^•^M^« uJ 31 . \ Office of Inspector General . Report of Review SURVEY OF RISK REDUCTION ENGINEERING LABORATORY'S QUALITY ASSURANCE ACTIVITIES E1JBB5-23-0002-5400099 September 8, 1995 ------- Inspector General Division Conducting the Audit: Northern Audit Division Cincinnati, OH Program Offices Involved: Risk Reduction Engineering Laboratory, Cincinnati, OH Office of Research and Development, Quality Assurance Management Staff Washington, D.C. ------- UNITED STATES ENVIRONMENTAL PROTECTION AGENCY OFFICE OF THE INSPECTOR GENERAL NORTHERN DIVISION 77 WEST JACKSON BOULEVARD CHICAGO, IL 60604-3590 September 8, 1995 MEMORANDUM SUBJECT: Special Report E1JBB5-23-0002-5400099 Survey of Risk Reduction Engineering Laboratory's Quality Assurance Activities FROM: Anthony C. Carrollo Divisional Inspector General for Audits Northern Division TO: E. Timothy Oppelt, Director National Risk Management Reduction Laboratory Cincinnati, OH Attached is our final report entitled "Survey of Risk Reduction Engineering Laboratory's Quality Assurance Activities." We performed a survey of the Laboratory's quality assurance (QA) program at your request. Our overall objectives were to independently evaluate the QA program, assess its successes, and suggest areas where improvements were needed. We found that the Risk Reduction Engineering Laboratory (RREL) and its QA office employed several good management practices related to the achievement of QA goals and objectives. Most importantly, RREL management officials were extremely committed to QA and this attitude, therefore, seemed to permeate the organization. We appreciate the cooperation and responsiveness we received from your staff during this review. Your staff's professionalism and commitment resulted in a cooperative effort to resolve the two issues we identified in this special report. This special report represents the opinion of the OIG. Final determinations on matters in this report will be made by EPA managers in accordance with established EPA audit resolution procedures. Accordingly, the findings described in this report do not necessarily represent the final EPA position. ACTION REQUIRED In responding to the draft report, your office took action to correct the findings presented. As a result, your response to the report is adequate in accordance with EPA Order 2750. Therefore we are closing out this report in our tracking system effective today, September 8, 1995. Printed on Recycled Paper ------- We have no objections to the further release of this report to the public. Should you or your staff have any questions regarding this report, please contact Leah Nikaidoh, Audit Manager, Northern Audit Division, Cincinnati Branch, at (513) 366-4365. ------- RREL QA ACTIVITIES EXECUTIVE SUMMARY PURPOSE AND OBJECTIVE The Office of Inspector General (OIG) performed a survey of the Risk Reduction Engineering Laboratory’s (RREL) quality assurance (QA) program, at the request of RREL management. RREL officials believed their investment in resources devoted to QA activities resulted in an effective program. According to RREL officials, the successful implementation of QA results in a savings to RREL of over $1 million annually. Various Environmental Protection Agency (EPA) labs have recently been criticized for inadequate QA programs and not having Quality Management Plans documenting QA policies and procedures. Furthermore, EPA cited environmental data quality as a Presidential level weakness in its Federal Managers’ Financial Integrity Act reports for fiscal years 1992 through 1995. Our overall objective was to independently evaluate RREL’s QA program, assess its successes, and suggest areas where improvements were needed. On May 1, 1995, RREL was consolidated with several other EPA organizations to form the National Risk Management Research Laboratory (NPJvIRL). RESULTS- IN-BRIEF RREL’s QA program was well-managed, and met EPA QA requirements in an innovative manner. RREL management was committed to achieving QA goals and objectives, and this commitment was evident in its QA reporting structure, its philosophy of continuous improvement, and in the level of in- house resources RREL management dedicated to carrying out QA functions. RREL’s QA policies and procedures (internal controls) were well-documented in its Quality Management Plan, and implementation of the Plan was evident. RREL’s QA office also performed QA review functions--such as the review of QA project plans and the performance of technical systems reviews--in a timely and thorough manner. The QA office also maintained good oversight of its two QA support contracts. RR.EL had adequate procedures to ensure that its QA support contractors were not performing inherently governmental functions. The QA office ensured 1 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES that its staff was the final decision maker regarding the approval of QA project plans and technical systems review reports. We found no indication that QA support contractors performed any inherently governmental functions. RREL’s QA program also included the development and implementation of innovative approaches to QA. RREL officials adapted Agency QA procedures to meet specific RREL needs. RREL QA officials also structured the QA program to be proactive rather than reactive, thereby resulting in dollar savings in some cases. We found two issues which have potential to impact RREL: (1) two RREL Technical Project Managers who functioned as Work Assignment Managers (WAM5) had not taken a required contract- related training course and (2) additional organizational conflict of interest (OCI) controls were needed. Efforts should be made to address these issues. Although we did not identify any negative impact or effect from these conditions, there are potential effects that could impede the program’s progress. Because our survey did not disclose any material weaknesses in RR.EL’s QA program, we did not proceed into the audit phase. LABORATORY COMMENTS AND ACTIONS The NRMRL Director agreed with the recommendations in this report. He stated that management will, by November 6, 1995, review training records of all NRMRL Cincinnati (NRMRL-CI) staff acting as WAMs and identify those lacking required contract-related training courses. The Director also stated that new Office of Acquisition Management procedures, found in the September 27, 1994 version of the Contracts Management Manual, help to ensure that WAMs who lack training take required courses. According to the Director, RR.EL and Office of Research and Development officials placed a significant emphasis on training. In response to the recommendations pertaining to OCIs, the NRMRL Director stated that the NRMRL-CI QA staff has begun to implement the following procedures: (1) Project Officers for QA support contracts will distribute to the NRI4RL-CI QA staff lists of companies with which QA support contractors do NRMRL-CI business. The Director stated QA support contractors will update these lists quarterly, beginning October 1. The Director also stated that QA support contractors will ii Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES notify the appropriate EPA Project Officer when they are awarded non-QA NRMRL contracts. (2) The NRMRL-CI QA staff will review the lists described above when QA support is requested for a contracted project. If the project contractor is on a QA support contractor’s list, the NRMRL-CI QA staff will place a “C” on the project file to indicate that a potential OCI exists. When an in-house staff member obtains the file, he or she is immediately alerted that a potential OCI exists with one or both of the QA support contractors. (3) If possible, the NRNRL-CI QA staff will provide QA support in-house or task a QA support contractor from another EPA laboratory when potential OCI situations arise. The Director anticipated that in-house staff would perform nearly all QAPP reviews by fiscal year 1998. We included a summary of the Director’s comments in appropriate sections throughout the report. Appendix 1 contains a copy of the Director’s written response to our draft report. OIG EVALUATION The NRNRL-CI staff’s actions, when completed, will address the recommendations in this report. iii Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES [ This page intentionally left blank.) iv Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES TABLE OF CONTENTS EXECUTIVE SUMMARY ± CHAPTERS INTRODUCTION 1 PURPOSE 1 BACKGROUND 1 OTHER RELATED MATTERS 5 SCOPE AND METHODOLOGY 6 2 GOOD MANAGEMENT PRACTICES 9 RREL MANAGEMENT’ S COMMITMENT TO QA GOALS WAS EVIDENT 9 INTERNAL CONTROLS WERE ADEQUATE AND APPROPRIATE 11 QA OFFICE’S REVIEWS WERE TIMELY AND THOROUGH 12 QA SUPPORT CONTRACTORS WERE NOT PERFORMING INHERENTLY GOVERNMENTAL FUNCTIONS 13 RREL’S QA PROGRAM WAS INNOVATIVE AND RESULTED IN SAVINGS 14 3 OTHER ISSUES 17 WAMs LACKED REQUIRED CONTRACT-RELATED TRAINING 17 ADDITIONAL ORGANIZATIONAL CONFLICT OF INTEREST CONTROLS NEEDED . . . . . . 