MCO 5104.1C.pdf

DEPARTMENT OF THE NAVY

OFFICE OF THE CHIEF OF NAVAL OPERATIONS

2000 NAVY PENTAGON

WASHINGTON, DC 20350-2000

AND

HEADQUARTERS UNITED STATES MARINE CORPS

3000 MARINE CORPS PENTAGON

WASHINGTON, DC 20350-3000

OPNAVINST 5100.27B

MCO 5104.1C

CNO(N09F)/CMC(SD)

2 May 2008

OPNAV INSTRUCTION 5100.27B

MARINE CORPS ORDER 5104.1C

From: Chief of Naval Operations Commandant of the Marine Corps

Subj: NAVY LASER HAZARDS CONTROL PROGRAM

Ref: (a) 21 CFR 1040, Performance Standard for Light Emitting Products

(b) ANSI Z136.1, Safe Use of Lasers (NOTAL)

(c) SECNAVINST 5100.14D

(d) 29 CFR 1926.54 and 1926.102(b,) Safety and Health Regulations for Construction

(e) OPNAVINST 5100.23G, chapter 22

(f) OPNAVINST 5100.19E, chapter B9

(g) OPNAVINST 5102.1D/MCO P5102.1B, Navy and Marine Corps Mishap and Safety Investigation Reporting and Record Keeping Manual

(h) MIL-STD-882D, Department of Defense Standard Practice for System Safety

(i) OPNAVINST 3500.39B

(j) MIL-HDBK-828A, Department of Defense Handbook Laser Safety on Ranges and in Other Outdoor Areas

(k) DoD 4160.21-M, Defense Materiel Disposition Manual, of August 1997

(l) DoD 4160.21-M-1, Defense Demilitarization Manual, of

October 1991

(m) BUMEDINST 6470.23, Medical Management of Non-Ionizing Radiation Casualties

(n) ANSI Z136.3, Safe Use of Lasers in Health Care Facilities (NOTAL)

(o) BUMEDINST 6470.19A, Laser Safety at Military Facilities and Research Laboratories

(p) ANSI Z136.2, Safe Use of Optical Fiber Communication Systems Utilizing Laser Diode and LED Sources (NOTAL)

(q) SECNAV M-5210.1, Department of the Navy Records Management Program

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

OPNAVINST 5100.27B

MCO 5104.1C

(r) SECNAV M-5210.2, Department of the Navy Standard Subject Identification Code (SSIC) Manual

(s) NAVMC DIR 5210.11E, Marine Corps Records Management Program Manual

Encl: (1) Laser System Safety Officer Training Requirements

(2) Laser Safety Design Requirement Checklists

(3) Requirements and Procedures of the Laser Safety Review Board (LSRB)

(4) Guidelines for Submission of a Laser Data Package and Presentation at the LSRB Meeting

(5) Military Laser Exemption Notification Format

(6) Activity Laser Hazard Control Program

(7) General Requirements for Laser Hazard Control

(8) Safety Requirements for Military Laser Ranges

(9) Laboratory Laser Use and Laser Maintenance Requirements

(10) Example of Military Exempt Laser Inventory Format

(11) Example of Non-Military Exempt Class 3B and Class 4 Laser Inventory Format

(12) Laser Safety Requirements Summary

1. Purpose. To prescribe Navy and Marine Corps policy and guidance in the identification and control of laser radiation hazards. This instruction has been administratively revised and should be read in its entirety.

2. Cancellation. OPNAVINST 5100.27A/MCO 5104.1B.

3. Background. The widespread use of lasers in both commercial and military applications has increased the probability of injury from exposure to laser radiation. References (a) through

(p) provide controls over laser design and operation for protection of personnel and equipment or contain specific information on various laser safety subjects. Enclosures (1) through (12) provide requirements and guidance on various aspects of the Navy Laser Hazards Control Program.

4. Scope. The provisions of this directive are mandatory for all Navy and Marine Corps activities. They apply to the design, use, and disposal of all equipment and systems capable of producing laser radiation, including laser fiber optics and system support equipment. Directed energy weapons that emit laser radiation and other high-energy laser systems are subject to the requirements of this directive. Medical, industrial, and construction laser systems that have no military-specific applications are exempted from this instruction. This document has been coordinated with all members of the Navy Laser Safety Review Board (LSRB).

5. Definitions

a. Administrative Laser Safety Officer (ALSO). One who has successfully completed an Administrative Lead Agent (ALA) and Lead Navy Technical Laboratory (LNTL)-approved ALSO course. See enclosure (1).

b. Laser. An acronym for light amplification by stimulated emission of radiation. Any device that can be made to produce or amplify electromagnetic radiation in the X-ray, ultraviolet, visible, and infrared or other portions of the spectrum by the process of stimulated emission of photons.

c. Laser Classifications. There are four laser hazard classifications that determine the required extent of radiation safety controls. These range from class 1 lasers that are safe for direct beam viewing under most conditions to class 4 lasers that require the strictest of controls. Laser product classification pertains to intended use only. When a laser product is disassembled for maintenance, etc., and protective features removed, the laser classification may change to a more hazardous class. Details concerning laser classification are contained in references (a) and (b). Controls for each class are addressed in this instruction and in references (b) through (f).

d. Laser Safety Specialist (LSS). One who has successfully completed the ALA and LNTL-approved LSS course. The Technical Laser Safety Officer (TLSO) course is a prerequisite for the LSS course. The LSS qualification is an advanced laser system safety officer. An LSS possesses the technical knowledge required to perform laser measurements, hazard evaluations, and calculations. See enclosure (1).

e. Laser System Safety Officer (LSSO). A generic term used throughout this instruction. It can refer to personnel functioning as an ALSO, TLSO, LSS or Range Laser Safety Specialist (RLSS).

f. Military Exempt Lasers. Lasers designed for actual combat, combat training operations, or classified in the interest of national security and are exempted from the requirements of reference (a). Military exempt laser systems must comply with the design requirements provided in enclosure (2).

g. Nominal Hazard Zone (NHZ). The volume of space within which the level of the direct, reflected, or scattered laser radiation may exceed the applicable Maximum Permissible Exposure (MPE) level.

h. Range Laser Safety Officer (RLSO). One who has successfully completed an ALA- and LNTL-approved TLSO course.

