A.02 Performance Work Statement Rev 1 (21-R-3001).pdf

TECHNICIAN OCCUPATIONAL HEALTH PHYSICALS

WYOMING NATIONAL GUARD | AASF – OCCUPATIONAL HEALTH

W912L3-21-R-3001

Performance Work Statement (PWS)

Medical Surveillance Physicals

SIGNATURE PAGE

CPT RICHARDSON, JON Date

OCCUPATIONAL HEALTH

AASF, WYARNG

MARC ZURASKY Date

Contracting Specialist, USPFO – WY, Purchasing & Contracting P&C

ROBERTO RODRIGUEZ-SANTIAGO Date

Contracting Officer, USPFO – WY, Purchasing & Contracting P&C

REVISION CONTROL:

Revision Number Date Remarks

Basic 28 Dec 2020 Initial publication of the Performance Work Statement

0001 21 Jan 2021 Removal of References to paragraphs. Removals are marked in Red.

Table of Contents

SIGNATURE PAGE

REVISION CONTROL:

General:

Scope:

Background:

Period of Performance

Quality Control

Quality Assurance

Recognized Holidays:

Required Contractor Information:

Place and Performance of Services

The primary work site

The contractor’s employees

Protection of Personally Identifiable Information

The contractor will ensure

Data Rights

Phase In / Phase Out Periods

Definitions and Acronyms:

Definitions:

Contractor:

Contracting Officer (KO)

Defective Service

Deliverable:

Key Personnel:

The contractor shall safeguard all Government property

Acronyms:

AT/OPSEC

General

Compliance:

Contractor Furnished Property, General:

Requirements:

Medical Surveillance

Physical Examination/Assessment/Consultation

Examination to include

Based on individual's current job description

The contract physician must obtain approval

Medical Record Keeping:

Employee Medical Records

Supplemental Forms

Contract Medical Records

Exams

Estimated for Base Year

Estimated for Option Year 1

Estimated for Option Year 2

Estimated for Option Year 3

Estimated for Option Year 4

Physical Exam:

Vitals:

Job

Dermatological Examinations:

Vision Exam:

Vision Screenings:

Visual acuity

Lateral phorias

Vertical phorias

Depth

Color

Peripheral

Reserved

Contractor shall ensure Pulmonary Function Tests (PFTs) Performed by a qualified medical provider, Screenings

Respiratory Evaluation and Respirator Fit testing

Test will include

Follow NIOSH and ATS-ERS standard requirements

Continue testing individual

Test Results/Patient Disposition:

Contractor Manpower Reporting Application (CMRA):

Technical Exhibit 1

Applicable Publications:

Technical Exhibit 2

Deliverables Schedule

General: This is a non-personnel services contract to provide Mobile Medical Surveillance

Physicals. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified as Government Furnished, to perform Medical

Surveillance Physicals for approximately 70 Wyoming Army National Guard Federal

Technicians, as defined in this PWS. Specific services, per individual, will be identified by the

Wyoming Army National Guard Safety and Occupational Health Office prior to appointment.

Background: Selected full-time Federal Technicians that work for the Wyoming Military

Department are required to receive annual medical examinations in accordance with DoD

Instruction 6055.5, DoD Instruction 6055.5-M, and OSHA 29 CFR 1910. These examinations will include multiple tests, described throughout this document, that are required to be completed in order to comply with the stated regulations.

Period of Performance (PoP): The Period of Performance shall be one-Base Year and four 12-month option years.

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. A final QCP shall be submitted to the Wyoming Army National

Guard Occupational Health Nurse 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.

Quality Assurance (QA): The U.S. Government or State Occupational Health Nurse 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).

Recognized Holidays: The following are recognized United States (US) holidays. The contractor shall not perform services on these days: (see for detailed 2021 Holiday Schedule:

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=2021

New Year’s Day

Martin Luther King, Jr.’s Birthday

President’s Day

Memorial Day

Independence Day

Labor Day

Columbus Day

Veteran’s Day

Christmas Day

Required Contractor Information:

Place and Performance of Services: The contractor shall provide services between the hours of 0700 to 1630 on Monday through Friday, except for Alternate Work Scheduled approved by WYARNG, 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 primary work site is the Army Aviation Support Facility (AASF) Complex 7600 Rogers Drive in

Cheyenne, WY 82005.

