RTTUZYUW RUCOSSA0036 1500617-UUUU--RHMCSUU. ZNR UUUUU R 290617Z MAY 12 ZYB FM COMNAVAIRFOR SAN DIEGO CA//N421B// TO AIG 11020 INFO COMSTRKFIGHTWINGLANT OCEANA VA COMSTRKFIGHTWINGPAC LEMOORE CA COMVAQWINGPAC WHIDBEY ISLAND WA FLTREADCEN SOUTHWEST SAN DIEGO CA COMNAVAIRSYSCOM PATUXENT RIVER MD COMNAVSAFECEN NORFOLK VA CG FIRST MAW ALD CG SECOND MAW ALD CG THIRD MAW ALD CG FOURTH MAW ALD MALS ELEVEN MALS THREE ONE MALS TWELVE BT UNCLAS PASS TO: FLTREADCEN SOUTHWEST SAN DIEGO CA//F18FST/4.3.5.1.0// PEOTACAIRPATUXENT RIVER MD//PMA265/PMA202// MALS ELEVEN//AMO// MALS TWELVE//AMO// MALS THREE ONE//AMO// MALS FOUR ONE//AMO// SECINFO/-/-// MSGID/GENADMIN,USMTF,2008/COMNAVAIRFOR SAN DIEGO CA// SUBJ/INTERIM TYCOM PHYSIOLOGICAL EPISODE REPORTING GUIDANCE FOR /FA-18 A THRU F AND EA-18G SQUADRONS// REF/A/MSGID:DOC/OPNAVINST 3750.6R/YMD:20090408// REF/B/MSGID:DOC/NAVAIR/YMD:20120524// REF/C/MSGID:DOC/NAVAIR/YMD:20120524// REF/D/MSGID:DOC/NAVAIR/YMD:20120524// REF/E/MSGID:DOC/NAVAIR/YMD:20110819// REF/F/MSGID:DOC/COMNAVAIRFORINST 4790.2/YMD:20091110// NARR/REF A IS NAVAL AVIATION SAFETY PROGRAM. REF B IS F/A-18 AND EA-18G PHYSIOLOGICAL EVENT-(PE)-AIRCREW EI DATA SHEET, PART A. REF C IS F/A-18 AND EA-18G PHYSIOLOGICAL EVENT-(PE)-MAINTENANCE EI DATA SHEET, PART B. REF D IS F/A-18 AND EA-18G PHYSIOLOGICAL EVENT-(PE)-FLIGHT SURGEON EI DATA SHEET, PART C. REF E IS OBOGS-ECS EI DATA SHEET AND SHOULD BE CONSIDERED OBSOLETE. REF F IS THE NAVAL AVIATION MAINTENANCE PROGRAM. ALL PREVIOUSLY PROMULGATED PARTS A,B AND C DATED 20110819 ARE CONSIDERED OBSOLETE AND SHOULD NOT BE USED FOR REPORTING.// GENTEXT/REMARKS/1. THIS IS A COORDINATED CNAL AND CNAP MESSAGE. 2. AIRCREW PHYSIOLOGICAL EVENTS SUCH AS HYPOXIA, TOXIC EXPOSURE, DECOMPRESSION SICKNESS, AND OTHER RELATED CONDITIONS PRESENT A SERIOUS SAFETY CONCERN FOR NAVAL AVIATION. NAVAIR HAS SEVERAL INITIATIVES IN DEVELOPMENT, HOWEVER, ADDITIONAL INFORMATION IS REQUIRED TO ENSURE RISKS TO AIRCREW SAFETY ARE SUFFICIENTLY MITIGATED. THIS ACTION PLAN BALANCES NAVAIR NEED FOR ACCURATE DATA AND CRITICAL FAILURE EVIDENCE WITH THE FLEETS REQUIREMENT FOR RETURNING AN ACFT TO SERVICE AS SOON AS POSSIBLE FOLLOWING A PHYSIOLOGICAL EVENT. 3. IAW REF A, CHAPTER 4, EVERYONE ASSOCIATED WITH NAVAL AVIATION HAS AN OBLIGATION TO REPORT HAZARDS. IT IS ESSENTIAL THAT COMMANDING OFFICERS ENCOURAGE AND COMMAND SAFETY PROGRAMS FOSTER HAZARD REPORTING. THE OCCURRENCE OF A PHYSIOLOGICAL EVENT AS INDICATED IN PARA 1 OF THIS MESSAGE MEETS THE CRITERIA FOR HAZREP REPORTING. REF A SECTION 401 SPECIFICALLY STATES THAT A PHYSIOLOGICAL EPISODE (PHYSEP) REQUIRES A HAZREP. PHYREPS ARE DEFINED IN REF A SECTION 404 AND INCLUDE HYPOXIA, EITHER PROVEN OR SUSPECTED, CARBON MONOXIDE POISONING OR OTHER TOXIC EXPOSURE, DECOMPRESSION SICKNESS, HYPERVENTILATION, SPATIAL DISORIENTATION, LOSS OF CONSCIOUSNESS, UNINTENTIONAL RAPID DECOMPRESSION, AND OTHER PHYSIOLOGICAL, PATHOLOGICAL, OR PHYSICAL PROBLEMS. 