An RLSO is a TLSO with assigned laser range management responsibilities as outlined in paragraph 5 of enclosure (8).

RLSOs are qualified to perform the duties of an ALSO with emphasis on outdoor use of lasers. RLSOs are not qualified to perform laser or laser range hazard evaluations and calculations. See enclosure (1).

i. Range Laser Safety Specialist (RLSS). One who has successfully completed the ALA- and LNTL-approved RLSS course.

The TLSO course is a prerequisite for the RLSS course. The RLSS possesses the technical knowledge required to perform laser range hazard evaluations and calculations required for laser range certification. See enclosure (1).

j. Technical Laser System Safety Officer (TLSO). One who has successfully completed an ALA- and LNTL-approved TLSO course. TLSOs are qualified to perform the duties of both ALSOs and RLSOs, but are not qualified to perform laser or laser range hazard evaluations and calculations. See enclosure (1).

k. All other terms relating to lasers shall be those given in references (a) and (b).

6. Policy. Department of the Navy (DON) policy is to identify and control laser radiation hazards early during design and development as a matter of military necessity. DON policy is also to ensure that personnel are not exposed to laser radiation in excess of the applicable MPE throughout the life cycle of laser systems, including research, design, testing, development, evaluation, acquisition, deployment, operation, support, maintenance, demilitarization and disposal.

7. Responsibilities

a. Administrative Lead Agent (ALA). The Bureau of Medicine and Surgery (BUMED)(Code M3B4) is the ALA within the DON. The ALA shall:

(1) Act as the primary point of contact and authority within the DON on non-technical laser safety issues.

(2) Represent the DON in tri-service and other inter-agency laser safety matters including laser radiation medical surveillance.

(3) Establish laser safety policy and guidance for the

DON; and maintain membership on national and international standards setting boards and committees to ensure currency of Navy policy.

(4) Perform the duties of secretariat for the Navy LSRB as described in enclosure (3).

(5) Coordinate with the LSRB chair to schedule requested

Board reviews to evaluate the safety parameters of laser systems during the acquisition process, on major modification, on platform changes and in cases where expert assistance is required in operational testing and deployment.

(6) Act as the approval authority for the disposal of military exempt lasers.

(7) Maintain documentation of all Navy and Marine Corps laser systems reviewed by the LSRB including all military exempt lasers with the rationale for their exemption.

(8) Report all Navy initiated requests for disposal and transfer of exempted lasers to the Deputy Under Secretary of Defense for Environment and Safety (DUSD (ES)) via Assistant

Secretary of the Navy (Installations and Environment)

(ASN(I&E)).

(9) Advise DUSD (ES) via ASN(I&E) of any substantial changes in laser safety policy.

(10) Maintain a current database of ALSOs, TLSOs, LSSs, RLSSs, dates of certification, dates of recertification, and approved instructors.

(11) Establish and publish Navy laser safety design standards and training requirements with input from the LNTL.

See reference (g).

(12) Review the ALSO, TLSO, LSS, and RLSS training curricula for approval (in conjunction with the LNTL).

(13) Review personnel and agency qualification to designate qualified instructors for the ALSO, TLSO, LSS, and RLSS courses (in conjunction with the LNTL).

(14) Maintain a list of current LSRB membership.

b. Technical Lead Agent (TLA). Reference (c) designates the Naval Sea Systems Command (NAVSEASYSCOM) as the TLA for laser safety within the DON. Reference (c) also directs NAVSEASYSCOM to designate the Naval Surface Warfare Center, Dahlgren Division (NSWCDD) Code G73 as the LNTL for laser safety. NAVSEA 04N shall serve as the TLA and, using the technical expertise at NSWCDD Code G73, shall:

(1) Conduct laser safety surveys, measurements, and reviews for all DON lasers and laser installations under the scope of Navy LSRB review. Actual services shall be provided by the LNTL on a cost reimbursable basis.

(2) Represent the DON in tri-service and other interagency laser safety matters and support BUMED in laser radiation medical surveillance.

(3) Maintain membership on national and international standards setting boards and committees to ensure currency of Navy policy.

(4) Evaluate laser ranges and target areas via the Naval Surface Warfare Center, Corona Division, Code SE34, PO Box 5000, Corona, CA 92878, DSN 933-4143, commercial (909) 273-4143 or an ALA/LNTL-approved RLSS.

(5) Evaluate laser protective devices via the Naval Air

Warfare Center (NAWC), Aircraft Division (ACDIV), NAWC-ACDIV Vision Laboratory, Code NAVAIR-4.6.7.1, Patuxent River, MD 20670.

(6) Review for approval (in conjunction with the ALA) the ALSO, TLSO, LSS, and RLSS training curricula.