19 EXHIBIT EXHIBIT 1 RREL PROJECTS REVIEWED BY OIG 25 V Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES APPENDI CES APPENDIX 1 AGENCY RESPONSE TO DRAFT REPORT . . . 27 APPENDIX 2 ABBREVIATIONS 31 APPENDIX 3 DISTRIBUTION 33 vi Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES CHAPTER 1 INTRODUCTION PURPOSE RREL management requested that the OIG perform a survey of its quality assurance (QA) program. Our specific objectives were to: • determine if RREL’s internal controls related to the achievement of QA goals were adequate; • determine if QA project plans (QAPPs) were prepared, as required, for projects involving environmental data measurements; • determine if QAPPs contained information in accordance with EPA requirements; • evaluate the appropriateness of RREL’s QA support contracts; and, • identify performance measures RREL management used to assess the success of its QA program. BACKGROUND EPA management decisions rest on the quality of environmental data. Therefore, EPA requires that all routine or planned scientific projects involving environmentally related data measurements adhere to certain QA requirements. These requirements can be found in EPA Order 5360.1, “Policy and Program Requirements to Implement the Mandatory Quality Assurance Program.” The primary goal of EPA’s QA program is to ensure that projects produce data of known quality; that is, how the data were derived is thoroughly documented, verified, and defensible. The Quality Assurance Management Staff (QAMS), within the Office of Research and Development (ORD) in Washington, D.C., is responsible for general oversight of QA activities within EPA. RREL’s QA office was responsible for oversight of all QA activities within RREL and meeting the requirements in EPA Order 5360.1. QA activities are crucial in maintaining superior scientific research. EPA officials are required to prepare QAPPs for each project that involves data gathering, generation, or measurement. A Quality Management Plan (QMP) must also be in 1 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES place for each laboratory, with annual review and updating, as necessary. An annual report and workplan must be prepared each year to detail accomplishments of the past year and describe future QA activities. The QA effort is a valuable internal control technique with strong ties to the goals of the Federal Managers’ Financial Integrity Act (FMFIA). EPA created its QA program in 1979. In 1980, EPA issued guidelines for preparing QMPs and QAPPs, two key processes for ensuring quality work. In 1983, QA requirements were incorporated into assistance regulations (see 40 Code of Federal Regulations (CFR) Parts 30 and 31) and acquisition regulations (see 48 CFR Part 15). In April 1984, EPA Order 5360.1 was issued to document the Agency’s requirements to implement its mandatory QA program. RREL’s Mission and Functions EPA’s Risk Reduction Engineering Laboratory (RREL) is headquartered at the Andrew W. Breidenbach Environmental Research Center in Cincinnati, Ohio. RREL’s primary mission is to develop and apply engineering approaches to solve or prevent environmental problems that threaten human health and the environment. RREL focuses mostly on the following areas: drinking water, industrial and municipal wastewater, hazardous waste, site remediation, leaking underground storage tanks, and oil spills. RREL performs highly technical work. Included among the many scientific disciplines they employ are chemistry, engineering, microbiology, statistics, soil science, geology, and mining science. Specifically, RREL staff: • Compare drinking water treatment systems for effectiveness and cost, and also study ways to control disinfection by-products. • Search for cost effective ways to treat and manage wastewater, including sludge, urban runoff, and industrial discharges. • Develop new disposal technologies for hazardous waste, including innovative concepts such as bioremediation which uses safe, natural organisms to degrade pollutants in water, air, or soil. • Oversee the operation of the Incineration Research Facility in Jefferson, Arkansas, where scientists look 2 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES for safe ways to burn hazardous wastes, organic chemicals, and metals and prevent their release into the air. • Support Superfund activities by developing ways to prevent and contain hazardous releases. • Manage the Superfund Innovative Technology Evaluation (SITE) program which is designed to make it easier to devise and use new, alternative disposal and cleanup methods. • Provide on-call assistance for Superfund activities through RREL’s Superfund Technical Assistance Response Team (START). • Conduct research with robots and evaluate protective clothing and respirators to eliminate exposure of humans to potential danger. RREL accomplished most of its work via contractors and subcontractors. Our report focuses primarily on the work of RREL’s QA office and its two QA support contractors--Science Applications International Corporation (SAIC) and S-Cubed Division (S-Cubed), a subsidiary of Maxwell Corporation. SAIC and S-Cubed performed basically all QAPP reviews for RREL, although RREL staff reviewed contractors’ comments and made final decisions whether to endorse QAPP5. The two contractors also performed other services. For example, they conducted technical systems reviews (QA audits) of projects or experiments to ensure that those responsible for performing the work followed the EPA-approved QAPPs. In this report we also discuss issues related to two other contractors--PRC Environmental Management Incorporated (PRC) and Radian Corporation--which conducted technical projects for RREL. PRC was a direct competitor to SAIC for SITE and START work. RREL QA office staff responsibilities included: • Tracking the status of RREL’s projects, to ensure that QAPPs were prepared, before project execution, for all projects which involved data measurements. • Reviewing QAPPs prior to project execution, to ensure that adequate and sound approaches would be used to achieve defensible results. 3 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES • Conducting on-site audits at contractors, while projects were ongoing, to ensure that those who performed the work followed the procedures previously documented in the QAPPs.’ • Providing training and written guidance to those who conducted work to ensure they understood QA requirements and procedures. • Coordinating with and overseeing the work of RREL’s QA support contractors. • Preparing a QMP, and annual updates, for submission to QAMS. • Working with other RREL staff, including technical project managers (TPMs), to resolve QA problems or weaknesses and to guide them in executing projects properly. RREL QA staff often assisted TPMs, who were responsible for technical aspects of projects, with QA concerns. RREL management created the ItTPMII title for its internal use. The title was not widely known outside of RREL. TPMs often also functioned as Work Assignment Managers (WAMs). Organization RREL was formed in 1988 when the Water Engineering Research Laboratory and the Hazardous Waste Engineering Research Laboratory were merged. RREL consisted of an Office of the Director, Office of Program Operations, and four program divisions. The four program divisions were: (1) Drinking Water Research Division; (2) Superfund Technology Demonstration Division; (3) Waste Minimization, Destruction, and Disposal Research Division; and, (4) Water and Hazardous Waste Treatment Research Division. The QA office, under the Office of the Director, consisted of four full-time staff, including a QA manager. The QA Manager reported directly to RREL’s Deputy Director regarding all QA-related matters relevant to RREL. Shortly after completion of audit fieldwork, RREL was consolidated, along with five other organizations, into a new “megalab” known as the National Risk Management Research 1 0n-site audits almost always involved the review of contractors’ performance, although audits could be conducted on in-house Laboratory projects or cooperative agreements. 4 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES Laboratory (NRNRL). Consequently, RREL ceased to exist as a formal organization, and RREL officials became NRMRL officials. All audit work, however, focused on RREL QA procedures; for this reason, we refer to RREL in this audit report rather than to NRMRL. As a result of the reorganization, the Laboratory’s response to this report addressed actions the NRMRL Cincinnati (NRMRL-CI) QA staff will take with respect to our recommendations. RREL Budget RREL’s budget for fiscal year 1994 was about $57 million, with $43 million (75 percent) of that total going for extramural work. Total FTE positions at RREL for 1994 were about 230, with RREL’s work in hazardous waste, Superfund, and drinking water research accounting for 78 percent of the total. In addition to the funding required for RREL’s four QA office positions, RREL spent another $967,000 for QA contract support during fiscal year 1994. Of this, they spent about $338,000 for technical systems reviews (audits), $315,000 for QAPP reviews, $208,000 for Final Report reviews and miscellaneous support, and $106,000 for project management. OTHER RELATED MATTERS As part of our survey, we evaluated factors related specifically to the inherent risk of RREL’s QA program, as a comparison to EPA-wide risk in this area. For example, in EPA’s 1994 Material Weakness Risk Ranking Model, the QAMS Director rated the Agency’s risk related to environmental data quality at 105 points. The maximum score possible (highest level of risk) was 120 points. The QANS Director rated the following eight risk factors at the highest risk level possible: (1) human health, (2) environment, (3) information/data integrity, (4) government resources, (5) public confidence, (6) EPA-wide impact, (7) duration, and (8) source identification. QAMS identified some problems with QA programs at other EPA labs. The QAMS Director told us that she believed that RREL’s QA program was superior to other labs’ programs. However, according to the Director, QANS had not audited RREL since it became an entity in 1988 because of resource limitations. She stated that QAMS planned to audit RREL during the third quarter of fiscal year 1996. OIG Risk Assessment of RREL 5 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES We believe, based on OIG criteria, the inherent risk of RREL’s QA program was “moderate”, on a scale of low—moderate- high. Several attributes inherent to the nature of RREL’s work carried moderate to high risk: (1) RREL had four functional divisions and about 230 staff; (2) nearly every project 2 required the preparation of a QAPP; (3) the RREL QA office staff was required to monitor each project; (4) ongoing projects were in various stages of completion, thereby making them more difficult to monitor; (5) RREL management, scientists, and engineers relied heavily on contractors to accomplish RREL’s workload 3 , and (6) QAMS had not audited RREL. Although we determined inherent risk of RREL’s program was “moderate” overall, we believe some aspects of RREL’s QA program minimized the level of risk: (1) RR.EL QA officials reported to top-level RREL management; (2) the regulations and guidelines that applied to QA were easily identifiable, clear, and not unduly burdensome, and (3) incentives to circumvent QA requirements were not prevalent and, according to TPMs and Division Directors, it was reasonable to expect compliance with QA requirements. SCOPE AND METHODOLOGY Our survey focused primarily on the efforts of RREL’s QA office. To accomplish our work, we: • Obtained and analyzed EPA and RREL QA requirements and guidance; • Reviewed the content of the QA office’s project tracking database; • Assessed RREL’s QAPP review process, including the timeliness of RREL’s (and its support contractors’) QAPP reviews; • Reviewed a sample of RREL-endorsed QAPPs for the sufficiency of information covered; 2 RREL typically begins between 100 and 150 new projects each year. 3 According to the RREL QA Manager, about 60 percent of RREL’s work deals with SITE projects. Nearly all SITE work is performed by contractors, such as SAIC and PRC. Such projects, according to RREL’s Deputy Director, are “risky” because they are politically visible and involve large amounts of Federal funds. 6 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES • Assessed RREL’s QA technical systems review (QA audit) process and reviewed a sample of its QA audit reports; • Interviewed RREL QA office staff regarding oversight of its two QA support contracts and obtained budget data for those contracts; • Reviewed contract documentation and other EPA guidance 4 related to RREL’s two QA support contracts and interviewed contractor officials to determine if contractors performed any inherently governmental functions; • Interviewed RREL Division Directors and TPM5 to obtain their perspectives as “users” of the QA process; • Reviewed RREL’s July 1994 QMP; • Obtained and reviewed records pertaining to training courses taken by RREL staff; and • Assessed the inherent risk of RREL’s QA program and evaluated its internal controls related to the QA program. We also reviewed ORD FMFIA reports for fiscal years 1993 and 1994 and interviewed the Director of QAMS. We concentrated our work on recently executed RREL projects-- that is, those projects reviewed by the QA office from October 1993 to January 1995. According to a January 1995 printout from the QA office’s internal database, from the beginning of fiscal year 1993 to January 1995, RREL managed and the QA office reviewed about 260 total projects. We judgmentally selected a sample of 35 projects for review (see exhibit 1). We selected the 35 projects based on the risk assigned by RREL officials to the projects, the parties which conducted the projects, and the type of funds involved. For example, we focused our efforts on projects that were either politically or publicly visible, or involved the expenditures of large amounts of Federal funds. The mix of projects we selected, which follows, was a good representation of the work RREL did: 4 We reviewed three key EPA documents related to this issue: (1) EPA Order 1900.2, entitled “contracting at EPA”, (2) ORD Transmittal #92-13, issued November 1991, and (3) a September 1992 ORD memo regarding the “Use of Non-EPA Support Personnel for Quality Assurance Activities.” 