W9127Q23R012_PWS_IH Surveys_MSNG_230831.pdf

PWS_Industrial Hygiene Services

PERFORMANCE WORK STATEMENT (PWS)

FOR

Industrial Hygiene Services Mississippi Army National Guard (MSARNG) Facilities

31 August 2023

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Industrial Hygiene Services, as defined in this PWS.

1.1.1 Objectives: The contractor shall conduct a comprehensive industrial hygiene survey and prepare a comprehensive report for the specified facilities.

1.2 Background: The Regional Industrial Hygiene Southwest (RIHS) office 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 12 months.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0730-1730 hrs. 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 always 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. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Performance shall be at the facilities listed in the following table:

Table 1: MSARNG Facilities

Facility Type Facility Name Facility Address City State North Region

1 Army Aviation Support Facility

AASF Tupelo 2 305 West Jackson Street

Tupelo MS

2 Field Maintenance Shop FMS 1 1955 South Veterans Boulevard

Tupelo MS

3 Combined Support Maintenance Shop

CSMS 2 3152 James H.

Biddy Road

Grenada MS

4 Unit Training Equipment Site

UTES Grenada 3152 James H.

Biddy Road

Grenada MS

5 Field Maintenance Shop FMS 5 318 Scott Street Senatobia MS 6 Field Maintenance Shop FMS 6 1146 South

Beauchamp Street Greenville MS

Mid Region 7 Army Aviation Support

Facility AASF Jackson

365 Shop Street Jackson MS

8 Army Aviation Support Facility

AASF Meridian

1553 65th Avenue South

Meridian MS

9 Field Maintenance Shop FMS 2 2312 Highway 15 S

Louisville MS

10 Field Maintenance Shop FMS 3 182 Highway 84 East

Brookhaven MS

11 Field Maintenance Shop FMS 7 14271 Highway 15 South

Decatur MS

12 Field Maintenance Shop FMS 9 461 Highway 49 South

Richland MS

South Region 13 Ammunition Supply

Point ASP Camp Shelby

Building 5101 Grapevine Road

Camp Shelby

MS

14 Combined Support Maintenance Shop

CSMS 1 Building 85 Warehouse Avenue

Camp Shelby

MS

15 Field Maintenance Shop FMS 10 Bldg 3504 35th Street

Camp Shelby

MS

16 Maneuver Area Training Equipment Site

MATES Camp Shelby

Building 6800 15th Street

Camp Shelby

MS

17 United States Property and Fiscal Office

USPFO Building 6568 C Avenue

Camp Shelby

MS

18 Field Maintenance Shop FMS 4 4221 Hewes Avenue

Gulfport MS

19 Theater Aviation Sustainment Maintenance Group

TASMG 4715 Hewes Avenue

Gulfport MS

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 always carry proper identification with them 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 how 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 Reserved.

1.4.5.2 For contractors that do not require a 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 (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.3 All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I Awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 5 calendar days after completion of training by all employees and subcontractor personnel. AT level I Awareness training is available at the following website: http://jko.jten.mil. AT Level I training dates will be validated by the ARNG AT/OPSEC POC.

1.4.5.4 The contractor and all associated sub-contractors shall brief all employees on the local iWATCH Army program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 5 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award. The iWATCH training dates will be validated by the ARNG AT/OPSEC POC.

1.4.5.5 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.

1.4.5.6 Reserved.

1.4.5.7 Reserved.

1.4.5.8 Reserved.

1.4.5.9 Reserved.

1.4.5.10 Reserved.

1.4.5.11 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 5 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm. The OPSEC training dates will be validated by the ARNG AT/OPSEC POC.

1.4.5.12 Reserved.

1.4.5.13 Reserved.

1.4.5.14 Reserved.

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 Reserved.

1.4.8 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.

1.4.9 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, within 10 calendar days after award. 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.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 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 COR 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 Reserved.

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.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Reserved.