(7) Ensure that LNTL personnel evaluating lasers are

LSSs.

c. Laser Safety Review Board (LSRB). The LSRB is an independent authority on laser safety as established by this instruction. The LSRB provides a laser systems safety review of class 3B and 4 lasers used in optical fiber communications systems, all DON lasers used in combat, combat training, or classified in the interest of national security and all laser systems capable of exceeding class 3R levels, except those planned solely for industrial, construction, medical, or indoor experimental laboratory use. This includes systems that are used by other military services and lasers previously registered with the Food and Drug Administration for which modifications in design or use are intended. LSRB review is not required for lasers planned solely for industrial, construction, medical, or indoor experimental laboratory use. The LSRB can act as a source of laser safety guidance for any laser system regardless of its intended use.

(1) The LSRB consists of a permanent and alternate member from all systems commands; BUMED; Headquarters, USMC (Safety Division); the Naval Safety Center; NAWC Aircrew Division; and the LNTL. See enclosure (3).

(2) Enclosures (3) and (4) provide procedures used by the LSRB in its deliberations.

(3) If any facility (including research and development) or procurement office chooses to defer to the LSRB for safety guidance, the facility shall adhere to the decisions and recommendations of the LSRB.

(4) LSRB approval is limited solely to the laser/laser system and those parts of the testing relating to the laser/ laser system. LSRB review is not intended to be a substitution for a safety or environmental review for all conceivable safety/environmental issues. Final approval for testing or use must come from the appropriate safety manager, environmental and/or occupational health directorate per local instructions.

d. Laser System Acquisition Agent. Commanders of all systems commands, all Navy and Marine Corps program directors and project managers, and research and development activities shall fund and conduct the laser system safety program within their cognizant material support areas. The acquisition agent shall:

(1) Apply system safety methods per reference (h) throughout all life cycle phases of laser systems, laser test fixtures and laser facilities for new systems and modification or different applications of an existing system.

(2) Review the purpose of proposed lasers to determine if they shall meet reference (a) and/or qualify as military exempt. Exempted lasers shall be designed per enclosure (2) and as many of the standards of reference (a) as practical as determined by the LSRB. Substitute control measures (engineering, administrative, or procedural) are required to be as safe as what they are replacing. Lasers that are not classified in the interest of national security that are intended primarily for non-combat training and demonstration, industrial operations, scientific investigations, or medical applications shall not be exempted. Any questions in this regard may be addressed to the LNTL.

(3) Grant exemptions from reference (a) and impose enclosure(2) requirements on manufacturers designing military exempt lasers. Procurement or contracting officers shall grant exemptions to manufacturers in writing and ensure that the system is reviewed by the LSRB. The laser exemption format is given in enclosure (5). A copy of the exemption shall be provided to the ALA.

(4) Ensure that class 3B and class 4 lasers and laser systems and all classes of lasers used for combat, combat training, or are classified in the interest of national security are reviewed by the LSRB. Obtain these reviews before program advancement to the next stage of development, and before test, prototype, or production units are introduced into the Fleet.

Resubmit systems for LSRB review when new applications or unapproved platforms are considered. Ensure that operational requirements traceability is demonstrated to the LSRB to prevent proliferation of unnecessary hazardous laser systems.

Demonstrate that DoD-approved Laser Eye Protection (LEP) are included in design, planning, training, and use, throughout developmental testing, operational testing, and operational deployment.

(5) Ensure that the LNTL participates in design reviews, evaluates compliance with enclosures (2) and (12), and measures laser output parameters to determine nominal ocular hazard distances, LEP requirements, and other safety related parameters of all lasers prior to review by the LSRB.

(6) Provide the LSRB chair and secretariat safety test data, measurements, laser hazard evaluation results, corrective actions, and other system safety activities conducted per reference (h) and enclosure (4) of this instruction at least 30 days prior to laser reviews.

(7) Implement the requirements of the LSRB.

(8) Ensure DoD-approved laser protective devices are available for operating and maintenance personnel and recommend protection for other personnel or material at risk.

(9) Include all necessary laser safety data in laser technical manuals, maintenance requirement cards, operational manuals, and training curricula.

e. Operational Commands. Navy and Marine Corps commands or activities using class 3B or class 4 lasers, shall:

(1) Establish laser safety organizations per enclosures

(6) through (9). A comprehensive operational risk management program is an essential part of the laser hazard control process and shall be implemented per reference (i).

(2) Impose design and operating requirements of this instruction and enclosure (2) on equipment and facilities.

Provide adequate warnings, safety training, documentation, and audits for the control of all hazards resulting from the use of lasers at their activities. Ensure all lasers are classified as to their hazard(s) and labeled per reference (b).

(3) Ensure appropriate LEP is worn by all personnel within the NHZ during testing or operational use of any laser system with the unaided Optical Density (OD) requirement. If optical aids may be used in the exercise, LEP should meet the aided OD requirement.

(4) Appoint the LSSO at that command or activity and forward the LSSO’s name, organizational code, and telephone number to the ALA. The activity commander and LSSO will maintain control over laser operations at the local activity.

(5) Ensure that only those laser installations and ranges which have been certified by an RLSS and approved by the activity LSSO as safe for specific applications using specific laser systems are allowed to operate and then solely for those applications. Laser systems shall not be fired outside of these LSSO-designated areas and targets. Technical assistance is available from the LNTL on a cost reimbursable basis to enable commanding officers and their LSSOs to certify the safety of their laser ranges. The commanding officer is responsible for range certification and use per reference (j).

(6) Use and dispose of military exempt lasers per references (c), (k) and (l). Obtain approval of the ALA prior to disposal. The LSRB may be used to ensure that the system is demilitarized per reference (l) or disposed of in accordance with reference (k) that will prevent public access to military exempt technology.

