor shall: Unless otherwise stated in this PWS, the contractor shall furnish all labor, materials and IH equipment to perform IH baseline surveys, follow-up IH surveys and special studies in the following facility(ies):

FACILITY TYPE

FACILITY

NAME

FACILITY ADDRESS City State

5.0.1 Field Maintenance Shop

FMS #3 413 Country Road 554 Athens TN

5.0.2 Field Maintenance Shop

FMS #5 1801 Holtzclaw Avenue Chattanooga TN

5.0.3 Field Maintenance Shop

FMS #4 505 Gould Drive Cookeville TN

5.0.4 Field Maintenance Shop

FMS #1 253 Don May Road Gray TN

5.0.5 Field Maintenance Shop

FMS #2 3330 Sutherland Avenue Knoxville TN

5.0.6 Army Aviation Support Facility

AASF #2 2109 Armory Drive Louisville TN

5.0.7 Field Maintenance Shop

FMS #17 399 US 11 West Mt Carmel TN

5.0.8 Field Maintenance Shop

FMS #7 1202 East Carroll Street Tullahoma TN

5.0.9 Shoothouse Volunteer Site

Shoothouse 1202 East Carroll Street Tullahoma TN

5.0.10 Field Maintenance Shop

FMS #8 395 George Fraley Parkway Winchester TN

5.1. Service Contract Reporting:

5.1.1 Conduct a thorough IH investigation to determine the potential for any IH and/or occupational health and safety hazards in the facility where NG employees work as defined by AR 385-10 Army Safety Program.

5.1.2 Evaluate each facility for applicable Army and OSHA specific programs

(see Exhibit 2). The evaluation shall include determination that program documents exist and are readily available.

5.1.3 Workplace control evaluation. The selected contractor shall properly document the existing engineering, administrative and personal protective equipment used in each process (see Exhibit 3). Annotate noise reduction ratings for all hearing protection devices as well as the specific type of protective gloves used.

5.1.4 All existing and operational ventilation systems shall be evaluated for compliance with OSHA, NGB or applicable standards/guidance (Vehicle exhaust ventilations are provided in Exhibit 4). Provide evaluation details including type of ventilation (local exhaust or dilution), process/operations (spray painting, vehicle exhaust, welding, etc.), recorded measurements used to determine compliance (face or capture velocity) and other observations made during the evaluation.

5.1.5 To determine occupational exposure levels, conduct air breathing zone sampling for the complete work shift or portion of the work shift when the highest exposure is anticipated. Ensure that sufficient air sampling volume is achieved so that the laboratory limit of detection is less than the hazard occupational exposure limit (OEL). The exposure results shall be used to determine the work shift time weighted average (TWA) or short-term exposure limit (STEL) for each targeted hazard. If the sample results exceed the applicable hazard OEL (use ACGIH TLV when more conservative than OSHA PEL) contact the RIHS office immediately via the office mailbox at ng.ga.gaarng.mbx.rihse@army.mil If the work shift is greater than 8 hours, adjust the OEL accordingly.

5.1.6 Personal air sampling for hexavalent chromium shall be conducted using an Institute of Medicine (IOM) sampler with polyvinyl chloride (PVC) filter. The IOM cassettes (reusable or disposable) should be ordered from the laboratory identified in the PWS along with a calibrator adapter.

5.1.7 Conduct noise survey measuring sound levels using calibrated sound level meters and properly completing DD Form 2214 – Noise Survey (see Exhibit 5).

Perform noise dosimetry on as many employees as possible to ensure the Army Safety and OSHA standards are met (listed on DD Form 2214). When noise dosimetry is performed, personnel shall be separated into similar exposure groups (SEGs) based on the process(es) performed (vehicle maintenance, sanding/grinding, spray painting, etc.) and/or position description/job duties.

5.1.8 Obtain a shop layout plan and clearly depict the location of operations identified during the survey.

5.1.9 Conduct an illumination investigation to determine if lighting is adequate in each area in the facility where personnel perform job duties.

5.1.10 Take photographs of the exterior and interior of each facility.

Photograph all potential hazards or items of concern noted during survey. Catalog and describe each photograph by location and concern.

