SOW Biohazardous Medical Waste Disposal.pdf

STATEMENT OF WORK

Biohazardous Medical Waste Disposal

SERVICE PROGRAM: The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and services necessary for the pickup, transportation, and disposal of packaged medical waste generated from the 55th Medical Group (Ehrling Bergquist Clinic, and the Veterinary Clinic), Offutt AFB, Nebraska. The contractor shall perform these services in accordance with applicable federal, state, local laws and DOD/Air Force Regulations (i.e.: 40 CFR Parts 260-280, 49 CFR, 29 CFR, AFI 32-7042, AFI 32-7086, etc.). The contractor shall be a Nebraska registered/permitted medical waste hauler. The method of disposal shall be incineration or any other State of Nebraska approved regulated medical waste disposal method (Autoclave/pulverize, microwave/pulverize, etc.). Treated waste will then be taken to an approved/licensed landfill. Medical waste to be disposed of includes the following: cultures and stocks, pathological wastes, human blood and blood products, sharps, isolation wastes, and outdated drugs. The contractor shall provide the Facility Management Office (55 MDSS/SGSLF) with a copy of incinerator permits and medical waste transporter licenses within 30 days after beginning services. The company performing services under this contract shall have been in the medical waste disposal business for a minimum of the past two years.

1. COLLECTION CONTAINERS. The contractor shall provide clean/disinfected, rigid, puncture resistant, leak- proof, moisture impervious, strong enough to prevent tearing or bursting under normal conditions of use and handling, sealable, and Department of Transportation (DOT) approved biohazard waste containers at time of each pick-up. Each container will also be marked with the biohazard symbol in accordance with OSHA regulations in 29 CFR 1910.1030. The transport container (truck) shall be state licensed; as well as, marked and placarded in accordance with federal and state regulations for transportation.

2. ROUTINE PICK-UP SCHEDULE. The contractor shall pick-up the filled biohazard waste containers at Ehrling Bergquist Clinic on Friday between the hours of 0730 and 1600 (excluding federal holidays). Any deviations from this schedule must be approved by the Contracting Officer and the Facility Management Office/SGSM. Biohazard waste located at the Veterinary Clinic, 403 Butler Blvd, BLDG 490, Offutt AFB, NE 68113 will be picked-up bi- monthly.

3. RECOGNIZED HOLIDAYS. The contractor is not required to provide services on any federal holidays.

4. EMERGENCY/CONTINGENCY COLLECTIONS. Contractor shall provide out-of-cycle emergency collection services, as required, to meet unforeseen medical contingencies, disasters, or clinic expansion.

Expected frequency for this service is undetermined.

5. INVOICE/CERTIFICATE OF DISPOSAL. The contractor shall provide the Facility Management Office/SGSM with an invoice/certificate of disposal for each shipment of medical waste autoclaved/incinerated within 45 days of waste pick-up. The invoice/certificate of disposal shall include the date, weight, quantity and type of containers, site, and manifest number for each shipment; as well as, the customer's name, address, and account number.

6. OTHER DOCUMENTATION. The contractor shall provide Facility Management Office/SGSM with a certification that scales used to weight the collection/storage container are state certified, and a certification on how often the scales are calibrated and how the tare weight for each shipment is established. These certifications shall be provided within 30 days after beginning services.

7. CONTRACTOR EMPLOYEES. Shall present a neat appearance and be easily recognized as a contract employee. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges, which contain the company name and employee name.

a. The contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest, nor shall the Contractor employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DODD 5500-7 (for military) AF Policy. In addition, the contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be a contrary to the policies contained in AFI 64-106. The contractor is cautioned that off duty active military personnel hired under this contract may be subject to permanent change of station (PCS) change in duty hours or deployment. Military Reservists and National Guard members may be subject to recall to active duty. The abrupt absence of these personnel could adversely affect the contractor's ability to perform. Their absence at any time shall not constitute an excuse for nonperformance under this contract. The contractor shall provide all training necessary to perform the work as defined in this statement of work (SOW). Training shall not hamper the quality or timeliness of daily work requirements.

b. The contractor shall verify that all his/her employees understand the risk involved with medical waste and are trained in specific procedures to handle spills occurring in any facility located at Offutt AFB, in route to his/her facility, and at his/her facility.