(7) Maintain a current inventory of all military exempt lasers and all class 3B and class 4 lasers as defined in reference (b) for submission to the ALA as requested. A sample format for submission of military exempt laser data is given in enclosure (10). A sample format for submission of non-military exempt class 3B and class 4 lasers is given in enclosure (11).

The LSSO shall keep the inventory of military exempt and class 3B and class 4 lasers. Report lost lasers to the ALA using the inventory formats given in enclosures (10) and (11).

(8) Immediate consultation shall be obtained with an ophthalmologist or optometrist for personnel with suspected or observed laser exposure. Since early medical intervention may lessen the severity of the damage or subsequent retinal scarring for the laser injury, efforts should be made to have the individual promptly seen by an ophthalmologist or at the ophthalmology department of a hospital on an urgent basis.

Notify BUMED (M3B4) by electronic mail, fax, message or telephone of suspected or observed laser exposure as soon as possible at commercial (202) 762-3448, DSN 762-3448, fax commercial (202) 762-0931, DSN 762-0931. Additionally, contact the tri-service laser safety hotline (800-473-3549) as soon as possible.

(9) Submit a laser incident report for all cases where personnel are inadvertently exposed to laser energy and maintain the laser incident reports per reference (q) SSIC 8140.1. This report is required for all incidents involving personnel with suspected or observed exposure to class 3B or class 4 lasers.

The report shall be sent by the LSSO to BUMED within 30 days of the incident and shall include:

(a) List of personnel involved;

(b) Estimation of laser exposure received to the eyes or skin as related to the applicable MPE per reference (b);

(c) The examining medical officer’s immediate and subsequent medical findings (if applicable);

(d) A detailed account of the laser exposure incident. Include the laser’s parameters as applicable:

wavelength, power or energy, pulse repetition frequency, pulse length, beam size, and divergence;

(e) A detailed account of safety procedures and personal protective equipment used at the time of the laser exposure incident; and

(f) Lessons learned and actions completed to prevent another laser exposure incident.

(10) Submit a safety investigation report per references (e), (f), and (g) for all incidents that meet the safety investigation thresholds.

(11) Submit a hazard report for any work-related events that could have potentially resulted in a laser exposure such as using defective safety equipment or inadequate standard operating procedures using the laser incident report criteria in paragraph 7e(9) as applicable.

(12) Obtain LSRB approval for all class 3B, class 4 and military exempt lasers. A laser safety requirements summary is provided in enclosure (12).

(13) Coordinate all space directed (above-horizon) emissions with North American Aerospace Defense Command, CMD/J3S USSTRATCOM JSCC USV, Attn: Orbital Safety Officer, Cheyenne Mountain AFS, CO 80914-6020, Laser Clearinghouse, DSN 268-4416,

(719) 474-4416. The following parameters shall be reported:

operating wavelength, beam-divergence and output power or energy.

f. Per enclosure (12), Navy and Marine Corps regions, commands, or activities having only class 1, 2, and 3a or 3R lasers not used in combat, combat training or classified in the interest of national security are not required to assign an LSSO. However, they shall:

(1) Ensure users read manufacturer literature and labeling.

(2) Report any instances of contact of the laser beam with an eye to the safety office immediately.

https://navalforms.daps.dla.mil/web/public/home http://doni.daps.dla.mil

Enclosure (1)

LASER SYSTEM SAFETY OFFICER TRAINING REQUIREMENTS

1. General. Laser System Safety Officers (LSSOs) shall have satisfactorily completed a Navy LSSO course. Commands should contact the Administrative Lead Agent (ALA)/Lead Navy Technical Laboratory (LNTL) for the approved formal laser safety course that applies to their situation.

2. Laser System Safety Officers (LSSOs). There are four categories of LSSOs: ALSO, TLSO, LSS, and RLSS (see definitions below). Retesting at the LSSO’s highest certification level is required to maintain certification for all categories of LSSO every 4 years. Recertification exams shall include prerequisite level information. If the LSSO fails the recertification examination, the LSSO will have to be re-certified by attending the appropriate course. Personnel should contact either the ALA or LNTL for recertification testing information. Commanding officers should determine which category of LSSO is appropriate for their commands considering their mission, types of lasers being used, and size of the laser safety program. LSSO categories and qualification descriptions are as follows:

a. Administrative Laser Safety Officer (ALSO) - The ALSO must successfully complete an ALA/LNTL-approved ALSO course. An ALSO is qualified to:

(1) Establish and manage a unit level laser safety program.

(2) Approve, disapprove, or submit for safety approval to higher authority all local laser uses, both portable and fixed.

(3) Instruct employees and supervisors on the safe use of lasers.

(4) Supervise laser operations and maintenance.

(5) Manage laser incident investigations as appropriate.

Technical assistance of an LSS or an RLSS is required.

(6) Maintain a laser medical surveillance program.

(7) Maintain an inventory of military exempt and class

3B and class 4 lasers.

Enclosure (1) 2

(8) Post laser warning signs and devices.

(9) Ensure that laser operators have the appropriate knowledge to safely operate their specific lasers (supervisor safety briefs, factory training school, instructional materials, etc.).

(10) Provide safety briefs/pre-mission briefs to laser range users.

(11) Prior to use of a laser range, ensure/confirm that warning signs have been posted, the area is clear of specular reflectors, personnel have required Laser Eye Protection (LEP), and all other safety conditions for range laser use outlined in the range regulations or range standard operating procedures (SOPs) are met.

(12) Perform LEP inspections.

b. Technical Laser Safety Officer (TLSO) - A TLSO must successfully complete an ALA/LNTL-approved TLSO course. A TLSO is qualified to:

(1) Understand the calculations and measurements of laser safety parameters such as Nominal Ocular Hazard Distances (NOHDs) and required Optical Densities (ODs) for laser eyewear.

