Response Operations
Contents
1. Input and Interpret Data in CHART OO Oy Not Non Select the agent of concern from the drop down list in STEP 1 within CHART Input temperature data in STEP 2 1 Input exposure concentration in STEP 3 Select the appropriate detection limit in STEP 3a Input estimated exposure duration in STEP 44 Click Calculate Risk button to generate Chemical Health Risk Assessment Data Interpret risk assessment data using CHART User Guide Communicate health risk assessment data to appropriate decision makers CCs potentially affected members Input and Interpret Data in CHEMRAT 1 2 3 Z 0ND e mr 12 Select agent of concern from the drop down list in CHEMRAT Select whether the agent is viscosity Neat or Thickened based on intel from drop down list Determine the type of weapon system i e TBM Air TBM Ground or a specific TBM that may target the operating area Select the estimated number of in bound TBMs or TBMs causing agent deposition Select appropriate target area Input the appropriate surface i e asphalt concrete or sand Obtain temperature wind and stability using appropriate conversions Area coverage set to Peak Set exposure duration initially to 1 hour matches persistency table Select protection level Interpret risk assessment data using Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT user s manual and Hazar2. CHART is populated with detection limits for various equipment and operating modes These detection limits are known for the agent selected in Step 1 To use this section select the Equipment Method by placing the cursor over the applicable equipment and clicking the left mouse button The Published Detection Limit for Selected Agent value will appear in the right hand column This is the anticipated time for an unprotected airman to accomplish a task that demands a reduction in the MOPP level The unit of measure is minutes for all inputs Select the agent s used in the attack Possible choices are GB amp GF GD GF HD and VX If multiple agents are used examine each case and result separately For GB amp GF CHEMRAT assumes the tactical ballistic missile TBM carries both agents Possible chemical choices are GB amp GF GD GF HD and VX If multiple agents are used examine each case and result separately For GB amp GF CHEMRAT assumes the tactical ballistic missile TBM carries both agents Number of weapons default 1 unless you receive specific reports of multiple explosions in same sector From this menu the user can select an area size or a specific air base This version of CHEMRAT contains two specific air bases listed as AB1 and AB2 and two generalized base sizes small and large A separate Appendix C contains the identification key that ties specific
3. 3 When developing a checklist why is it important to not to develop a checklist that is length complex and overly complicated 4 Why are checklists important to have during emergency responses AFQTP 4B071 18 Craftsman Training Guide Response Operations PERFORMANCE CHECKLIST STS Line Item 5 2 4 Develop emergency management response plans and checklists Proficiency Code 3c Eek Can do all parts of the task Needs only a spot check of completed work Can identify Seen why and when the task must be done and why each step is needed DID THE TRAINEE YES NO 1 Determine the need for a specific checklist plan based on local emergency management response plans i e IEMP 10 2 MCRP and WCRP intelligence products occupational and environmental health surveillance data 2 Where applicable review knowledge exchange and ESOH Service Center websites for specific checklist s plan s that are already created that may suite the installation s need 3 Gather appropriate resources and references to support checklist plan development 4 Identify the detailed steps line items that need to be accomplished for each hazard identified in Step 1 5 Determine what resources are required e g manning equipment vehicles and ensure they are referenced within the appropriate checklist s plan s 6 Lay out step by step instructions line items in an approved checklist plan