7 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES Eighteen projects were classified as Category 2 (risky), 13 were Category 3 (somewhat risky), and 4 were Category 4 (least risky). We did not review any Category 1 (most risky) projects because RREL officials did not conduct any. According to the QA Manager, it was not the nature of RREL to perform Category 1 projects. • Twenty-eight of the 35 projects were performed by contractors, 4 were cooperative agreements, and 3 were conducted in-house. • Twenty-five of the 35 projects were conducted with Superfund monies. The remaining 10 projects were executed with other appropriations. We performed our work from October 21, 1994 to April 13, 1995. We briefed RREL officials on the results of our work on April 13, 1995. We provided RREL officials with a draft of this report for discussion purposes on May 30, 1995. We held an exit conference with the Deputy Director of RREL on June 29, 1995. In response to his comments, we made appropriate changes and finalized our report. The Director’s response is included as appendix 1. This survey was a short-term study of RREL’s activities. It was not designed to be a statistical research study or a detailed audit. Rather, it was an information gathering study that sought to identify issue areas for management attention. Thus, it was more limited in scope than an audit and, as such, did not necessarily encompass all generally accepted government auditing standards. Alternatively, this review was conducted in accordance with the provisions of OIG Manual Chapter 150, Special Reports . 8 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES CHAPTER 2 GOOD MANAGEMENT PRACTICES RREL’s QA program was well-managed, and met EPA QA requirements in an innovative manner. RREL management was committed to achieving QA goals and objectives, and this commitment was evident in its QA reporting structure, its philosophy of continuous improvement, and in the level of in- house resources RREL management dedicated to carrying out QA functions. RREL’s QA policies and procedures (internal controls) were well-documented in its Quality Management Plan, and implementation of the Plan was evident. RREL’s QA office also performed QA review functions--such as the review of QA project plans and the performance of technical systems reviews--in a timely and thorough manner. The QA office also maintained good oversight of its two QA support contracts. RREL had adequate procedures to ensure that its QA support contractors were not performing inherently governmental functions. The QA office ensured that its staff was the final decision maker regarding the approval of QA project plans and technical systems review reports. We found no indication that QA support contractors performed any inherently governmental functions. RREL’s QA program also included the development and implementation of innovative approaches to QA. RREL officials adapted Agency QA procedures to meet specific RREL needs. RREL QA officials also structured the QA program to be proactive rather than reactive, thereby resulting in dollar savings in some cases. RREL MANAGEMENT’ S COMMITMENT TO QA GOALS WAS EVIDENT RREL’s top-level management was committed to achieving QA goals and objectives. They established a QA reporting structure which emphasized this commitment. They also operated under a philosophy of continuous improvement and expended significant in-house resources to achieve QA goals. QA Reporting Structure The Director of RREL was responsible for implementing the QA program in accordance with the Agency’s QA policies. The Director delegated direct oversight authority of RREL’s QA 9 Report No. E1 ThB5-23-OOO2-54OOO99 ------- RREL QA ACTIVITIES program to the Deputy Director. In turn, RREL’s QA manager was given the authority to direct and manage the QA program. The QA manager reported directly to RREL’s Deputy Director. Therefore, the QA manager was organizationally independent of all RR.EL groups with direct research program responsibility and was given direct access to RREL’s top-level management. By nature of this reporting chain, RREL management established that QA was a high priority. Philosophy of Continuous Improvement According to RREL’s QMP, “commitment to quality assurance is embedded in a continuous process of total quality management that will be an ever-present part of RREL’s culture.” According to the QMP, QA is the responsibility of all RREL personnel. According to the Deputy Director, all RREL staff are responsible for helping the organization achieve QA goals. For example, he stated that, although the QA manager had direct access to top-level management, he held the QA manager accountable for maintaining a customer-oriented focus with those RREL technical staff executing projects. The Deputy Director stated that, if the QA manager and his staff continually focused on critiquing without showing the rest of RREL’s technical staff how to improve upon QA processes and products, the QA office’s efforts would not be effective. Resources Dedicated to OA Office RREL management’s commitment to QA was also exhibited by the level of intramural resources devoted to its QA office. The QA office was staffed by a full-time QA manager and three other full-time employees. RREL officials received approval in October 1994 to hire three additional full-time QA office staff members. They hired two of the three individuals in May 1995, and planned to hire the third by the end of September 1995. RREL management’s goal is to internalize most QA activities and minimize the level of extramural resources used for QA support contracts. According to the Director of EPA’s QANS, even without the hiring of three additional QA staff, RREL’s staff of four full-time employees was the largest in-house QA staff of any EPA laboratory. During subsequent reviews, we intend to 5 Due to an Agency hiring freeze effective July 11, 1995, RREL officials indefinitely suspended their plans for hiring the third individual. 10 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES evaluate whether the level of resources spent by RREL for QA activities is appropriate. INTERNAL CONTROLS WERE ADEQUATE AND APPROPRIATE RREL’s internal controls were detailed, well-documented, and designed to attain QA goals. RREL, in its 1994 input into ORD’s FMFIA report, did not report any material weaknesses. In contrast, ORD cited “environmental data quality” as a material weakness in its 1993, 1994, and 1995 FMFIA reports to the President. As of July 1994, only about half of EPA’s offices that generated and used environmental data had ORD- approved QMPS, which were required in accordance with Order 5360.1. The EPA Administrator agreed to direct Assistant Administrators and Regional Administrators to develop and complete QMPs as a top priority and to name a senior manager responsible for overseeing the effort. Policies and Procedures Were Designed to Ensure That OA Goals Were Attained RREL’s policies and procedures (internal controls) for adhering to QA requirements and achieving QA goals were adequate and appropriate. RREL management’s policies were laid out in detail in its QMP. Such policies, if followed, were designed to ensure that QA regulations and requirements were complied with. In addition, RREL prepared annual updates to its QMP, in accordance with Order 5360.1, and submitted them to QAMS for review. The QAMS Director told us that RREL was about the only EPA lab that regularly prepared annual updates. RREL had several controls in place which were designed to: (1) prevent the unnecessary expenditure of funds and (2) ensure that QA requirements were addressed on projects, when applicable. For example, RREL prioritized its scientific projects, whether executed in-house or by contractors, by a category system, from 1 to 4 6 This is a good practice that 6 Category 1 projects are the most significant and visible projects conducted. EPA uses results of Category 1 projects to develop new Agency-wide regulations. Since 1991, when RREL established the categories, RREL has not worked on any category 1 projects. RREL managed various Category 2 projects, many of which were SITE projects. Category 3s and 4s typically are less risky and are either in-house RREL projects or cooperative agreements with university professors and graduate students for general research. 