5.1.11 Prepare and provide a signed report in PDF format to the RIHS Office mailbox at ng.ga.gaarng.mbx.rihse@army.mil.

5.1.12 Address report to the Shop Supervisor of each facility.

5.1.13 Notify RIHS immediately of any Immediately Dangerous to Life and Health (IDLH) concerns identified during the survey.

5.1.14 Conduct Indoor Air Quality (IAQ) investigations upon identification of mold/water intrusion problems within an administrative facility or if IAQ issues are reported by building occupants (administrative areas only). If there are no visual indications of potential IAQ issues or reported IAQ issues, measurement of IAQ parameters is not required.

5.1.15 After completing a worksite visit, the contractor records identified workplace deficiencies (issues evaluated and non-compliant with Federal standards, Service specific regulations, authoritative standards, and recommended practices) using the spreadsheet attached as Exhibit 6. Each identified deficiency is assigned a risk assessment code (RAC) based on the type of risk: health, noise, safety or ergonomic. Once a RAC is assigned for each deficiency, recommendations are made for corrective actions and included in the installation hazard abatement plan or its equivalent.

6.0 Applicable Publications

6.1 Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or Advisory

Website

Title 29, Code of Federal Regulations (CFR), Part 1910, Occupational Safety and Health Administration

Current Ed M https://www.osha.gov/laws-regs/regulations/standardnumber/1910

Department of Defense Instruction (DODI) 6055.01, Department of Defense Occupational Safety and Health (OSH) Program

14JUL2020. M https://www.esd.whs.mil/Portals/54/Documents/DD/i ssuances/dodi/605501p.pdf

AR 40-5, Medical Services, Preventive Medicine.

12MAY2020 M https://armypubs.army.mil/epubs/DR_pubs/DR_a/pd f/web/r40_5.pdf

AR 385-10, the Army Safety Program, 24JAN2017 M https://armypubs.army.mil/epubs/DR_pubs/DR_a/pd f/web/ARN16777_ARN16343_AR385_10_FINAL.pd f

Department of the Army Pamphlet (DA PAM) 40-501, Medical Services, Army Hearing Program

8JAN2015 M https://armypubs.army.mil/epubs/DR_pubs/DR_a/pd f/web/p40_501.pdf

DA PAM 40-11, Preventive Medicine 18MAY2020 M https://armypubs.army.mil/epubs/DR_pubs/DR_a/pd f/web/p40_11.pdf

DA PAM 40-503, Medical Services, The Army Industrial Hygiene Program

2APR2013 M https://armypubs.army.mil/epubs/DR_pubs/DR_a/pd f/web/p40_503.pdf

UFC 3-410-01FA, Heating, Ventilating, and Air Conditioning Systems

1NOV2019. A https://www.wbdg.org/FFC/DOD/UFC/ufc_3_410_0 1_2013_c5.pdf

Threshold Limit Values (TLVs) and Biological Exposure Indices (BEIs), American Conference of Governmental Industrial Hygienists

(ACGIH)

Current Ed. A https://www.acgih.org/forms/store/ProductFormPubli c/documentation-of-the-threshold-limit-values-and-biological-exposure-indices-7th-ed

Industrial Ventilation – A Manual of Recommended Practice for Design, ACGIH

Current Ed. A https://www.acgih.org/forms/store/ProductFormPubli c/industrial-ventilation-a-manual-of-recommended-practice-for-design-30th-edition

American National Standards Institute (ANSI)/International Safety Equipment Association (ISEA) Z358.1-2014, Emergency Eyewash and Shower Equipment.

2014 A https://www.gesafety.com/downloads/ANSIGuide.pd f https://www.osha.gov/laws-regs/regulations/standardnumber/1910 https://www.osha.gov/laws-regs/regulations/standardnumber/1910 https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/605501p.pdf https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/605501p.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r40_5.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r40_5.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16777_ARN16343_AR385_10_FINAL.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16777_ARN16343_AR385_10_FINAL.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16777_ARN16343_AR385_10_FINAL.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_501.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_501.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_11.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_11.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_503.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_503.pdf https://www.wbdg.org/FFC/DOD/UFC/ufc_3_410_01_2013_c5.pdf https://www.wbdg.org/FFC/DOD/UFC/ufc_3_410_01_2013_c5.pdf https://www.acgih.org/forms/store/ProductFormPublic/documentation-of-the-threshold-limit-values-and-biological-exposure-indices-7th-ed https://www.acgih.org/forms/store/ProductFormPublic/documentation-of-the-threshold-limit-values-and-biological-exposure-indices-7th-ed https://www.acgih.org/forms/store/ProductFormPublic/documentation-of-the-threshold-limit-values-and-biological-exposure-indices-7th-ed https://www.acgih.org/forms/store/ProductFormPublic/industrial-ventilation-a-manual-of-recommended-practice-for-design-30th-edition https://www.acgih.org/forms/store/ProductFormPublic/industrial-ventilation-a-manual-of-recommended-practice-for-design-30th-edition https://www.acgih.org/forms/store/ProductFormPublic/industrial-ventilation-a-manual-of-recommended-practice-for-design-30th-edition https://www.gesafety.com/downloads/ANSIGuide.pdf https://www.gesafety.com/downloads/ANSIGuide.pdf