4. One User s Manual 2003 AFRL para 3 2 1 2 3 2 1 3 AFQTP 4B071 18 Craftsman Training Guide Response Operations STS Line Item 5 2 4 Develop emergency management response plans and checklists TRAINER GUIDANCE Proficiency Code 3c PC Definition Can do all parts of the task Needs only a spot check of completed work Can identify why and when the task must be done and why each step is needed Prerequisites None Training References e AFI 41 106 Medical Readiness Program Management 22 April 2014 e AFMAN 10 2502 Air Force Incident Management System AFIMS Standards and Procedures September 2011 e AFT 10 2501 Air Force Emergency Management Program Planning and Operations 24 January 2007 Corrected 10 May 2013 e AFMAN 10 2504 Air Force Incident Management Guidance for Major Accidents and Natural Disasters 13 May 2013 Installation Emergency Management Plan IEMP Locally Developed Medical Contingency Response Plan MCRP Annex F Locally developed Locally developed BE checklists referenced in MCRP Additional Supporting BE Field Manual AFDD 3 40 Counter Chemical Biological Radiological and Nuclear Operations 26 January 2007 Last Review 1 November 2011 Ref 3 Bis e AFTTP 3 42 32 Home Station Medical Response to Chemical Biological Radiological and Nuclear Incidents 2013 CDC Reference 4B051 Training Support Material e Exercise Scenario e BE Respon
5. select Inhaled and None To estimate percutaneous risk select PercVapor and None For G series agents the percutaneous vapor penetration is relatively low 90 inhalations vs 10 dermal VX however is 50 inhaled and 50 dermal CHEMRAT User s Manual and Checklist and Hazard Duration Estimate Using CHEMRAT checklist are located at the following link https hpws afrl af mil dhp OE ESOHSC pages index cfm id 680 amp admin AFQTP 4B071 18 Craftsman Training Guide Response Operations TRAINEE REVIEW QUESTIONS STS Line Item 5 2 2 Input and interpret risk assessment tools dispersion models i e CHEMRAT CHART or equivalent 1 Given the information following below what is your health risk assessment from CHART Agent GA Temp 95 degrees F Concentration 2 mg m3 Exposure Time 20 minutes 2 Given the information following below what is your health risk assessment from CHART Agent GD Viscosity Neat Weapon System TBM Air Weapons 1 Target Area Small Surface Asphalt Temp 10C Wind m s Stability F Exposure Type Inhaled Exposure Duration 2 Hours Protection NONE Area Coverage 99th 3 Why is inputting temperature into CHART important AFQTP 4B071 18 Craftsman Training Guide Response Operations 4 Risk percentages outside the or standard deviation have limited accuracy
6. DEPARTMENT OF THE AIR FORCE QTP 4B071 18 Headquarters US Air Force 3 April 2015 Washington DC 20330 1030 AIR FORCE SPECIALTY CODE 4B071 BIOENVIRONMENTAL ENGINEERING Response Operations QUALIFICATION TRAINING PACKAGE Accessibility Publications and forms are available on the e publishing website at http www e publishing af mil for downloading or ordering Realeasability There are no releasability restrictions on this publication AFQTP 4B071 18 Craftsman Training Guide Response Operations Table of Contents STS Line Item 5 2 2 Input and interpret risk assessment tools dispersion models i e CHEMRAT CHART or equivalent ssa a do caseeeea ced ha cade E co eke eSe e E sb en teud ee cade cease dake a thet coteGe a a e usa I ee a n E E inr TRAINER GUIDANCE TASK STEPS iti sects e a r cecb ied Suk casita ceased anaes ope te Dates S EEE EE E E AROE EE EEEE EE EO E EEE EEES TRAINEE REVIEW QUESTIONS PERFORMANCE CHECKLIST ANSWERS STS Line Item 5 2 4 Develop emergency management response plans and checklists TRAINER GUIDANCE TASK STEPS TRAINEE REVIEW QUESTIONS PERFORMANCE CHECKLIST ANSWERS AFQTP 4B071 18 Craftsman Training Guide Response Operations STS Line Item 5 2 2 Input and interpret risk assessment tools dispersion models i e CHEMRAT CHART or equivalent TRAINER GUIDANCE Proficiency Code 3c Can do all parts of the task Needs only a spot check of completed work Can identify CAUSED why
7. The risk level then should be adjusted between the __ and percentile 5 Personnel working on the flight line for 5 hours in MOPP 2 have a high possibility of receiving a lethal dose through inhalation What can be done to lower this risk to workers AFQTP 4B071 18 PERFORMANCE CHECKLIST Craftsman Training Guide Response Operations STS Line Item 5 2 2 Input and interpret risk assessment tools dispersion models i e CHEMRAT CHART or equivalent Proficiency Code 3c PC Definition why and when the task must be done and why each step is needed Can do all parts of the task Needs only a spot check of completed work Can identify DID THE TRAINEE YES NO INPUT AND INTERPRET DATA IN CHART L Select the agent of concern from the drop down list in STEP 1 within CHART Input temperature data in STEP 2 Input exposure concentration in STEP 3 Select the appropriate detection limit in STEP 3a Input estimated exposure duration in STEP 4 Click Calculate Risk button to generate Chemical Health Risk Assessment Data Interpret risk assessment data using CHART User Guide Communicate health risk assessment data to appropriate decision makers CCs potentially affected members INPUT AND INTERPRET DATA IN CHEMRAT 1 Select agent of concern from the drop down list in CHEMRAT 2 Select whether th