8. REPORTING INSTRUCTIONS: Before beginning and upon completion of any scheduled or unscheduled service call visit, the contractor's service representative will contact a representative of Housekeeping at (402) 294- 6659 or cell phone (402) 232-9010. Housekeeping is located Ehrling Bergquist Clinic, 2501 Capehart Road, Bellevue, NE 68113, on the ground floor, North Wing. Access to the clinic during heightened security may be hampered. The vendor shall hold the government harmless for delays caused by security. The two normal ways to access the facility will be to arrive at the entrance and call (402) 294-4615 or (402) 294-9300 for an escort, or to apply for a contractor's badge through the 55th Security Forces squadron (recommended if accessing more than once per month). The Facilities shop will assist with either option upon award.

9. PHYSICAL SECURITY. The contractor shall be responsible for safeguarding all government property provided for contractor use. At the close of each work period, government facilities, equipment and materials shall be secured.

10. KEY CONTROL. The contractor shall establish and implement methods of ensuring that all keys issued to the contractor by the government are not lost or misplaced and are not used by unauthorized persons. No keys issued to the contractor by the government shall be duplicated. The contractor shall develop procedures covering key control.

c. The contractor shall report the occurrences of a lost or duplicated key to the Contracting Officer within one workday.

d. In the event keys are lost or duplicated, the contractor will be required, upon direction of the Contracting Officer, to re-key or replace the affected lock or locks; however, the government, at its option, may replace the affected lock or locks or perform re-keying. When the Government performs the replacement of locks or re-keying, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor.

e. The contractor shall prohibit the use of keys issued by the Government by any persons other than the contractor's employees. The contractor shall prohibit the opening of locked areas by the contractor's employees to permit entrance of persons other than contractor's employees engaged in the performance of assigned work in those areas.

11. SAFETY: The contractor and contractor representatives shall comply with Air Force safety standards at all times while on government property. In accordance with AFI 91-202, AFMAN91-203, AFI 91-207 and Federal Occupational, Health and Safety agency (OSHA) standards, safe working practices shall be followed. These include, but are not limited to:

a. Wearing of seatbelts/shoulder harnesses at all times while driving on Offutt AFB.

b. Observe maximum speed limits, 25 MPH unless otherwise posted, on Offutt AFB (i.e.: 10mph in parking lots).

c. Comply with the no smoking policy within 55th Medical Group.

d. Report any problems with building utilities such as blown circuit breakers and defective/broken electrical receptacles to Facility Management.

e. Comply with all 55th Medical Group Safety and Fire Regulations.

12. LIABILITY: The contractor will be held professionally liable for errors and/or omissions during the performance of this contract.

13. DEFINITIONS OF WASTE. Medical waste to be destroyed shall include the following categories:

f. Cultures and stocks. Cultures and stocks of infectious agents and associated biologicals; waste from the production of biologicals; discarded live and attenuated vaccines; and culture dishes and devices used to transfer, inoculate, and mix cultures.

g. Pathological wastes. Human pathological wastes, including tissues, organs, body parts, and body fluids that are removed during surgery or other medical procedures.

h. Human blood and blood products. Discarded waste human blood or blood components (e.g., serum and plasma) and materials containing free-flowing blood and blood components.

i. Sharps. Sharps that have been used in animal or human patient care and treatment or in medical and research laboratories, including hypodermic needles, syringes (with or without attached needle), Pasteur pipettes, scalpel blades, blood vials, test tubes, needles with attached tubing, and culture dishes (regardless of presence of infectious agents). Also included are other types of broken or unbroken glassware such as slides and cover slips.

j. Animal wastes. Contaminated animal carcasses, body parts, and bedding of animals that were known to have been exposed to infectious agents, production of biologicals, or testing of pharmaceuticals.

k. Isolation wastes. This category covers biological waste and discarded materials contaminated with blood, excretions, exudates, or secretions from humans who are isolated to protect others from certain highly virulent organisms, or isolated animals known to be infected with highly virulent diseases. Highly virulent diseases are those derived from class IV etiologic agents as defined by the Center for Disease Control.

l. Other. Non-hazardous chemotherapy wastes generated during the preparation and administration of chemotherapy drugs.

m. Outdated Drugs. Non-hazardous/Non-RCRA outdated drugs that may be autoclaved/microwaved/incinerated in accordance with federal and state regulations and landfill rules.

The contractor shall provide all training necessary to perform the work as defined in this statement of work (SOW). Training shall not hamper the quality or timeliness of daily work requirements.

n. The contractor shall verify that all his/her employees understand the risk involved with medical waste and are trained in specific procedures to handle spills occurring in any facility located at Offutt AFB, in route to his/her facility, and at his/her facility.