ATT 1 Operations Medical Logistics_11 AUG25.pdf

TO 13C7-34-2-1-WA-1

7 DECEMBER 2023 i

REVISION AFMED / SG4O

NO. 3

OPERATIONS AND MANUAL –

OPERATIONAL MEDICAL LOGISTICS

DISTRIBUTION STATEMENT A - Approved for public release; distribution is unlimited.

TO 13C7-34-2-1-WA-1, 24 JANUARY 2022, is updated as follows:

1. This change is a result of procedural changes, new instruction inclusion, and alignment with DHA policy and guidance language.

2. Green highlights indicate new informational text.

3. Yellow highlights indicate updated informational text.

4. Added illustrations will have shadow border on the right-hand side and bottom of the illustration.

7 DECEMBER 2023 ii

TECHNICAL MANUAL

OPERATIONS AND MANUAL –

OPERATIONAL MEDICAL LOGISTICS

PREPARED BY AFMED/SG4O

THIS MANUAL SUPERSEDES TO 13C7-32-2-1, DATED 24 JANUARY 2022

DISTRIBUTION STATEMENT A - Approved for public release; distribution is unlimited. Submit recommended changes or problems with this Technical Order to AFMED/SG4O.

Published under authority of the Secretary of the Air Force

USAF

7 DECEMBER 2023 iii

LIST OF CHANGES

Publication History

Publication Date Revision Remarks

24-Jan-2022 2 Updated Tech Order with procedural information

20-Oct-2020 1 Added information throughout the Tech Order

10-Mar-2020 Original Publication

THE TOTAL NUMBER OF PAGES IN THIS PUBLICATION IS 164

Content Changed Change Type Remarks

Change in Table of Contents Modified Corrected naming of paragraphs and page numbering

Change in List of Illustrations Modified Added new illustrations

Change in List of Tables Modified Corrected naming of table

Change in Abbreviations/Acronyms Modified Deleted ABMSO/HSMR, Added

AMO/HSMR/SRA

Changed TO Manager POC Modified Changed POC to Samuel Crouch

Para 1.3.3 Modified Removed content to be more precise

Para 1.4.2.1 Modified Changed ABMSO to AMO

Para 1.6.4 Modified Changed primary/alternate person to appropriate personnel

Figure 1-1 Added Added MFR example for Certifying User Access/Role Review

Para 1.6.7 Modified Corrected contact info

Para 1.7 Modified Corrected to reflect outages

Para 2.3.2.2.2.3 Modified Corrected office symbol

Para 2.3.4.1 Modified Added Julian Date order

Para 2.4 Modified Corrected reference to publication

Para 3.2 – 3.2.3 Added Added information about medical supplies and equipment for first responders

Para 3.4 Modified Included Project to WRM Project Officer title

Para 3.4.1.2 Modified Changed IMAHR to HSMR

Table 3-1 Modified Changed IMAHR to HSMR and removed 886D from list

Para 3.4.2.1 Note Added Added Note regarding BCWB/SFAK FHP

Table 3-3 Modified Changed to reflect DHA FHP naming

Table 3-4 Modified Added SG40 to the list

Para 3.4.3 Note Modified Added SG40

Para 3.6.1.1 Modified Added WRM Project Officer

Para 3.6.1.1.2.1 Added Added instruction about UTC not on-hand

Para 3.6.1.2.4 Modified Removed instruction to download to desktop

Para 3.7.1.2.2 Added Added clarification to content

Table 3-5 Modified Changed IMAHR to HSMR, added

DPPE/DABX/DANV

7 DECEMBER 2023 iv

Para 3.9.1.1.2 Modified Changed to reflect DHA FHP naming

Para 3.9.1.2.1 Modified Updated link

Para 3.9.1.2.2-3.9.1.2.3.1 Modified Changed to reflect DHA FHP naming

Para 3.10.1.1.1.1 Modified Deleted default checkbox reference

Para 3.10.1.1.1.2 Modified Added instruction to make Roll-up indicator active

Para 3.10.1.1.2.3.1 Added Added information regarding Urgency of Need Designator (UND)

Para 3.10.1.1.2.3.1 Note Modified Added instruction to follow local TLAMM guidance

Para 3.10.1.4.4 Note Added Added clarification that OCONUS sites are not authorized local DPP

Para 3.10.1.4.4.4 Modified Added need for AFMED approval

Para 3.10.1.4.5.6 Modified Changed periodic to annual

Para 3.10.1.5.2-3.9.1.5.4 Added Added instruction updating LUM order process

Figure 3-13 Added Added AFML Order LUM Items screen capture

Figure 3-14 Added Added AFML View LUM Orders screen capture

Para 3.10.1.6.1.3 Added Added instruction to add spare part to SG91

Para 3.10.1.6.1.5 Modified Corrected name to Replenishment

Para 3.10.1.6.1.6 Modified Added need to zero out balance and authority/purpose

Para 3.10.1.6.1.7 Added Added need to perform item allowance change

Para 3.10.2 – 3.10.2.2 Added Added Follow-up for procurement orders

Para 3.13 Note Added Added Note regarding AFMED/SG4 may use site data to determine funding

Para 3.13.1 & 3.13.2 Deleted

Para 3.14.1.3 Modified Added clarification to content

Figure 3-17 to 3-19 Added Included screen captures to assist with steps used to process commercial returns

Para 3.15.1 Modified Removed reference to credit accounts and WRM use

Para 3.15.3.3.3.2 Added

Added SRA will not process credit returns for pharmaceuticals with greater than 90 days shelf life

Para 3.15.1.3.2 Added Added Commercial Returns process steps

Para 3.16.2 Added Added verbiage that funding isn’t available until first quarter of the next FY

