2.11 Attachment 12 NAVAVSCOLSCOMINST 5100.1 Chapter 26 SAFETY AND OCCUPATIONAL HEALTH AND HIGH-RISK TRAINING SAFETY PROGRAMS.pdf

NAVAVSCOLSCOMINST 5100.1E

N7

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CHAPTER 26

TRAINING SAFETY

26.01 Purpose. To promulgate policy and establish procedures to eliminate or minimize the probability of mishaps or mishap-related injuries to students and instructors while participating in high risk training.

26.02 Scope. This instruction applies to all high risk designated training courses. Additionally, all departments are required to comply with certain sections of this chapter. The Command

Training Safety Administrator (CSO/TSA), Department Heads, designated TSOs and DSRs, Learning Management Office (LMO), and individual instructors shall ensure that a safe training environment exists and that all pertinent departmental Standard Operating Procedure (SOP), training and safety regulations are enforced.

26.03 Discussion. Safe training of our students is an ALL HANDS responsibility that requires constant involvement and participation. Working knowledge of the references and other guidance is a fundamental requirement of all personnel involved in student training, especially first line supervisors and instructors. The required reading list, instructions, instructor qualification programs, and curricula specific to training, contain the guidance necessary to conduct safe training. It is not possible to discuss and describe every potential situation, so first line supervisors and instructors are expected to rely on the principles of good headwork and

ORM. The intent of this instruction is to provide command amplifying guidance on references

(a) through (c) and (l) through (n). This instruction will not reiterate higher policy, but provides more stringent guidance where applicable. ORM is ideally suited for finding flaws in training curricula and shall be utilized in this regard.

a. Conduct all courses in accordance with approved curriculum. High risk course requirements are defined in references (c), (l), and (m). Appendix M is a list of current HRT courses taught at NAVAVSCOLSCOM.

b. Per references (c), (l), and (m), if course changes or revisions are required, requests should be submitted to the Training Department (N7) Course Supervisor. Route changes through the

CSO/TSA in the case of High Risk Courses where the change, modification, or addition affects the risk evolution or device itself. Changes to academic curriculum not directly affecting the risk evolution or device, minor changes where the change relates to technique and not procedure, and purely academic course changes do not require routing through the CSO/TSA. Changes to swim and survival courses shall also be routed through the Aviation Water Survival (AWS) and

Aviation Rescue Swimmer School Department Heads as appropriate.

c. To comply with references (a) through (d), (g), and (m), all on-duty and off-duty mishaps will be reported using procedures in Chapter 10 of this manual. Additionally, compliance with

NAVSOH and reporting facility maintenance discrepancies may help in preventing training-related injuries.

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d. All Course Unique Instructor Training (CUIT), Job Qualification Requirements and other course documents, with the exception of the course risk assessments, shall be reviewed and changes made during the Formal Course Review (FCR).

e. CUIT’s shall contain all requirements listed in reference (l), paragraph 6d (2) (f). If the

CUIT is changed or updated, previously qualified instructors shall complete all new requirements and document completion in their ITJ

f. At a minimum, all course Risk Assessments shall be reviewed in January of each new year and when changes are made to the course. All changes to the Risk Assessment shall be approved by the CNATT CO.

g. Using guidance in references (l) and (m), the Risk Assessment shall be used to determine if a course is considered High Risk Training.

h. Reference (n) requires the command to maintain student records or binders. All documentation, to include student’s medical status, shall be maintained in one of these two formats. Per references (c), (l), (m), and (n), documentation of all students who “roll” from one class to another for medical reasons is particularly important for the purpose of tracking and aiding in the prevention of further/continuing injury.

i. All student training records shall have documentation of waivers for students unable to complete required risk training. Schools must be particularly aware of the requirements in references (c), (l), (m), (n), and (x) regarding student management and training record entries and ensure these requirements are met.

j Fit-to-train students identified through medical screening with the sickle cell trait, allergies, or other medical conditions that put the student at an increased risk for heat stress injuries, shall be identified by colored rings or tags. For heat and sickle cell trait students/staff shall wear a red wrist band. For allergies, significant to require the individual to carry and Epi-pin, student/staff shall wear a yellow wristband. Instructional staff shall be aware of the presence of these students in their classes.

k All high risk training instructors shall be certified and designated IAW reference (s).

l. Upon receipt of orders for incoming HRT Instructors, NASC shall notify the individual of the requirement to receive a High Risk Training Instructor (HRTI) Screening before they detach.