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 ABZ Air Breathing Zone ACGIH American Conference of Governmental Industrial Hygienist AFARS Army Federal Acquisition Regulation Supplement AIHA American Industrial Hygiene Association AQL Acceptable Quality Levels AR Army Regulation ARNG Army National Guard ASP Ammunition Supply Point ASTM American Society of Testing and Materials AT/OPSEC Antiterrorism/Operational Security AVCRAD Aviation Classification Repair Activity Depot CFR Code of Federal Regulations CIH Certified Industrial Hygienist CM Contract Manager COMSEC Communications Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative

CSMS Combined Support Maintenance Shop CUI Controlled Unclassified Information DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD/DD Department of Defense EPA Environmental Protection Agency FAR Federal Acquisition Regulation FMS Field Maintenance Shop FPCON Force Protection Condition GFP/M/E/S Government Furnished Property/Material/Equipment/Services HHSC Health Hazard Severability Code HIPPA Health Insurance Portability and Accountability Act of 1996 HQDA Headquarters, Department of the Army IAQ Indoor Air Quality IAW In Accordance With IH Industrial Hygiene IOM Institute of Medicine IV Industrial Ventilation KO Contracting Officer MATES Maneuver Area Training Equipment Site NG National Guard NGB National Guard Bureau OEL Occupational Exposure Limit OCI Organizational Conflict of Interest OCONUS Outside Continental United States (including Puerto Rico, Virgin Islands…) OSHA Occupational Safety and Health Administration PEL Permissible Exposure Limit POC Point of Contact PoP Period of Performance PPE Personal Protective Equipment PRS Performance Requirements Summary PVC Polyvinyl Chloride PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAC Risk Assessment Code 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 TLV Threshold Limit Value 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 government will furnish sample media supplies and materials necessary to complete the Industrial Hygiene surveys. The sample media/supplies request shall be submitted to the RIHS office two weeks prior to performing the survey. In turn, an approved laboratory will provide sampling media and supplies directly to the selected Contractor as a result of an approved request of the RIHS office.

3.3 Equipment: None

3.4 Services: The government will furnish analytical laboratory services via a government approved laboratory. .

3.5 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.

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 Paragraph 1.1.

5.0 Requirements:

5.1 Project Personnel Qualifications.

5.1.2 Field work must be performed by individuals who each have at least 3 years of industrial hygiene survey experience, and

5.1.3 Possess a baccalaureate, master’s, or doctoral degree from a regionally accredited college or university in chemistry; physics; a medical, biological, or physical science; or a related engineering OR are a Board for Global EHS Credentialing Certified Industrial Hygienist.

5.1.4 A Board for Global EHS Credentialing Certified Industrial Hygienist must approve all work performed by the industrial hygienists.

5.1.5 Project personnel resumes shall be submitted with proposal package for review and evaluation. Additionally, resumes for all proposed subcontractors must be provided for review with the proposal package. No subcontractor shall be used unless approved by the RIHS.

5.2 Inspection.

5.2.1 Buildings to be inspected are listed in Section 1.4.1. Contractor will have no more than 30 days from award to schedule the site visits through the MSARNG Points of Contact (POC).

5.2.2 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. See Technical Exhibit (TE) 3 for typical process at ARNG Maintenance Facilities

5.2.2.1 The contractor shall list all known potentially hazardous processes in the facility whether they are planned soon, currently operational, or previously occurred. Report the number of personnel performing the process, as well as the duration and frequency of each process.

Describe all equipment (grinders, saws, pneumatic tools, sanders, etc.) used in each process.

5.2.2.2 The contractor shall list any unknown potentially hazardous processes in the facility whether they are planned soon, currently operational, or previously occurred. Report the number of personnel performing the process, as well as the duration and frequency of each process. Describe all equipment (grinders, saws, pneumatic tools, sanders, etc.) used in each process.

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

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

5.2.4 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.

5.2.5 Evaluate each facility for applicable Army and OSHA specific programs (see TE 4). The evaluation shall include a determination that program documents exist and are readily available.

5.2.6 Workplace control evaluation. Properly document the existing engineering, administrative and personal protective equipment used in each process. Annotate noise reduction ratings for all hearing protection devices as well as the specific type of protective gloves used (see TE 5).