ANSI/American Society of Heating, Refrigerating and Air-Conditioning Engineers, Inc. (ASHRAE) 55-2020, Thermal Environmental Conditions for Human Occupancy.

2020 A https://www.ashrae.org/File%20Library/

Technical%20Resources/Standards%20 and%20Guidelines/Standards%20Adden da/55_2013_b_20141209.pdf

ANSI/ASHRAE 62.1-2019, Ventilation for Acceptable Indoor Air Quality.

2019 A https://www.ashrae.org/technical-resources/bookstore/standards-62-1-62-2

Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors

7MAR2014 M https://armypubs.army.mil/ProductMaps/PubForm/A rmyDir.aspx

AR 25-2

Army Cybersecurity

4APR2019 M http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 530-1

Operations Security

26SEP2014 M http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 525-13

Antiterrorism

9DEC2019 M http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 381-12

Threat Awareness and Reporting Program (TARP) (Section II, ¶ 2-4.b)

1JUN2016 M http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

6.2 Applicable Forms: Forms applicable to the PWS are listed below:

Form Date Website

DD 441

Department of Defense Security Agreement

FEB2020

http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving Report

AUG2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/ https://www.ashrae.org/File%20Library/Technical%20Resources/Standards%20and%20Guidelines/Standards%20Addenda/55_2013_b_20141209.pdf https://www.ashrae.org/File%20Library/Technical%20Resources/Standards%20and%20Guidelines/Standards%20Addenda/55_2013_b_20141209.pdf https://www.ashrae.org/File%20Library/Technical%20Resources/Standards%20and%20Guidelines/Standards%20Addenda/55_2013_b_20141209.pdf https://www.ashrae.org/File%20Library/Technical%20Resources/Standards%20and%20Guidelines/Standards%20Addenda/55_2013_b_20141209.pdf https://www.ashrae.org/technical-resources/bookstore/standards-62-1-62-2 https://www.ashrae.org/technical-resources/bookstore/standards-62-1-62-2 http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm https://www.esd.whs.mil/Directives/forms/dd0001_0499/

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

PWS

Paragraph

Task Performance

Standard

Acceptable

Quality

Levels (AQL)

Surveillance

Method / By

Whom

1.1 The contractor shall contact

On-site Point of Contact:

State OHN Ms. Kimberly S.

Bland at (615) 267-7128 and IHT SFC Desiree

Harris at (615) 267-7115 x

7115 within 30 days of contract award date to schedule site visit

The contractor shall perform this step

100% of the time.

.5% failure to perform this task.

Periodic

Inspection –

RIHS office will review monthly.

1.1 The contractor shall contact

RIHS office before starting site survey with EXACT dates and time that each facility is surveyed

The contractor shall perform this step

100% of the time.

3% failure to perform this task.

Periodic Inspection

– RIHS office will review monthly.

5.1.2 The contractor will

document the need for breathing zone sampling for all airborne hazards present due to the presents of maintenance activities within the readiness center.

The contractor shall perform this step

100% of the time.

3% failure to perform this task.

Periodic Inspection

– RIHS office will review monthly.

5.1.3 The selected contractor shall

properly document the existing engineering, administrative and personal protective equipment used in each process

The contractor shall perform this step

100% of the time.

3% failure to perform this task.

Periodic Inspection

– RIHS office will review monthly.

