MODIFICATION
Q -- Occupational Health Examinations
- Notice Date
- 11/8/2006
- Notice Type
- Modification
- NAICS
- 621399
— Offices of All Other Miscellaneous Health Practitioners
- Contracting Office
- Department of the Air Force, Air Force Reserve Command, 94 CONF/LGC, 1538 Atlantic Ave, Dobbins ARB, GA, 30069-4824, UNITED STATES
- ZIP Code
- 00000
- Solicitation Number
- Reference-Number-F5B2206212A200
- Response Due
- 11/22/2006
- Archive Date
- 12/7/2006
- Description
- Performance Work Statement continued (Part 4) 4.0 Requirements: 4.1 All service shall be performed at the contractor's facility .The contractor's facility must be located within a radius of 15 miles of Dobbins ARB, GA. 4.2 Contractor shall conduct all physical examination between the hours of 7:30 a.m. and 4:15 p.m., Monday through Friday. All Federal holidays are excluded. 4.3 All health examinations (excluding fitness for duty) and tests (pre-placement or baseline, periodic and termination) shall be performed in accordance with requirements which have been established and approved by the Dobbins Air Reserve Base Aeromedical Council and documented on AF Form 2766, SF 513 and SF 88 in accordance with applicable AF directives. Physical examination techniques must comply or be equal to the examination requirements prescribed by AFI 48-123. 4.3.1 The contractor shall provide the 94 ASTS a copy of any standard or guidelines used to interpret laboratory test results except drug testing. 4.3.2 Health examinations shall be conducted within 14 calendar days after the request from the Government POC. 4.3.3 The contractor shall determine if the government employee meets existing physical requirements and medical standards. NOTE: When non-occupational medical problems are identified, the patient will be informed of the abnormality and advised to seek proper medical care (private physician). If a non-occupational abnormality is remedial (e.g., otosclerosis) or is likely to be temporary (e.g., external otitis), but may interfere with the ability of the person to wear personnel protective equipment (PPE) such as hearing protection and/or respiratory protection, or perform their job, etc., appropriate temporary duty restrictions shall be recommended. The physical determination as to whether the employee meets physical requirements and medical standards shall be documented on AF Form 2770 by the contractor. 4.3.4 Estimated number of specific tests and approximate number of test are reflected in the extended line item description. . 4.3.5 Pre-placement physical examinations shall be performed within five (5) working days after receipt of verbal request for appointment from a staff member of the Civilian Personnel Office/DPCE. 4.3.6 Examination requirements which include a pulmonary function test (PFT) will include a forced vital capacity (FVC) and forced expiratory volume (FEY} The equipment must be of an approved type, as recommended by the American Thoracic Society, and be properly calibrated. Persons, other than licensed physicians, who administer the PFT shall have completed a training course in spirometry sponsored by an appropriate academic or professional institution and be supervised by a physician. The professional medical staff shall evaluate and make appropriate recommendations based on findings and indicate whether an employee is physically able to perform their work while wearing the prescribed respiratory protection. 4.4 The contractor shall have government employees that are identified for asbestos physical complete a DD Form 2493-1 and DD Form 2493-2 on their history of workplace exposure. After completion, the form must be placed in the employee's medical record. The DD Form 2393-1 provides an initial history and is not required for any subsequent incidents of asbestos exposure. 4.4.1 All chest x-rays required in connection with potential asbestos exposure physicals shall be interpreted and classified only by a B-reader, a board eligible/certified radiologists or an experienced physician with known expertise in pneumoconiosis. All interpreters, whenever interpreting chest roentgenograms made under Appendix E to CFR Title 29, Part 1910, Section 1001 shall have immediately available for reference a complete set of the ILO-U/C International Classification of Radiographs for Pneumoconiosis, 1980. Contractor will contact 94ASTS/POC (678-655-4995) if x-ray films show abnormal findings suggestive of asbestosis, Mesothelioma or other disease associated with asbestos exposure (i.e.lung cancer). 4.4.2 The contractor's written opinion for asbestos physicals shall conform to the requirements of Title 29, Part 1910, Section 1001 of the Code of Federal Regulation. 4.5 After coordination with the Dobbins ARB, 94th ASTS POC, the contractor staff shall administer any additional tests as deemed necessary by the attending physician to discern the employees occupational health disposition and to resolve questions about test validity and/or other occupationally related medical conditions present which prevent a final disposition. 4.6 The contractor shall be responsible for conducting Hearing Conservation Occupational Examinations (audiograms and clinical examinations) and completing the required forms in accordance with AFOSH STD 161-20, Hearing Conservation Program. 4.6.1 Hearing Occupational Conservation Examination (Audiogram): Reference pre-placement, annual, periodic, termination and follow-up. Audiograms shall be conducted on personnel as required by AF Form 2766, SF 88 or SF 513. 4.6.2 Hearing Occupational Physical Examination (clinical): A clinical examination of the ears, nose and throat will be performed by the examining practitioner on all employees getting a reference audiogram check, those with a Standard Threshold Shift (STS), those required to be examined based on history and those undergoing a fitness and risk evaluation (AF Form 1753- Section 1 ). During the examination the practitioner must note: ( 1) Cerumen plugging the ear canals. (2) Otitis extema. (3) Condition of the tympanic membranes. (4) Any middle ear disease. (5) Eustachian tube function. (6) Any other ENT disease or condition, which might adversely affect the audiogram results. (7) Any condition that may interfere with the wearing of hearing protection (permanently or temporarily). 4.6.3 Using the criteria found in AFOSH 161-20, the contractor shall determine whether an STS has occurred and notify the 94 ASTS/POC by completing the AF Form 2770, Assessment and Disposition Record. Telephone notification (678) 655-4259 is required for personnel who: have less than a H-l profile on their pre-placement (reference) audiogram, have a STS after the 15- and 40-hour noise-free follow-up audiogram. All telephone notification with 94 ASTS/POC must be followed up a written notification (AF Form 2770) within 5 working days. The completed AF Form 2770 will serve as written notification of audiogram results and follow-up requirements; however, this does not preclude the contractor from providing other written patient disposition when warranted to describe the patient's medical disposition. 