AR 11-35 Deployment Occupationa - Army
AR 11-35 Deployment Occupationa - Army
Army Programs
Deployment
Occupational
and
Environmental
Health Risk
Management
Headquarters
Department of the Army
Washington, DC
16 May 2007
UNCLASSIFIED
SUMMARY of CHANGE
AR 11–35
Deployment Occupational and Environmental Health Risk Management
Army Programs
Guard/Army National Guard of the United This regulation contains management con-
States; the Army Reserve; Army civilian trol provisions and identifies key manage-
personnel; non-appropriated fund person- ment controls that must be evaluated (see
nel; and Army contractors, if within the appendix B).
scope of their contract unless otherwise
stated. Supplementation. Supplementation of
this regulation and establishment of com-
Proponent and exception authority. mand and local forms by Army Com-
The proponent of this regulation is the mands, Army Service Component
Assistant Secretary of the Army (Installa- Commands, and Direct Reporting Units
tions and Environment). The proponent are prohibited without prior approval from
has the authority to approve exceptions or Assistant Secretary of the Army (Installa-
waivers to this regulation that are consis- tions and Environment), ATTN:
tent with controlling law and regulations. SAIE–ESOH, 110 Army Pentagon, Wash-
The proponent may delegate this approv- ington, DC 20310–0110.
al, in writing, to a division chief within
History. This is a new Army Regulation. the proponent agency or its direct report- Suggested improvements. Users are
Summary. This regulation covers the ing unit or field operating agency, in the invited to send comments and suggested
policies, responsibilities, and procedures grade of colonel or the civilian equivalent. improvements on DA Form 2028 (Recom-
for managing risks associated with oc- Activities may request a waiver to this mended Changes to Publications and
cupational and environmental health regulation by providing justification that Blank Forms) directly to HQDA
threats during deployments. This regula- includes a full analysis of the expected (DASA–ESOH), Washington, DC
tion implements Chairman, Joint Chiefs of benefits and must include formal review 20310–0200.
Staff (CJCS) Memorandum by the activity’s senior legal officer. All
MCM–0006–02; Executive Order 12196; waiver requests will be endorsed by the Distribution. This publication is availa-
DOD Directives 1010.10, 4715.1E, 6200. commander or senior leader of the requ- ble in electronic media only and is in-
4, 6205.2E, and 6490.2; DOD Instructions esting activity and forwarded by their tended for command levels A, B, C, D,
1322.24, 4150.7, 6050.05, 6055.1, 6055.5, higher headquarters to the policy propo- and E for the Active Army, the Army
6055.7, 6055.8, 6055.11, 6055.12, and nent. Refer to AR 25–30 for specific National Guard/Army National Guard of
6490.03; and Presidential Review Direc- guidance. the United States, and the United States
tive 5. Army Reserve.
Army management control process.
Applicability. This regulation applies to
the Active Army; the Army National
Chapter 1
Introduction, page 1
Purpose • 1–1, page 1
References • 1–2, page 1
Explanation of abbreviations and terms • 1–3, page 1
Responsibilities • 1–4, page 1
Policy • 1–5, page 1
Background • 1–6, page 2
UNCLASSIFIED
Contents—Continued
Chapter 2
Responsibilities, page 3
Secretariat and Army Staff Principals • 2–1, page 3
The Assistant Secretary of the Army (Installations and Environment) • 2–2, page 3
The Assistant Secretary of the Army (Manpower and Reserve Affairs) • 2–3, page 3
The Assistant Secretary of the Army (Acquisition, Logistics, and Technology)/Army Acquisition Executive • 2–4,
page 4
The Chief of Staff of the Army • 2–5, page 4
The Deputy Chief of Staff, G–1 • 2–6, page 4
The Deputy Chief of Staff, G–2 • 2–7, page 4
The Deputy Chief of Staff, G–3/5/7 • 2–8, page 4
The Deputy Chief of Staff, G–4 • 2–9, page 4
The Deputy Chief of Staff, G–8 • 2–10, page 5
The Surgeon General • 2–11, page 5
Army Commands, Army Service Component Commands, and Direct Reporting Units • 2–12, page 5
The Commanding General, U.S. Army Training and Doctrine Command • 2–13, page 5
The Commanding General, U.S. Army Forces Command • 2–14, page 5
The Commanding General, U.S. Army Materiel Command • 2–15, page 6
The Commander, U.S. Army Medical Command • 2–16, page 6
The Director of Army Safety • 2–17, page 6
Chief, Information Officer, G–6 • 2–18, page 6
Chief of Engineers • 2–19, page 6
The Director, Army National Guard Bureau • 2–20, page 6
The Chief, Army Reserve • 2–21, page 7
Commanders • 2–22, page 7
Chapter 3
Program Objectives, Elements, and Prescribed Procedures, page 7
Program objectives • 3–1, page 7
Program elements • 3–2, page 8
Prescribed procedures • 3–3, page 8
Appendixes
A. References, page 10
B. Management Control Evaluation Checklist, page 14
Glossary
1–2. References
Required and related publications and prescribed and referenced forms are listed in appendix A.