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

IH Survey Report Provide within 90 calendar days from contract award date

1 Electronic Submission to RIHS mailbox

RIHS

1.4.5.3 AT Level 1

Awareness

Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.4 iWATCH Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.11 OPSEC

Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.12 OPSEC

Level II

Certification for

OPSEC

Coordinator

Provide NLT 15 days after employees completed certification

1 Electronic Submission

COR

1.4.5.12 TARP

Training

Certificates

Provide within 15 calendar days after training completion.

1 Electronic Submission

COR

1.4.10 Identification

Media

Return within 14 days of employee’s departure from contract performance.

Original(s) Hard Copy KO

Facility Information Table

Provide within 90 calendar days from contract award date

1 per facility

Attachment within IH

Survey report

RIHS

Hearing Conservation

Letter

Provide within 90 calendar days from contract award date.

1 per employee

Attachment within IH

Survey report

RIHS

DD 2214

NGB version 1

Provide within completed reports

1 Original(s) Hard Copy

RIHS

Laboratory Analysis

Provide within completed reports

1 Original(s) Hard Copy

RIHS

Exhibit 1: Equipment Request Form (ERF)

Submit request form at least 2 weeks prior to date equipment is needed

Return all equipment no later than 30 days after receipt

Location of Survey: ______________________________ Contract #: W912JM-2_-P-________

Type of Facility: ____________________________________ Number of Locations: ________

Requested By: _________________________________________________________________

Company Name: _______________________________________________________________

Phone #: __________________________ Email: ____________________________________

Date ERF Submitted: ___________________ Date Equipment Needed: ___________________

Last Day of Survey:________________ Date Equipment Will be Returned: _________________

Equipment # Media #

Air Velocity Meter MCE Asbestos Cassette

Light Meter MCE Cassette

Noise Dosimeter Pre-weighted PVC Cassette

Noise Dosimeter Calibrator IOM Sampler w/PVC filter

Sound Level Meter Anasorb Sorbent Tube

Sound Level Meter Calibrator Charcoal Sorbent Tube

IAQ Meter (CO, CO2, RH and Temp) Silica Gel Sorbent Tube

Air Sampling Pump Passive Badges (list Organics)

Air Sampling Pump Charger

Air Sampling Pump Calibrator

Cassette Holder Wipe Media

Sample Tubing Ghost Wipe (Metals)

IOM Calibrator PVC Wipes (Hex Chrome)

Aluminum Cyclone and Calibrator Tubes & Caps

Lead Check Swabs

Batteries will be included for requested equipment

Exhibit 2: Regulatory Programs Review

Program Standard/Guidance Applies Program Documents Reviewed

OSHA Standard Chemicals

29 CFR 1910.1001

29 CFR 1910.1025

29 CFR 1910.1026

29 CFR 1910.1027

29 CFR 1910.1028

29 CFR 1910.1052

If Yes, specify

Hazard Communication (HAZCOM) 29 CFR 1910.1200

Electro-Magnetic Frequency (EMF) 29 CFR 1910.97

Respiratory Protection

29 CFR 1910.134

AR 11-34

Compressed Breathing Air (Supplied Air Respirators)

29 CFR

1910.134(i)(1)(ii)

Grade D Air Testing

Noise

29 CFR 1910.95

DA PAM 40-501

Lasers

29 CFR 1910.1096

DA PAM 40-506

Ionizing Radiation 29 CFR 1910.1096

Permit-Required Confined Space 29 CFR 1910.146

Bloodborne Pathogens 29 CFR 1910.1030

Add other Programs

Exhibit 3: Process Personal Protective Equipment Inventory

Type of PPE PPE Codes Comments (MFG, Model, NRR, etc.) Process(es)

Eye

Hearing

Hand

Clothing

Respirator

Additional PPE

Example

Type of PPE Comments Process(es)