1]. Report No. E1J8B5-23-0002-5400099 ------- RREL QA ACTIVITIES was designed to ensure that staff time and Federal funds were spent on projects in proportion to the level of risk and importance of the work. As another good control, RREL required TPMs to complete a QA review form 7 for all scientific projects requiring funding for their execution. The QA manager or QA coordinator reviewed and signed this form stating whether they agreed that QA was relevant to a project’s execution and, therefore, that QA activities, including the development of a QAPP, needed to be implemented. In addition, the QA office also tracked RREL research projects when work assignments were issued, rather than waiting until TPM5 submitted QAPPs for review, Consequently, QA office staff were able to ?nsure that all projects for which QA requirements applied had QAPPs prepared for them. If the QA office staff did not receive a QAPP within three to four months after issuance of a work assignment, the staff would notify the appropriate division director and TPM that one must be prepared. Therefore, it is not likely that a project could be started, or worked on very long, without an approved QAPP in place. QA OFFICE’S REVIEWS WERE TIMELY AND THOROUGH RREL’s QA office performed QA review functions--such as the review of QAPPs and the performance of technical systems reviews--in a timely and thorough manner. Of the 73 QAPP submissions we reviewed, RREL met its internal 15-day review and comment deadline in 57 cases (78 percent). In each of the 16 remaining cases that RREL did not meet its deadline, QA support contractors responsible f or providing review comments to the QA office missed their assigned deadlines. The content of the QAPP5 and RREL’s QMP we reviewed was complete. Of the 31 QAPPs we examined that had been endorsed or conditionally endorsed by the QA office, only one was missing a required section of information from the QAPP. RREL conducted 75 technical systems reviews (audits) in 1994. Based on our review of 13 audited projects, RREL provided proper feedback on audited projects, as required under its QMP. We found that written feedback was usually provided to the auditee the day of the audit. In addition, audit reports 7 Quality Assurance Review for Extramural Projects-Contracts, QA Form QAR-C, Revision No.1, 1981 and Quality Assurance Certification for Cooperative Agreements, July 1990. 12 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES were generally completed and provided to TPMs within the 30- day requirement. According to the QA office manager, the audit process allows them to make decisions regarding the quality of results achieved by the various labs and contractors who manage projects. For example, RREL determined after one audit that a contractor was unfit to conduct research projects for them, and discontinued doing business with that contractor. QA SUPPORT CONTRACTORS WERE NOT PERFORMING INHERENTLY GOVERNMENTAL FUNCTIONS The QA office maintained good oversight of its two QA support contracts. The QA office ensured that its staff were the final decision makers regarding the approval of QAPPs and technical systems review reports. We found no indication that QA support contractors were performing inherently governmental functions. Office of Management and Budget Circular A-76 defines inherently governmental activities as those “being so intimately related to the public interest as to mandate performance only by Federal employees.” EPA Order 1900.2 states, in section 3.a.(4), that if contractors provide background research or perform analyses, it must be carefully examined by EPA personnel for partiality, favoritism, and any contractor conflict of interest. In all cases, there should be a clear record that the contractor’s work was reviewed and that the final decisions were made by Agency personnel. EPA Order 1900.2 also states, in section 3.b., that any support contracted for the in-house evaluation of another contractor’s performance must be justified. The program office is to prepare a written justification which describes the type of work to be performed, why the work cannot be performed internally, and what will be done to ensure a final EPA product that is unbiased and represents EPA thinking. For contracts valued over $25,000, this justification must be signed by the cognizant Assistant Administrator, Associate Administrator, or Regional Administrator. Although some QA functions are considered by EPA to be inherently governmental, we do not believe that either of RREL’s QA support cont ractors performed any such activities. 13 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES For example, although RREL relied heavily on its QA support contractors to review QAPPs and to provide technical review comments, RREL officials did not simply “rubber stamp” their approval of those comments. We found documented evidence in the project files which indicated that QA office staff closely reviewed support contractors’ comments. Moreover, QA office staff were knowledgeable when discussing project details. By closely reviewing contractors’ comments and recommending other revisions as needed, the QA office acted as the final decision maker regarding what information QAPPs needed to address before the QA office would endorse them. In addition, we found written and approved justifications in the contract files for having the QA support contracts. Finally, contractor representatives stated strongly that they acted only as technical advisors to RREL on QAPP reviews and technical systems reviews. RREL’ S OA PROGRAM WAS INNOVATIVE AND RESULTED IN SAVINGS RREL’s QA program included innovative approaches to QA. QA officials adapted Agency QA procedures to meet specific RREL needs. For example, RREL QA officials modified an existing QA approach to prioritizing projects by the risk associated with conducting each project, and published this approach in a pocket-sized booklet. According to the QA Manager, since publishing the booklet in 1989, RREL officials had distributed more than 50,000 copies to various government organizations, industries, contractors, and universities. In addition, RREL QA officials improved forms, as needed, to meet specific RREL needs, and also recently began to track “customer” satisfaction through the use of staff surveys. RREL QA officials also developed a new control procedure to ensure RREL officials prepared QAPPs when required. That is, QA officials assigned QA identification numbers to projects as soon as they reviewed procurement packages, rather than when they received QAPPs. Procurement packages contain various contract-related documents--including QA review forms- -and are circulated to appropriate government officials for their approval as part of the procurement process. Assigning QA numbers early on in the procurement process enabled QA officials to track, through their internal database, projects for which they had not yet received QAPPs. RREL QA officials adopted a proactive approach to problem- solving, resulting in savings which the QA Manager quantified 14 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES and documented to illustrate the value of RREL’s QA program. For example, a 1993 audit of a SITE demonstration project related to the biogenesis soil washing process resulted in a cost savings of about $800,000. According to the QA office, if the audit had not been performed when it was, all data from the project would have been biased and the entire project would have had to be repeated. Another audit in 1992 resulted in savings of about $450,000, according to the QA office. By identifying sampling concerns related to a SITE demonstration, corrective actions were able to be implemented early enough to allow collection of data of known and adequate quality to meet project needs. Consequently, the demonstration did not have to be re-run. On another SITE project in 1992 involving low temperature thermal treatment, a complete re-run of the project was avoided, thereby saving about $270,000. The QA office also documented other cases, without quantifiable dollar savings, which could have resulted in biased and misleading data had audits not been conducted. 