Contractor shall provide this information whether the process is or isn’t performed during the survey. When respiratory protection is identified, annotate the type of respirator (half-face, full-face, supplied air, etc.), type of respirator cartridge, respirator storage and the existence of respiratory protection program.

5.2.7 Ventilation survey.

5.2.7.1 All existing and operational ventilation systems shall be evaluated for compliance with OSHA, NGB or applicable standards/guidance (NGB vehicle exhaust rates are provided in TE 6).

5.2.7.2 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. Note any damaged or inoperable ventilation systems.

5.2.8 Air sampling.

5.2.8.1 To determine occupational exposure levels for Federal employees, conduct air breathing zone sampling to represent full-shift sampling when determining compliance with an 8-hour TWA. Full-shift sampling is defined as a minimum of the total time of the work shift less one hour. Every effort should be made to sample the segments 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 TWA or 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.

5.2.8.2 Personal air sampling for hexavalent chromium shall be conducted using an Institute of Medicine (IOM) sampler with polyvinyl chloride (PVC) filter.

5.2.8.3 The contractor shall submit a sample media request to the COR two weeks prior to the site survey, if air sampling is anticipated. The COR will obtain sample media with one of the government-approved laboratories listed in TE 7. Sample media shall be returned to the approved laboratory for analysis. Analysis will be at no additional cost to the contractor.

5.2.8.3.1 The contractor is responsible for shipping collected samples to the laboratory.

5.2.8.3.2 Any unused media shall be returned to the approved laboratory, or the contractor will be responsible directly for analytical costs.

5.2.9 Noise survey.

5.2.9.1 Conduct noise survey measuring sound levels using calibrated sound level meters and properly completing DD Form 2214 – Noise Survey (see TE 8). 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 on Federal employees, 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. Noise dosimetry shall be conducted for a minimum of 75% of the worker’s normally scheduled workday. The collected data will be used to obtain and provide results as an 8-hour TWA.

5.2.10 Illumination.

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

5.2.11 Lead contamination.

5.2.11.1 The contractor shall submit a sample media request to the COR two weeks prior to the site survey when surface lead dust sampling is required (See TE 7 for specific laboratory).

(i) Surface sampling shall be conducted IAW ASTM E1792 and ASTM E1728.

(ii) The contractor shall request analysis of lead using EPA Method 600/r-93/200 (modified), EPA SW-846 7000B from the appointed laboratory.

(iii) The contractor is responsible for shipping collected samples to the laboratory.

5.3 Reports.

5.3.1 Survey report. (a) At the contractor’s discretion, a draft report may be submitted to the COR for review. (b) All reports must be signed by a CIH and approved by the COR prior to invoicing.

5.3.1.2 Address report to the Shop Supervisor of each facility.

5.3.1.3 Name report files as: State_Facility_City_mm_yyyy (i.e., MS_AASF 1 Jackson_10_2023).

5.3.1.4 Do not collect or include social security numbers or birth dates on any documents or reports. The full name of the employee, facility name, and job title is sufficient to identify the employees and their exposure records will be updated with additional information by the occupational health nurse.

5.3.1.5 Include an employee notification letter for each employee who wore a noise dosimeter or air sampling pump/passive badge. The notification letter will provide the sample results as an 8-hour TWA or STEL (see TE9) . Calculate the UTL if there are at least six noise dosimetry or air sampling results for a SEG. (See TE10 THRU 12 for an example of the form and to calculate the noise RAC). The information on the form must be adapted depending on the results.

5.3.1.6 References. Only the references used in writing the report should be included in the reference section. Since publication dates may change, verify that the last published reference date is used.

5.3.1.7 Photographs. Include photographs of work processes, potential hazards, items of concern and identified deficiencies.