Eye a 1, 4 and 8

Hearing g E.A.R. NRR=31 1, 4, 5, 6 and 8

Clothing/Hand a,g Tyvek=QC, Gloves = Best Viton 3, 5, and 9

Respirator a,2 Manufacturer-3M Model 6122 w/ 6100 cartridge/P100

Eye and Hearing

Clothing and Hand

Protection

Respiratory

Protection

Protection

Process Number

a. Safety glasses or safety goggles

a. Tyvek suit

a. 1/2 faced

1. OV

1. Vehicle Maintenance

b. Chemical splash goggles b. Long-sleeved shirt b. Full face 2. OV w/ prefilter 2. Welding Operations

c. Non-ventilated goggles c. Tyvek hood c. Hood 3. Pesticide 3. Parts Cleaning

d. Face shield d. Cloth hood d. Helmet 4. N95 4. Sanding/Grinding

e. Welding goggles e. Leather jacket or vest e. Powered air PR 5. P100 5. Spray Painting

f. Welding helmet f. Chemical resistant apron f. Supplied air 6. Cont. Flow 6. Abrasive Blasting

g. Single hearing Protection g. Chemical resistant gloves g. SCBA 7. Press Demand 7. Soldering

h. Double hearing protection h. Barrier creams h. Other 8. Escape bottle 8. Woodworking

i. Heat resistant gloves 9. Other 9. Battery Maintenance

j. Cryogenic gloves

k. Other

Exhibit 4: ARNG Shop Local Exhaust Ventilation Memorandum

Ver. June 2021

Exhibit 5: Example of Operation Description Format for Reports

Sample Process Description

CSMS Spray Painting Operation. The Paint Shop contained a large downdraft booth and was located adjacent to the vehicle maintenance bays in the “E” Wing of the CSMS. The dimensions of the booth were approximately 17.5 feet wide (17.5’ W), 40 feet long (40’ L), and 12.5 foot height (12.5’ H). Vehicle sized swing hinge doors were installed at each end of the booth and four human entry/exit doors were approximately 3’W X 7’H. Two full time painters were assigned and reported that at the current workload they were required to paint for a duration of approximately four hours, two to three days per week.

Exhaust Ventilation. See Exhibit 6 for the recommended average for cross sectional air velocity in large paint booths by per minute (fpm). The paint booth at the CSMS had an average cross-sectional velocity of 64 fpm which did not meet the standard and one side of the booth performed much better than the other. Smoke testing demonstrated that the ventilation system was somewhat effective for removing air from the booth. The system should be serviced and balanced. Regular servicing and lubrication of belts, moving parts, and filtering systems will extend the life of the equipment and ensure effective performance.

Booth Pressure. The booth relative to the adjacent workspace was under the desired slight negative pressure. The ACGIH Ventilation Manual, Paragraph 13.75, explains that maintaining the paint booth under slight negative pressure will reduce the potential of toxic paint vapors escaping the booth into adjacent work areas.

Pressure Gauge (Manometer). Manometers were installed on the booth supply and exhaust filter banks to show the pressure drop as required by the OSHA 29 CFR 1910.94(c)(7)(iii)[b]. The manometers needed fluid, to be zeroed, and to be marked correctly.

Hazards and Assessments.

Air Sampling. The chemical agent resistant coating (CARC) applied during this survey contained isocyanates, acetone, and iron oxide pigmentation. Air sampling was performed on two personnel. Air sampling location, duration, and results are provided in Appendix X, Tables X-1 and X-2. All sampling results calculated as an 8-hour time weighted average concentration (TWA8) met published standards.

Sound Pressure Levels. A sound level meter was used to measure the pressure levels in the booth during spray painting and all levels were found below the Army criterion threshold level of 85 dBA and are presented in Appendix X.

Personal Protective Equipment (PPE). Personnel donned disposable coveralls (Tyvek), gloves, and supplied airline respirators.

Emergency Equipment. An emergency eyewash and shower unit were provided next to the paint mixing area. The unit was documented as inspected weekly and provided tepid flushing fluid as recommended by ANSI/ISEA Z358.2014, Emergency Eyewash and Shower Equipment.

Exhibit 6: Deficiency Log NGB Southeast Region IH Office Facility Hazard Abatement Log

Enter Facility Name Deficiency Report - Enter Survey Date

Reported Deficiency

Description/Comments Regulatory or Applicable Guidance

Assigned RAC Recommendati on

Status

Exhibit 7: Facility Information

Facility Name

Facility Type

Old Facility name

Facility Status

Facility Size (Approx.)

Facility Personnel #

Unit

Facility Address

Work days

Work Hours

Maintenance Bays #

# Admin Personnel

# Maintenance Personnel

Battery Charging YES or NO

Paint/Spray Booth YES or NO

Brakes replacement YES or NO

Sheet metal work YES or NO

Welding YES or NO

Soldering YES or NO

Other

Exhibit 8: Health Risk Assessment Codes Assigning risk assessment codes

a. During completion of the worksite survey, identify shop deficiencies evaluated in terms of compliance with Federal standards, Service specific regulations, authoritative standards and recommended practices.

