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DAFMAN 48-146

Air Force

OCCUPATIONAL HEALTH PROGRAM MANAGEMENT

Reviewed by Guilherme Correia, active-duty U.S. Air Force

DAFMAN 48-146, "OCCUPATIONAL HEALTH PROGRAM MANAGEMENT", is a Department of the Air Force publication, dated December 1, 2022.

Published

December 1, 2022

OPR

AF/SG

Headquarters, Department of the Air Force

Official document

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DAFMAN 48-146 — index record

NumberDAFMAN 48-146
TitleOCCUPATIONAL HEALTH PROGRAM MANAGEMENT
PublishedDecember 1, 2022
Certified currentDecember 1, 2022
Office of primary responsibilityAF/SG
Issued byHeadquarters, Department of the Air Force
Status on the indexCurrent
Source indexAir Force e-Publishing
Index last readOctober 20, 2026

Copied from Air Force e-Publishing (index). The publication itself is the authority; this page does not summarize or interpret it. Verify the current edition on the index before acting.

From the publication itself

Text below is lifted mechanically from the official PDF (49 pages, read October 20, 2026) with no editing or interpretation. Quote the document, not this page.

Purpose, in the publication’s words

This manual implements requirements of Department of the Air Force Instruction (DAFI) 48-145, Occupational and Environmental Health and is consistent with Air Force Policy Document (AFPD) 48-1, Aerospace & Operational Medicine Enterprise. It provides procedures for successful management and operation of an Air Force installation occupational health (OH) program. This publication applies to the entire Department of Air Force (DAF), including all civilian employees and uniformed members of the Regular Air Force, the United States Space Force, Air Force Reserve, and the Air National Guard and those with a contractual obligation to abide by the terms of DAF issuances, except where noted otherwise. This instruction does not apply to DAF units receiving OH support from other military services under joint basing agreements. The lead service under the joint basing agreement will provide OH support according to their regulations and guidance. The supported unit is responsible for ensuring compliance with

Summary of changes, as printed

This publication is significantly revised and must be completely reviewed. Major changes include restricting this manual to Occupational Health (OH) program management and moving Environmental Health program management requirements to a new and separate manual. Additionally, new business practices are introduced for classifying high-risk industrial processes and defines new minimum health risk assessment (HRA) frequencies for all workplaces. These workplace HRAs are now aligned and executed by unit (e.g., squadron) with the aim of improved health risk communication to the commander as the risk acceptance authority. Furthermore, the time between qualitative unit comprehensive HRAs is lengthened, allowing OH resources to focus on prioritization and execution of quantitative workplace monitoring plan tasks (i.e., sampling) to increase confidence in hazard characterization, improve risk mitigation recommendations, and enhance exposure documentation in individual longitudinal exposure records. These changes increase the number of workplaces assessed (e.g., all workplaces in a squadron) but endeavor to reduce the administrative burden by limiting the number of workplaces that must be documented in the Defense Occupational and Environmental Health Readiness System. Furthermore, details on how to assign and manage health risk assessment codes are added to this manual as a companion to AFI 91-202, The US Air Force Mishap Prevention Program.

