Attachment 0009 - Draft PWS 9 Occupational Health.pdf

DRAFT

OCCUPATIONAL HEALTH CLINIC/INDUSTRIAL HYGIENE

PERFORMANCE WORK STATEMENT (PWS) 9

Attachment 0009 December 2024

1. OBJECTIVE: The contractor shall maintain and operate an occupational health, industrial hygiene, and safety program in accordance with applicable Federal, State, and Local regulations.

LEGAL APPLICABILITY OF STANDARDS: The contractor and its employees shall comply with the federal regulatory standards distributed by Occupational Safety and Health Administration (OSHA) in Title 29, Code of Federal Regulations (CFRs) at all nonmilitary-unique operations and workplaces, and with regulatory requirements of part 20 of Title 10, CFR, part 1040 and sections 1040.10 and 1040.11 of Title 21, CFR. The contractor shall submit an annual certification statement verifying they are complying with Federal, State, and local statutes and regulations, directives, and guidance governing occupational and environmental health (CDRL K001).

2. EXPOSURE STANDARDS: The OSHA permissible exposure limits shall be used as exposure standards except where the American Conference of Governmental Industrial Hygienists threshold limit values are more stringent. Exposure standards and criteria shall be used to determine the need for medical monitoring, occupational health screening, and the need for protective equipment and/or reducing the exposure through design engineering in accordance with (IAW)DA PAM 40-11, 5-2d. The contractor shall provide results of direct monitoring as described in paragraph four (4) to the medical director who will establish the appropriate bio-surveillance program for affected employees of any discovered occupational or environmental exposure risk.

(CDRL K002)

The goal is to protect workers from known and emerging hazards as determined from the best science available. The exposure standards, as defined above, define when an exposure is significant enough to warrant continued medical surveillance, appropriate medical monitoring, and worker protection methods. Elimination of the hazard through improved design engineering is always the preferred hazard reduction method, but it is recognized that this is not always feasible. When that is the case, approved personal protective measures shall be used. Supporting documentation include calibration certificates for monitoring equipment, training records for personnel conducting exposure monitoring, reports for occupational exposure data.

3. INDUSTRIAL HYGIENE (IH): The services of an industrial hygienist shall be used to evaluate and monitor workplace exposure hazards. The industrial hygienist must currently or actively be pursuing certification as a Certified Industrial Hygienist (CIH) through the American Board of Industrial Hygiene. CIH requirement will be obtained within five (5) years of hiring/contracting an industrial hygienist. (CDRL K003)

Industrial hygienists shall conduct comprehensive evaluations of all potential health hazards in each workplace and ancillary facilities no later than six (6) months after operational control (CDRL K004). Should working conditions change or a new process implemented, the contractor will have 30 days to ensure that workers are not exposed

PERFORMANCE WORK STATEMENT (PWS) 9

Attachment 0009 to recognized physical, chemical, or biological hazards that could cause death or illness IAW 29 CFR 1910. Supporting documentation include the following:

A. Hazard assessment report: identifying potential chemical, physical, biological, and ergonomic hazards at the worksite.

B. Exposure monitoring reports: documenting sampling results for airborne contaminants, noise, or other occupational hazards.

C. Control measures plan: recommendations for engineering controls, or personal protective equipment (PPE) to mitigate hazards.

D. Incident/Exceedance reports: summaries of any exceedances of exposure limits, root cause analysis, and corrective actions taken.

E. Regulatory compliance audits: evidence of adherence to OSHA, ACGIH TLVs/BEIs, and other applicable standards.

F. Worker training records: confirmation that employees have been trained in industrial hygiene protocols, including the use of PPE and understanding of potential hazards.

4. For each health hazard in each workplace, a professional judgment shall be made as to the health risk associated with its use. In many cases, this judgment can be made by reviewing the chemical and physical characteristics of a material and the manner in which it is being used. Material safety data sheets, described in DoD Instruction 6050.05, DoD Hazard Communication Program, are valuable in this regard. In certain instances, sampling may be necessary to ascertain potential exposures. Regardless of the techniques used, the result shall be a definite determination as to the presence, absence, or degree of health hazard from the use of that chemical, biological, or physical agent. Only industrial hygienists, qualified occupational health personnel, or technicians under the supervision of industrial hygienists, shall perform those workplace evaluations. Monitoring shall meet the requirements of applicable OSHA standards or approved Department of Defense (DOD) alternate or supplemental standards. Affected DOD personnel or civilian employee representatives shall be advised of the monitoring procedures and have access to the results.

4.1 The results of those efforts should form the basis for an overall assessment of the health hazards in each workplace. This assessment can be used to assign priorities for abatement actions, to schedule future surveys, to require personal protective equipment, and to provide a basis for determining the requirement and scope of periodic medical surveillance of workers in collaboration with the Occupational Medicine Program Medical Director.

4.2 The contractor shall provide respirator fit testing for government personnel in accordance with current OSHA standards.

PERFORMANCE WORK STATEMENT (PWS) 9

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4.3 Contractor employees, subcontractors and tenants performing or supporting DOD operations of the Hawthorne Army Depot are permitted to receive government provided vaccines. The contractor is authorized to administer the vaccines provided to Contractor, subcontractor, tenant and Government personnel.