Para 4.2.3.2 Note Added Added note to contact supplier for invoice

Para 4.2.3.3 Modified Included reference

Para 4.2.3.4.1 Modified Added NORA info and deleted annotating form 222

Para 4.2.1.4.1 Note Modified Added NORA info and reference

7 DECEMBER 2023 v

Para 4.2.5.5.1 Added Added instruction that all WRM equipment needs acceptance inspection

Para 4.2.6.1 Modified Changed ABMSO to AMO

Para 4.2.6.3.2 Modified Added DHA reference for Temp Monitoring Device testing/documentation

Para 4.3 Modified Corrected title

Para 4.3.3.3 Added Added instruction to correct erroneous inventory gains/losses

Para 4.4.2.1 Modified Changed ABMSO to AMO

Para 4.4.2.2 Modified Changed need for appointment letter of SLEP monitor

Para 4.6.1 Modified Changed to reflect DHA reference

Para 4.7.3.2.1 Modified Changed to LOG Owned and clarified exclusion of Customer Owned

Para 4.9.1.6 Modified Added reference to Med Log Follow-up Guide

Para 4.13.2 Deleted

Para 4.14.2 Modified Corrected POC info

Para 4.16.3.1 Modified Added MA Pending Action to list

Para 4.16.4 Deleted

Para 4.17.4.4 Modified Removed statement open work order

Figure 4.10 Added Added Sorting QA Record Results screen capture

Para 4.18.3.2 Note Added Added note to follow same steps in paragraphs 4.17.4 thru 4.17.8

Para 4.18.4 - 4.18.9 Deleted

Para 4.22 - 4.22.8 Added Added Destruction procedures

Figure 4.14 Added Added Destruction Window screen capture

Para 5.1.2 Modified Added Section 5D. Controlled Cryptographic Items (CCI) to list

Para 5.3 Note Added Added note requirement to inventory SG91/95/97/99 annually

Para 5.3.1 Modified Changed who can waive inventory suspense to be Squadron Commander or AFMED/SG4

Para 5.5.3.1 Modified Added clarification to content

Para 5.5.4.2.2 Modified Added document type of MFR or MRC minutes

Para 5.5.11.5.1 Modified Changed ABMSO to AMO

Para 5.5.11.6.1 Modified Changed ABMSO to AMO

Para 5.5.11.8 Modified Changed ABMSO to AMO

Para 5.5.12.4 - 5.5.12.4.1 Added Added information regarding updating of assemblage labels

Para 5.11.9.2.1 Modified Changed ABMSO to AMO

Para 5.11.9.3.1 Modified Changed ABMSO to AMO

Para 5.12.2 Modified Changed ABMSO to AMO

Para 5.15.2.2 Modified Changed ABMSO to AMO

Para 5.17.4 Modified Changed ABMSO to AMO

7 DECEMBER 2023 vi

Para 5.17.6 Modified Changed ABMSO to AMO

Section 5D, Para 5.19 - 5.21.1 Added Added new section for CCI inventory procedures

Para 6.1 Modified Changed purpose statement

Para 6.2.1 Modified Changed to reflect War Reserve Materiel (WRM) equipment

Para 6.2.2 Modified Removed statement about maintained w/in MTF, CSDC or TLAMM as applicable

Para 6.2.3 Modified Removed AFI 41-201 reference

Para 6.4 Modified Added Healthcare Technology Management to title

Para 6.4.1 Modified Added HTM Manager list of requirements

Para 6.4.2 Modified Changed to NCOIC, Contingency Maintenance Support and added list of requirements

Para 6.5 Modified Changed to WRM Sustainment Management Procedures

Para 6.6 Modified

Added BMETs requirement to open Acceptance Inspection workorder for non-maintenance significant equipment

Para 6.6.1.2.1 Modified Corrected to reflect Physical Inspection and Inventory

Para 6.6.2.2 Modified Changed Section Chief, HTM to HTM Manager

Para 6.6.3.2 Note Modified Added electronic as a verification type

Para 6.6.6.2 Modified Changed to equipment covered by central contract

Para 6.6.6.4 Modified

Changed property custodian to users and removed requirement of property custodian to indicate need for training

Para 6.6.6.5 Modified

Changed HTM to Contingency Maintenance and removed need to coordinate attendance/training personnel

Para 6.6.7.2 Modified Added location of checklist

Para 6.6.7.2.1 Modified Added need to have serial number populated with ECN when no serial number is available

Para 6.6.7.2.5 Modified Changed EM module to AM module

Para 6.6.7.2.6 Modified Removed reference to step 8a

Para 6.6.7.2.6.1 Modified Added need to match device codes to ASMS device code

Para 6.6.7.2.6.4 Modified Removed info pertaining to device code

Para 6.6.7.4.1 Modified Identified additional fields to complete in the Network tab for acceptance inspection

Para 6.6.7.6.6 Modified

Removed WRM equipment maintenance from para and added local policy as another way to align due date

Para 6.6.7.6.0 Modified Added box will only check in IM catalog for Item ID for TMDE

7 DECEMBER 2023 vii

Para 6.6.7.6.11 Note Modified

Added need to keep tech literature in paper/electronic form and that it can be found on AFML website in ASMS

Para 6.6.9.2.4.2 Modified Added clarification to content

Para 6.6.9.2.4.6 Modified Simplified to update work order notes every 30 days, at a minimum

Para 6.6.9.2.4.7 Deleted

Para 6.6.9.2.6-6.6.9.2.7 Deleted

Para 6.6.10.1 Modified Removed information from EDF contents requirements list

Para 6.6.10.2.2 Modified Changed Section Chief, HTM to HTM Manager

Para 6.6.10.2.3 Modified Added need for WRM EDFs to be accessible to all local BMETs

Para 6.6.11 Note Deleted

Para 6.6.12 plus Note Modified Added clarification to content and deleted the note

Para 6.7.2 Modified

Removed Notify Property custodian statement and incorporated para 6.7.2.1 into it