A Special Screening Deficiency Report shall be submitted on any instructor that reports to

NASC without a completed HRTI Screening.

m. Command personnel, especially instructors, are expected to respond with first aid in the event of a mishap. All High Risk Instructors shall be CPR and first aid qualified. This qualification shall be maintained throughout their tour of duty as a High Risk Instructor.

Additionally, they must complete the NAVSOH for new supervisors (military), Managing Your

Risk (CPPD-ORM-MYR-1.0), and Managing Your Teams Risk (CPPD-ORM-MYTR-1.0).

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n. All HRT Instructors, Instructors Under Training (IUTs), safety observers, or other persons in authority shall be aware of the Naval Education and Training Command (NETC) and Chief of

Naval Air Training (CNATRA) policies on Drop On Request (DOR) and Training Time Out

(TTO). The policies are contained in reference (l), (m), (y), and Chapter 27 of this manual. All

HRT staff shall sign a statement of understanding (Appendix N).

o. All HRT Instructors shall be evaluated semi-annually on their CPR and spinal management skills. CPR skills will be evaluated using the computerized CPR Recording Mannequins. A copy of the printout from the mannequin shall be filed in the individuals Instructor Training

Jacket.

p. All HRT Programs shall be evaluated annually by the CSO/TSA and every 3 years by the

NETC Oversight Team to ensure adherence to all HRT policies and procedures.

q. Reference (p) is the NASP jogging and traffic management instruction. Although reference

(p) addresses wearing reflective vests in a jogging formation, NAVAVSCOLSCOM requires the use of reflective vests on road guards and formation leaders whether in a jogging formation or a marching formation. Use reference (p) and ORM in selecting running and marching routes.

Particular care shall be taken regarding traffic flow, lighting, road conditions, and usage patterns when establishing new routes. Use the safest routes possible consistent with training safety and mission accomplishment. All running routes shall be reviewed and approved by the CSO/TSA.

r. Any instructor “facilitating” or leading physical training (PT) in any curriculum shall complete the appropriate Core Unique Instructor Training (CUIT) for that level of PT.

s. Instructors leading PT in all curriculums shall comply with the restrictions placed on training due to the hot or cold temperature extremes outlined in Chapter 28.

t. If outdoor training is curtailed due to this chapter and/or Chapter 28 limitations, comparable indoor training is allowed within the constraints of the physical space, common sense, and ORM.

Running indoors in barracks is specifically prohibited. Running laps on the Aviation Survival

Department, Bldg. 3828, basketball court floor is allowed.

26.04 High Risk Courses. All training evolutions shall be evaluated for their potential risk hazard. Any evolution with a Risk Assessment Code of 1, 2, or 3 with a severity of 1 or 2 before controls, shall be designated as a high risk course. Refer to Appendix M for a list of

NAVAVSCOLSCOM’s HRT Courses. If the risk assessment identifies the course as High Risk, but risk controls and mishap data suggest that the course does not have a high rate of incidents, a letter can be submitted to NETC requesting the course be classified as ‘Moderate Risk’.

Requirements and control for ‘Moderate Risk’ courses can be found in Reference (l).

26.05 Medical Qualification For NAVAVSCOLSCOM Students. All students must be medically qualified to begin training, continue training, or transfer for additional training.

Students shall be medically qualified in accordance with specific school house requirements and reference (u). All high risk training students shall complete the high risk medical screening form prior to the start of any HRT course. NETC 1500/5 Rev. 11-16 can be found at

26-4 https://navalforms.documentservices.dla.mil/web/public/home. The student will fill out parts 1 and 2 and have the form reviewed and signed by a medical provider. If the student answers “no” to all the questions in section 2, a HM can sign the form. Any “yes” answers shall be cleared by a medical provider (MD, PA, NP, or IDC). Part 3 of the form shall be filled out on the first day of training. The Training Site Authority shall review the medical screening form to ensure it is properly filled out and signed by appropriate individuals (medical provider). The Training Site

Authority shall approve or disapprove the student to train. These medical screening forms shall be destroyed 20 days after the student has graduated, or left the program.