(2) Train ALSOs using the ALA-approved course curriculum

(qualification of TLSOs as instructors requires ALA/LNTL approval).

(3) Understand classification of lasers and laser systems.

(4) Perform the duties of a laboratory, installation, base, research facility, or Range Laser Safety Officer (RLSO) as follows:

(a) Establish and manage a base or installation laser range safety program.

(b) Approve/disapprove the use of laser systems and/or any laser operations on their range that fall within the guidelines of the range certification.

Enclosure (1) 3

(c) Perform annual range safety compliance inspections to include:

1. Verification of range boundary warning signs;

2. Target conditions;

3. Accessibility and condition of ground laser system firing points; and

4. Other laser safety controls, as appropriate.

(d) Ensure laser ranges under their cognizance are certified/recertified by an RLSS at least every 3 years or when changes to the range fall outside the current certification.

(e) Ensure range regulations/SOPs are provided to commands requesting usage of the laser range.

(f) Review the training plan (to include laser type(s) and proposed employment tactics) of each command requesting access to the laser range to ensure compliance with current laser range certification.

(5) Perform the same duties as an ALSO.

c. Laser Safety Specialist (LSS). The LSS must successfully complete the ALA/LNTL-approved LSS course. An LSS

(1) Perform the calculations and measurements of laser safety parameters such as NOHDs and required ODs for laser eyewear.

(2) Train ALSOs, TLSOs, RLSOs, and LSSs using the ALA-approved course curriculum. (Qualification of instructors requires ALA/LNTL approval.)

(3) Classify lasers and laser systems.

(4) Conduct technical aspects of laser incident investigations.

(5) Perform the same tasks as a TLSO.

Enclosure (1) 4

d. Range Laser Safety Specialist (RLSS). An RLSS must successfully complete an ALA/LNTL-approved RLSS course. An RLSS

(1) Conduct laser radiation hazard surveys and evaluations for commanding officer approval of certification.

(2) Perform the calculations and measurements required to certify a laser range.

(3) Train ALSOs and RLSSs using the ALA-approved course curriculum. Qualification of instructors requires ALA/LNTL approval.

(4) Conduct technical aspects of laser range incident investigations.

(5) Perform the same tasks as a TLSO.

Enclosure (2)

LASER SAFETY DESIGN REQUIREMENT CHECKLISTS

The checklists in this enclosure are intended to help the designer, procuring activity, or personnel responsible for laser safety stay within the laser safety design requirements for military lasers and associated support equipment. There may be requirements where the wording may not precisely apply to the particular situation; therefore, some individual interpretation of the requirements is necessary. Because each individual's interpretation of the requirements may differ, room has been made available to expand upon the answer to each requirement.

The checklists should not be used by themselves, but in conjunction with other references (e.g., MIL-STD-882D1 and ANSI Z136.12).

EQUIPMENT DESCRIPTION

Equipment Name:_______________________________________________

System Name to be Used throughout Approval and Use:__________________________________

Documented Operational Requirements for Laser Use:________________________________________________

Model Number: ___________ Serial Number: ________________

Manufacturer: ___________________________________________

Address: ___________________________________________

Responsible Authority:________________________________________

Address: ___________________________________________

Point of Contact: ___________________________________________

Address: ___________________________________________

Phone: ___________________________________________

Inspector: _________________________ Date:_________

1MIL-STD-882D, Department of Defense Standard Practice for System Safety, 2000.

2ANSI Z136.1, American National Standard Institute Safe Use of Lasers, 2007.

Appendix A of

APPENDIX A

LASER DESIGN REQUIREMENT CHECKLIST

Item Requirement Yes/No Comment 1 Is laser product provided with a tag or label permanently affixed to the device housing?

1a Does such a tag or label contain the full name and address of the manufacturer, the laser model, and the place, month, and year of manufacture?

1b Is label or tag information not expressed in code?

2 In lieu of the certification label required by 21 Code of Federal Regulations (CFR) 1010.2; if laser is product exempted under 76EL-01 Department of Defense (DoD), is a tag or label permanently affixed to the device housing so that it is readily accessible to view?

2a Does such a tag or label contain the following statement?

CAUTION

This electronic product has been exempted from FDA radiation safety performance standards prescribed in Title 21, CFR, chapter I, subchapter J, under Exemption No.

76EL-01 DoD issued on 26 July 1976.

This product should not be used without adequate protective devices or procedures.

3 Are laser products operational and adjustment controls located so that human exposure to laser radiation in excess of the appropriate Maximum Permissible Exposure (MPE) is unnecessary for the operation or adjustment of such controls?

4 Is laser product designed to preclude unintentional laser output (e.g., spontaneous firing)?

A-2 Enclosure (2)

Item Requirement Yes/No Comment 5 Are lasers and associated optics designed so that external secondary beams are not generated unless necessary for the performance of the intended function(s)?

6 Are focused beams, hot spots, and collateral radiation minimized?

7 Do lasers employing frequency shifting or harmonic multipliers reduce unnecessary emissions below

MPE?

8 Is the laser system designed to preclude unintentional self-oscillation, mode-locking, double-pulsing, or unwanted modes, when practicable?

9 If unwanted modes cannot be eliminated, is laser classified as per the worst possible accessible emission level?

10 Are interlocked protective housings provided to protect personnel from high-voltage sources and unnecessary laser and collateral radiation in excess of the Accessible Emission Limits (AELs)?

10a Is aural or visual indication of interlock defeat provided?

10b Do interlocks return to their normal operation when access cover or door is returned?