Para 6.7.3.2 Modified Removed need to order parts against HTM customer account

Para 6.7.3.3 Modified Added clarification to content

Para 6.7.4 Modified Removed reference to NCOIC, In-Garrison Maintenance Support

Para 6.7.4.1 Modified

Removed portion of factors to consider when assigning scheduled workorder; Customer, Availability, Downtime

Para 6.7.4.2 Modified

Removed reference to NCOIC, In-Garrison Maintenance Support, revised list of key points for monthly priorities

Para 6.7.6.1 Modified

Removed need to use customer scheduled service listing and clarified calibration verification statement

Para 6.7.6.4 Added Added statement regarding vendor service requests

Para 6.7.7 - 6.7.7.2.2 Modified Combined paragraphs in 6.7.7.2 into a single paragraph for 6.7.7.1

Para 6.7.8.2 Modified Added information regarding ordering WRM parts

Para 6.7.8.3 Modified Revised to state perform maintenance procedures

Para 6.7.9 & 6.7.9 sub paragraphs

Modified

All information has been combined/revised for this group of paragraphs

Para 6.7.10.3 Note Modified Removed reference to equipment in actioned status

Para 6.7.11.3 Modified Removed reference to maximum repair limit cumulative

7 DECEMBER 2023 viii

Para 6.7.11.4 Modified Removed reference to maximum repair limit cumulative

Para 6.7.11.6 Note Deleted

Para 6.7.12.3 Note Added Added Note regarding scheduled work orders and condition coding

Para 6.7.15 - 6.7.15.5 Added Added new information regarding out of cycle scheduled work orders

Figure 6-10 Added Added Request Scheduled Work Order screen capture

Para 6.8 Modified Changed to add clarification to content

Para 6.8.2 Modified Consolidated/deleted information through-out 6.8.2-6.8.4.1

Para 6.8.3.1 and Note Modified

Updated to include when equipment is not ready for deployment as well reference addition to the note

Para 6.8.3.2 Added Added information on equipment condition codes to use for Unscheduled work orders

Para 6.8.4.1 Added

Added that equipment requiring service by third party vendor needs approval via ALLEN application

Para 6.8.4.2 Added

Added that shipping requests for AFWCF equipment not paid by vendor is to be routed to AFWCF TAC request app

Para 6.8.5.1.1 Added

Added that parts for unscheduled service need to be in the Non-Catalog Part Description of the Parts tab

Para 6.8.5.2.1 Modified

Updated that AFMED/SG4E needs to be contacted for concerns with part acquisition or equipment age

Para 6.8.6.1 - 6.8.6.1.7 Added Added information on documentation of completion of repair of equipment

Table 6-1 Modified Updated the Work Orders Requiring QC table information

Para 6.10.1 Note Modified Updated to reflect HTM Manager or NCOIC, Contingency Maintenance Support

Para 6.10.2 Modified

Updated that if QC status isn't available, change to Work in Progress to enable QC status option

Para 6.10.3 Modified Added instructions to utilize Work Order QC Checker BI report

Para 6.10.4 Modified

Added statement to enter applicable data for each type of work order according to Table 6-

Para 6.10.4.1-6.10.4.6.1 Deleted

Table 6.2 & 6.3 Deleted

Para 6.11.4 Modified

Corrected title from NCOIC, In-Garrison Maintenance to NCOIC, Contingency Maintenance Support

7 DECEMBER 2023 ix

Para 6.11.5.2.1 Modified Added clarification to technicians’ ability to search accession numbers in ECRI

Para 6.11.8 Modified Added need to include ECRI accession number in the work order

Para 6.12.4 Note Added

Note added to utilize incident investigation form on MEDLOG website to document equipment incident

Para 6.13.2 - 6.13.6 Deleted

Para 6.14.10.2.1 Modified Changed to simplify need to request destruction of parts from SG91

Para 6.14.10.2.2 Modified

Changed to simplify need to contact AFMED/SG4E regarding excess accessories, kits or test equipment

Para 6.14.14 Modified Removed information related to AF Form 601

Para 6.15 - 6.15.5 Added Added information related to Unable to Locate (UL) equipment

Appendix C Modified

Changed requirement to print material for continuity folders upon deployment/activation

Appendix E Modified Changed signature block from ABMSO to

AMO

Appendix G Modified

Changed From and signature blocks from Accountable Base Medical Supply Officer to Accountable Medical Supply Officer (AMO)

Appendix I Modified Changed the Equipment Acceptance/Initial Insp Checklist example

7 DECEMBER 2023 x

TABLE OF CONTENTS

Chapter Page

LIST OF CHANGES .................................................................................................................................... iii

LIST OF ILLUSTRATIONS ........................................................................................................................ xiv

LIST OF TABLES ...................................................................................................................................... xvi

INTRODUCTION ....................................................................................................................................... xvii

1 PURPOSE .............................................................................................................................................. xvii

2 USE OF THIS MANUAL ......................................................................................................................... xvii

3 ABBREVIATIONS AND ACRONYMS .................................................................................................... xvii

4 LIST OF RELATED PUBLICATION ........................................................................................................ xxi

5 TECHNICAL MANUAL IMPROVEMENTS AND UPDATES .................................................................. xxii

CHAPTER 1 GENERAL AND ADMINISTRATIVE.................................................................................... 1-1

1.1 PURPOSE ............................................................................................................................................ 1-1

1.2 APPLICABILITY AND AUTHORITY .................................................................................................... 1-1

1.3 SCOPE ................................................................................................................................................. 1-1

1.4 MEDICAL STOCK RECORD ACCOUNTS .......................................................................................... 1-1

1.5 DEFENSE MEDICAL LOGISTICS STANDARD SUPPORT (DMLSS). .............................................. 1-2

1.6 DMLSS SA RESPONSIBILITIES ......................................................................................................... 1-3