1–4. Responsibilities
Responsibilities are listed in chapter 2.
1–5. Policy
It is Army policy to—
a. Protect Army personnel from potential and actual exposures to chemical, biological, radiological, nuclear, and
high-yield explosives (CBRNE) warfare agents; endemic communicable diseases; food-, water-, and vector-borne
diseases; ionizing and non-ionizing radiation; combat and operational stress; heat, cold, and altitude extremes; environ-
mental and occupational hazards; toxic industrial chemicals and materials (TICs/TIMs); and other physical agents.
b. Reduce potential and actual exposures from occupational and environmental hazards encountered during military
operations to as low as practicable to minimize acute, chronic, and delayed health effects within the context of mission
parameters and Army CRM principles.
c. Make informed risk decisions regarding OEH threats during military operations, using the CRM process to
manage such threats and minimize total risk to Army personnel.
d. Ensure that commanders are aware of and consider the acute, chronic, and delayed health risks associated with
1–6. Background
a. This policy applies to deployments that—
(1) Involve the relocation of forces and materiel to desired operational areas.
Chapter 2
Responsibilities
2–1. Secretariat and Army Staff Principals
The Secretariat and Army Staff (ARSTAF) principals will, as the functional proponents for their respective areas of
responsibility, develop, implement, and oversee programs to integrate the DOEHRM policy into their functional areas
or readiness domains.
a. Each ARSTAF principal will define the organizational missions, force structure, and resourcing necessary to
implement this policy within their functional areas.
b. The Assistant Secretary of the Army (Installations and Environment) (ASA(I&E)), the Assistant Secretary of the
Army (Manpower and Reserve Affairs) (ASA(M&RA)), and the Assistant Secretary of the Army (Acquisition,
Logistics, and Technology) (ASA(ALT))/Army Acquisition Executive (AAE) are the principal advisors and assistants
to the Secretary of the Army for DOEHRM matters.
2–3. The Assistant Secretary of the Army (Manpower and Reserve Affairs)
The Assistant Secretary of the Army (Manpower and Reserve Affairs) (ASA(M&RA)) will—
a. Establish policy and guidance for integrating DOEHRM requirements within the military and civilian personnel
and manpower programs.
b. Support and defend funding of DOEHRM requirements in coordination with ASA(I&E).
c. Ensure that DOEHRM requirements are integrated into Army training programs.
d. Ensure DOEHRM requirements regarding personnel doctrine, personnel reporting requirements, and the mainte-
nance of records, to include records on the locations of units and individual personnel, are implemented.
e. Ensure that Soldiers’ EHRs, including actual and potential OEH exposure information, are made available for use
2–4. The Assistant Secretary of the Army (Acquisition, Logistics, and Technology)/Army Acquisition
Executive
The Assistant Secretary of the Army (Acquisition, Logistics, and Technology)/Army Acquisition Executive
(ASA(ALT)/AAE) will—
a. Establish overall acquisition, logistical, and technological policy and guidance to integrate DOEHRM require-
ments into materiel acquisition and contracting.
b. Support and defend funding of DOEHRM requirements.
c. Develop non-medical DOEHRM materiel (such as sampling instruments, clothing, and individual equipment).