11 When laser radiation exceeding American National Standard Institute (ANSI) AEL for class 1 is accessible, are visual indicators readily visible while wearing suitable laser protective eyewear?

12 Do viewing ports and display screens, which allow the operator to view laser radiation, attenuate the radiation to limit personnel exposure to below the appropriate

MPE?

A-3 Enclosure (2)

Item Requirement Yes/No Comment 13 Do laser product pointing or viewing optics having a magnifying power exceeding 1.0 include a built-in laser safety filter within the optical train that protects the operator from reflections from specular surfaces or exposures from force-on-force training?

13a Is adequate visibility maintained when using laser safety filters?

13b Are laser safety filters permanently attached or designed so that the optical train cannot be assembled without the filter?

13c Is filter on viewing sight marked to indicate optical density (OD)& wavelength?

14 Is there a label marking the output aperture?

15 Items 15-22 are class 1, 1M 2, 2M, or 3R laser requirements

Do laser warning labels for exempted lasers provide clear instructions to the operators, maintainers, and potential bystanders to preclude laser injury?

16 Do lasers classified as ANSI class 1, class 2, or class 3R meet the design (performance) requirements of 21 CFR class 1, class 2, respectively, except where such requirements restrict operational capability or security?

17 Do lasers classified as ANSI Class 1, class 2, or class 3A or 3R meet the designation and warning requirements of 21 CFR class 1 and class 2, respectively, with the exception that the ANSI classification will be displayed in the lower right corner rather than the Food and Drug Administration (FDA) class?

A-4 Enclosure (2)

Item Requirement Yes/No Comment 18 Are labels permanently affixed or inscribed on such products as to be legible and readily accessible to view when the product is fully assembled for use?

19 Are warning labels affixed to the laser system housing near the beam exit port and/or fire button when possible in such a manner that viewing the label does not require personnel exposure to laser radiation?

20 Are class 2 or some 3R lasers, as defined by ANSI, provided with a label similar to the examples illustrated in figures 2-1 or 2-3?

20a Is numerical output information [e.g., wavelength(s) and maximum power output (when unclassified)] located along the lower edge in a smaller font?

20b Does the word INVISIBLE or VISIBLE, as appropriate, precede the word

RADIATION?

20c When labels may compromise camouflage, are muted colors appropriate to the camouflage paint scheme used?

20d Is information classified in the interest of national security omitted from all labels?

21 When a laser has a defeatable interlock that, when defeated, allows access to class 3B or class 4 emission levels, is an additional label that states the following installed on or near the access panel?

DANGER

Laser Radiation When Open and Interlock Defeated, Avoid Eye or Skin Exposure to Direct or Scattered Radiation.

A-5 Enclosure (2)

Item Requirement Yes/No Comment 22 If non-exempted lasers incorporate military labeling, has alternate labeling been requested by the manufacturer and approved as a variance by the FDA in accordance with 21 CFR 1040 (g) (10)?

23 Items 23-43 are Class 3B and Class 4 laser design requirements

Are class 3B, class 4, and some 3R lasers, as defined by ANSI, provided with a label similar to the examples illustrated in figures 2-2a, 2-2b, or 2-3?

23a Are such labels permanently affixed or inscribed on such products to be legible and readily accessible to

23b Is the label affixed to the laser system housing near the fire button and exit port when the port is remote from the operator in such a manner that viewing the label does not require personnel exposure to laser radiation?

23c Does the label use the word DANGER and include the type of laser and the word VISIBLE or INVISIBLE preceding the word RADIATION?

A-6 Enclosure (2)

Item Requirement Yes/No Comment 23d Does the label contain an appropriate instructional safety statement or control message for the operator or bystander as applicable?

For class 3B and class 4 ground target designators:

DO NOT AIM AT PERSONNEL OR FLAT

GLASS SURFACES

For class 4 lasers that present a diffuse reflection hazard:

DO NOT AIM AT PERSONNEL OR FLAT

GLASS SURFACES OR TARGETS WITHIN

___ METERS

Bystander warning for wavelengths 400 to 1400 nm; class 3B and class 4 lasers:

DO NOT LOOK INTO PORTHOLE

Bystander warning for wavelengths 1400 nm to 1 mm and 180 to 400 nm;

class 3B and class 4 lasers:

DO NOT EXPOSE EYE OR SKIN TO DIRECT

OR SPECULARLY REFLECTED BEAMS

23e Do DANGER labels have DANGER printed upon a white background with a bright red oval around the word DANGER and contain a red starburst and black lettering?

23f When camouflage may be compromised by such warning labels, are appropriate muted colors (i.e., olive drab) used?

23g If the information is unclassified, are the ANSI laser hazard classification, wavelength(s), and maximum radiant power or energy added along the lower edge of the label?

A-7 Enclosure (2)

Item Requirement Yes/No Comment 24 Are measures taken to prevent single operator or material error causing unintentional laser output that exceeds ANSI AEL for class 1?

25 Are at least two operator actions (one of which shall serve as a laser arming control) required to cause the laser to function?

26 Is laser output impossible when arming control is in the safe position?

27 Is the laser fire trigger or switch clearly identified and physically protected to prevent accidental activation (when possible, the switch shall be a guarded positive action type that requires continuous operator intent to operate the laser product and laser output shall cease immediately upon release)?

28 If the laser is a single-pulsed laser, is the activation circuitry designed so that continual depression or short-circuiting of the fire control switch will not cause repeated emissions [unless necessary for the performance of intended function(s)]?

29 If operational considerations preclude the use of a dead-man switch, a toggled switch may be used if adequate design safeguards are provided to prevent long-term inadvertent lasing (e.g., through a watchdog timer and/or system logic switching device). Are these employed?