1.7 DMLSS OUTAGES .............................................................................................................................. 1-4

CHAPTER 2 DATA RECORDS, DOCUMENTATION, AND QUALITY CONTROL ................................. 2-1

2.1 QUALITY CONTROL (QC.................................................................................................................... 2-1

2.2 DMLSS QC REPORTS ........................................................................................................................ 2-1

2.3 QC PROCESS ..................................................................................................................................... 2-1

2.4 DOCUMENT NUMBER CONSTRUCTION .......................................................................................... 2-5

CHAPTER 3 REQUIREMENTS AND PROCUREMENT .......................................................................... 3-6

3.1 PURPOSE ............................................................................................................................................ 3-6

3.2 MEDICAL SUPPLIES AND EQUIPMENT FOR FIRST RESPONDERS ............................................ 3-6

3.3 ASSEMBLAGE TYPE .......................................................................................................................... 3-6

3.4 CMM BASIS OF ALLOWANCE ........................................................................................................... 3-7

3.5 PRELIMINARY ASSET MANAGEMENT PROCEDURES .................................................................. 3-8

3.6 UPDATE ASSEMBLAGE LEVELS IN DMLSS .................................................................................... 3-9

3.7 COMPLETE RECORD MANAGEMENT ............................................................................................ 3-14

3.8 DETERMINING REQUIREMENTS .................................................................................................... 3-16

3.9 OBTAINING CMM FUNDING ............................................................................................................ 3-18

3.10 CMM REQUIREMENTS ................................................................................................................... 3-20

3.11 AFWCF/MDD ................................................................................................................................... 3-26

7 DECEMBER 2023 xi

3.12 DMLSS LOG FUND DETAIL ........................................................................................................... 3-26

3.13 AFWCF/MDD WRM FUNDS ............................................................................................................ 3-27

3.14 AM FUND RECORD ........................................................................................................................ 3-27

3.15 WRM PHARMACEUTICAL CREDITS MANAGEMENT .................................................................. 3-28

3.16 ASSEMBLAGE SALES .................................................................................................................... 3-31

CHAPTER 4 RECEIVING AND CARE OF SUPPLIES IN STORAGE ..................................................... 4-1

4.1 PURPOSE ............................................................................................................................................ 4-1

4.2 GENERAL RECEIVING PROCEDURES – OPERATIONAL AND AFWCF SERVERS ...................... 4-1

4.3 PERFORM ASSEMBLAGE DATA RECORD UPDATE ACTIONS ..................................................... 4-4

4.4 APPLICABILITY AND AUTHORITY .................................................................................................... 4-6

4.5 KEY TERMS AND CODES .................................................................................................................. 4-6

4.6 PRELIMINARY SHELF-LIFE PROGRAM MANAGEMENT PROCEDURES ...................................... 4-7

4.7 PERFORM DAILY SHELF-LIFE MANAGEMENT PROCEDURES ..................................................... 4-8

4.8 PERFORM WEEKLY SHELF-LIFE MANAGEMENT PROCEDURES ................................................ 4-9

4.9 PERFORM QUARTERLY SHELF-LIFE MANAGEMENT PROCEDURES ......................................... 4-9

4.10 SHELF-LIFE EXTENSION PROCEDURES .................................................................................... 4-11

4.11 NON-DETERIORATIVE ITEMS (DMLSS EXPIRATION TYPE 0) INSTRUCTIONS ...................... 4-13

4.12 APPLICABILITY AND AUTHORITY ................................................................................................ 4-14

4.13 HAZARD ALERT AND RECALL (HAR). .......................................................................................... 4-14

4.14 EMERGENCY CARE RESEARCH INSTITUTE (ECRI) HAZARD ALERT AND RECALL (HAR)

MESSAGES ............................................................................................................................................. 4-14

4.15 DMLSS QA MODULE ...................................................................................................................... 4-17

4.16 PRELIMINARY QA STEPS .............................................................................................................. 4-17

4.17 DAILY QA ACTIONS FOR CLASS I HAR MESSAGES .................................................................. 4-19

4.18 DAILY QA ACTIONS FOR OTHER THAN CLASS I HAR MESSAGES ......................................... 4-22

4.19 WEEKLY QA ACTIONS ................................................................................................................... 4-23

4.20 MONTHLY QA ACTIONS ................................................................................................................ 4-23

4.21 AS REQUIRED HAR ACTIONS ....................................................................................................... 4-24

4.22 DESTRUCTION PROCEDURES ..................................................................................................... 4-25

CHAPTER 5 PHYSICAL INVENTORY PROCEDURES ........................................................................... 5-1

5.1 PURPOSE ............................................................................................................................................ 5-1

5.2 CONTINGENCY MEDICAL MATERIEL / WRM INVENTORY ............................................................ 5-1

5.3 FREQUENCY ....................................................................................................................................... 5-1

5.4 CMM INVENTORY STANDARDS ....................................................................................................... 5-2

5.5 INVENTORY PROCEDURES – CMM / WRM ASSEMBLAGES ......................................................... 5-2

5.6 ASSEMBLAGE RECONSTITUTION – RECEIVING AND INSPECTION .......................................... 5-12

5.7 OPERATING SUPPLY INVENTORY ................................................................................................. 5-13

5.8 FREQUENCY ..................................................................................................................................... 5-13

7 DECEMBER 2023 xii

5.9 INVENTORY STANDARDS ............................................................................................................... 5-14

5.10 VALIDATION OF STOCKLESS OPERATIONS .............................................................................. 5-14

5.11 INVENTORY PROCEDURES – MEDICAL OPERATING SUPPLIES ............................................ 5-14

5.12 CONTROLLED MEDICAL ITEMS ................................................................................................... 5-18