2–12. Army Commands, Army Service Component Commands, and Direct Reporting Units
Army Commands (ACOMs), Army Service Component Commands (ASCCs), and Direct Reporting Units (DRUs) will
provide command emphasis, resources, policy implementation guidance, and oversight to subordinate commands and
activities for the integration and implementation of DOEHRM activities, programs, and processes within their respec-
tive command, functional, and readiness domains.
2–13. The Commanding General, U.S. Army Training and Doctrine Command
The Commanding General (CG), U.S. Army Training and Doctrine Command (TRADOC), in addition to the responsi-
bilities in paragraph 2–12 above, will—
a. Develop doctrine, TTP, implementation plans, and operational requirements for commanders, leaders, and others
to use in assessing, managing, and countering deployment OEH risks.
b. Incorporate training on DOEHRM into TRADOC leadership schools, as appropriate.
c. Ensure that DOEHRM requirements are integrated into proponent combined arms training strategies.
d. Provide DOTMLPF solutions to the deployment OEH risks presented by hazards identified in paragraph 1–6b.
e. Ensure that commanders, supervisors, and FHP staff receive DOEHRM training.
2–22. Commanders
Commanders will—
a. Use the Army CRM process as part of the commander’s FHP Program for the timely assessment of OEH risks to
personnel under their command.
b. Minimize risks created by actual and potential OEH exposures during all phases of military operations, balanced
with operational requirements.
c. Ensure that contingency and operational plans include the appropriate DOEHRM elements. Based on mission
planning, commanders will be responsible for tasking their unit intelligence personnel to gather finished environmental
intelligence threat assessments produced by the Armed Forces Medical Intelligence Center, or request through appro-
priate command intelligence channels their production if nonexistent or out-of-date. Tasking for collection or request-
ing collection of information will also be a unit commander’s responsibility via the unit’s intelligence section when
information gaps exist.
d. Provide timely OEH risk information to personnel under their command using assistance of supporting medical
staff.
e. Comply with Federal, State, local, or host nation statutes and regulations, directives, and guidance governing
OEH in garrison and during training exercises. These statutes and regulations will also apply during military opera-
tional deployments and war unless specifically exempted by appropriate authority based on theater policy and the
tactical situation.
f. Ensure compliance with all statutory labor relations’ obligations where the implementation of this program
impacts bargaining unit employees’ conditions of employment.
Chapter 3
Program Objectives, Elements, and Prescribed Procedures
3–1. Program objectives
a. The overall program objective is to integrate and implement DOEHRM into the Army and military operations
such that—
(1) Army personnel are appropriately protected from acute, chronic, and delayed health effects from OEH threats
during military operations.
(2) OEH threat potential and actual exposures during military operations are reduced to as low as practicable, within
the context of operational mission parameters.
(3) DOEHRM is fully integrated in Army CRM processes.
(4) Army DOEHRM capabilities are decentralized, adaptable, and complete for any modular, tailored (single
Service, joint, or allied/coalition) force. Army DOEHRM capabilities will be available for lower echelon commanders
distributed across a non-contiguous operational space to make timely and accurate risk management decisions that
include OEH risks.
(5) Commanders are aware of and consider OEH risks and recommended countermeasures as part of their CRM
process during military operations.
(6) Commanders are able to execute the full spectrum of military operations while minimizing the total risk,
including health risks, to Army personnel.
(7) Identification and communication of significant OEH risks is timely and effective.
(8) Individual potential and actual exposures (or exposure scenarios) and relevant OEH sampling data are docu-
mented and archived in an EHR, available to medical personnel (military, civilian, and VA) for diagnosis, treatment,
and follow-on care during active duty service and after separation or retirement.
(9) Military operations comply with applicable Federal, State, local, or host nation statues, regulations, directives,
and guidance.
(10) DOEHRM is integrated into training at all levels throughout the Army.
(11) DOEHRM is a component of comprehensive OEH risk management across all Army activities.
AR 40–5
Preventive Medicine. (Cited in paras 2–8c(2), 2–16, and 3–3f.)