26.06 Medical Protocols and Equipment. Medical procedures, policy, and oversight for all training courses shall be in accordance with reference (q).

26.07 Safety Equipment for High Risk Courses. Many of the HRT course require special safety equipment to enhance the safety of training. This equipment is listed in Appendix O and shall be present for all HRT.

26.08 Moble Training Team (MTT): Any request for a MTT shall be routed through CNATRA and or NETC for approval. Reference (l) contains the policies and procedures for a MTT.

26.09 Responsibilities. Using guidance and ORM, Department Heads/CSO/TSA/DSRs/TSOs and individual instructors shall ensure that safe training conditions are provided and that pertinent training and safety regulations are periodically reviewed and briefed.

a. Department Heads. Department Heads shall:

(1) Maintain a proactive mishap prevention program.

(2) Ensure only qualified instructors teach courses.

(3) Review proposed High Risk Instructor service jackets and conduct Special Program

Screening per references (l) and (m). If risk screen is unsatisfactory, inform CSO/TSA. In this case, CO/BUPERS waivers are required prior to prospective instructor assuming duties.

(4) After Department Head screen, ensure prospective instructors obtain medical screening and CO interview (May be conducted by the CSO/TSA) prior to assuming instructor duties.

(5) Ensure that an instructor’s High Risk Screening (HRS) is documented in the Instructor

Training Jacket, service record, and recorded in ESAMS.

(6) Be alert for signs of “instructor burn-out,” and take appropriate actions as required.

(7) Ensure emergency oxygen, a medical bag, and an AED are available on scene during all

HRT evolutions in accordance with references (l) and (q).

(8) Develop, maintain, and periodically exercise department/division EAPs.

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(9) Appoint, in writing, a two primary TSOs, one military and one civilian where possible, for oversight of each High Risk Course or group of courses, per references (c), (l), and (m). This person can be the same person as the DSR. Schoolhouses can appoint assistant TSOs as required to assist the Primary TSO with his/her duties. It is recommended that each schoolhouse designate a civilian and a military member as TSOs when practical. Schoolhouses shall appoint no more than 50 percent of their staff as assistant TSOs. Ensure prospective TSOs complete the

TSO JQR prior to designation. Because of the training required and importance of the position, Department Heads shall nominate only highly qualified instructors, E-5 and above, who have been teaching in the school for a period of at least 6 months and have at least one year remaining onboard. A copy of the JQR can be found in Appendix (v)

(10) Ensure at least one TSO attends required training and safety meetings held by the

Safety Office.

(11) If the TSO is serving as the Department Safety Representative, then they shall complete the Introduction to Navy Occupational Safety and Health (Ashore) A-493-0550.

(12) Confirm that all High Risk Training evolutions adhere to the staffing requirements outlined in the course curriculum, staff are properly certified, and that a TSO is present in the building for all HRT training evolutions.

(13) Ensure that all students attending a HRT course have been properly screened IAW reference (l) and that the medical Screening forms are destroyed within 20 days of graduation.

(14) Appoint, in writing, instructors as Training Site Authorities and ensure they are properly reviewing the Medical Screening Form.

(15) Establish a medical tracking log and require students seeking medical or dental attention at any facility to checkout prior to proceeding to their appointment.

(16) Ensure the medical tracking log is maintained, reviewed, and signed daily by the school representative responsible for medical tracking.

(17) Ensure personnel responsible for student management understand the importance of proper student training jacket maintenance, including medical status and curriculum waivers, and ensure compliance with directives.

(18) Ensure waivers are approved by proper authority and student training jacket waivers are signed in the event a student’s training evolution was cancelled and was not able to be rescheduled.

(19) Portions of NACCS and Aviation Preflight Indoctrination (API) are considered HRT because of training conducted at and by the Naval Operational Medical Institute (NOMI). Those students are still enrolled at NAVAVSCOLSCOM and training injuries that may occur during

NOMI training are reportable by NAVAVSCOLSCOM, not NOMI. Therefore, NACCS and

API shall maintain working level accountability with NOMI for injury recording and reporting.

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(20) All HRT Instructors shall be knowledgeable of, and comply with, the on-duty and off-duty medical and injury recording and reporting requirements for staff and students as outlined in references (a) through (d), (l), (m) and Chapter 10 of this instruction. All departments without

TSO’s shall appoint DSR’s at the monthly safety meetings.