30 Does the laser have a permanently installed/attached exit port cover that prevents access by any part of the body to all laser radiation in excess of ANSI AEL for class 1?

A-8 Enclosure (2)

Item Requirement Yes/No Comment 30a Does the cover chosen clearly indicate that it is in place (safe) or open?

30b Is the cover designed to withstand repeated laser firings when it is in either position?

31 Is a readily available remote-control interlock capability incorporated on the laser or auxiliary power supply systems?

31a Does the remote control connector have an electrical potential no greater than 130 root mean squared volts between terminals (not essential if the laser is always directed into an interlocked set enclosure for maintenance or service procedures)?

31b When the terminals of the connector are not electrically joined, is human access to all laser radiation and collateral radiation in excess of ANSI AEL for class 1 prevented?

31c Is an intentional reset needed to reactivate the system once disconnected?

32 Is the boresight alignment and retention designed consistent with system mission requirements (considered a safety-critical item)?

33 Are laser status (emission) indicators (aural or visual or as specified by the procuring agency) provided to inform the operator when the laser is prepared to fire (armed) and when the laser is actually firing?

33a If visual indicators are used for operation or maintenance, are they visible during daylight, nighttime, and when viewed through appropriate protective eye wear?

A-9 Enclosure (2)

Item Requirement Yes/No Comment 33b Are indicators located so that viewing does not require personnel exposure to laser radiation in excess of the ANSI AEL for class 1?

34 Is there a means to differentiate between armed and firing (e.g., continuous tone or light is armed and intermittent tone or blinking light is firing)?

35 If the laser system is installed on an aircraft, is it designed to prevent laser output while the aircraft is not airborne?

35a Is an override switch for ground maintenance designed to prevent inadvertent activation?

36 Does the laser product incorporate controls to optimize positive operator control of beam pointing?

36a Does it include a means of ensuring boresight retention and software systems safety?

37 For systems with automatic target tracking capability, is an automatic disable capacity incorporated to inhibit laser firing if target tracking outside the system specifications occurs or when the laser sight line reaches the gimbal limits or the system mask limit?

38 If no hardware stops are installed, are at least two independent systems capable of disabling the laser (a provision to override these automatic features during combat is permitted)?

A-10 Enclosure (2)

Item Requirement Yes/No Comment 39 For lasers using a beam scanning technique, if irregularities not normal to the operation and unintended pattern changes increase the hazard potential of the laser product, does it include a feature that terminates or reduces the beam output to ANSI AEL for class 1 immediately upon the cessation of scanning irregularities (change in either scan velocity or amplitude)?

40 If a training mode is required for the laser, are provisions made (beam attenuator, expander, diffuser or less-hazardous lasers, TV cameras, etc.) to reduce hazardous emissions to the lowest level consistent with training requirements?

41 If the laser can be used in both a mission and a training mode, is a visual indication provided to inform the operator and outside observers that the laser is positively in the training mode?

42 Have the system's Nominal Ocular Hazard Distance (NOHD), skin hazard distance, diffuse reflection hazard determination, protective eye wear requirements, buffer zone requirements, and safety parameters been certified by measurements by Naval Surface Warfare Center Dahlgren Division (NSWCDD) (Code G73) and approved by the Laser Safety Review Board (LSRB)?

43 Do aiming optics employ a reticle that can be viewed under any illumination conditions?

43a Does the reticle not impair dark adaptation of observer's eyes?

43b Is the reticle calibrated so the operator can determine the proximity of the laser beam to target buffer zones?

A-11 Enclosure (2)

FIGURE 2-1. EXAMPLE OF A CAUTION LABEL. At position 1, precautionary information should be provided, such as “Do not stare into the beam.” At position 2, the type of laser should be provided, such as “Helium Neon,” and at position 3, the hazard class of the laser should be provided. Below the starburst, additional information on the characteristics of the laser should be provided such as laser wavelength and pulse characteristics.

(BORDER AND

LINE OPTIONAL) (YELLOW) (BLACK) (YELLOW)

(YELLOW)

(BLACK SYMBOL)

POSITION 1

BOLD BLACK LETTERING

POSITION 2

BOLD BLACK LETTERING

POSITION 3

BOLD BLACK LETTERING

A-12 Enclosure (2)

FIGURE 2-2a. EXAMPLE OF A DANGER LABEL. Starburst is red;

letters are black. Precautions including the NOHD would be placed above the tail of the starburst at position 1. The type of laser, including output power, pulse characteristics, and whether the output is visible or invisible, is placed below the tail of the starburst at position 2. The ANSI classification is placed in the lower right hand corner at position 3.

(RED) (WHITE) (RED)

(RED SYMBOL)

POSITION 1

BOLD BLACK LETTERING

POSITION 2

BOLD BLACK LETTERING

POSITION 3

BOLD BLACK LETTERING

(WHITE)

A-13 Enclosure (2)

BLACK

LETTERING

FIGURE 2-2b. EXAMPLE OF AN ALTERNATE DANGER LABEL. Starburst is red; letters are black. Precautions including the NOHD would be placed above the tail of the starburst. The type of laser, including output power or pulse characteristics, is placed below the starburst. If the output of the laser is invisible, the word “invisible” should be included below the tail of the starburst. The ANSI classification is placed in the lower right hand corner.

BLACK

RED BACKGROUND WHITE LETTERS

RED SYMBOL

A-14 Enclosure (2)

SPACE FOR LEGEND

LEGEND AND BORDER:

BACKGROUND:

BLACK

YELLOW

FIGURE 2-3. EXAMPLE OF AN INTERNATIONAL ELECTROTECHNICAL

COMMISSION(IEC) HAZARD AND EXPLANATORY SET OF ALTERNATE LABELS.