8. and when the task must be done and why each step is needed Prerequisites None Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT Phase One User s Manual 2003 https hpws afrl af mil dhp OE ESOHSC pages index cfm id 680 amp admin Chemical Biological Radiological and Nuclear CBRN Health Assessment and Risk Tool CHART User Guide 2007 https hpws afrl af mil dhp OE ESOHSC pages index cfm id 680 amp admin Training References Additional Supporting None References CDC Reference 4B051 After Action Report for Chemical Release or Exercise Scenario Tuning Suppor Maa CHEMRAT and CHART computer program Conduct hands on training and evaluation of interpretation of air sampling results to Spean Me hanne compare with applicable standard Given a scenario input hazards into a risk assessment tool interpret the results and Criterion Objective communicate the health risk assessment data successfully completing all checklist items with NO trainer assistance Notes The CHART program and its companion the Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT are very useful references for assessing hazards and estimating hazard duration during CBRN incidents particularly chemical warfare agent attacks These tools are available at the USAFSAM ESOH Service Center website AFQTP 4B071 18 Craftsman Training Guide Response Operations TASK STEPS
9. complished for each hazard identified in Step 1 Determine what resources are required e g manning equipment vehicles and ensure they are referenced within the appropriate checklist s plan s Once information is compiled lay out step by step instructions line items in an approved checklist plan format by the local installation Keep in mind that checklist s plan s must tell who what when where and how actions will be accomplished Determine if checklists will need to be cross referenced fed into other checklist s plan s i e water main break checklist used in conjunction with bacte chlorine pH monitoring checklist Validate that information shared between multiple checklists plans are valid current Initiate a peer review of the checklist s plan s through appropriate channels 10 Properly execute checklist s plan s requirements line items as required 1 1 After exercising draft checklist s plan s update as needed 12 Ensure checklist plan is included referenced in higher level plans where needed i e MCRP IEMP LOCAL REQUIREMENTS See Notes above NOTES None AFQTP 4B071 18 Craftsman Training Guide Response Operations TRAINEE REVIEW QUESTIONS STS Line Item 5 2 4 Develop emergency management response plans and checklists 1 When developing a checklist what plan can be referenced that outlines BE responsibilities 2 The MCRP is designed to support what
10. d Duration Estimate Using CHEMRAT checklist Communicate health risk assessment data to appropriate decision makers CCs potentially affected members LOCAL REQUIREMENTS Develop scenario with exercise inputs for CHEMRAT CHART tools NOTES 1 The default temperature unit of measure is Fahrenheit This is indicated by a check in the box labeled Check for Degrees F Selected agents have toxicity estimates for Percutaneous Vapor exposure under hot and moderate temperatures Hot temperatures are defined as greater than 85 degrees F Moderate temperatures are defined as 65 to 85 degrees F In general as the temperature increases the effective Percutaneous Vapor dosage decreases CHART will use the temperature input to determine the appropriate toxicity values to calculate and display Determining the concentration of a particular chemical warfare agent in the environment is limited by the equipment technologies employed The default unit of measure is milligrams per cubic meter If parts per million ppm are to be used indicate by a check in the box labeled Check for ppm Units There are several methods of determining the concentration to include a measured concentration a concentration equal to the detection limit of a particular piece of equipment and a concentration generated from a CHEMRAT prediction AFQTP 4B071 18 Craftsman Training Guide Response Operations 3 10 11 12 13