(21) Ensure required training and documentation occurs and is recorded in Instructor

Training Jackets (ITJ). At a minimum all ITJs shall include the Instructor’s High Risk screening forms, designation letters, required course certifications i.e. NEC Courses, the full CUIT and

JQR, initial probationary and certification instructor evaluations, and any required emergency response certifications. Ensure old emergency response certifications i.e. CPR, First Aid and

Lifeguarding certifications are removed from ITJ

(22) Ensure Safety review checklist, found in Formal Course Review Check Sheet is completed annually. This checklist is required from all NAVAVSCOLSCOM departments.

Route the original checklist to the CSO/TSA from the TSO or DSR.

(23) Route properly completed ESAMS mishap reports to NAVAVSCOLSCOM Safety.

(24) Route all HRT student end-of-course critiques to the CSO/TSA for review.

b. The CSO/TSA is the command subject matter expert in training safety. The CSO/TSA is delegated authority to enforce regulations in all references. The CSO/TSA shall:

(1) Be thoroughly familiar and current with guidance concerning HRT.

(2) Administer and manage the command HRT Safety Program.

(3) Provide training safety advice, training, and guidance.

(4) Be designated in writing by the CO, NAVAVSCOLSCOM.

(5) Schedule and chair the monthly safety meeting.

(6) Spot-check, observe, and critique HRT. Assess compliance with approved training procedures, safety precautions, and emergency procedures. Generally, these spot-checks will be unannounced observations and critiques.

(7) Ensure standardized training of TSO’s and DSRs. Develop, distribute, administer and manage TSO and DSR JQR programs.

(8) Provide oversight and guidance for monthly building safety inspections. Conduct spot check as needed.

(9) Coordinate annual HRT course safety stand-downs.

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(10) Review student critiques of training for mishap/training safety trend analysis.

(11) Perform mishap data analysis, distribute and report mishap statistics quarterly.

(12) Conduct a command HRT and SOH self-assessment annually. This assessment shall be completed by the 15th of November and debriefed to the CO, XO, and Department Heads no later than 30 November.

c. Training Safety Officer. TSO’s shall:

(1) Complete the TSO JQR and be designated in writing by their Department Head. TSO must provide CSO/TSA with a signed copy of the designation letter.

(2) Be well versed on the training and safety requirements found in the references listed in the JQR.

(3) Attend bi-monthly High Risk Training Safety Administrator safety meetings. Missing more than 3 meetings can cause loss of TSO qualification.

(4) Be familiar with non-risk and risk curricula, requirements, objectives, and evolutions in their departments. Specific items include:

(a) Approved training procedures.

(b) Safety precautions.

(c) Emergency procedures and EAP’s.

(d) Training facilities and equipment.

(e) TTO/DOR procedures.

(f) Approve risk assessments for HRT.

(5) On a regular basis, spot check, observe, and critique department student training for compliance with governing instructions.

(6) Conduct one formal monthly HRT observation of a department HRT course. Complete the TSO checklist, Appendix P, and keep on file for two years. Submit a copy to CSO/TSA at the monthly safety meeting. Enter a HRT observation into ESAMS quarterly using the NETC

TSO Guide as a reference. All HRT courses assigned to the TSO shall receive at least one annual HRT observation. TSO may not serve as the instructor or safety swimmer, however they may serve as the safety observer or Emergency Medical Responder.

(7) Resolve observed training safety discrepancies. If unable to immediately resolve problem, contact respective Department Head and CSO/TSA.

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(8) Assist HRT instructors with maintaining student training jackets.

(9) Be alert for signs of “instructor burn-out,” and inform the Department Head as required.

(10) Assist with the up-keep and oversight of Instructor Training Jackets.

(11) Oversee all safety training within the assigned department.

(12) Keep CSO/TSA informed of any problems or irregularities noted in training procedures, safety precautions or emergency procedures.

(13) Post department EAPs. EAP format can be found on the Command Safety Folder on the command drive.

(14) Conduct monthly review of EAPs and update as required. Conduct quarterly EAP walkthrough, annual drill, and any other required training. Use Appendix Q to document this event to comply with reference (c), (l), and (m). Use Appendix R to conduct your annual EAP drill. All walkthrough and drills shall be entered into ESAMS within 10 working days.