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 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.

Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement

(DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD)

5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

The contractor will ensure employees maintain Health Insurance Portability and Accountability Act of

1996 (HIPAA) standards and guidelines.

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=2021

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.

Phase In / Phase Out Periods: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel available to coordinate services, during the 60 day phase in/ phase out period. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date. The Contractor shall provide the U.S. Government or Occupational Health Nurse with a copy of the medical examination results within fifteen (15) working days upon completion of services and shall have personnel available for telephonic consultation and follow- up reviews during the phase out period.

Definitions and Acronyms:

Definitions:

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.

Contracting Officer (KO): A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

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

PWS.

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

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.

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.

Acronyms:

AEI Army Enterprise Infostructure

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security BI Background Investigation

CM Contract Manager

CMRA Contractor Manpower Reporting Application COR Contracting Officer Representative

DA Department of the Army

DD254 Department of Defense Contract Security Classification Specification DFARS Defense

Federal Acquisition Regulation Supplement

DoD Department of Defense

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army

HSPD Homeland Security Presidential Directive

IA Information Assurance

IS Information System(s)

KO Contracting Officer

NGB National Guard Bureau

OCI Organizational Conflict of Interest

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

SSN Social Security Number

TE Technical Exhibit

USD(I)Under Secretary of Defense for Intelligence

AT/OPSEC

General: Company will need guided access to F.E. Warren Air Force Base in Cheyenne, WY. State

Safety appointed personnel will ensure that a pass a garnered from the visitor center and that all personnel and vehicles are properly regulated to travel. Travel to and from the gate and flight facility will be closely monitored by State Safety personnel.

Compliance: 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).

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

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.

Requirements: The contractor shall: provide job-related medical surveillance examinations and occupational health services to approximately 70-Wyoming Army National Guard Federal Technicians and temporary personnel who are potentially exposed to health hazards in the work environment or who are assigned to positions requiring specific standards of physical fitness.

Medical Surveillance Examination/ Occupational Health services:

Physical Examination/Assessment/Consultation. Physical examination, assessment and consultation to be performed by a Board Certified Occupational Health Physician (Preferred) or Mid Level Provider.

Examination to include assessment of individual's work/health history, current occupational exposure, pulmonary, cardiovascular, gastrointestinal, neurological, dermatological and related systems associated with exposures.

Based on individual's current job description and medical evaluation, the contract physician must submit a written summary of employee's health status, recommendations to the employer regarding any physical limitations/restrictions, additional monitoring, follow-up and or referral.

The contract physician must obtain approval from the Wyoming Army National Guard U.S.

GOVERNMENT / STATE OCCUPATIONAL HEALTH NURSE prior to performing exams/testing outside the scope of this contract.

Medical Record Keeping:

Employee Medical Records. The Wyoming Army National Guard State Occupational Nurse will ensure individual medical records are available at each site for review by the contract provider.

Supplemental Forms. Employees will be instructed to complete all supplemental forms provided by the contractor, including a form for signature/consent and Privacy Act Statement.

Contract Medical Records. At a minimum, all medical records are to be identified by the contractor with the employee's full name, social security number, date of birth, and gender.

Exams

The numbers below are estimates. We reserve the right to adjust what exams are administered based on the exams listed below. Only the U.S. Government / State Occupational Health Nurse can authorize what exams are provided to the patients.

