EXPLOSIVES HANDLER by zEmOwYN

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									EXPLOSIVES HANDLER (EXPLOSIVE MHE/FORKLIFT)                                           721
(CIVILIAN AND MILITARY)


Program Frequency                                                     By Age
Up to 60 years                                                    Every five years
Age 60 and above                                                      Annual


                   EXAM ELEMENT                             BASE      PERI     TERM
 Medical history:
    Is your work exposure history current (OPNAV            Yes        Yes       No
    5100/15)
    Have you ever had personal history of:
           Major illness or injury                          Yes        Yes       No
           Hospitalization or surgery                       Yes        Yes       No
           Cancer                                           Yes        Yes       No
           Back injury                                      Yes        Yes       No
           Do you drink 6 or more drinks/week (beer,        Yes        Yes       No
           wine, liquor)
           Have you ever smoked                             Yes        Yes       No
           Do you currently smoke (packs/day)               Yes        Yes       No
           Heart disease, high blood pressure, or stroke    Yes        Yes       No
           Current medication use (prescription or OTC)     Yes        Yes       No
           Medication allergies                             Yes        Yes       No
           Use of seat belts (always, mostly, some, none)   Yes        Yes       No
           Any reproductive health concerns                 Yes        Yes       No
           Lung/resp disease (ex: COPD, bronchitis,         Yes        Yes       No
           pneumonitis)
           Headache, dizziness, light-headedness,           Yes        Yes       No
           weakness
           Nervous stomach or ulcer                         Yes        Yes       No
           Head injury                                      Yes        Yes       No
           Change or loss of vision                         Yes        Yes       No
           Loss or change in hearing                        Yes        Yes       No
           Chest pain, angina, heart attack                 Yes        Yes       No
           Shortness of breath                              Yes        Yes       No
           Sleep disorders(insomnia or disturbance)         Yes        Yes       No
           Pause in breathing while asleep (apnea)          Yes        Yes       No
           Daytime sleepiness                               Yes        Yes       No
           Problems with loud snoring                       Yes        Yes       No
           Repeated episodes of loss of or near loss of
           consciousness                                    Yes        Yes       No
           Kidney disease                                   Yes        Yes       No
           Epilepsy (seizure disorder)                      Yes        Yes       No
           Problems with balance and coordination           Yes        Yes       No
                  EXAM ELEMENT                                 BASE   PERI   TERM
          Problems with numbness, tingling, weakness in         Yes    Yes    No
          hands or feet
          Migraine headache                                    Yes    Yes     No
          Chronic back pain                                    Yes    Yes     No
          Diabetes or other endocrine gland disorder           Yes    Yes     No
          Mental/emotional illness                             Yes    Yes     No
          Depression, diff concentrating, excessive            Yes    Yes     No
          anxiety
          Treatment for drug or alcohol use                    Yes    Yes     No
          Personality change                                   Yes    Yes     No
          Muscle, bone or joint problems                       Yes    Yes     No
          Excessive tiredness or fatigue                       Yes    Yes     No
          Permanent defect from illness, disease or injury     Yes    Yes     No
    Family history of:
          Heart disease, high blood pressure, or stroke        Yes    Yes     No
    Comments on medical history:                               Yes    Yes     No
Laboratory--Required:
    Urinalysis                                                 Yes    Yes     No
Laboratory—Optional or as clinically applicable
   **Hematocrit                                                Yes    Yes     No
   **Fasting blood glucose                                     Yes    Yes     No
   **Lipid panel                                               Yes    Yes     No
Other tests:
    Audiology:
          Whisper Test or Audiogram                            Yes    Yes     No
    Optometry:
          Vision screen (visual acuity)                        Yes    Yes     No
          Color vision                                         Yes    Yes     No
          Visual fields                                        Yes    Yes     No
          Depth Perception (Recommend 40 secs of arc 9 of 9)   Yes    Yes     No
          Tonometry over age 40 (if clinically indicated)      Yes    Yes     No
    Comments on laboratory results (if indicated):             Yes    Yes     No
Physical examination:
          Vital signs                                          Yes    Yes     No
    Special attention in examination to:
          Central nervous system                               Yes    Yes     No
          Peripheral nervous system (strength, sensation,      Yes    Yes     No
          DTR)
          Back & musculoskeletal system                        Yes    Yes     No
          Extremities                                          Yes    Yes     No
          Cardiovascular system                                Yes    Yes     No
          Peripheral vascular system (Raynaud's)               Yes    Yes     No
          Eyes                                                 Yes    Yes     No
          Abdomen                                              Yes    Yes     No
          Genitourinary tract                                  Yes    Yes     No
                    EXAM ELEMENT                              BASE       PERI      TERM
            Respiratory system                                 Yes        Yes       No
            Ears (tympanic membranes)                          Yes        Yes       No