5.13 CONTROLLED MEDICAL ITEM CUSTODIAN................................................................................ 5-18

5.14 CONTROLLED MEDICAL ITEM RECORD RETENTION ............................................................... 5-19

5.15 INVENTORY FREQUENCY AND APPOINTED PERSONNEL....................................................... 5-19

5.16 PRELIMINARY INVENTORY PROCEDURES – MEDICAL CONTROLLED ITEMS ...................... 5-19

5.17 INVENTORY PROCEDURES – MEDICAL CONTROLLED ITEMS ................................................ 5-20

5.18 RETENTION OF INVENTORY DOCUMENTS ................................................................................ 5-21

5.19 CCI INVENTORY ............................................................................................................................. 5-21

5.20 FREQUENCY ................................................................................................................................... 5-21

5.21 INVENTORY PROCEDURES .......................................................................................................... 5-21

CHAPTER 6 MEDICAL EQUIPMENT MANAGEMENT ........................................................................... 6-1

6.1 PURPOSE ............................................................................................................................................ 6-1

6.2 APPLICABILITY AND AUTHORITY .................................................................................................... 6-1

6.3 SCOPE ................................................................................................................................................. 6-1

6.4 CSDC – HEALTHCARE TECHNOLOGY MANAGEMENT (HTM) ORGANIZATION .......................... 6-1

6.5 PRELIMINARY WRM SUSTAINMENT MANAGEMENT PROCEDURES .......................................... 6-2

6.6 ACCEPTANCE INSPECTIONS ........................................................................................................... 6-2

6.7 SCHEDULED WORK ORDERS ........................................................................................................ 6-14

6.8 UNSCHEDULED WORK ORDERS ................................................................................................... 6-21

6.9 MANUAL WORK ORDERS ............................................................................................................... 6-24

6.10 WORK ORDER QUALITY CONTROL (QC) PROGRAM ................................................................ 6-25

6.11 QUALITY ASSURANCE (HAZARD, ALERT, AND RECALL PROGRAM) ...................................... 6-28

6.12 INCIDENT INVESTIGATIONS ......................................................................................................... 6-32

6.13 PRODUCT QUALITY DEFICIENCY REPORTING ......................................................................... 6-32

6.14 EQUIPMENT DISPOSITION AND EXCESS LISTING PREPARATION ......................................... 6-32

6.15 UNABLE TO LOCATE (UL). ............................................................................................................ 6-35

APPENDIX A - DD FORM 2875, MODIFIED FOR AF DMLSS ............................................................... A-1

APPENDIX B - MEDICAL LOGISTICS QUALITY CONTROL/SOURCE DOCUMENT CROSS-

REFERENCE ............................................................................................................................................ B-1

APPENDIX C ASSEMBLAGE CONTINUITY FOLDER ........................................................................... C-1

APPENDIX D PREPARING CONDITION TAGS AND LABELS ............................................................. D-1

APPENDIX E - SAMPLE WRM INVENTORY SUMMARY REPORT ...................................................... E-1

APPENDIX F - SAMPLE MC-CBRN / PANDEMIC INFLUENZA PROJECT INVENTORY SUMMARY

REPORT .................................................................................................................................................... F-1

APPENDIX G - SAMPLE INVENTORY SUMMARY LETTER ................................................................. G-1

7 DECEMBER 2023 xiii

APPENDIX H - CHECKLIST FOR INVENTORYING CONTROLLED MEDICAL ITEMS ....................... H-1

APPENDIX I EQUIPMENT ACCEPTANCE AND INITIAL INSPECTION CHECKLIST ............................ I-1

APPENDIX J WRM REPAIR PART ORDER FORM ................................................................................ J-1

APPENDIX K MEDICAL MAINTENANCE MANUAL WORKORDER ..................................................... K-1

7 DECEMBER 2023 xiv

LIST OF ILLUSTRATIONS

Figure 1.1. Certificate of User Access and Role Review .......................................................................... 1-4

Figure 3 1. Allowance Standard Management System Application ....................................................... 3-4

Figure 3 2. Download AM Files Screen .................................................................................................... 3-4

Figure 3-3. Select File to Import Window ................................................................................................ 3-5

Figure 3 4. DMLSS Import Assemblage Data Window ............................................................................ 3-5

Figure 3 5. DMLSS Standard Assemblage Update Screen ....................................................................... 3-6

Figure 3 6. Non–Standard Assemblage Allowance Change Window ...................................................... 3-8

Figure 3 7. Item Code Change Window .................................................................................................. 3-9

Figure 3 8. Replacement List Criteria .................................................................................................... 3-11

Figure 3 9. Replenishment List (Search Results) ................................................................................... 3-11

Figure 3 10. Asset Review Screen ......................................................................................................... 3-12

Figure 3 11. AM Funding-Search Window ............................................................................................ 3-14

Figure 3 12. Customer Owned Assemblage Replenishment List Criteria Window ............................... 3-16

Figure 3-13. AFML Order LUM Items .................................................................................................... 3-19

Figure 3.14. AFML View LUM Orders .................................................................................................... 3-20

Figure 3 15. DMLSS LOG Fund Detail Screen ........................................................................................ 3-21

Figure 3 16. DMLSS AM Funds – AM Funding (Revised) Screen ........................................................... 3-22

Figure 3 17. Outshipment Form/Transportation Selection Window .................................................... 3-23

Figure 3 18. Manage Return Items Pickup Window ............................................................................. 3-24

Figure 3 19. Manage Commercial Returns Screen ................................................................................ 3-25

Figure 4 1. Assemblage Record Data Screen ........................................................................................... 4-4

Figure 4 2. DMLSS Assemblage Item Transfer Criteria Window ............................................................. 4-6

Figure 4 3. Example of Forecasting and Executing AM Replenishment of Dated Items ....................... 4-10