4. REFS B, C, AND D ARE HEREBY PROMULGATED TO ASSIST IN CRITICAL DATA GATHERING AND COLLECTIVELY SUPERSEDE REF E PREVIOUSLY PROMULGATED IN AUGUST 2011. REF E IS NO LONGER IN USE AND SHOULD BE CONSIDERED OBSOLETE. 5. PARTS A, B AND C HAVE INCORPORATED NUMEROUS REVISIONS. DISCARDING OF PREVIOUS EDITIONS IS PARAMOUNT. PART C VERSION 20120524 IS A MAJOR REVISION. BASED ON INFORMATION GATHERED FROM PREVIOUS PART C'S TO DATE, PART C VERSION 20120524 WILL COLLECT ADDITIONAL INFORMATION AND DIRECT EXPANDED BLOOD TESTING. THIS WILL ALLOW FOR MORE DETAILED ANALYSES IN AN EFFORT TO EXPEDITE EFFICIENT DETERMINATION OF CAUSAL FACTORS FOR THE PHY SIOLOGICAL EVENTS THAT CONTINUE TO PLAGUE THE COMMUNITY. SQUADRON FLIGHT SURGEONS PLAY A CRITICAL ROLE IN THIS PROCESS. FLIGHT SURGEONS SHALL ENSURE PART C'S ARE ONLY SUBMITTED AS PER DIRECTIONS ON PAGE 9 OF THE FORM. MAJOR CHANGES AND QUICK REFERENCE ITEMS ARE BOLDED IN THE UPDATED PART C FORM. SQUADRONS SHALL INCORPORATE PART C VERSION 20120524 INTO THEIR PREMISHAP PLAN. IT IS STRONGLY RECOMMENDED THAT THEY DO A PREMISHAP DRILL TO ENSURE THEY ARE PREPARED FOR THE NEW BLOOD TESTING PROCEDURES AND HAVE THE NECESSARY COORDINATION IN PLACE WITH THE LOCAL CLINIC/HOSPITAL/LAB/MAILING FACILITY. DO NOT CONFUSE PART C REQUIREMENTS FOR PHYSIOLOGICAL EVENTS WITH OPNAVINST 3750 REQUIREMENTS FOR CLASS A, B, AND C MISHAPS. OPNAVINST 3750 REQUIREMENTS FOR MISHAPS HAVE NOT CHANGED. HOWEVER, IF A PHYSIOLOGICAL EVENT BECOMES A MISHAP, THE FLIGHT SURGEON SHALL INCLUDE THE ADDITIONAL BLOOD TESTING REQUIREMENTS FROM PART C IN THEIR AEROMEDICAL ANALYSIS FOR THE MISHAP INVESTIGATION. ADDITIONALLY, SQUADRONS SHALL INCORPORATE DECOMPRESSION SICKNESS (DCS) DETAILS INTO THEIR PREMISHAP PLAN AND DUTY BINDERS. AT A MINIMUM, INCLUDE LOCATION OF THE TWO CLOSEST HYPERBARIC CHAMBERS WITH POC INFORMATION FOR 24/7 ASSISTANCE AND A TRANSPORTAION PLAN FOR THE AIRCREW TO GET TO THE CHAMBER, WHETHER THEY ARE ON OR OFF BASE WHEN IT IS DETERMINED THAT CHAMBER ASSISTANCE IS NEEDED. 6. ALTHOUGH AN ACFT CAN BE IMPOUNDED OR QUARANTINED ONLY BY TYCOM (CNAL, CNAP,CNAFR AND AIR 5.0D) OR AMB DIRECTION, ANY ACFT, WHERE MISSION RESULTED IN A PHYSIOLOGICAL EVENT, IS DOWN UNTIL THE FOLLOWING OXYGEN COMPONENTS ARE REMOVED FROM ACFT: BREATHING REGULATOR (CRU-103A/P) AND HOSE, OXYGEN MASK AND HOSE, LOX CONVERTER OR OBOGS CONCENTRATOR AND SOLID STATE OXYGEN MONITOR (SSOM)(CRU-99/A), AS APPLICABLE TO ACFT. TYCOM CAN WAIVE THIS REQUIREMENT BASED ON OPERATIONAL NEEDS. 