15 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES [ This page intentionally left blank.] 16 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES CHAPTER 3 OTHER ISSUES We found two issues which have potential to impact the management of RREL’s QA program. We found that: (1) two RREL TPMs who also functioned as WAI 1s had not taken a required contract-related training course and (2) additional organizational conflict of interest (OCI) controls were needed. Efforts should be made to address these issues. Although we did not identify any negative impact or effect from these conditions, there are potential effects that could impede the program’s progress. WAMs LACKED REQUIRED CONTRACT - RELATED TRAINING A total of 22 TPMs managed the 35 projects we reviewed. Some of the TPM5 also acted as WAMs. Two (9 percent) of the TPMs who acted as WAMs lacked contract-related training required for WAMs. 8 The two WAMs had not taken a contract recertification (“refresher”) course. In accordance with EPA-wide requirements in Order 1900.2 and EPA’s Contracts Management Manual, all WAI4s are required to take an 8-hour recertification (“refresher”) course every three years. This training was contract-related, not QA-related. Consequently, although the issue could indirectly impact the RREL QA program, it pertains to RREL as a whole. RREL’s Extramural Management Specialist said she believed contract-related training had been emphasized at RREL. However, she speculated that reasons WAMs might not have taken required contract-related courses were: (1) the Office of Acquisition Management (OAM) did not offer the courses often enough, in some cases because of a lack of travel funds to come to Cincinnati or (2) RREL staff were unclear on what courses were required. For example, she stated that some staff might not realize they need to take the “refresher” course every three years. According to RREL’s training coordinator, it is the responsibility of each employee to track which courses they must take and to take them. The training coordinator said she tracks what courses people have taken and the date when the training was completed in an internal database. 8 The 2 WAMs who lacked training managed 2 (6 percent) of the 35 projects. Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES The extramural management specialist also stated that, as a result of the September 1994 revision to Chapter 7 of the Contracts Management Manual, procedures are in place to ensure that employees do not act as a WAN or a Project Officer (P0) unless they have taken relevant courses. EPA Form 1900-65, used to nominate someone to be a WAN, requires that completion dates be listed for two contract-related courses WAMs must take. 9 If the nominee has not completed the required training courses, a memorandum justifying the nomination must be prepared by the nominating official, forwarded to the contracting officer for approval, then forwarded to the Director of Policy, Training, and Oversight Division within OAM for approval. According to the Contracts Management Manual, “A deferment of training will only be granted under extenuating circumstances and for a limited period until training can be completed.” Conclusion and Recommendations Contract-related training is vital to help ensure that projects are carried out appropriately and cost-effectively. We recommend that management (1) review the training records of all RREL staff acting as WAMs and identify any others who are lacking training, (2) ensure that those individuals identified take the required contract-related courses, and (3) place a greater emphasis on ensuring that its staff is sufficiently trained. Laboratory Comments and Actions The NRMRL Director agreed with the recommendations. He stated that management will, by November 6, 1995, review training records of all NRMRL Cincinnati (NRNRL-CI) staff acting as WAIls and identify those lacking required contract- related training courses. The Director also stated that new 0AM procedures, found in the September 27, 1994 version of the Contracts Management Manual, help to ensure that WAMs who lack training take required courses. According to the Director, RREL and ORD officials placed a significant emphasis on training. OIG Evaluation The NRNRL-CI staff’s actions, when completed, will address the recommendations in this section. 9 me two required courses are (1) Contract Administration and (2) Recertification. 18 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES ADDITIONAL ORGANIZATIONAL CONFLICT OF INTEREST CONTROLS NEEDED Although the QA office’s support contractors did not perform any inherently governmental functions, we believe another contract-related issue exists that should be addressed-- namely, potential contractor organizational conflicts of interest (OCIs) during QAPP reviews. In one case, an OCI occurred because a QA support contractor was the sole reviewer of a primary competitor’s QAPP. We also identified two OCI concerns involving subcontractual affiliations between RREL QA support contractors and RREL contractors that prepared QAPPs. Federal Acquisition Regulations (FAR) Subpart 9.501 defines “organizational conflict of interest” as follows: Organizational conflict of interest means that because of other activities or relationships with other persons, a person is unable or potentially unable to render impartial assistance or advice to the Government, or the person’s objectivity in performing the contract work is or might be otherwise impaired, or a person has an unfair competitive advantage. FAR Subpart 9.505-3 specifically addresses OCIs involving advisory and assistance services, which would apply to the review of QAPPs: Advisory and assistance services shall not generally be awarded to a contractor that would evaluate, or advise the Government concerning, its own products or activities, or those of a competitor, without proper safeguards to ensure objectivity and protect the Government’s interests. EPA Acquisition Regulations Subpart 1509.5 states that it is Agency policy to avoid, neutralize, or mitigate OCIs. RREL officials were aware of the potential for OCIs and had developed some management controls to mitigate or avoid OCIs. RREL QA officials stated that QAPP review procedures mitigated potential OCIs. RREL QA officials checked QA support contractor QAPP reviews for accuracy and consistency. RREL QA officials also stated that they required QA support contractors to review QAPPs using standards found in Agency guidance on the preparation of QAPPs. To avoid OCIs, RREL policy prohibited QA support contractors from reviewing QAPPs 19 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES prepared by their own companies or by direct competitors. For example, RREL policy prohibited SAIC--an RREL QA support contractor--from being the sole reviewer of PRC SITE program QAPPs because PRC was a direct SAIC competitor for RREL SITE work. A QA Support Contractor Reviewed a Competitor’s OAPP RREL officials generally followed their policy that prohibited QA support contractors from reviewing their own QA products or those of a competitor. However, we identified one case in which a QA contractor was the sole reviewer of a QAPP prepared by a direct competitor. SAIC obtained an RREL Superfund Technology Assistance Response Team (START) program contract while conducting a review of a PRC START program QAPP for RREL.’° RREL endorsed this PRC QAPP without recognizing the OCI. RREL QA officials said they were not aware at the time of the QAPP review that SAIC had become an RREL START program contractor. OCI Concerns Involving Subcontractual Affiliations We also identified two OCI concerns involving subcontractual affiliations between RREL QA support contractors and other RREL contractors. First, SAIC, on occasion, was the sole reviewer of QAPPs prepared by a company--Radian Corporation-- with which SAIC subcontracted.” Radian also was a subcontractor with PRC--an SAIC competitor.’ 