AR 70–1
Army Acquisition Policy. (Cited in para 2–16.)
DODD 6200.4
Force Health Protection (FHP). (Cited in para 1–1d.)
DODD 6490.2
Comprehensive Health Surveillance. (Cited in paras 1–1e(8), and 3–3f.)
FM 5–19
Composite Risk Management. (Cited in paras 1–6c, 3–2d, and 3–3a.)
MCM–0006–02
Memorandum, CJCS, 1 February 2002, subject: Updated Procedures for Deployment Health Surveillance and
Readiness. (Cited in paras 1–1e(8), and 3–3f.) (Available at http://www.dtic.mil/cjcs_directives/cjcs/general.htm.)
Section II
Related Publications
A related publication is a source of additional information. The user does not have to read a related reference to
understand this publication. DOD directives are available online from the Washington Headquarters Services web site:
http://www.dtic.mil/whs/directives. National Research Council information available at The National Academies Press,
500 Fifth Street, Lock Box 285, NW, Washington DC 20055.
AR 10–87
Major Army Commands in the Continental United States
AR 25–30
The Army Publishing Program
AR 40–10
Health Hazard Assessment Program in Support of the Army Materiel Acquisition Decision Process
AR 40–66
Medical Record Administration and Health Care Documentation
AR 70–41
International Cooperative Research, Development, and Acquisition
AR 71–9
Materiel Requirements
AR 200–1
Environmental Protection and Enhancement
AR 200–2
Environmental Effects of Army Actions
AR 700–135
Soldier Support in the Field
AR 700–136
Tactical Land-Based Water Resources Management
CJCSI 3170.01E
Joint Capabilities Integration and Development System. (Available at www.dtic.mil/cjcs_directives/.)
CJSCI 3180.01
Joint Requirements Oversight Council (JROC) Programmatic Processes for Joint Experimentation and Joint Resource
Change Recommendations. (Available at www.dtic.mil/cjcs_directives/.)
DA Pam 40–11
Preventive Medicine
DA Pam 40–501
Hearing Conservation Program
DJSM–0613–03
Improved Occupational and Environmental Health Surveillance Reporting and Archiving
DODD 1010.10
Health Promotion and Disease/Injury Prevention
DODD 4715.1E
Environment, Safety, and Occupational Health (ESOH)
DODD 6205.02E
Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries
DODI 1322.24
Medical Readiness Training
DODI 1336.5
Automated Extract of Active Duty Military Personnel Records
DODI 4150.7
DOD Pest Management Program
DODI 6050.05
DOD Hazard Communication (HAZCOM) Program
DODI 6055.1
DOD Safety and Occupational Health (SOH) Program
DODI 6055.5
Industrial Hygiene and Occupational Health
DODI 6055.7
Accident Investigation, Reporting, and Record Keeping
DODI 6055.8
Occupational Radiation Protection Program
DODI 6055.11
Protection of DOD Personnel from Exposure to Radiofrequency Radiation and Military Exempt Lasers
DODI 6490.03
Deployment Health
FM 3–100.4
Environmental Considerations in Military Operations
JP 2–01.3
Joint Tactics, Techniques, and Procedures for Joint Intelligence Preparation of the Battlespace
JP 5–00.2
Joint Task Force Planning Guidance and Procedures. (Available at http://www.dtic.mil/doctrine/jel/new_pubs/
jp5_00_2.pdf.)
MCM–0026–02
Chemical Warfare (CW) Agent Exposure Planning Guidance. (Restricted by the Joint Staff Office of Primary
responsibility.)
MEMORANDUM
Office of Secretary of Army, 23 January 2006, subject: Post-Deployment Health Reassessment. (Available at
www.jdhealth.mil/dcs.)
NRC
2000 Appendix B (2000b). Strategies to Protect the Health of Deployed U.S. Forces: Analytical Framework for
Assessing Risks
NRC
2000c. Strategies to Protect the Health of Deployed U.S. Forces: Detecting, Characterizing, and Documenting
Exposures
NRC
2000d. Strategies to Protect the Health of Deployed U.S. Forces: Force Protection and Decontamination
NRC
2000e. Strategies to Protect the Health of Deployed U.S. Forces: Medical Surveillance, Record Keeping, and Risk
Reduction
Unnumbered Publication
Joint Chiefs of Staff Capstone Document: Force Health Protection. (Available at http://www.ha.osd.mil/forcehealth/
library/main.html.)