Contents

  1. Chapter 1—INTRODUCTIONp. 6
  2. Chapter 2—ROLES AND RESPONSIBILITIESp. 8
  3. Chapter 3—OH RISK MANAGEMENTp. 14
  4. Chapter 4—CONDUCTING UNIT OCCUPATIONAL HEALTH ASSESSMENTSp. 32
  5. Chapter 5—OCCUPATIONAL AND ENVIRONMENTAL MEDICINEp. 38
  6. Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 75
  7. Attachment 2—DETERMINING IF A CHEMICAL OF CONCERN IS A HAZARDp. 88
  8. Attachment 3—NANOMATERIALSp. 90
  9. Attachment 4—ERGONOMICS ASSESSMENTp. 91
  10. Attachment 5—EXPOSURE ASSESSMENT STRATEGYp. 94
  11. Attachment 6—APPLYING OELS TO UNUSUAL WORK SCHEDULESp. 97
  12. Attachment 8—DETERMINING CONFIDENCE IN CONTROLSp. 100
  13. Attachment 9—HEALTH RISK ASSESSMENT CODE (RAC) CALCULATIONSp. 102
  14. Attachment 10—EXAMPLE ELECTION OF CARE PROVIDER STATEMENTp. 107
All 49 contents entries
  1. Chapter 1—INTRODUCTIONp. 6
  2. 1.1. Overviewp. 6
  3. 1.2. Applicabilityp. 6
  4. 1.3. Requirements Outlinedp. 6
  5. 1.4. Goals of the Department of the Air Force Occupational Health Programp. 6
  6. 1.5. The Role of Occupational Health Risk Management at the Installation Levelp. 6
  7. Chapter 2—ROLES AND RESPONSIBILITIESp. 8
  8. 2.1. Medical Unit Commanderp. 8
  9. 2.2. Chief of Aerospace Medicine (SGP)p. 8
  10. 2.3. Flight and Operational Medicine Clinic (FOMC) (or local equivalent)p. 8
  11. 2.4. Bioenvironmental Engineering (or local equivalent)p. 9
  12. 2.5. Public Health (PH) (or local equivalent)p. 10
  13. 2.7. Installation Occupational and Environmental Medicine Consultant (IOEMC)p. 11
  14. 2.8. Occupational and Environmental Health Working Group (OEHWG)p. 12
  15. Chapter 3—OH RISK MANAGEMENTp. 14
  16. 3.1. Occupational Health Risk Management overviewp. 14
  17. 3.2. Step 1. Anticipate and identify hazardsp. 14
  18. 3.3. Step 2. Assess Hazards to Determine Riskp. 19
  19. 3.4. Step 3. Provide Control Planp. 25
  20. 3.5. Step 4. Report and Record Riskp. 28
  21. 3.6. Step 5. Supervise/Evaluate/Re-Evaluatep. 29
  22. Chapter 4—CONDUCTING UNIT OCCUPATIONAL HEALTH ASSESSMENTSp. 32
  23. 4.1. Unit Occupational Health Assessmentsp. 32
  24. 4.2. Annual High-Risk Process Health Risk Assessmentsp. 32
  25. 4.3. Unit Comprehensive Health Risk Assessmentsp. 33
  26. 4.4. Workplace Monitoring Plan (WMP)p. 35
  27. 4.5. Summary of Unit Occupational Health Assessmentsp. 36
  28. Chapter 5—OCCUPATIONAL AND ENVIRONMENTAL MEDICINEp. 38
  29. 5.1. General Informationp. 38
  30. 5.2. Eligibilityp. 38
  31. 5.3. Occupational and Environmental Medicine Services Overviewp. 39
  32. 5.4. Workplace Occupational and Environmental Medicine Evaluationp. 40
  33. 5.5. Epidemiology and Trend Analysisp. 42
  34. 5.6. Medical Examinationsp. 43
  35. 5.7. Occupational Illnesses and Injuriesp. 64
  36. 5.8. Occupational and Environmental Medicine Recordkeepingp. 69
  37. 5.9. Occupational and Environmental Medicine Consultative Servicesp. 70
  38. 5.11. DoD Expeditionary Civilian Workforce (DoD-EC)p. 73
  39. 5.12. Travel Medicinep. 73
  40. 5.13. Education and Training for DAF Providers, Nurses and Techniciansp. 74
  41. Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 75
  42. Attachment 2—DETERMINING IF A CHEMICAL OF CONCERN IS A HAZARDp. 88
  43. Attachment 3—NANOMATERIALSp. 90
  44. Attachment 4—ERGONOMICS ASSESSMENTp. 91
  45. Attachment 5—EXPOSURE ASSESSMENT STRATEGYp. 94
  46. Attachment 6—APPLYING OELS TO UNUSUAL WORK SCHEDULESp. 97
  47. Attachment 8—DETERMINING CONFIDENCE IN CONTROLSp. 100
  48. Attachment 9—HEALTH RISK ASSESSMENT CODE (RAC) CALCULATIONSp. 102
  49. Attachment 10—EXAMPLE ELECTION OF CARE PROVIDER STATEMENTp. 107

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Air Force index

REF: DAFMAN 48-146, effective December 1, 2022

Air Force e-Publishing — DAFMAN 48-146

This is an index record, not the publication. The official PDF is the authority; verify the current edition before acting.

Reviewed by Guilherme Correia · Military Toolkit editorial

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