2 As such, SAIC (as a QA support contractor) reviewed and judged the adequacy of work products prepared by a contractor that both SAIC (as a non-OA support contractor) and its primary competitor used as a subcontractor on previous RREL projects. 10 QA identification number 940, according to the QA office’s database. The QA office endorsed this QAPP on November 15, 1994. The START contract was awarded to SAIC on November 1, 1994; SAIC delivered the QAPP review to the QA office on November 2, 1994. “According to RREL’s database, Radian was a subcontractor for SAIC on RREL projects 909, 865, 823, and 735. SAIC was the only reviewer of Radian’s QAPP5 for the following RREL projects: 848, 919, and 801. ‘ 2 According to RREL’s database, Radian was a subcontractor for PRC on RREL projects 903, 867, 829, and 728. 20 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES Secondly, SAIC acquired the services of S-Cubed, a subcontractor on some SITE projects. 13 Although RREL appropriately used another QA support contractor (PEI/IT Corporation) to review those QAPPs, we believe the potential for OCIs remains between SAIC and S-Cubed. S-Cubed, like SAIC, is a QA support contractor for RREL. S-Cubed must review QAPPs for all SAIC-managed projects because SAIC cannot review its own company’s products. According to RREL’s database, S-Cubed was the sole reviewer of QAPPs for at least twelve SAIC projects during 1994. Because S-Cubed sometimes is a subcontractor to SAIC, S-Cubed QA review officials might hesitate to issue unfavorable QA reviews of SAIC QAPPs. According to the FAR definition cited above, OCIs occur when objectivity in performing contract work might be impaired. We believe this could occur because of subcontractual affiliations. However, the FAR advisory and assistance- specific OCI reference, as well as ORD and RREL policies, do not expressly address subcontractual relationships. According to FAR 9.505, each contract should be examined on the basis of the nature of the proposed contract, and any decision to determine whether a significant potential OCI exists should be based on “common sense, good judgement, and sound discretion.” According to RREL officials, given the nature of RREL’s work and the number of contractors qualified to perform it, subcontractual affiliations between RREL QA support contractors and RREL contractors that prepared QAPPs were sometimes unavoidable. To mitigate the perception that contractors might be performing inherently governmental functions and to avoid OCIs, RREL management obtained authorization for more in- house QA positions to replace contractor positions. According to RREL’s Deputy Director, RREL hired additional staff members in 1995 for its QA office. RREL management plans to eliminate most of its QA contract support by acquiring additional FTE5. RREL estimated a total savings of $450,000 in fiscal year 1996 due to the conversion of three new positions. ‘ 3 For the following RREL projects, S-Cubed was a subcontractor for SAIC: 797, 684, and 619. 21 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES Conclusion and Recommendations Although we did not identify any negative effects from these OCI-related conditions, we believe such situations could impede RREL’s QA program by impairing QA support contractors’ objectivity when reviewing QAPP5. Given this, we recommend RREL QA officials establish control procedures to identify, and either avoid, neutralize, or mitigate, potential OCIs between QA support contractors and other Laboratory contractors. We also recommend that, if possible, RREL QA officials conduct QA work in-house or use QA support contractors that perform no other work for the Laboratory in these instances. Laboratory Comments and Actions The NRNRL Director agreed with the recommendations. He stated that subcontractual affiliations between QA support contractors and other Laboratory contractors represented “an additional potential conflict of interest that was not specifically addressed previously.” In response to the recommendations, the NRMRL Director stated that the NRMRL-CI QA staff has begun to implement the following procedures: (1) POs for QA support contracts will distribute to the NRMRL-CI QA staff lists of companies with which QA support contractors do NRNRL-CI business. The Director stated QA support contractors will update these lists quarterly, beginning October 1. The Director also stated that QA support contractors will notify the appropriate EPA P0 when they are awarded non-QA NRMRL contracts. (2) The NRMRL-CI QA staff will review the lists described above when QA support is requested for a contracted project. If the project contractor is on a QA support contractor’s list, the NRMRL-CI QA staff will place a “C” on the project file to alert NRMRL-CI QA staff that a potential OCI exists. When an in-house QA staff member obtains the file, he or she is immediately alerted that a potential OCI exists with one or both of the QA support contractors. (3) If possible, the NRMRL-CI QA staff will provide QA support in-house or task a QA support contractor from another EPA laboratory in potential OCI situations. The Director anticipated that in-house staff would perform nearly all QAPP reviews by fiscal year 1998. 22 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES OIG Evaluation The NRMRL-CI staff’s actions, when completed, will address the recommendations in this section. 23 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES [ This page intentionally left blank.1 24 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES EXHIB Page IT 1 1 of 2 RREL PROJECTS REVIEWED BY OIG # QA ID # Category Fundg’ 4 Project Executed by 1 976 2 NSF SAIC 2 955 4 NSF Southern Methodist Univ. 3 953 3 SF IT Corp. 4 950 2 SF PRC/Unstitut Fresenius 5 945 3 NSF Jefferson Parish-LA 6 944 4 NSF E&E Res. Ctr./Univ. of ND 7 940 4 SF PRC 8 934 3 NSF In-house/RREL 9 931 2 SF EQMI 10 925 3 SF IT Corp. 11 924 2 SF FWEI 12 923 3 NSF CCP&CT Univ. of TN 13 917 2 SF SAIC 14 914 3 SF SAIC/Coast to Coast 15 913 2 SF PRC/Gen’l Testing Corp. 16 912 2 SF PRC/Versar 17 910 2 SF PRC/Versar 18 909 2 SF SAIC/Radian 19 903 2 SF PRC/Radian 20 890 3 SF R.F. Weston Inc. ‘ 4 NSF refers to Non-Superfund monies; SF refers to Superfund monies. 25 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES EXHIBIT 1 Page 2 of 2 RREL PROJECTS REVIEWED BY OIG (cont.) # QA ID # Category Funds Project Executed by 21 889 4 NSF In-house/RREL 22 888 3 SF General Atomics 23 886 2 SF PRC/GTC 24 882 3 SF SAIC 25 880 2 SF SAIC/EA 26 875 2 SF Acurex (AR) 27 866 3 NSF EQMI 28 865 2 SF SAIC/Radian 29 848 2 NSF Radian 30 829 2 SF PRC/IT-Radian 31 827 3 SF PRC 32 819 3 NSF In-house/RREL 33 810 2 SF SAIC/Lockheed 34 797 2 SF SAIC/S-Cubed 35 790 3 SF MSE, Inc. 26 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES APPENDIX 1 Page 1 of 3 UNITED STATES ENVIRONMENTAL PROTECTiON AGENCY NATIONAL RIS ( MANAGEMENT RESEARCH LA8OR TORV CINCINNATI, OH 45268 OFFIC! OF R!MAACM AHD O€VELOPMENT August 22, 1995 MEMORkN BUEJECT: Respons. to Office of Inspector General Report of Review: Survey of Risk Reduction Engineering laboratory’s Quality Assurance Activities ElJ8flS —23—OOO2-,nne,r xx FROM: TO: Anthony C. Carrollo Divisional Inspector General for Audits Northern Division Th• Risk Reduction Engineering Laboratory (RREL) would like to thank the Off ice of Inspector G.n.ral for its thorough and helpful review of PRIL’s Quality Assurance (QA) activities. The following response documents the actions the National Risk Management Research Laboratory - Cincinnati (into which RREL was absorbed on May 1, 1995) will take with respect to the two minor issues idntifi.d during the Office of Inspector General (OIG) review. Issue 1: Tvo RREL Technical Prolect Managers (TPMs) who lj functioned as Work Assiensent Manaaers (WAMs had not tak*j j reauired contract—related training course . National Risk Management Research Laboratory — Cincinnati (NRXRL—Ci) management will review the training records, by November 6. 