Starburst and borders are black; backgrounds are yellow.

Explanations on the explanatory label shall be commensurate with the class of laser being labeled. Examples of explanatory statements can be found in ANSI Z136.1 and/or IEC 60825-1.

Appendix B of

APPENDIX B

SUPPORT EQUIPMENT DESIGN REQUIREMENT CHECKLIST

1 Items 1-7 are applicable to all classes of laser support equipment

If the laser support equipment is military exempt, is it used solely in support of exempted lasers?

2 Is the laser support equipment designed to ensure that laser radiation emitted during maintenance or service is no greater than the ANSI AEL for class 1 and that collateral radiation is not in excess of applicable limits, when practicable?

3 Does the equipment confine the laser radiation within an opaque enclosure?

4 Is the enclosure interlocked to prevent exposure to levels in excess of the ANSI AEL for class 1 when the enclosure is removed?

5 Is the enclosure provided with the appropriate exterior warning indicators and labels?

6 Have other associated hazards been addressed and controlled by suitable engineering programs per Military Standard (MIL-STD)-882

(NOTAL), MIL-STD-2036 (NOTAL)?

7 Are adequate instructions as to safe techniques and personnel protective means included in all technical manuals and plainly marked on the laser product when potentially hazardous areas are accessible?

Enclosure (2) B-2

Item Requirement Yes/No Comment 8 Items 8-13 are applicable to class

1, 1M, 2, 2M, or 3R laser support equipment requirements

Does the laser support equipment meet the design (performance) requirements of 21 CFR class 1, class 2, or class 3R, respectively, except where such requirements restrict operational capability or security?

9 Does the laser support equipment meet designation and warning requirements of 21 CFR class 1, class 2, or class 3R, respectively, with the exception that the ANSI classification will be displayed in the lower right corner rather than the FDA class?

10 Are labels permanently affixed or inscribed on such products as to be legible and readily accessible to

11 Are warning labels affixed to the housing in such a manner that viewing the label does not require personnel exposure to laser radiation?

11a Is numerical output information [e.g., wavelength(s) and maximum power output (when unclassified)] located along the lower edge in a smaller font?

11b Does the word INVISIBLE or VISIBLE, as appropriate, precede the word

RADIATION?

11c When labels may compromise camouflage, are muted colors appropriate to the camouflage paint scheme used?

11d Is information classified in the interest of national security omitted from labels?

Enclosure (2) B-3

Item Requirement Yes/No Comment 12 When a laser has a defeatable interlock that, when defeated, allows access to class 3B or class 4 emission levels, is an additional label that states the following installed on or near the access panel?

DANGER

Laser Radiation When Open and Interlock Defeated, Avoid Eye or Skin Exposure to Direct or Scattered Radiation.

13 Does non-exempted support equipment incorporate military labeling when alternate labeling has been requested by the manufacturer and approved as a variance by the FDA in accordance with 21 CFR 1040 (g)(10)?

14 Items 14-24 are class 3B and class 4 laser support equipment requirements

Does the laser system test equipment for boresight and laser performance testing attenuate the beam to limit personnel exposure to below AEL for ANSI class 1?

15 Is the laser system test equipment for boresight and laser performance testing interlocked to the laser to prevent inadvertent laser operation outside the enclosure if the test equipment is not used in a closed installation?

16 Is an access interlock switch interfaced with ANSI class 3B and class 4 laser systems under test such that inadvertent removal of test sets or poor connection will terminate or limit the laser output to the ANSI AEL for class 1 or class 2, if applicable?

Enclosure (2) B-4

Item Requirement Yes/No Comment 17 Is a warning system activated immediately prior to operation of the laser and remain activated until the laser output has been reduced to the ANSI AEL for class 1 or class 2, if applicable?

17a Is the warning system designed not to attract personnel attention in such a manner as to create a potential hazard?

18 Does all support equipment for laser hardware that could directly activate the laser preferably incorporate a positive action (dead-man) switch that must be activated when laser firing is desired?

19 When a dead-man switch is not incorporated, is an emergency cutoff switch provided that allows emergency cutoff of laser output in excess of ANSI AEL for class 1 or class 2, as appropriate?

19a Is the switch readily accessible from the operator's position and permit one-step operation?

20 Is a key-lock master switch provided to prevent unauthorized activation of any test facility component used to supply power directly to the laser that is necessary for its operation?

21 Is the laser beam terminated by a beam stop that is diffuse (i.e., has a low value of reflectance at the laser wavelength)?

21a Is such a beam stop fire resistant and unable to emit toxic or carcinogenic fumes when exposed to the laser(s) for which it was designed?

21b Is the beam stop marked for the type(s) and power level(s) of laser(s) for which it is procured?

Enclosure (2) B-5

Item Requirement Yes/No Comment 22 Are appropriate control measures for the protection of personnel (e.g., appropriate exhaust ventilation) provided where toxic gases cannot be prevented, such as firebrick, which contains beryllium compounds?

23 Are class 3B and class 4 laser support equipment, as defined by ANSI, provided with a label similar to the examples illustrated in figures 2-2a and 2-2b?

23a Are such labels permanently affixed or inscribed on such products to be legible and readily accessible to

23b Is the label affixed to the laser system housing near the fire button and exit port when the port is remote from the operator in such a manner that viewing the label does not require personnel exposure to laser radiation?

23c Does the label use the word DANGER and include the type of laser and the word VISIBLE or INVISIBLE preceding the word RADIATION?

23d…