MEMORANDUM FOR A1 - Air Force E-Publishing

20 AFI91-202 5 AUGUST 2011
Bureau of Labor Statistics (BLS) national average for the specific National American
Industry Classification System (NAICS) or other similar information).
1.5.17. Medical Wing/Group Commanders:
1.5.17.1. Ensure comprehensive and coordinated occupational and environmental health
surveillance and education programs are established and implemented.
1.5.17.2. Ensure patient safety programs are developed and fully implemented in
compliance with DoD 6025.13-R, Military Health System (MHS) Clinical Quality
Assurance (CQA) Program Regulation, AFI 44-119, Medical Quality Operations, and
appropriate civilian standards.
1.5.17.3. Ensure timely notification to installation safety office for any injury producing
events that occurred to military members (both on- and off-duty), and DoD civilians on
duty IAW AFI 44-102, Medical Care Management. At a minimum, the following
medical information will be released to fulfill requirements for OSHA injury reporting as
defined in DoDI 6055.07, Accident Investigation, Reporting, and Record Keeping, and
AFI 91-204: Name of the injured individual, their social security number, their
organization, date of injury, date of treatment, ICD-9 diagnosis of injury, a brief
description of the nature of the injury, severity of injury, whether the treatment given was
greater than first aid (as defined by 29 CFR 1904.7 (b) (5) (i)), if the individual was
placed on quarters (and how long) and if the individual was hospitalized and the
estimated hospital duration. This information will be released to safety personnel for
military treated in the MTF for on or off-duty injuries, and for civilians treated in the
MTF for on-duty injuries. When the MTF discovers that injured individuals (military on-
or off-duty and civilian on duty) are seen at a civilian hospital or clinic, as much injury
information listed above that is obtained will be reported to safety. IAW DoD 6025.18-R,
DoD Health Information Privacy Regulation, all disclosures to the safety office must be
documented by the MTF and kept for a period of six years. The MTF Covered Entities
should develop local policy in coordination with their assigned Medical Law Consultant
(MLC).
1.5.17.4. Ensure occupational illnesses are thoroughly investigated and reported using
the Occupational Illness Module and AFSAS.
1.5.17.5. The Chief of Aerospace Medicine (SGP) or Occupational Medicine physician:
1.5.17.5.1. Provides oversight for the occupational health program and ensure
medically appropriate risk assessment and medical surveillance activities are
conducted IAW AFI 48-101, Aerospace Medicine Operations, AFI 48-145,
Occupational and Environmental Health Program, DoD 6055.05-M, Occupational
Medical Examinations and Surveillance Manual, and CFR Title 5 Part 339, Medical
Qualification Determinations.
1.5.17.5.2. Provides consultative services on occupational and environmental health
and safety issues.
1.5.17.5.3. Provides urgent clinical services for occupational injuries and
occupational illnesses in DoD civilian employees. Performs routine surveillance,
periodic evaluation, fitness for duty evaluations, pre-placement evaluations and