             Other appropriate examination (specify)            Yes       Yes        No
      Comments on physical examination:                         Yes       Yes        No
 Is surveillance/PPE consistent with exposures                  Yes       Yes        No
 Are any abnormalities related to exposures/occupations         Yes       Yes        No
 Recommendations:                                               Yes       Yes        No


PROGRAM DESCRIPTION:

The purpose of this program is to ensure that medical examinations of civilian and
military Explosive Handlers are conducted in a manner allowing assurance that those
who handle explosives are physically qualified. Members who serve as Explosive
Handlers and Explosive Motor Vehicle Operators, transporting explosives by vehicle
must additionally meet the requirements of Program 720.

Per guidance set forth in NAVSEA OP 5, civilian Explosives Handlers must meet the
general standards for employment as provided by the Office of Personnel Management
(OPM) and the standards for rejection listed in ref (1). The medical examination should
be driven by the duties and functional requirements of employment as listed in the
position description. Applicants must be physically and mentally able to efficiently
perform the essential functions of the position, with or without reasonable
accommodation, without hazard to themselves or others. Depending on the essential
duties of a position; specific requirements may exist for vision, color vision, hearing,
speech, etc. However, in most cases, a specific physical condition or impairment will not
automatically disqualify an applicant for appointment.

Military Explosives Handlers must meet the standards as set forth in the Manual of the
Medical Department, Article 15-107 of ref (1).

Navy Explosive Ordnance Disposal personnel must additionally meet the requirements of
article 15-102 (diving duty) of ref (1).

Personnel assigned within jurisdiction of United States Marine Corps (USMC)
commands must additionally meet requirements of ref (2).

Individuals assigned to duty as Explosives Handlers or Explosives Motor Vehicle
Operators are responsible to report to their supervisor personnel any physical or mental
condition which may pose a health or safety hazard to self, coworkers, or the public.
Supervisors are responsible to direct such personnel to the appropriate medical
department for evaluation. In addition to ref (1) Section III, specific disqualifying
conditions are listed in ref (1) Article 15-107.
When conducting an Explosives Handler special duty examination, the member should be
evaluated and if found fit for full duty, given a 2 year qualification. The member should
additionally complete the PHA annually (like any other member), and if significant
medical issues are noted – referred to a cognizant medical authority (MO) for evaluation.
Individuals conducting the PHA should be aware of the special duty qualification
programs members are enrolled in, so that appropriate referrals to Occupational Medicine
can be made as indicated. Upon referral, the cognizant medical authority will evaluate
the member, determine if a medical condition is disqualifying, and if so, revoke special
duty qualification.
Appendix G contains a sample certificate of medical examination

PROVIDER COMMENTS:

**These labs are required for qualification of only military members per ref (1). EKG
should be performed once after age 40.

Per ref (1) no formal waiver process exists for Explosives Handler qualification.
However, in the event that a member is found not physically qualified (NPQ) for
Explosives Handler duty, (or if the employing command feels there has been a
qualification error), the case shall be reviewed by a board certified Occupational
Medicine Physician at a medical treatment facility (MTF). The Occupational Medicine
specialist will analyze the member’s job tasks to allow clinical determination of the
employee’s fitness to perform the essential functions of the job without harm to self or
others. Members may be cleared for duty as an Explosive Handler Only by an
Occupational Medicine specialist based upon minimum functional position requirements
established for their position should the member not fully meet the 49 CFR 391 standards
for Operator status. In the absence of a local board-certified Occupational Medicine
Physician, the case shall be forwarded to the Occupational Medicine Directorate at the
Navy Environmental Health Center for review.
REFERENCES:
   1. Manual of the Medical Department, U.S. Navy, NAVMED P-117, Change 126,
       Article 15-107, August 2005 or latest version.
   2. Marine Corps TM 11240-15/3D, Motor Vehicle Licensing Official’s Handbook
   3. NAVSEA OP 5 Ammunition and Explosives Ashore Safety Regulations for
   Handling, Storage, Production, Renovation, & Shipping Seventh edition Change 5.
   4. OPM Operating Manual - http://www.opm.gov/qualifications/x-118c/index.htm
   http://www.opm.gov/qualifications/SEC-II/s2-e8.asp#e9b
   5. Title 5 CFR 339 -
   http://www.access.gpo.gov/nara/cfr/waisidx_02/5cfr339_02.html


PROGRAM REVIEWED – 8/2008 LCDR Caviness, LCDR Lieske, LCDR Jacobs

								
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