Estimated for Base Year

Physical

Exam

Vision

Chem 20

Lab

Tests

Blood

Lead, ZPP, Cadmiu m, CHRO

(Heavy

Metals)

Pulmonar y

Function

Test

(when individua l identified

Chest

Xray (as needed)

FIT

Testing

Number of exams

Required

Estimated for Option Year 1

Tests

Blood

Lead, ZPP, Cadmiu m, CHRO

Function

Test

(when individua l

Number of

Estimated for Option Year 2

Tests

Blood

Lead, ZPP, Cadmiu m, CHRO

Function

Test

(when individua l

Number of

Estimated for Option Year 3

Tests

Blood

Lead, ZPP, Cadmiu m, CHRO

Function

Test

(when individua l

Number of

Estimated for Option Year 4

Tests

Blood

Lead, ZPP, Cadmiu m, CHRO

Function

Test

(when individua l

Number of

Physical Exam:

Vitals: Contractor will provide vital signs to include height, weight, blood pressure, pulse and respirations for all scheduled Government personnel.

Job Function Analysis: Contractors will provide a Job Functional Analysis or KrausWeber that includes back strength and flexibility for all scheduled Government personnel. Note any pain or recommended lifting limitations if less than 50 lbs.

Dermatological Examinations: Contractor shall ensure dermatological examinations are performed on all scheduled Government personnel. Examinations must be performed by a licensed medical provider and include an inspection of the entire integumentary system with emphasis on areas most likely to be affected by the

The employee’s occupational (i.e. radiation) exposures. Documentation will include the presence of any dermatomes or lesion of the skin.

Vision Exam:

Vision Screenings: Contractor will ensure that vision screenings are in accordance with DA PAM 40-

506 using multiphasic vision screening equipment to measure the following primary skills.

Visual acuity for distance and near

Lateral phorias for distance and near

Vertical phorias for distance and near

Depth perception

Color perception

Peripheral vision

Reserved Hearing

Pulmonary Function Test (when individuals identified)

Contractor shall ensure Pulmonary Function Tests (PFTs) Performed by a qualified medical provider, Certified Pulmonary Functional Technologist, or Registered Respiratory therapist in accordance with 29

CFR 1910.1001.

Screenings will only be conducted on employees exposed to respiratory hazards that will require a respirator to mitigate their hazards that are above the action level.

Respiratory Evaluation and Respirator Fit testing. Qualitative Respirator fit testing will be conducted on each individual with their own personal respirator. Testing using surrogate respirators will not be accepted.

Test will include as a minimum Forced Expiratory Volume in one second (FEV1), Forced Vital

Capacity (FVC), comparison with recognized normal’ s for the individual’s height and weight, sex, race, age and a documented interpretation by the attending provider.

Follow NIOSH and ATS-ERS standard requirements:

Continue testing individual when the patient is improving until improvement is

<30ml.

Test results are acceptable with a minimum if three acceptable maneuvers that are free from a leak, obstructed mouthpiece, hesitation, false starts, cough, glottis closure, early termination, and have a good curve of at least 6 seconds duration.

Test results are reproducible in that they have the same result from the individual (two largest FVCs are within 0.150 L of each other and two largest FEV1’s are within 0.150 L of each other) when the test is repeated several times. Testing is continued until criteria are met or 8 trials are attempted, or the employee being tested cannot or should not continue.

If three (3) acceptable and two (2) repeatable tests cannot be obtained, the technician performing the

PFT must document the reason the standard could not be met.

Always use measured height not reported height by the nearest half inch without footwear.

Always indicate source of reference value on the report by the nearest half inch without footwear.

No smoking within 1 hour prior.

No cold, flu or allergies within two weeks.

No inhaler use prior to test that would still be in the patient’s system.

Specifications regarding equipment guidelines and calibration, test administration, and test interpretation must meet applicable OSHA and ANSI standards. Supporting documentation will be provided to this office daily or annually depending on manufacturing guidelines or spirometer.

Respiratory clearance documented and a copy given to employee at time of visit.

Test Results/Patient Disposition:

The contractor will ensure that all copies of the test results and any written recommendations are provided to the Wyoming Army National Guard State Occupational Health Nurse for proper disposition

(e.g., placement in the individual's health records). Each patient will have a separate sheet i.e. no grouping results in a book format with multiple patients data on the same page. The Wyoming Army

National Guard State Occupational Health Nurse will be responsible for the final disposition of all employees requiring additional follow-up monitoring audiometry, audiologic and/or otologic examinations.