11. d off of available data leadership can expect gt 84 of the unprotected exposed population to exhibit some type of Threshold Effects e g miosis rhinorrhea tightness in one s chest The degree of symptoms are directly related to the work level i e in other words it takes a smaller dose at a higher work level to exhibit the same effects at a higher dose at a lower work level Continued exposures above these levels with increased workloads will lead to nausea vomiting then seizures and even the increase in fatalities if controls are not implemented i e MOPP levels split MOPP and etc Depending on type of mission and military necessity sheltering in place may be another option Source 4B051 CDC and Chemical Biological Radiological and Nuclear CBRN Health Assessment and Risk Tool CHART User Guide 2 Given the information following below what is your health risk assessment from CHART Agent GD Viscosity Neat Weapon System TBM Air Weapons 1 Target Area Small Surface Asphalt Temp 10C Wind 1 m s Stability F Exposure Type Inhaled Exposure Duration 2 Hours Protection NONE Area Coverage 99th Answers are subjective Example below Based off of available data in the area of concern AOC Lethal Concentrations Effects i e death can be expected up to 2 5 hours after initial attack dropping to Incapacitating Effects i e convulsions between 2 5 to 3 hours after at
12. e 4B051 CDC 4 Why are checklists important to have during emergency responses Contain every important step that must be taken in a given situation which is valuable to BE team response under the stress of a chaotic disaster situation Source AFI 10 2501 Air Force Emergency Management EM Program Planning and Operation May 2013 page 65
13. e agent is viscosity Neat or Thickened based on intel from drop down list Determine the type of weapon system i e TBM Air TBM Ground or a specific TBM that may target the operating area Select the estimated number of in bound TBMs or TBMs causing agent deposition Select appropriate target area Input the appropriate surface i e asphalt concrete or sand Obtain temperature wind and stability using appropriate conversions Area coverage set to Peak AFQTP 4B071 18 Craftsman Training Guide Response Operations 9 Set exposure duration initially to 1 hour matches persistency table 10 Select protection level 11 Interpret risk assessment data using Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT user s manual and Hazard Duration Estimate Using CHEMRAT checklist 12 Communicate health risk assessment data to appropriate decision makers CCs potentially affected members Did the trainee successfully complete the tasks TRAINEE NAME PRINT TRAINER NAME PRINT AFQTP 4B071 18 Craftsman Training Guide Response Operations ANSWERS 1 Given the information following below what is your health risk assessment from CHART Agent GA Temp 95 degrees F Concentration 2 mg m3 Exposure Time 20 minutes Answers are subjective Example below Base
14. format by the local installation 7 Determine if checklists will need to be cross referenced fed into other checklist s plan s 8 Validate that information shared between multiple checklists plans are valid current 9 Initiate a peer review of the checklist s plan s through appropriate channels 10 Properly execute checklist s plan s requirements line items as required 11 After exercising draft checklist s plan s update as needed 12 Ensure checklist plan is included referenced in higher level plans where needed Did the trainee successfully complete the task TRAINEE NAME PRINT TRAINER NAME PRINT AFQTP 4B071 18 Craftsman Training Guide Response Operations ANSWERS 1 When developing a checklist what plan can be referenced that outlines BE responsibilities A MCRP Annex F and AFI 10 2501 Source AFI 41 106 Medical Readiness Program Management 22 April 2014 AFI 10 2501 Air Force Emergency Management EM Program Planning and Operation May 2013 Table A4 7 2 The MCRP is designed to support what A Installation Emergency Management Plan Source AFI 10 2501 Air Force Emergency Management EM Program Planning and Operation May 2013 table A4 24 pg 166 W When developing a checklist why is it important to not to develop a checklist that is length complex and overly complicated A It can slow down the response team Sourc