5.3.1.8 Laboratory Results. Include all laboratory reports in the report appendices.

5.3.1.9 Provide signed reports in PDF format to the RIHS Office mailbox at ng.ga.gaarng.mbx.rihse@army.mil.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or Advisory

Website

Federal Acquisition Regulation

M https://www.acquisition.gov/?q=browsefar

Defense Federal Acquisition Regulation Supplement

M http://www.acq.osd.mil/dpap/dars/dfarspgi/curren t/index.html or https://www.acquisition.gov/dfars Joint Travel Regulation (JTR)

M https://www.defensetravel.dod.mil/site/travelreg.c fm DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020)

M http://www.esd.whs.mil/Directives/issuances/dod m

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (Paragraph 9)

August 2013 M http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.

201-2.pdf

DoDM 5200.2 Procedures for the DoD Personnel Security Program (PSP)

04/03/2017 M https://www.esd.whs.mil/Directives/issuances/do dm/

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card (CAC)

09/09/14 (Change 1:

05/04/2018)

M https://www.esd.whs.mil/Directives/issuances/do di/

Homeland Security Presidential Directive

(HSPD)-12

Policy for a Common Identification Standard for Federal Employees and Contractors

08/27/2004 M https://www.dhs.gov/homeland-security-presidential-directive-12

DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs

01/29/2019 M https://www.esd.whs.mil/Directives/issuances/do di/

DoD 5400.11-R Department of Defense Privacy Program

05/14/2007 M https://www.esd.whs.mil/Directives/issuances/do dm/

DoDD 8140.01 Cyberspace Workforce Management

10/05/2020

M https://www.esd.whs.mil/Directives/issuances/do dd/

DoD 8570.01-M Information Assurance Workforce Improvement Program

12/19/2005 (Change 4:

11/10/2015)

M https://www.esd.whs.mil/Directives/issuances/do dm/

DoD 5220.22-M National Industrial Security Program Operating Manual

(NISPOM)

02/28/2006 (Change 2:

05/18/2016)

M https://www.esd.whs.mil/Directives/issuances/do dm/

Army Directive 2014-05 03/07/2014 M https://armypubs.army.mil/ProductMaps/PubFor m/ArmyDir.aspx

Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors

AR 25-2

Information Assurance

04/04/2019 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

AR 530-1

Operations Security

09/26/2014 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

AR 525-13

Antiterrorism

12/09/2019 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

AR 381-12

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

06/01/2016 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

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

07/14/2020 M https://www.esd.whs.mil/Portals/54/Documents/D D/issuances/dodi/605501p.pdf

AR 40-5, Medical Services, Preventive Medicine.

05/12/2020 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

AR 385-10, the Army Safety Program, 01/24/2017 M https://armypubs.army.mil/epubs/DR_pubs/DR_a /pdf/web/ARN16777_ARN16343_AR385_10_FIN AL.pdf

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

01/082015 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

DA PAM 40-11, Preventive Medicine

05/18/2020 M http://armypubs.army.mil/ProductMaps/PubForm/ AR.aspx

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

04/02/2013 M https://armypubs.army.mil/epubs/DR_pubs/DR_a /pdf/web/p40_503.pdf

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

11/11/2019 A https://www.wbdg.org/FFC/DOD/UFC/ufc_3_410 _01_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/ProductFormP ublic/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 Store - Industrial Ventilation: A Manual of Recommended Practice for Operation and Maintenance, 2nd Edition - ACGIH Portal

American National Standards Institute (ANSI)/International Safety Equipment Association

(ISEA) Z358.1-2014,

Emergency Eyewash and Shower Equipment.

2014 A ANSI Search

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%20and%20Guideline s/Standards%20Addenda/55_2013_b_20141209 .pdf

ANSI/ASHRAE 62.1-2022,

Ventilation for Acceptable Indoor Air Quality.

2022 A https://www.ashrae.org/technical-resources/bookstore/standards-62-1-62-2

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

Form Date Website I-9

Employment Eligibility Verification 10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security Agreement

Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving

Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/

Process PPE Inventory 2022 NA/Exhibit 5

DD Form 2214 Noise Survey 2000 NA/Exhibit 8

Hazard Abatement Log 2022 NA/Exhibit 10

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).