Section IV
Referenced Forms
Except where otherwise indicated below, the following forms are available as follows: DA Forms are available on APD
Web site www.apd.army.mil; DD Form are available at the OSD Web site http://www/dtic.mil/directives/infomgt/
forms/formsprogram.htm.)
DA Form 11–2–R
Management and Control Evaluation Certification Statement.
DD Form 2795
Pre-deployment Health Assessment.
DD Form 2796
Post-Deployment Health Assessment.
DD Form 2900
Post-Deployment Health Reassessment (PDHRA).
B–2. Purpose
The purpose of this evaluation is to assist commanders in evaluating the key management controls as outlined below
(with medical personnel evaluating these key controls or resulting evaluation certified by some medical officer/official).
This evaluation should be used at the following levels: HQDA; Field Operating Agency; ACOM, ASCC, or DRU;
Major Subordinate Command; Installation; and Tables of Organization and Equipment. It is not intended to cover all
controls, but you must evaluate all of the controls applicable to your activity.
B–3. Instructions
Answers must be based on the actual testing of key management controls (for example, document analysis, direct
observation, sampling, simulation, other). Answers that reveal deficiencies must be explained and corrective action
indicated in supporting documentation. These key management controls must be formally evaluated at least once every
5 years. Certification that this evaluation has been conducted must be accomplished on DA Form 11–2–R (Manage-
ment Control Evaluation Certification Statement).
B–5. Supersession
This is the initial management control evaluation checklist for Deployment Occupational and Environmental Health
Risk Management.
B–6. Comments
Help make this a better tool for evaluating management controls. Submit comments to HQDA (DACS–SF) Washing-
ton, DC 20310–0200.
AAE
Army Acquisition Executive
ACOM
Army Command
AMEDD
Army Medical Department
AMEDD C&S
Army Medical Department Center and School
ARSTAF
Army Staff
ASA(ALT)
Assistant Secretary of the Army (Acquisition, Logistics, and Technology)
ASA(I&E)
Assistant Secretary of the Army (Installations and Environment)
ASA(M&RA)
Assistant Secretary of the Army (Manpower and Reserve Affairs)
ASCC
Army Service Component Command
CBRNE
chemical, biological, radiological, nuclear, and high-yield explosives
CG
Commanding General
CJCS
Chairman, Joint Chiefs of Staff
CJCSI
Chairman, Joint Chiefs of Staff Instruction
CRM
composite risk management
DA
Department of the Army
DA Pam
Department of the Army Pamphlet
dBA
A-weighted sound pressure level in decibels
dBP
linear peak sound level
DCS, G-1
Deputy Chief of Staff, G-1
DCS, G-8
Deputy Chief of Staff, G-8
DMDC
Defense Manpower Data Center
DMSS
Defense Medical Surveillance System
DNBI
disease and non-battle injury
DOD
Department of Defense
DODD
Department of Defense Directive
DODI
Department of Defense Instruction
DOEHRM
Deployment Occupational and Environmental Health Risk Management
DOTMLPF
Doctrine, Organizations, Training, Materiel, Leadership and Education, Personnel and Facilities
DRU
Direct Reporting Unit
EHR
electronic health record
FHP
Force Health Protection
FM
Field Manual
HQDA
Headquarters, Department of the Army
IM/IT
information management/information technology
JP
Joint Publication
MEDCOM
U.S. Army Medical Command
MHS
Military Health System
NRC
National Research Council
PDHRA
Post-Deployment Health Reassessment
TICs/TIMs
toxic industrial chemicals and materials
TRADOC
U.S. Army Training and Doctrine Command
TSG
The Surgeon General
TTP
tactics, techniques and procedures
USACHPPM
U.S. Army Center for Health Promotion and Preventive Medicine
VA
Department of Veterans Affairs
Section II
Terms
Army garrison
The garrison is the basic organizational structure for providing programs, services, and management to an installation
and its resident community. An Army garrison is a table of distribution and allowances organization that commands,
controls, and manages Army installations. Garrison Command is the execution arm of the Installation Management
Command. It delivers the majority of installation management services to both resident and nonresident organizations.