Figure 4 4. DD Form 2477-3, Shelf-Life Extension Notice ..................................................................... 4-13

Figure 4 5. AFMED/SG4O Contact Information .................................................................................... 4-16

Figure 4 6. Accession Number Update .................................................................................................. 4-17

Figure 4 7. DMLSS QA Process .............................................................................................................. 4-17

Figure 4 8. QA Search Results with Advanced Sort Pop-up Window (Sorted by Priority) .................... 4-19

Figure 4 9. DMLSS QA Record, Equipment Details Tab ......................................................................... 4-21

7 DECEMBER 2023 xv

Figure 4-10. Sorting QA Record Results ................................................................................................ 4-23

Figure 4 11. DMLSS Create New Complaint Window ........................................................................... 4-24

Figure 4 12. DMLSS Create New Complaint Window, Type I Tab ......................................................... 4-25

Figure 4 13. DMLSS QAC Link ................................................................................................................ 4-25

Figure 4-14. Destruction Window ......................................................................................................... 4.26

Figure 5 1. DMLSS Criteria for Entering Physical Inventory Counts Screen ............................................ 5-7

Figure 5 2. DMLSS Enter Counts for Physical Inventory Screen .............................................................. 5-7

Figure 5 3. Select Inventory Segment Window ..................................................................................... 5-15

Figure 6 1. DMLSS MA Work Order Detail Screen .................................................................................. 6-5

Figure 6 2. DMLSS MA Equipment Detail Screen, Main Tab ................................................................... 6-5

Figure 6 3. DMLSS MA Equipment Detail Screen, Location & Inventory Tab ......................................... 6-7

Figure 6 4. DMLSS MA Equipment Detail Screen, Network Tab ............................................................. 6-8

Figure 6 5. DMLSS MA Equipment Detail Screen, Approval/Acquisition Tab ......................................... 6-8

Figure 6 6. DMLSS MA Equipment Detail Screen, Maintenance Data Tab ............................................. 6-9

Figure 6 7. DMLSS MA Maintenance Common Model Detail Screen ................................................... 6-11

Figure 6 8. DD FORM 1574, Serviceable Tag-Materiel (yellow tag) ...................................................... 6-12

Figure 6 9. Example of the Nameplate Model Field .............................................................................. 6-18

Figure 6 10. Request Scheduled Work Orders. ................................................................................... .6-20

Figure 6 11. Unscheduled Work Order Detail ....................................................................................... 6-21

Figure 6 12. DMLSS Work Order Work by Technician Tab .................................................................... 6-27

Figure 6 13. DMLSS Work Order Detail Screen, Main Tab .................................................................... 6-27

Figure 6 14. Inventory Management QA Record .................................................................................. 6-29

Figure 6 15. Maintenance QA Detail ..................................................................................................... 6-30

Figure 6 16. ECRI Menu ......................................................................................................................... 6-31

Figure 6 17. ECRI My Alerts Page .......................................................................................................... 6-31

Figure 6 18. ECRI My Alerts Page, View Alert Window ......................................................................... 6-31

Figure 6 19. DMLSS Technical Evaluation Work Order Main Tab ......................................................... 6-33

7 DECEMBER 2023 xvi

LIST OF TABLES

Table 1 1. DMLSS System Services Configuration ................................................................................... 1-2

Table 1 2. Controlling DMLSS Access Levels ........................................................................................... 1-3

Table 2 1. Specific QC Procedures ........................................................................................................... 2-3

Table 3 1. HSMR Assemblage IDs, Program Names, and RC/CCs ........................................................... 3-2

Table 3 2. FHP Assemblage IDs and Program Names ............................................................................. 3-2

Table 3 3. FHP Assemblage IDs and Program Names ............................................................................. 3-2

Table 3 4. AF/SG Directed Assemblage IDs and Program Names ........................................................... 3-3

Table 3 5. CMM Funding Sources .......................................................................................................... 3-12

Table 3 6. Contingency Contract Types and Codes ............................................................................... 3-18

Table 3 7. Log Fund Manager Responsibilities ...................................................................................... 3-21

Table 3 8. CMM Manager “Funds Request” Responsibilities................................................................ 3-22

Table 4 1. Shelf Life and DMLSS Expiration Codes .................................................................................. 4-7

Table 4 2. HAR Materiel Priority Categories ......................................................................................... 4-15

Table 4 3. HAR Message Categories ...................................................................................................... 4-16

Table 4 4. Required Notification Timelines ........................................................................................... 4-18

Table 4 5. DMLSS QA Pending Actions .................................................................................................. 4-19

Table 5 1. Inventory Planning – Brief Personnel on Inventory Policies and Procedures ........................ 5-3

Table 5 2. Inventory Planning – Brief Personnel on Inventory Policies and Procedures ........................ 5-3

Table 5 3. Inventory Count Rational Enter Inventory Counts Rationale ................................................. 5-8

Table 5 4. Physical Inventory – Research Out-of-Balance Discrepancies ............................................... 5-9

Table 6 1. Work Orders Requiring QC ................................................................................................... 6-25

7 DECEMBER 2023 xvii

INTRODUCTION

1 PURPOSE.

The purpose of this Air Force (AF) Technical Order (TO) series is to provide concise and clear instructions for safe and effective acquisition, management, maintenance, and deployment of Operational

Medical Materiel assets. This AF TO aims to establish procedural guidance for active duty AF Medical

Logistics functions regardless of contracted support.

2 USE OF THIS MANUAL.

The table of contents indicates chapter, paragraph, title, and page numbers to direct readers to the location of procedural information. Figures and tables appear throughout the publication to supplement the text material. A list of illustrations and tables indicate the number, title, and location.

2.1 Methods and Procedures. Chapters present associated workflows and explain each required step of the process. When consulting this TO for procedural information, the reader should consider reading the appropriate chapter from the major chapter heading down to the detailed subparagraph of interest. This will provide the user with context and common information associated with the detailed procedure.