15. se Checklist Specific Techniques Conduct hands on training and evaluation on development of emergency management plans and checklists Criterion Objective With proper resources develop a comprehensive response checklist plan for a potential threat successfully completing all checklist items with NO trainer assistance Notes All units must develop contingency plans and conduct training and exercises for both their home station and their deployment location They must develop plans training contingency response checklists and exercises based upon a realistic threat and assessment of resources that will be available in a contingency AFQTP 4B071 18 Craftsman Training Guide Response Operations TASK STEPS hs 8 9 Determine the need for a specific checklist plan based on local emergency management response plans i e EMP 10 2 MCRP and WCRP intelligence products occupational and environmental health surveillance data i e Conceptual Site Model from OEHSA TIC TIM Vulnerability Assessments and Water Vulnerability Assessments Where applicable review knowledge exchange and ESOH Service Center websites for specific checklist s plan s that are already created that may suite the installation s need Gather appropriate resources and references i e ERG NIOSH Pocket Guide BE Field Manual to support checklist plan development Identify the detailed steps line items that need to be ac
16. tack down to Threshold Effects 3 to 4 5 hours after attack Sheltering in place and or MOPP levels should be implemented Commanders should weigh criticality of mission with expected outcomes from exposing personnel to higher levels immediately after an attack Source Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT Phase One User s Manual 2003 AFRL page 19 AFQTP 4B071 18 Craftsman Training Guide Response Operations 3 Why is inputting temperature into CHART important A As the temperature increases the effective Percutaneous Vapor dosage decreases CHART will use the temperature input to determine the appropriate toxicity values to calculate and display Source Chemical Biological Radiological and Nuclear CBRN Health Assessment and Risk Tool CHART User Guide 2007 pg 4 4 Risk percentages outside the or 1 standard deviation have limited accuracy The risk level then should be adjusted between the and percentile A 16 and 84th Source Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT Phase One User s Manual 2003 AFRL para 3 2 1 5 5 Personnel working on the flight line for 5 hours in MOPP 2 have a high possibility of receiving a lethal dose through inhalation What can be done to lower this risk to workers A Decrease the amount of work time and increase MOPP level Source Chemical Hazard Estimation Method and Risk Assessment Tool CHEMRAT Phase
17. weapon systems to specific air bases e Small base 3 km downwind x 1 km crosswind e Large base 5 km downwind x 3 km crosswind e HINT Always choose SMALL The choices are 10 C 50 F 20 C 68 F 30 C 86 F and 40 C 104 F If the area temperature falls between two temperature ranges evaluate both temperatures and compare the results Select the temperature that presents the worst case results Select the wind speed closest to forecast or actual conditions If the current wind speed falls between two wind speed ranges evaluate both wind speeds and compare the results Select the wind speed that presents the worst case results Wind Speed and Stability Categories Wind Speed Stability Category 1 m s 3 6 km h F Stable 3 m s 10 8 km h DorF 5 m s 18 0 km h D Neutral This represents the concentration in the grid receiving the most contamination Use 99 and 95 if you have the time but if the results are more than 10x lower than peak use peak for all VLS Track plume area reference pp 19 20 of policy letter and page 17 of CHEMRAT guidance for background For subsequent attacks consider lengthening exposure time to estimate total length of exposure if people will be in both places Or if performing risk assessment for a particular task enter the expected duration of that task for example sortie generation will take 2 hours To estimate inhaled exposure risk if MOPP reduced to MOPP 0 2
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