1995, of gjJ NRXRL-Ci staff acting as WAlls and identify those who are lacking training. NP,MRL-Ci believes that the new procedures established by Office of Acquisition Management (OAK) in the 9/27/94 version of Chapter 7 of the Contracts Management Manual will ensure that individuals who are lacking training take th. required courses. OAII has established procedures in this chapter which require the Project Off ic.r (P0) or WAll to indicate the dates of each training course and the recertification course on EPA Form 1900—65A (Rev. 7-94). OAK policy indicates that Contracting Officers will not approve the appointment of POs and WAlls who lack th. necessary training. It should be noted that NBXRL-Ci and the Office of Research and Development (ORD) have placed a significant emphasis on 27 Report No. E1JBB5-23-0002 -5400099 ------- RREL QA ACTIVITIES APPENDIX 1 Page 2 of 3 In order to further clarify NpJ(RL-Ci policy with respect to aitigatinq the potential organizational conflict of interest id.ntifi.d by the 010, the NRMRL-Ci staff has also b.gun to inpls .nt the following procedur es The P0 for the QA support contracts r.qu.st.d that the support contractors list those cospanies with which they do NRXRL-Ci business and to send thee. lists to her. The P0 has received these Lists and will distribute thes. lists to all seabers of the WRMRL—Ci Q& staff. Thes . lists will be reviewed and updated quarterly by the QA support contractors (October 1, January 1, April 1, and July 1). The QA support contractors will also notify the EPA Project Officer whenever they are awarded a non-QA NRMRL-Ci contract. • When QA support is requested by IIRMEL-Ci staff on a contracted project, the lists d.scrib.d above are reviewed by an in-house NRNRI -Ci QA staff sesber. Should the project contractor appear on either QA support contractor list, the lettr C is placed on the project file. When an in-house QA staff aesber verifies the contractor deliverable of a project with the C. designation, that QA staff asaber obtains the file and is lasediately alerted that a potential organizational conflict of interest exists with one or both of the QA support contractors. IlR? L-Ci QA staff a ’ ers verify all contractor deliverables in order to ensure accuracy; this includes checking for bias du. to potential organizational conflicts of interest. • If possible, the WR)IRL—Ci QA staff will provide the QA support in-house or task a non-N G L-Ci QA support contractor as opposed to tasking a NRMRL-Ci QA support contractor. It is anticipated that QAPP reviews and Technical Sy.tsas Reviews will be perforsed prisarily by in—house staff by PT 1998 • Weabers of the )IRI(RL-Ci QA staff are currently actively participating in both QAPP reviews and Technical Systeas Reviews. NRI L aanageaent believes that the actions described above satisfactorily address th. two ainor issues identified during the 010 review. Again, thank you for your in depth review of the PREL QA prograa. cc: Wancy W.ntvorth candac. Castillo 28 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES APPENDIX 1 Page 3 of 3 txaininq In addition to the WAX r.guir.d training course., ORD has instituted a 3-day contraCt sartagea.nt training course for all WAXs and POs. This course has been presented OlD—via, over the past 18 sonths. It is .stisatsd that all NRXRL—Ci and OlD P0. and WAMs will have compl.t.d the course by the snd of fiscal year 1995. Issue 2: Additional er anizationa1 conflict of interest (OCfl controls wars needed . The OIG report identifies that a potential organizational conflict of interest exists between a QA support contractor and a coapany with which it has worked with in the past. For xaapl., Science Applications International Corporation (SAIc), a QA support contractor, subcontracted with Radian Corporation en an RRZL project for the Sup.rfund Innovativ. Technology Ivaluation (SITt) d.sonstretion prograa. In this instance, S-Cubed was used to review th. quality assuranos project plan (QAPP). The 010 sees a potential for an organizational conflict of interest for SAIC to provide O k support to IIRXP.L-Ci on a project which involves Radian, even if Radian and SAIC are not in a contractual relationship on that project. )IBXRL—Ci views thi, particular situation as an additional pot.ntial organizational conflict of interest that was not specifically addressed previously within the aanag.s.nt controls for WR) L-Ci QA support contractors. NRMRL—Ci saintains that while potential organizational conflicts of interest say be ispossible to avoid, they can be sitigated by appropriat, contract panagesent controls. As stated in the OIG report (p.13), “Tb. QA office saintained good oversight of its two QA support contracts. The QA office ensured that its staff were the final decision saksrs regarding the approval of QAPPS and technical systess review reports.’ The 14RXRL-Ci QA staff believes that this oversight attigatss potential organizational conflict of interest situation.. The following procedures are already in place and will ensure that QA support contractors saintain their objectivity: All QAPPs are reviewed against the standards provided in ‘Preparation Aids for the Developssnt of QA Project Plans,” (EPA/600/8—91/003 through 006) February 1991. All reviews p.rtors.d by QA support contractor. are verified by in-houss personnel for accuracy and consistency. 29 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES [ This page intentionally left blank.) 30 Report No. E133B5-23-0002-5400099 ------- RREL QA ACTIVITIES APPENDIX 2 Page 1 of 1 ABBREVIATIONS CFR Code of Federal Regulations OCI Organizational Conflict of Interest EPA Environmental Protection Agency FAR Federal Acquisition Regulations FMFIA Federal Managers’ Financial Integrity Act OAIvl Office of Acquisition Management OIG Office of Inspector General ORD Office of Research and Development PRC PRC Environmental Management Incorporated QA Quality Assurance QANS Quality Assurance Management Staff QAPP Quality Assurance Project Plan QMP Quality Management Plan RREL Risk Reduction Engineering Laboratory SAIC Science Applications International Corporation SITE Superfund Innovative Technology Evaluation START Superfund Technology Assistance Response Team TPM Technical Project Manager WAN Work Assignment Manager 31 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES [ This page intentionally left blank.] 32 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES APPENDIX 3 Page 1 of 2 DISTRIBUTION Inspector General (2410) Assistant Administrator for Research and Development (8101) Director, Office of Research Program Management (8102) Director, National Center for Environmental Assessment (8601) Acting Director, National Center for Environmental Research and Quality Assurance (8701) Director, National Exposure Research Laboratory (MD75) Director, National Health and Environmental Effects Research Laboratory (MD51) Director, Office of Resource Management and Administration (8102) Director, Quality Assurance Management Staff (8201) Director, Office of Acquisition Management (3801F) Regional Administrator, Region 1 (RAA) Regional Administrator, Region 2 Regional Administrator, Region 3 (3RAOO) Regional Administrator, Region 4 (4RA) Regional Administrator, Region S (R-19J) Regional Administrator, Region 6 (6RA) Regional Administrator, Region 7 (RGAD) Regional Administrator, Region 8 Regional Administrator, Region 9 (ORA) Regional Administrator, Region 10 (SO-141) Audit Liaison, Office -of Acquisition Management (3801F) 33 Report No. E1JBB5-23-0002-5400099 ------- RREL QA ACTIVITIES Audit Liaison, Office of Research and Development (8101) Agency Followup Official (3101) Attention: Assistant Administrator for Administration and Resources Management Agency Followup Coordinator Associate Administrator for Communications and Public Affairs (1701) Associate Administrator for Congressional and Legislative Affairs (1302) Headquarters Library (3404) 34 Report No. ELJBB5-23-0002-5400099 ------- |