7. TESTING AND TROUBLESHOOTING (T&T) OF THE ACFT SHALL NOT BE PERFORMED UNTIL OXYGEN COMPONENTS ARE FIRST REMOVED DUE TO THE RISK OF LOSING CRITICAL EVIDENCE. 8. OXYGEN COMPONENTS SHALL NOT BE SUBMITTED TO INTERMEDIATE LEVEL MAINTENANCE. 9. IAW REF F, PARAS 10.9.4 AND 10.9.5, HMR/EI REQUESTS SHALL BE SUBMITTED WHEN SAFETY ISSUES ARE INVOLVED OR TO REPORT MATERIAL DEFICIENCES WHICH, IF NOT CORRECTED, COULD RESULT IN DEATH OR INJURY TO PERSONNEL, OR LOSS OF ACFT. ACCORDINGLY, OXYGEN COMPONENTS SHALL BE SUBMITTED FOR ENGINEERING INVESTIGATION (EI) VIA JOINT DEFICIENCY REPORTING SYSTEM (JDRS) HMR/EI REQUEST IAW REF F. 10. ADDITIONALLY, ANY OTHER SYSTEM COMPONENTS SUSPECTED CAUSAL TO THE PHYSEP SHALL BE SUBMITTED FOR EI VIA JDRS HMR/EI REQUEST IAW REF F. DO NOT TURN IN REPAIRABLES NORMAL BCM OR DISCARD CONSUMABLES. 11. FLEET ACTIVITIES ARE REQUIRED TO COMPLETE REFS B, C, AND D, WITH IMMEDIATE EMPHASIS ON AIRCREW EVALUATION BY FLIGHT SURGEON IAW REF D. REF B MAY BE COMPLETED AS SOON AS PRACTICABLE FOLLOWING THE VISIT WITH FLIGHT SURGEON. REF C IS TO BE SUBMITTED AS SOON AS POSSIBLE POST T&T. 12. UNLESS OTHERWISE DIRECTED, THERE IS NO REQUIREMENT TO WAIT FOR EI RESULTS. ACFT IS CLEARED TO FLY UPON REPLACEMENT OF COMPONENTS, COMPLETION OF T&T, AND ALL REQUIRED SYSTEM TESTS ATTESTING TO THE AIRWORTHINESS OF THE ACFT IAW APPLICABLE MAINTENANCE PUBLICATIONS. 13. REFS B, C, AND D CAN BE OBTAINED FROM POCS LISTED BELOW A. COMNAVAIRFOR: (1) F-18 CLASS DESK, CODE N421B3, MR. D. BERRY, TEL: DSN 565-7658 OR COML (757) 445-7658, EMAIL: DENNIS.BERRY1(AT)NAVY.MIL. (2) F-18 CLASS DESK, CODE N421B1, MR. D. OBRIEN, TEL: DSN 565-7741 OR COML (757) 445-7741, EMAIL: DAVID.OBRIEN2(AT)NAVY.MIL. B. NAVAIR. CODE 4.6.7.4, MR. DENNIS GORDGE, TEL: COML (301)342-8419, EMAIL: DENNIS.GORDGE(AT)NAVY.MIL. C. PMA202 AIRCREW OXYGEN SYSTEM ISSC PATUXENT RIVER, MD, CODE 6.6.4.2, MR. S. NELSON, TEL: DSN 342-8405 OR COML (301) 342-8405, TEL:FAX: (301) 862-2634, EMAIL: CHARLES.S.NELSON(AT)NAVY.MIL. D. ISSC NORTH ISLAND CA, F18FST.4, CODE 4.3.5.1.0, MR. M. GODWIN, TEL: DSN 735-3751 OR COML (619) 545-3751, TEL:FAX: (619) 545-3433, EMAIL: MICHAEL.W.GODWIN(AT)NAVY.MIL. E. NAVSAFCEN: AEROMEDICAL DIVISION, CODE 14, LCDR L. FINLAYSON, TEL: DSN 564-3520 X7229 OR COML (757) 444-3520 X7229, EMAIL: LISA.FINLAYSON(AT)NAVY.MIL// BT #0036 NNNN ALT.AIRFOR.N57012.DMDS1.0202552112 UNCLASSIFIED//