US Coast Guard TraCen Petaluma, CA - Annual and Pre-Placement Medical Exams Jun 02,

PR #: 61200PR260031508 STATEMENT OF WORK LAST UPDATED: 6/1/2026 PAGE 1/10 STATEMENT OF WORK (SOW) FOR NFPA 1582 FIRE FIGHTER EXAM 1.0 GENERAL 1.1 BACKGROUND The U.S. Coast Guard (USCG) Training Center (TRACEN) Petaluma Fire Department located at 599 Tomales Road, Petaluma, CA 94952, requires all firefighters to undergo comprehensive medical evaluations to ensure they are medically qualified to safely perform essential job functions. This Statement of Work (SOW) outlines the requirements for conducting physical examinations for fire department personnel in accordance with NFPA 1582: Standard on Comprehensive Occupational Medical Program for Fire Departments. The resulting contract will be a fixed-price requirements contract. The services specified in the Schedule are based on estimated quantities and are not guaranteed purchases. The Government anticipates a minimum of four and a maximum of ten medical examinations per year; however, actual quantities may vary and will not serve as a basis for price adjustment. The associated North American Industry Classification System (NAICS) code is 621111 Product Service Code Q403 – Medical Evaluation/Screening. 1.2 SCOPE The contractor must provide annual and pre-placement physical examinations for designated fire department personnel. All examinations must comply with the latest edition of NFPA 1582. Contractor must ensure all clinical laboratory services are performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS) 1.3 OBJECTIVE Ensure all fire department personnel meet medical and physical standards required for duty. Identify and document any medical conditions that may affect job performance or safety. 1.4 APPLICABLE DOCUMENTS 1.4.1 Reference Documents The following documents may be helpful to the Contractor in performing the work described in this document: • NFPA 1582: Standard on Comprehensive Occupational Medical program for fire departments. • OSHA 29 CFR 1910 Regulations 2.0 SPECIFIC REQUIREMENTS/TASKS Contractor must perform a physical examination of each employee. Document results on the NFPA Physical Exam Form 1582 or its equivalent ensuing all medical and laboratory information and results are included. Contractor must document all results to include all diagnostic tests, graphs, charts, reports, questionnaires, waivers, employee consent forms, physical findings, and examination results within 30 working days of completion of testing. The contractor must provide reports to the Base Fire Chief when reports are ready. -- 1 of 10 -- PR #: 61200PR260031508 STATEMENT OF WORK LAST UPDATED: 6/1/2026 PAGE 2/10 Each examination must include each of the following components: 2.1 TASK ONE. PHYSICAL EXAMINATION COMPONENTS • Vital Signs: ➢ Blood pressure ➢ Pulse rate and rhythm ➢ Respiratory rate ➢ Height, weight, and BMI • Vision Examination: ➢ Visual acuity (near and far) ➢ Peripheral vision ➢ Color vision ➢ Depth perception • Hearing Examination: ➢ Audiometric testing (pure-tone thresholds) • Head, Eyes, Ears, Nose, Throat (HEENT): ➢ Inspection and palpation for abnormalities • Neck and Thyroid: ➢ Palpation for masses, nodules, or enlargement • Cardiovascular System: ➢ Heart rate and rhythm ➢ Heart sounds ➢ Peripheral pulses ➢ Repeat blood pressure if abnormal • Respiratory System: ➢ Inspection, palpation, percussion, auscultation of lungs • Gastrointestinal System: ➢ Inspection, palpation, percussion, auscultation of abdomen ➢ Assessment for hernias • Genitourinary System: ➢ Examination as indicated (hernia, testicular exam, etc.) • Musculoskeletal System: ➢ Range of motion ➢ Strength ➢ Joint stability ➢ Spine assessment • Neurological System: ➢ Mental status ➢ Cranial nerves ➢ Motor and sensory function ➢ Reflexes ➢ Balance and coordination • Skin: ➢ Inspection for lesions, rashes, or other abnormalities • Lymphatic System: ➢ Palpation for lymphadenopathy • Other: ➢ Review of immunization status ➢ Review of occupational history and exposures -- 2 of 10 -- PR #: 61200PR260031508 STATEMENT OF WORK LAST UPDATED: 6/1/2026 PAGE 3/10 2.2 TASK TWO. CONTRACTOR RESPONSIBILITIES • The contractor is responsible for providing all necessary materials, equipment, labor required to perform the physical examinations and any additional items not previously listed to provide successful firefighter physical examinations according to the NFPA 1582 requirements. • The contractor must ensure all testing for designated personnel is completed within 30 calendar days from the date the first test is administered. • The contractor must deliver all individual examination results and summary reports to the Base Fire Chief within 30 calendar days of completion of testing. 2.3 TASK THREE. DOCUMENTATION AND REPORTING • Provide a detailed medical report for each examination, including findings and recommendations. • Ensure secure storage and transmission of medical records in compliance with applicable privacy laws and regulations. • Submit summary reports to the Base Fire Chief within 30 calendar days of completion of testing. 2.4 TASK FOUR. PERSONNEL QUALIFICATIONS All examinations must be conducted by licensed healthcare providers with experience in occupational health and familiarity with NFPA 1582 standards. The contractor must provide an on-site supervisor or a point of contact that must be responsible for the quality control and performance of the work. This supervisor must be present at all times that contractor employees are on base, if applicable. Contractor must provide a Board eligible or Certified Occupational Medicine Physician to conduct job-related medical surveillance physical examinations and occupational health consultation services. 2.5 TASK FIVE. DELIVERABLES • Individual physical examination reports • Summary compliance report for the Base Fire Chief. • Secure management of medical records • HIPPA Information. In performing the services required hereunder, the contractor must only provide information to perso…