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Review of Alleged Hazardous Construction Conditions at the Jack C. Montgomery VA Medical Center, Muskogee, Oklahoma

Report Information

Issue Date
Report Number
15-04678-114
VISN
State
Oklahoma
District
VA Office
Veterans Health Administration (VHA)
Report Author
Office of Audits and Evaluations
Report Type
Audit
Recommendations
5
Questioned Costs
$0
Better Use of Funds
$0
Congressionally Mandated
No

Summary

Summary
The VA Office of Inspector General (OIG) received an allegation regarding noncompliance with contract and Occupational Safety and Health Administration (OSHA) requirements at the Jack C. Montgomery VA Medical Center, Muskogee, Oklahoma, during the installation of a Full Facility Standby Generator. The allegation also stated that VA staff moved excavated soil using VA equipment. The OIG reviewed the contract for the generator installation valued at $8.7 million and substantiated the allegation that VA officials contributed to hazardous construction conditions. The OIG did not substantiate that VA staff or equipment was used to move the excavated soil. The contracting officer’s representative (COR) did not comply with contract requirements for approval of excavation and shoring design prior to beginning excavation, and did not perform a proper assessment of a hillside before using it to dispose of excavated soil. Furthermore, the COR accepted an excavation and shoring design with errors. The Chief, Engineering Service, did not ensure the COR had the experience to provide oversight of the excavation. VA officials terminated the contract after paying nearly $5 million. An estimated additional $17.5 million will be spent to fix problems that arose for total expected costs of $22.5 million. The OIG also substantiated the allegation that VA officials provided inadequate assurance of contractor compliance with OSHA requirements at the excavation site. The construction safety officer did not follow VA policy on the frequency of safety inspections and did not effectively implement periodic safety inspections. The contracting officer, COR, or project engineer did not delegate safety responsibilities in accordance with VA policy. As a result, the contracting officer was not notified of OSHA violations and was unable to ensure a safe environment was maintained during the contract.

Open Recommendation Image, SquareOpenClosed and Implemented Recommendation Image, CheckmarkClosed-ImplementedNot Implemented Recommendation Image, X character'Closed-Not Implemented
No. 1
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The OIG recommended the Medical Center Director, Eastern Oklahoma Department of Veterans Affairs Health Care System, ensure contracting officer’s representatives comply with duties assigned in the Delegation of Authority Memo.
No. 2
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The OIG recommended the Medical Center Director, Eastern Oklahoma Department of Veterans Affairs Health Care System, ensure that on future contracts, the Chief, Engineering Service, assign contracting officer’s representatives who have experience commensurate with delegated responsibilities in accordance with the Federal Acquisition Regulation.
No. 3
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The OIG recommended the Medical Center Director, Eastern Oklahoma Department of Veterans Affairs Health Care System, ensure personnel follow established Veterans Health Administration policies on safety inspections.
No. 4
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The OIG recommended the Medical Center Director, Eastern Oklahoma Department of Veterans Affairs Health Care System, clarify the implementation of the safety inspections in Veterans Health Administration Directive 7715, Safety and Health During Construction, April 6, 2017, to ensure the safety inspections are not performed routinely or in a discernable pattern.
No. 5
Closed and Implemented Recommendation Image, Checkmark
to Veterans Health Administration (VHA)
The OIG recommended the Medical Center Director, Eastern Oklahoma Department of Veterans Affairs Health Care System, ensure the assignment of a safety officer in accordance with Veterans Health Administration Directive 7715, Safety and Health During Construction, April 6, 2017.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 22,540,470.00