Performance

Objective Performance Standard Acceptable Quality

Levels (AQL) Surveillance Method /

By Whom

5.2.1 Schedule IH

Surveys

The contractor shall contact On-site Point of Contact: State OHN Ms.

Veronica Boyd at (601) 918-3251 and IHT Ms. Shannon Verdin at (601) 313-6247 within 30 days of contract award date to schedule site visit

Schedule surveys within 30 days of award

Periodic Inspection /

COR

5.2.5 Evaluate

Facilities for Army & OSHA compliance

The contractor shall evaluate applicable Army and OSHA specific programs.

Meets the standard 98% of the time.

100% Inspection /.COR

5.2.6 Workplace

Control Evaluation

The contractor shall properly document the existing engineering, administrative and personal protective equipment used in each process.

Meets the standard 98% of the time.

100% Inspection /

COR.

5.2.7 Ventilation

Survey

The contractor shall evaluate all operational ventilation systems for compliance with applicable standards.

Meets the standard 98% of the time.

100%Inspection /COR

5.2.8 Air Sampling

The contractor will collect ABZ sampling for all airborne hazards present.

Meets the standard 98% of the time.

100% Inspection /

COR.

5.2.9 Noise Survey

The contractor shall measure noise levels on all operation equipment and record each measurement on a DD Form 2214.

Meets the standard 98% of the time.

100% Inspection / COR

5.2.9 Noise Survey

The contractor shall perform noise dosimetry on as many maintenance personnel as possible. Personnel should be separated into SEGs, with description of job duties.

Meets the standard 98% of the time.

100% Inspection / COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.3 Quality

Control Plan

Provide NLT than 10 days after contract award.

1 Electronic Submission

COR

1.4.5.3 AT Level 1

Awareness

Training Certificates

Complete within 30 calendar days of contract award and provide within 5 calendar days after employee completes training.

1 Electronic Submission

COR, Validated by ARNG

AT/OPSEC POC

1.4.5.4 iWATCH Training

Certificates

Complete within 30 calendar days of contract award and provide within 5 calendar days after employee completes training.

1 Electronic Submission

COR, Validated by ARNG

AT/OPSEC POC

1.4.5.11 OPSEC

Training

Certificates

Provide within 5 calendar days after employee completes training.

1 Electronic Submission

COR, Validated by ARNG

AT/OPSEC POC

1.4.9 Contract

Manager

Provide within 10 calendar days after contract award

1 Electronic Submission

KO

1.4.10 Identification

Media

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

Original(s) Hard Copy COR

5.3 IH Survey Report

Provide within 90 calendar days from survey date.

1 Electronic Submission to RIHS mailbox

COR

TECHNICAL EXHIBIT 3

Typical Processes at ARNG Maintenance Facilities

This list is not all inclusive. Using professional judgment list all potentially hazardous processes whether planned soon, currently operational, or previously occurred.

Do not limit evaluation to the operations on this list.

ASP

CSMS

MATES

UTES

FMS

Vehicle and Equipment Maintenance, Inspection, and Repair Battery Charging and Maintenance Brake Pad Replacement Solvent Use and Parts Washing Vehicle Idling Welding, Grinding, and Cutting Metals Machining Spray Painting (Aerosol Can and/or Compressed Air Application) Canvas and Vinyl Repair Woodworking and Crate Construction Flammable and Combustible Materials Storage Warehousing and Storage Electronics Repair and Soldering Weapons Storage, Repair, and Test Firing Night Vision Device (NVD) Repair and Nitrogen Purging Spent shell casing sorting, deforming, and recycling

AASF

AVCRAD

Rotary Aircraft Maintenance, Inspection, and Confined Space Entry – Fuel Cells and Tail Boom Battery Charging and Maintenance Solvent Use and Parts Washing Welding, Grinding, and Cutting Metals Machining Spray Painting (Aerosol Can and/or Compressed Air Application) Aviation Life Support Equipment (ALSE) Canvas and Vinyl Repair Flammable and Combustible Materials Storage Warehousing and Storage Electronics Repair and Soldering Aircraft Blade Repairs (solvents, epoxy, isocyanates)