CHEM 20 Lab Tests

Contractor shall ensure laboratory tests will be processed by certified clinical laboratories and performed by personnel certified under the American Society of Clinical Pathology. The supporting laboratory will provide employee instruction and equipment necessary for tests requiring special methods and/or containers. Document that employee has been counseled by examining provider about laboratory results. Provide a copy lab results to employee for their primary care physician. Fasting is required. Tests include:

Lab Analysis:

Occ Health Profile (Bundle: CBC, liver function test, BUN, Creatinine, Urinalysis)

Each

CBC (HGB, HCT, WBC, MCV, MCH, MCHC) with diff Each

CBC (HGB, HCT, WBC, MCV, MCH, MCHC) without diff Each

Liver Function Test (AST, ALT, ALB, ALK PHOS, dBil, TBil, Protein) Each

BUN /Creatinine Each

Urinalysis with Micro Each

Urinalysis without Micro Each

Blood Glucose Each

Blood Lead, ZPP, Cadmium, CHRO (Heavy Metals)

Cadmium Profile (Per Lab Corp)

Human Chorionic Gonadotropin HCG beta

Chromium (Blood)

Lead, industrial whole blood

ZPP, Blood Protoporphyrins, zinc

Contractor shall ensure laboratory tests will be processed by certified clinical laboratories and performed by personnel certified under the American Society of Clinical Pathology. The supporting laboratory will provide employee instruction and equipment necessary for tests requiring special methods and/or containers. Document that employee has been counseled by examining provider about laboratory results. Provide a copy lab results to employee for their primary care physician. Fasting is required. Tests include:

Lab Analysis:

Blood Lead/ZPP

Heavy metals, Chromium 3 and Chromium 6. Chromium 3 & 6 levels must be reported on the lab analysis for each employee, regardless of measurable detectable level.

Contractor Manpower Reporting Application (CMRA):

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Wyoming Army National Guard via a secure data collection site.

The contractor shall completely fill in all required data fields using the following web address:

http://www.ecmra.mil/. Reporting inputs shall be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30.

While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2018. Contractors may direct questions to the help desk at http://www.ecmra.mil.

http://www.ecmra.mil/

Technical Exhibit 1.

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

Publication (Chapter/Page) Mandatory or Advisory

Website

DoD Instruction 6055.5

Occupational and Environmental

Health (OEH)

Mandatory https://www.defense.gov/Resources/Forms-

Directives/

DoD Instruction 6055.5-M

Examinations and Surveillance

Manual

Mandatory http://www.esd.whs.mil/Portals/54/Documents/

DD/iss uances/dodm/605505mp.pdf?ver=2017-08-14-

111314- 123

DA PAM 40-506

The Army Vision Conservation and

Readiness Program

Mandatory https://armypubs.army.mil/ProductMaps/PubForm

/PA M.aspx

OSHA 29 CFR 1910 Mandatory https://www.osha.gov/pls/oshaweb/owastand.di splay_s tandard_group?p_toc_level=1&p_part_number

=1910

NIOSH (National Institute for

Occupational Safety and Health)

Mandatory https://www.cdc.gov/niosh/topics/spirometry/

ATS-ERS (American Thoracic

Society-Pulmonary Function Testing

Mandatory https://www.thoracic.org/statements/pulmonary function.php

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar or http://farsite.hill.af.mil/

Defense Federal Acquisition

Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/curr ent

/index.html or http://farsite.hill.af.mil/

DoDM 1000.13-M-V1

DoD Identification (ID) Cards

(Enclosure 2, paragraph 3.b) 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) http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.