Each deficiency shall be assigned a risk assessment code (RAC) based on the type of risk: health, noise, safety or ergonomic. Once a RAC is assigned for each deficiency, recommendations are made for corrective actions and included in the spreadsheet provided for placement into the shop hazard abatement plan or its equivalent.

(1) Health risk assessment code. In calculating a health RAC, four criteria are used: exposure conditions, medical conditions, exposure duration, and number of personnel exposed (or specified similar exposure group (SEG)).

(2) Noise risk assessment code. A noise RAC can be determined for either steady-state or impulse noise exposures. The exposure level, long-term frequency (consistency), and number of personnel exposed (or specified SEG) are the criteria used to calculate the RAC.

DERIVING RACs FOR CHRONIC HAZARDS Department of Defense Instruction 6055.01, Appendix to Enclosure 3 Department of Defense Safety and Occupational Health Program, 14 July 2020.

DETERMINING RACs

1. DETERMINING RACs FOR SAFETY AND FIRE HAZARDS. Use the matrix in Table 1 to determine the RACs for safety and fire hazards.

Table 1. RAC Matrix

Hazard Severity Mishap Probability

Description

Code

A Likely to occur immediately

B Probably will occur in time

C Possible to occur in time

D Unlikely to occur

Death, permanent total disability, or loss of facility or asset

I

Critical

Critical

Serious

Minor

Permanent partial disability or major property damage

II

Critical

Serious

Moderate

Minor

Lost workday injury or compensable injury, or minor property damage

III

Serious

Moderate

Minor

Negligible

Injury involving first aid or minor supportive medical treatment, a minimal threat to personnel or property, or a violation of a standard

IV

Minor

Minor

Negligible

Negligible

2. DETERMINING RACs FOR CHRONIC HAZARDS. Use the Table 1 matrix and descriptions in Tables 2 through 8 to determine the RAC for chronic hazards.

a. Determining the HHSC. The HHSC reflects the magnitude of exposure to a single physical, chemical, or biological agent and the effects of chronic exposure.

(1) Use the procedures in Tables 2 and 3 to assess exposure points.

(2) Total the exposure points assessed in Tables 2 and 3.

(3) Use Table 4 to determine the HHSC based on the total points assessed.

Table 2. Exposure Points Assessed

Alternate Exposure Route?

Exposure Condition

95th percentile < 0.1 occupational exposure limit (OEL)

95th percentile between

0.1 OEL

and 0.5 OEL

95th percentile between

0.5 OEL

and OEL

95th percentile

> OEL

No 0 3 5 7

Yes 1 – 2 4 6 9

Table 3. Medical Effects Points Assessed

Condition Points

No medical effect, such as nuisance noise and nuisance odor 0

Temporary reversible illness requiring supportive treatment, such as eye irritation and sore throat

1 – 2

Temporary reversible illness with a variable but limited period of disability, such as metal fume fever

3 – 4

Permanent, non-severe illness or loss of capacity, such as permanent hearing loss 5 – 6

Permanent, severe, disabling, irreversible illness, such as asbestosis, lung cancer, or death 7 – 8

Table 4. Determining the HHSC

Total Points (sum of exposure and medical effects points) HHSC

13 – 17 I

9 – 12 II

5 – 8 III

0 – 4 IV

b. Determining the Effect Probability Category (EPC). The EPC is a function of the duration and frequency of exposure and the number of exposed personnel.

(1) Use the guides in Tables 5 and 6 to assess the frequency and duration of exposure points assessed.

(2) Sum the points in Table 5 for exposure duration and exposure frequency, divide by 2, then round up. Add those points with the exposed personnel points assessed in Table 6.

(3) Use Table 7 to determine the EPC for chronic hazards based on the points totaled from Tables 5 and 6.

Table 5. Duration and Frequency of Exposure Points Assessed

Points

Exposure Duration

> 8 hrs/day

6-8 hrs/day

4-6 hrs/day

2-4 hrs/day

1-2 hrs/day

30-60 min/ day

15-30 min/ day

0-15 min/ day

Points

Exposure Frequency

Daily

2-3…