2.2 Air National Guard Instruction. (ANG) Conduct ANG processes according to this TO except when differing practices are noted in accordance with (IAW) AFMAN 41-209, Medical Logistics Support, CNGBM 3502.01, and ANG policy letters. Note: The ANG will conduct and meet the intent of blind count inventories in Chapter 5 of this TO.

3 ABBREVIATIONS AND ACRONYMS.

Abbreviations used in this manual are defined below:

AAR – After Action Report

AES – Aeromedical Evacuation Squadron

AF – Air Force

AF/SG – Air Force Surgeon General

AFCENT – Air Force Central Command

AFRICOM – Africa Command

AFLOA – Air Force Legal Operations Agency

AFMAN – Air Force Manual

AFMED – Air Force Medical Agency

AFML – Air Force Medical Logistics

AFMLOC – Air Force Medical Logistics Operations Center

AFMED/SG4 – Air Force Medical Agency/Medical Logistics Directorate

AFTO – Air Force Technical Order

AFTTP – Air Force Tactics, Techniques and Procedures

AFWCF/MDD – Air Force Working Capital Fund/Medical Dental Division

ALLEN – Automated Lifecycle Logistics Equipment Request Network

AM – Assemblage Management

7 DECEMBER 2023 xviii

ANG – Air National Guard

AOR – Area of Responsibility

AMO – Accountable Medical Supply Officer

APO – Accountable Property Officer

AS – Allowance Standard

ASMS – Allowance Standard Management System

ATO – Authorization to Operate

AVHE – Application Virtualization Hosting Environment

BCN – Build Control Number

BI – Business Intelligence

Blk – Block

BMET – Biomedical Equipment Technician

CAL – Calibration

CAIM – Customer Area Inventory Management

CASL – Calculated Allowance Standard Levels

CBT – Computer-based training

CIIC – Controlled Item Inventory Codes

CLIN – Contract Line Item Number

CMDP – Centrally Managed Deferred Procurement

CMM – Contingency Medical Materiel

CONOPS – Concept of Operations

CONUS – Continental United States

COSIS – Care of Supplies in Storage

CSDC – Consolidated Storage and Deployment Center

CST – Customer Support Team

DCM – DMLSS Communications Management

DEA – Drug Enforcement Administration

DHA – Defense Health Agency

DHP – Defense Health Program

DLA – Defense Logistics Agency

DMLSS – Defense Medical Logistics Standard Support

DOC – Designed Operational Capability

DoD – Department of Defense

DODAAC – Department of Defense Accounting Activity Code

7 DECEMBER 2023 xix

ECAT – Electronic Catalog

ECN – Equipment Control Number

ECRI – Emergency Care Research Institute

EDF – Equipment Data File

EESOH-MIS – Enterprise Environmental Safety and Occupational Health-Management Information

System

EM – Equipment Management

EOD – End of Day

EOFY – End of Fiscal Year

EOR – Element of Resource

FCS – Forward Customer Support

FDA – Food and Drug Administration

FHP – Force Health Protection

FLIS – Federal Logistics Information System

FY – Fiscal Year

GSA – General Services Administration

GSC – Global Service Center

HAR – Hazard Alert Recall

HSMR – Home Station Medical Response

HTM – Healthcare Technology Management

IAAA – Inventory Adjustment Approval Authority

IAW – In Accordance With

ICN – Inventory Control Number

ID – Identification

IGM – In Garrison Maintenance

IM – Inventory Management

INSP – Inspect / Inspection

JMAR – Joint Medical Asset Repository

KPI – Key Performance Indicator

LOA – Line of Accounting

LOG – Logistics

LOGMOD – Logistics Module

LUM – Low Unit of Measure

LRRC – Loaner Repair and Return Center

7 DECEMBER 2023 xx

MA – Maintenance Activity

MAJCOM – Major Command

MC-CBRN – Medical Counter-Chemical, Biological, Radiological, Nuclear

MCRP – Medical Contingency Response Plan

MEL – Maximum Expenditure Limit

MERC – Medical Equipment Repair Center

MFR – Memorandum for Record

MLFC – Medical Logistics Flight Chief

MMQC – Medical Materiel Quality Control

MQCSS – Medical Quality Control Storage Standards

MRC – Medical Readiness Committee

MRL – Medical Resource Letter

MRLC – Maximum Repair Limit Cumulative

MTF – Medical Treatment Facility

NCOIC – Non-Commissioned Officer in Charge

NIST – National Institute of Standards and Technology

NSN – National Stock Number

O&M – Operations and Maintenance

OGA – Other Government Agency

O/H – On Hand

ORG – Organization

P-Step – Preliminary Step

PAD – Public Access Defibrillator

PIID – Procurement Instrument Identifier

PM – Preventive Maintenance

PMEL – Precision Measurement Equipment Laboratory

PMI – Patient Movement Item

POC – Point of Contact

PSM/RM – Patient Safety Manager / Risk Manager

PSR – Prime/Substitute Relationship

PV – Prime Vendor

QA – Quality Assurance

QC – Quality Control

QSL – Quality Status List

7 DECEMBER 2023 xxi

RA – Resource Advisor

RDD – Required Delivery Date

RMO – Resource Management Office

ROS – Report of Survey

SA – System Administrator

SG – Surgeon General

SLEP – Shelf-Life Extension Program

SLES – Shelf-Life Extension System

SMA – Service Medical Activity

SOS – Source of Supply

SPR – Scheduled Parts Replacement

SRA – Stock Record Account

SRAN – Stock Record Account Number

TAC – Transportation Account Code

TLAMM – Theater Lead Agent for Medical Materiel

TMDE – Test Measurement Diagnostic Equipment

TO – Technical Order

TRIMEDS – Tri-Service Medical Excess Distribution System

UII – Unique Item Identifier

URL – Uniform Resource Locators

USAMMA-DOC – United States Army Medical Materiel Agency-Distribution Operations Center