(15) Conduct annual department safety stand-downs. A list of required topics can be found in reference (c), (l), and (m). Upon completion of stand-down, provide a list of subject’s covered and date/time/place information to the CSO/TSA via the Department Head. All stand-downs shall be entered into ESAMS.

(16) Complete an annual Safety Review Checklist found in Formal Course Review Check

Sheet. Route original to the CSO/TSA via the Department Head.

(17) Assist the CSO/TSA in completing an annual HRT and SOH self-assessments.

(18) Schedule HRS with prospective instructors.

(19) Assist the CSO/TSA with oversight of facility safety inspections as needed.

d. Department/Division Safety Representative. The DSR shall:

(1) Complete DSR JQR and be designated in writing by Department Head. This can be accomplished using the Collateral Duties list.

(2) Be well versed on the training and safety requirements found in references (a) through

(d), (g), (l), and (m).

(3) Attend monthly safety meetings.

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(4) Be familiar with objectives, and evolutions in their departments. Specific items include:

(a) Hazards found in their department.

(b) Safety precautions.

(c) Emergency procedures and EAP’s.

(d) Training facilities and equipment.

(5) Annually complete the Safety Review Checklist found in Formal Course Review Check

Sheet Route the original to the CSO/TSA via the Department Head.

(6) Assist the CSO/TSA in completing an annual SOH self- assessment.

(7) Route properly completed ESAMS mishap reports to Safety.

(8) Oversee all safety training within your assigned department.

(9) Assist Building Managers with safety issues within assigned areas.

e. Department Training Petty Officer. The Department Training Petty Officer shall:

(1) Be appointed in writing by the collateral duties list.

(2) Assist the TSO’s and DSR’s to ensure all safety training is completed and logged into

ESAMS.

(3) Maintain Instructor Training Jacket in accordance with Appendix S.

(4) Maintain the ESAMS database for training.

(5) Review HRT Instructor Training Jackets on a quarterly basis to ensure accuracy and completeness.

f. High Risk Training Instructors. High Risk Instructors shall:

(1) Ensure correct numbers of instructors’/safety observers are present prior to commencing training.

(2) Brief all students regarding TTO/DOR policies, safety requirements, precautions, and safeguards incorporated into the HRT evolution.

(3) Ensure all students are reminded that they are required to report any changes in their medical status.

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(4) Determine if any student has been medically rolled back from a previous class prior to commencing training.

(5) Before commencing training, determine student medical or fit-to-train status.

(6) Maintain situational awareness, practice risk management, and exercise good judgment.

In any training scenario, students may exhibit panic, fear, extreme exhaustion, and lack of confidence or overconfidence.

(7) Be proficient in recognizing injuries, including injuries related to the extremes of hot and cold temperatures, and administering first aid.

(8) Have a working knowledge of divisional and departmental Emergency Action Plans.

Recommend changes as appropriate. Participate in required walk-through’s and drills.

(9) Attend required training.

(10) Be alert for signs of “instructor burn-out” in fellow instructors, and inform Department

Head and TSO as required.

(11) Report mishaps as required by references (a) through (d), (g), (l), and (m) to the TSO.

(12) Conduct training in accordance with the approved curriculum. Recommend changes as appropriate.

(13) Maintain currency and qualifications as required.

(14) Report to the Department Head any student training evolution that was not accomplished or completed. This training shortfall will require a waiver in Student Training

Records.

(15) Ensure student has completed the HRT Medical Screening Sheet and no changes to their medical fit-to-train status have occurred.

(16) Students seen by a medical/dental professional shall check in with their instructors or staff supervisor with all paperwork after treatment has been provided. Prior to resuming training, students who sought treatment during non-duty hours shall report to their instructor/staff supervisor the next working day.

g. Command Flight Surgeon. The Command Flight Surgeon shall:

(1) As required by references (c), (l), and (m), conduct high risk screening of prospective instructors.

(2) Properly notify students’ parent department regarding student medical, sickle cell, and

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(c), (l), and (m) and Chapter 28 of this manual.

(3) As required by references (c), (l), and (m) properly notify parent department and the

CSO/TSA (in the case of High Risk Instructors) when a change in medical status occurs which may negatively affect the ability of a staff member to effectively perform his/her duties.