2 01-2.pdf

DoDM 5200.2 Regulation 5200.02

Procedures for the DoD Personnel

Security Program (PSP) http://www.dtic.mil/whs/directives/corres/pub1.ht m l

Army Directive 2014-05 Policy and

Implementation

Procedures for Common Access

Card Credentialing and Installation

Access for Uncleared Contractors http://www.apd.army.mil/ProductMaps/PubForm/

ArmyDir.aspx https://www.defense.gov/Resources/Forms-Directives/ https://www.defense.gov/Resources/Forms-Directives/ http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505mp.pdf?ver=2017-08-14-111314-123 http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505mp.pdf?ver=2017-08-14-111314-123 http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505mp.pdf?ver=2017-08-14-111314-123 http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505mp.pdf?ver=2017-08-14-111314-123 http://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505mp.pdf?ver=2017-08-14-111314-123 https://armypubs.army.mil/ProductMaps/PubForm/PAM.aspx https://armypubs.army.mil/ProductMaps/PubForm/PAM.aspx https://armypubs.army.mil/ProductMaps/PubForm/PAM.aspx https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1910 https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1910 https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1910 https://www.osha.gov/pls/oshaweb/owastand.display_standard_group?p_toc_level=1&p_part_number=1910 https://www.cdc.gov/niosh/topics/spirometry/ https://www.thoracic.org/statements/pulmonary-function.php https://www.thoracic.org/statements/pulmonary-function.php https://www.thoracic.org/statements/pulmonary-function.php https://www.acquisition.gov/?q=browsefar http://farsite.hill.af.mil/ http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://farsite.hill.af.mil/ http://www.esd.whs.mil/Directives/issuances/dodm/ http://www.esd.whs.mil/Directives/issuances/dodm/ http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.apd.army.mil/ProductMaps/PubForm/ArmyDir.aspx http://www.apd.army.mil/ProductMaps/PubForm/ArmyDir.aspx

AR 190-13

The Army Physical Security

Program http://www.apd.army.mil/ProductMaps/PubForm/

AR.aspx

Homeland Security Presidential

Directive (HSPD)-12

Policy for a Common Identification

Standard for Federal Employees and

Contractors https://www.dhs.gov/homeland-security-presidential-directive-12

DoDD 5400.11

Department of Defense Privacy

Program http://www.dtic.mil/whs/directives/corres/dir.ht ml#

DoD 5400.11-R

Department of Defense Privacy

Program http://www.dtic.mil/whs/directives/corres/pub1.ht m l

DoDD 8140.01

Cyberspace Workforce Management

OK http://www.dtic.mil/whs/directives/corres/dir.ht ml

DoD 8570.01-M

Information Assurance Workforce

Improvement Program

OK http://www.dtic.mil/whs/directives/corres/pub1.ht m l

AR 25-2

Information Assurance

OK http://armypubs.army.mil/ProductMaps/PubForm/

AR.aspx

AR 530-1

Operations Security

OK http://armypubs.army.mil/ProductMaps/PubForm/

AR.aspx

DoD 5220.22-M

National Industrial Security Program

Operating Manual

OK http://www.dtic.mil/whs/directives/corres/pub1.ht m l

AR 381-12

Threat Awareness and Reporting

Program (TARP)

(Section II, ¶ 2-4.b)

OK http://armypubs.army.mil/ProductMaps/PubForm/

AR.aspx http://www.apd.army.mil/ProductMaps/PubForm/AR.aspx http://www.apd.army.mil/ProductMaps/PubForm/AR.aspx https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 http://www.dtic.mil/whs/directives/corres/dir.html http://www.dtic.mil/whs/directives/corres/dir.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/dir.html http://www.dtic.mil/whs/directives/corres/dir.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html 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/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://www.dtic.mil/whs/directives/corres/pub1.html http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

Technical Exhibit 2.

Deliverables Schedule

Deliverable Title Frequency Number of

Copies

Medium/Format Submit To submit a written summary of employee's health status, recommendations to the employer regarding any physical

Upon completion of medical surveillance exam, the contractor will submit within fifteen (15) working days

1 Paper U.S. Government /

State

Occupational Health

Nurse limitations/restrictions, additional monitoring, follow-up and or referral

Respiratory clearance documented and a copy given to employee

At time of visit. 1 Paper Employee receiving pulmonary test

Copies of the test results and any written recommendations

Provide within 15 calendar days after employee completes surveillance exam

1 Paper U.S. Government /

State

Occupational Health

Nurse