UTC – Unit Type Code

WRM – War Reserve Materiel

4 LIST OF RELATED PUBLICATION

Number Title

AFI 41-201 Managing Clinical Engineering Programs

AFI 44-119 Medical Quality Operations

AFJMAN 23-209 Storage and Handling of Hazardous Materials

AFMAN 17-1302-O Communications Security (COMSEC) Operations

AFMAN 23-101 Material Management Policy

AFMAN 23-122 Material Management Procedures

AFMAN 32-7002 Environmental Compliance and Pollution Prevention

AFMAN 41-120 Medical Resource Management Operations

AFMAN 41-209 Medical Logistics Support

CFR §1305.03 Distributions Requiring a Form 222 or Digitally Signed Electronic Order

CFR §1305.13 Procedures for Filling DEA Form 222

CFR §1305.20(a) Transition Provisions Allowing Continued use of Triplicate DEA Form 222

7 DECEMBER 2023 xxii

DAFMAN 91-203 Air Force Occupational Safety, Fire and Health Standards

DHA-AI 4140.01

Normalization of Medical Devices and Equipment (MDE) and General Equipment

DHA-PM 6430.05 Shelf-Life Extension Program (SLEP)

DHA-TM 6430.02, Vol 4 Inventory Management

DHA-TM 6430.02, Vol 5 Inventory and Quality Control

DLM 4000.25, Vol 2 Defense Logistics Management Standards

DoDM 4140.27, Vol 1 DoD Shelf-Life Management Program: Program Administration

DoDM 4140.01, Vol 5 DoD Supply Chain Materiel Management Procedures: Delivery of Materiel

DoD 7000.14-R, Vol 1 Financial Management Regulation

MILHDBK 1191

DoD Medical and Dental Treatment Facilities Design and Construction Criteria

NFPA 101 Life Safety Code

TO 35D33-2-2-2

Instructions with Illustrated Parts Breakdown, 463L Air Cargo Pallets, HCU- 6/E

TO 35D33-2-3-1

Maint and Repair Instr -- Air Cargo Pallet Net, HCU-7E I SIDE, HCU-15C II

TOP, HCU-11C III SIDE, HCU-16C IV TOP

5 TECHNICAL MANUAL IMPROVEMENTS AND UPDATES.

Submit recommendations for improvements to prescribed requirements and procedures in accordance with TO 00-5-1, Chapter 9, Recommending Changes to Technical Orders. Specifically, use AFTO Form

22, Technical Manual (TM) Change Recommendation and Reply to recommend improvements and suggest TO changes.

Submit changes to Air Force Medical Agency (AFMED) Medical Logistics assigned Technical Content

Manager and TO Manager, Mr. Samuel Crouch (samuel.g.crouch.civ@health.mil).

7 DECEMBER 2023 1-1

Chapter 1

GENERAL AND ADMINISTRATIVE

1.1 PURPOSE.

This technical order (TO) provides logistics guidance and step-by-step procedures for all Department of the Air Force (DAF) medical logistics activities.

1.2 APPLICABILITY AND AUTHORITY.

1.2.1 Applicability. This TO supports AF readiness operations and Air Force Working Capital

Fund/Medical-Dental Division (AFWCF/MDD) servers. Compliance is mandatory.

1.2.2 Authority. This TO derives its authority from AF Medical Logistics policy and doctrine therein:

1.2.2.1 Air Force Manual (AFMAN) 41-209, Medical Logistics Support.

1.2.2.2 Air Force Instruction (AFI) 41-201, Managing Clinical Engineering Programs.

1.2.2.3 Air Force Tactics, Techniques and Procedures (AFTTP) 3-42.8, Expeditionary Medical Logistics

(EML) System.

1.2.3 Defense Health Agency (DHA) Policy. As of this TO’s publishing date, the document has accommodated current DHA policy.

1.3 SCOPE.

This TO provides task standardization, delivering a uniform set of instructions to optimize all Medical

Logistics platforms.

1.3.1 Full Spectrum Military Operations. Medical Logistics provides materiel, equipment, services, and information to the Air Force (AF) medical mission. This TO’s purpose is to successfully sustain medical logistics through the full spectrum of military operations.

1.3.2 Operational Medical Logistics. To achieve “Full Spectrum Readiness,” Operational Medical

Logistics combines effective business principles and supply chain modeling to support both readiness and beneficiary care. This TO presents those principles in the form of task standardization.

1.3.3 Consolidated Storage and Deployment Center (CSDC). CSDCs are large-scale medical logistics flights that support War Reserve Materiel (WRM) and crisis response MEDLOG forces for Air Force

Medical Service (AFMS) operational readiness platforms and regions. CSDCs have unique missions ranging from industrial operations, theater lead agent medical materiel (TLAMM), as well as DHA Military

Treatment Facility (MTF) healthcare support. This guidance provides standardized business processes and optimized structure for medical supply and equipment maintenance operations ensuring proficiency, both in-garrison and deployed, for MEDLOG personnel.

1.4 MEDICAL STOCK RECORD ACCOUNTS.

The AF Stock Record Account Number (SRAN) is the Department of Defense (DoD) Activity Address

Code (DoDAAC). The AF base medical SRAN consists of the prefix ‘FM’ followed by a serial number

(e.g., FM2050). Place the SRAN, in addition to document numbers, on all accountable documents.

1.4.1 Account Activation. Forward the request for establishment of a new SRAN through command channels to Air Force Medical Agency/ Medical Logistics Directorate (AFMED/SG4) for approval IAW

AFMAN 41-209, Medical Logistics Support.

1.4.2 Key Appointments and Transfer of…