5. The Contractor shall maintain the following standards, as a minimum, for a clinic operated on the Hawthorne Army Depot IAW DA PAM 40-11.

5.1 The Contractor Occupational Health Clinic will establish and maintain a Clinical Quality Management Program (CDRL K005) to include, but not limited to, how the Contractor will manage and maintain risk management procedures, auditing for and correction of medical errors, annual reviews and updating of clinic medical directives and Standard Operating Procedures (SOPs), medication inventory and use, a peer review process that includes medical record audits, medical record reviews, system for ensuring appropriate credentialing/certification and licensure for medical providers, and a system to ensure that medical equipment is maintained and calibrated.

5.2 Credentials and Training: All clinical staff providing patient care shall maintain appropriate professional certificate/state licensure (CDRL K006). Clinical providers shall maintain certification in basic life support (BLS) including automatic external defibrillator (AED) use through either the American Red Cross or the American Heart Association.

Physicians and all clinic personnel conducting drug testing shall receive training in collection methods and interpretation of drug testing results. Certification in Advanced Cardiac Life Support and Advanced Trauma Life support is strongly recommended for physicians. Government Safety Staff shall be given unrestricted read only access to review the Operating Contractor/subcontractor databases, archived records, and information repositories of all data related to past, and present HWAD Operations related to the PWS. Access includes, but is not limited to blueprints, drawings, operating procedures, maintenance procedures, management manuals, reports, letter log/correspondence files, and plant protection standards. Hard copies and/or electronic copies shall be made available upon request.

5.3 Emergency Medical Treatment: Personnel with job-related illnesses and injuries shall be offered appropriate medical emergency care. Related follow-up care for employees shall be offered in accordance with applicable State worker compensation rules and Federal Law.

5.4 Patients’ Rights: Protection of patient’s dignity and confidentiality are maintained.

Patient’s right to information about their medical condition/test results are maintained and patient’s right to refuse treatment or change providers is addressed IAW 5 CFR 297.

5.5 Medical Record Management: Patient/employee medical records shall have a standard format and be legible. All records shall be stored in a secure manner and made accessible to the government upon request IAW 5 CFR Part 297.

PERFORMANCE WORK STATEMENT (PWS) 9

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5.6 Develop and implement procedures for addressing adverse health outcomes such as, abnormal labs, x-rays, and other tests.

5.7 Develop and implement procedures for a Drug Testing Program in compliance with Federal and State regulations.

5.8 Provide pregnancy counseling, surveillance, and protection of a pregnant worker.

5.9 Provide work related immunizations. Immunizations may be required as a condition of employment, either to protect the employee from a potential adverse exposure or to ensure that the employee is not a risk to others in the course of their employment.

5.10 Provide patient education and counseling concerning identified health risks.

Medical personnel and/or safety personnel must inform workers receiving occupational medical examinations of any specific health risks present in the work environment.

Information must include hearing and vision protection, repetitive motion, back injury prevention, personal protective equipment, and abnormal lab values.

5.11 The Contractor shall develop and comply with a written an Occupational Health Program (CDRL K007). The program shall describe how the Contractor will ensure its facility will comply with the Occupational Health requirements. In addition, the contractor shall develop and implement an Infection Control/Bloodborne Pathogen Program IAW 29 CFR 1910.1030, Ergonomics Program, Hearing Conservation Program, Vision Conservation Program and Respiratory Protection Program.

5.12 The contractor shall provide information and support for all Occupational Health taskers received from higher headquarters. In addition, the HWAD Government Safety Staff will set internal suspense dates for submission of taskers.

PERFORMANCE WORK STATEMENT (PWS) 9

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DOCUMENT SUMMARY LIST

The contractor shall work with the Hawthorne Army Depot (HWAD) Administrative Contracting Officer (ACO) to identify any changes to the references or any applicable regulations or laws, which may affect process, cost, and/or schedule. The ACO will review and provide implementation guidance.

The Contractor shall adhere to the most recent version of the Army Regulations (AR) cited in this PWS. Chapter and page numbers are provided for convenience, but do not absolve the Contractor of complying with all other applicable parts of the AR. If the ARs are updated during performance, the Contractor is responsible for meeting the new requirements as they take effect. Any such Army Regulation changes during the contract period shall be incorporated.

Document Document Title Doc. Date

29 CFR 1910 Occupational Safety and Health Standards (01 JUL 2013) https://www.gpo.gov/fdsys/granule/CFR-2013-title29-vol5/CFR-2013-title29-vol5-part1910 10 CFR 20 Standards for Protection against Radiation (01 JAN 2016) https://www.gpo.gov/fdsys/granule/CFR-2016-title10-vol1/CFR-2016-title10-vol1-part20 21 CFR 1040 Performance Standards for Light-Emitting Products (01 APR 2012) https://www.gpo.gov/fdsys/granule/CFR-2012-title21-vol8/CFR-2012-title21-vol8-part1040 DA PAM 40-11 Preventive Medicine (18 May 2020) https://armypubs.army.mil/ProductMaps/PubForm/PAM.aspx DODI 6050.05 DoD Hazard Communication (HAZCOM) Program (10 June 2019) http://www.esd.whs.mil/Directives/issuances/dodi/ 5 CFR 297 Privacy Procedures for Personnel Records eCFR: 5 CFR Part 297 -- Privacy Procedures for Personnel Records