4.6.4 The contractor shall instruct any person who is found to have STS on their annual audiogram to report to Bioenvironmental Engineering Office (BES) prior to returning to work. The contractor shall notify the ASTS at (678) 655-4259, of all STS the same day they are identified. The patient will be restricted from working around hazardous noise until ASTS or BES has released them. 4.7 Fitness-for-Duty Physicals (FDP)- The FDP is scheduled by the Employee Relations Specialist from the Civilian Personnel Office/DPCE and the requirements for the physical will be listed on SF 513. Generally the physical shall be accomplished within 5 (five) working days. In cases where there is a question about physical fitness for duty and the Government has an immediate need to determine whether to remove the employee from the duty area, the physical shall be accomplished on the same duty day as requested. The physician shall call the supervisor not later than (NLT) the morning of the next workday to provide diagnosis. SF 513 will be mailed to: 94th ASTS/SGA 1175 Fourth St, Bldg 550, Dobbins ARB, GA 30069-4506 4.8 Final Assessment and Disposition: A medical doctor shall review all examination results, histories and make a final determination if the individual is at increased risk due to his/her health from the occupational exposures to which he/she is potentially exposed. AF Form 2755 that details each employee's potential occupational exposure is found in the employee's medical folder. All assessment and dispositions shall be documented on AF Form 2770 and accompanying documentation provided by the Civilian Personnel Office/DPCE, (SF 513). 4.9 The contractor shall verify physical examination findings through verification of the original tests or additional testing as prescribed by the attending contract physician, after telephone coordination with the 94th ASTS/POC in the annual physicals, or the Civilian Personnel Office, in the case of pre-employment or fitness-for-duty physical. The case shall be pursued until it can be conclusively determined as an individual is/is not at an increased risk of health impairment from occupational exposure or is/is not physically able to perform their job. 4.10 An individual may be recommended for temporary removal from his/her work area or recommended limitations from specific working conditions or exposures until the specific nature of their medical condition can be determined through verification or additional testing. The contractor shall verbally notify the DPCE Representative immediately at 421-5036, but no later than one workday after the determination that limiting condition exists or that removal from the work area is recommended. Written notification will be provided via AF Form 2770 or SF 513, in the case of a fitness-for-duty physical. 4.11 The Medical Review Officer shall provide services review for the results of approximately 15 drug tests per quarter. Specimen will be routinely tested for cannibalis and cocaine and may also be tested for amphetamines, opiates, and phencyclidine when appropriate. The MRO shall provide services as follows: 4.11.1 Upon receipt of a positive test, contractor shall make an appointment through the individual's supervisor if possible or employee to discuss test results with the individual to provide the specimen to determine if there was an alternate valid medical records or other medical documentation made available by the employee to support the assertion of legitimate drug use. Verification can be made without interview if the employee declines the opportunity for an interview. 4.11.2 Conduct a limited physical examination to determine if there is clinical evidence (e.g. needle track marks) of illegal drug use in cases where a urine specimen is positive. 4.11.3 Make determination of a negative test results if a legal use of an appropriate drug is established or if the MRO concludes the result is scientifically insufficient or not in accordance with the Department of Human Services guidelines. MRO has the option of requesting a retest of the positive urine sample by the laboratory. 4.11.4 Prior to obtaining any information from the employee/applicant concerning an explanation for a positive drug test result, provide the individual a copy of the Privacy Act Statement. 4.11.5 MRO shall provide testimony in case of 3rd party hearing. Testimony shall be required to provide evidence of procedures followed and events that occurred in regard to verification of positive test. a. The name, address, and phone number of the management official empowered to recommend or take administrative action for referral of employees with MRO verified positive drug results. 4.12 The contractor shall maintain all records pertaining to its drug-testing program in an approved system of records, and in accordance with the requirements of the Privacy Act in accordance with Employee Medical File System, FPM 292-31, S6-1/7. 4.13 All contractor consultation with government laboratory toxicologists and collection site contractors shall be at the expense of the contractor. 4.14 Relationship of Parties- It is expressly agreed and understood that the services rendered by the contractor and its employees are rendered in the capacity of an independent contractor. Although the government may evaluate the quality of both professional and administrative services for purposes of contract inspection and acceptance, it retains no control over the services rendered, including, but not limited to professional judgments, diagnosis, or specific treatments. The contractor shall be solely responsible for any and all liability caused by the acts or commissions of its agents or employees. 4.15 Indemnification- The contractor expressly agrees to indemnity, hold harmless, and defend the government of the United States and all of its employees and agents acting officially or otherwise, from any and all liability, claims, demands, actions, debts, and attorney fees arising out of, claimed on account of, or in any manner predicated on loss or damage to the property of the injuries to, or death of any person whatsoever, which may occur as a result of or in connection with the services being provided under this contract. 4.16 Reserved.
- Place of Performance
- Address: 94 CONF/LGC, 1538 Atlantic Avenue, Dobbins ARB, GA
- Zip Code: 30069
- Country: UNITED STATES
- Zip Code: 30069
- Record
- SN01178294-W 20061110/061108220734 (fbodaily.com)
- Source
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