The garrison’s mission is linked to the installation’s purpose. As the execution arm of the Installation Management
Command, the garrison’s mission is to provide installation management programs and services for mission activity
commanders, Soldiers, civilians, family members, and retirees.
Army personnel
Includes Active Army; members and organizations of the Army National Guard of the United States, including periods
when operating in their Army National Guard capacity; the U.S. Army Reserve; Department of the Army civilians; and
contractor personnel (when authorized by contract), unless otherwise stated.
Biological agent
A microorganism or biological toxin that causes disease in personnel, plants, or animals or causes the deterioration of
materiel.
CBRNE hazard
Those chemical, biological, radiological, nuclear, and high-yield explosive elements that pose or could pose a hazard to
individuals. Chemical, biological, radiological, nuclear, and high yield explosive hazards include those created from
accidental releases, TICs/TIMs (especially air and water poisons), biological pathogens, radioactive matter, and high-
yield explosives. Also included are any hazards resulting from the deliberate employment of weapons of mass
destruction during military operations.
Communicable disease
Illness due to a specific infectious agent, or its toxic products, that arises through transmission of that agent of its
products from an infected person, animal, or inanimate reservoir to a susceptible host; either directly or indirectly
through an intermediate plant or animal host, vector, or the inanimate environment. Synonymous with infectious
disease.
Deployment
The relocation of forces and materiel to desired operational areas. Deployment encompasses all activities from origin
or home station through destination, specifically including intra-continental United States, inter-theater, and intra-
theater movement legs, staging, and holding areas.
Endemic disease
Illnesses within a defined population usually associated within a particular geographic or specific locale.
Hazard
A condition with the potential to cause injury, illness, or death of personnel; damage to or loss of equipment or
property; or mission degradation.
Health surveillance
The regular or repeated collection, analysis, archiving, interpretation, and dissemination of health-related data used for
monitoring the health of a population or of individuals, and for intervening in a timely manner to prevent, treat, or
control the occurrence of disease or injury. It includes such subcomponents as OEH surveillance and medical
surveillance. Effective health surveillance requires that all exposure monitoring data be collected and archived so that it
can be linked with individuals and health outcome data in order to ascribe specific potential and actual exposures to
individuals and to enable the identification of cohorts of similarly exposed personnel.
Health threat
As it relates to the deployed setting, it is a composite of ongoing or potential enemy actions; environmental,
occupational, industrial, and meteorological conditions; endemic human and zoonotic diseases and other medical
impacts; and employment of CBRNE warfare agents that can reduce the effectiveness of military forces through
wounds, injuries, illness, and psychological stressors if not sufficiently countered.
Ionizing radiation
Any radiation capable of displacing electrons from atoms or molecules, thereby producing ions (for example, alpha,
beta, gamma, x-rays, neutrons, and ultraviolet light). For the purposes of this regulation, it excludes naturally occurring
background radiation. High doses of ionizing radiation may produce severe skin or tissue damage.
Military operation
A military action to carry out a strategic, operational, tactical, or training mission that includes the relocation of forces
and materiel to the operational area (home station, continental United States, or outside the continental United States).
Non-ionizing radiation
Electromagnetic radiation that does not have sufficient energy to remove electrons from the outer shells of atoms.
Types of non-ionizing radiation include ultraviolet light, visible light, infrared, microwave, radio and television and
extremely low frequency. The primary health effect from high exposure levels of non-ionizing radiation arises from
heat generation of body tissue.
Risk communication
The timely process of adequately and accurately communicating the nature of actual and potential OEH hazards, risks
(probability and severity), countermeasures, health outcomes, and other health-related information associated with pre-,
during, and post-deployment operations to all Army personnel (especially commanders) and other individuals/groups
Section III
Special Abbreviations and Terms
This section contains no entries.