TECHNICAL EXHIBIT 4

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

Add other Programs

TECHNICAL EXHIBIT 5

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

TECHNICAL EXHIBIT 6

ARNG Shop Local Exhaust Ventilation Memorandum

TECHNICAL EXHIBIT 7

Approved Laboratories

1. Full-Service Laboratories

SGS Galson

PO Box 2506, Carol Stream, Illinois 60132 Telephone Number: (888) 432-5227

Wisconsin Occupational Health Laboratory (WOHL) 2601 Agriculture Drive Madison, Wisconsin 53718 Telephone Number: (800) 446-0403

2. Surface Wipe Sampling Laboratories

Analytical Environmental Services, Inc. (AES) 3080 Presidential Drive Atlanta, Georgia 30340 Telephone Number: (800) 972-4889

Scientific Analytical Institute (SAI) 4604 Dundas Drive Greensboro, North Carolina 27407 Telephone Number: (336) 292-3888

TECHNICAL EXHIBIT 8

Noise Survey - DD Form 2214

TECHNICAL EXHIBIT 9

Employee Notification Letter

NATIONAL GUARD BUREAU REGIONAL INDUSTRIAL HYGIENE SOUTHEAST

OFFICE 510 PLAZA DRIVE, SUITE 1530, COLLEGE PARK, GA 30349

Employee Notification Letter

Subject: Employee Notification of Noise Survey or ABZ Sampling Results

1. Department of the Army (DA) regulations require employees be notified of their exposure results from Industrial Hygiene surveys. The following results are from the noise survey performed at _________________.

EMPLOYEE NOISE EXPOSURE or ABZ 8-HR TWA

2. Statistical calculations (UTL calculations or if less than 6 in SEG, use individuals’ exposure level) of the employee's exposure indicate levels below the Department of the Army, Department of Defense Instruction (DODI) 6055.12 noise standard of 85dBA or applicable Occupational Exposure Limit. Therefore, you do not need to be included in the Hearing Conservation Program or specific medical surveillance program.

3. As a precaution you should continue to (modify as appropriate for noise or ABZ sampling):

a. Wear either earplugs or muffs whenever noise levels are greater than or equal to 85 dBA.

b. Obey warning signs throughout the installation in noise hazardous areas and on equipment which require personnel to wear hearing protection.

c. Have a copy of this notification letter placed in your employee file.

d. If you have any questions regarding this matter, contact the State Occupational Health Office.

TECHNICAL EXHIBIT 10

NGB Southeast Region IH Office Facility Hazard Abatement Log

Facility Name Deficiency Report - Survey Date

Reported Deficiency Description/Comments Regulatory or Applicable

Guidance Assigned RAC Recommendation

TECHNICAL EXHIBIT 11

Health 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 times/ week

Weekly times/mon

Monthly

Quarterly or times/year

Annual

Less Than Annual

Table 6. Number of Exposed Personnel Points Assessed

Number of Exposed Workers Points < 5 1 - 2 5 - 9 3 - 4 10 - 49 5 - 6 > 49 7 - 8

Table 7. Determining the EPC

Total Points from Tables 5 and 6 EPC 14 - 16 A 10 - 13 B 5 - 9 C < 5 D

(1) Determining the RAC for Health Hazards. Determine the RAC for chronic hazards by using the matrix in Table 8 to account for HHSC and EPC.

Table 8. Determining the RAC for Health Hazards

HHSC EPC

I 1 1 2 3

II 1 2 3 4

III 2 3 4 5

IV 3 4 5 5

TECHNICAL EXHIBIT 12

Noise Risk Assessment Code (RAC)

To determine the Noise Risk Assessment Code (RAC) for inclusion on the DA Form 4700.

1. Determine the number of personnel in a similar exposure group (SEG).

Example: 20 personnel at the aviation facility (AASF) wear noise dosimeters.

10 are aircraft mechanics, 5 are ground support personnel, and 5 are machinists.

There are three SEGs,…