Attachment 2 - 8.1 T&EO MCD 07 Oct 13.pdf

MCD Collective Tasks (07 Oct 13)

Mission Command Conduct Incident Tracking (03-2-6591) Establish Area of Operations (03-2-6594)

Protection Establish Mass Casualty Decontamination (MCD) Site (03-2-5124) Conduct Ambulatory Casualty Decontamination (03-2-5125) Conduct Non-Ambulatory Casualty Decontamination (03-2-5126) Disassemble Mass Casualty Decontamination (MCD) Site (03-2-5127) Conduct Casualty Collection Procedures (03-2-6593)

Medical Provide Emergency Care (INTERIM) Prepare For Treatment of CBRNE Casualties (INTERIM)

ELEMENTS: None Assigned

TASK TITLE: Conduct Incident Tracking (03-2-6591)

ITERATION: 1 2 3 4 5 M (Circle)

COMMANDER/LEADER

ASSESSMENT:

T P U (Circle)

CONDITION: An intentional or unintentional release of chemical, biological, radiological, nuclear, or high-yield explosive (CBRNE) has occurred during Unified Land Operations (ULO). The chemical, biological, radiological, and nuclear (CBRN) incident response operations center has already been established and the operations center personnel must now monitor the area of operations after receiving specific guidance from the Incident Commander (IC). Note: The term MOPP on this task equates to MOPP4. Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The operations section successfully integrates all sections (decontamination, reconnaissance, medical support and/or urban search and rescue [US&R]) into the National Incident Management System (NIMS) and Incident Command System (ICS) in support of the ICS objectives. The operations section also maintains situational awareness pertaining to the incident and tracks equipment readiness during the incident. The unit safety officer updates the commander and the commander establishes a minimum level of protective posture, establishes operational exposure guidance (OEG), as required.

SAFETY LEVEL: Low

TASK STATEMENTS

CUE: None.

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

DANGER

TASK STEPS

PERFORMANCE MEASURES GO

NO-

GO

N/A

1. Operations section conducts mission tracking.

a. Coordinates follow-on meetings with the IC representative.

b. Updates Commander's Critical Information Requirements (CCIR) information from the liaison officer or IC representative.

c. Establishes and maintains the incident log.

d. Establishes and maintains the report control and information management procedures.

e. Establishes and maintains the situation map or sketch and the information display as required.

* 2. Commander establishes a minimum level of protective posture.

Note: Establishment of the minimum level of protective posture is done in coordination with the IC representative.

a. Establishes the operational exposure guidance (OEG) and ensures proper tracking mechanisms are in place.

b. Directs the emplacement of monitoring equipment based upon the Mission, Enemy, Terrain, Troops available, Time, and Civilian considerations (METT-TC).

c. Ensures that all personnel on the site understand and comply with protective posture guidance.

GO

N/A

3. Operations sections maintain situational awareness and provides commander with an updated situation report. The report includes the following information at a minimum:

a. An operational update that reflects status of current activities and any projected challenges to maintaining operations.

b. Status checks of the CCIR.

c. Communications status with civilian response agencies.

d. Status of force protection (protective posture level) and security forces.

e. Operational exposure briefing to the commander.

f. Unit Safety Officer provides the following as needed:

(1) Provides updates to the incident safety plan.

(2) Updates the Composite Risk Management worksheet as needed.

4. Operations section requests the information on the incident from the IC representative. Some of the information requested may include:

a. Status of evacuated casualties and any significant signs or symptoms that might affect decontamination operations.

b. Availability of pastoral/chaplain or critical incident stress management resources.

Note: Requests support from the IC representative if required.

c. Availability and status of mortuary affairs/coroner support.

Note: Requests support from the IC representative if required.

5. Operations section tracks equipment readiness and logistics status in order to maintain operational readiness for follow-on missions.

a. Maintains situational awareness on current status of expendables such as fuel, water, contaminated wasite, suits, boots and gloves.

b. Submits timely resupply requests of all classes of supply through military and incident command systems in order to maintain operations.

6. Operations section institutes work/rest cycles based on mission requirements and environmental conditions.

a. Tracks rotations of Soldiers in personal protective equipment (PPE).

b. Monitors wet bulb temperatures and adjusts work/rest cycles as

c. Implements measures to reduce operational stress.

* 7. Commander performs the following tasks:

a. Ensures that the decontamination line has been inspected and conforms to established safety guidelines.

b. Ensures medical personnel are prepared and successfully integrated into the operation.

8. Operations section maintains situational awareness.

a. Monitors ICS CBRNE mitigation activities.

b. Monitors force protection condition (FPCON) level.

c. Monitors augmentation from both civilian and military forces.

d. Monitors compliance with federal, state and local laws and regulations pertaining to operational safety and health.

e. Advises Commander on the current situation and proposes courses of action to address any operational challenges.

f. Tracks casualties and evacuees.

(Asterisks indicates a leader performance step.)

TASK PERFORMANCE / EVALUATION SUMMARY BLOCK

ITERATION 1 2 3 4 5 TOTAL

TOTAL PERFORMANCE

MEASURES EVALUATED

MEASURES GO

TRAINING STATUS GO/NO-GO

ders have an inherent responsibility to conduct Risk Management to ensure the safety of all Soldiers and

SUPPORTING REFERENCE(S):

FM 3-11.21 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Consequence Management Operations

FM 3-11.3 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Contamination Avoidance

FM 3-11.4 Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection

FM 3-11.5 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination {MCWP 3-37.3; NTTP 3-11.26; AFTTP(I) 3-2.60} (This item is included on EM 0205)

MOPP STATEMENT: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents (2013 edition).

ENVIRONMENT: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning. Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to FM 3-34.5 Environmental Considerations and GTA 05-08-002 ENVIRONMENTAL-RELATED RISK ASSESSMENT.

SAFETY: In a training environment, leaders must perform a risk assessment in accordance with FM 5-19, Composite Risk Management. Leaders will complete a DA Form 7566 COMPOSITE RISK MANAGEMENT WORKSHEET during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC). Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW FM 3-11.4, Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection, FM 3-11.5, Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination.

TASK TITLE: Establish Area of Operations (03-2-6594)

CONDITION: An intentional or unintentional release of chemical, biological, radiological, nuclear, or high-yield explosive (CBRNE) has occurred during Unified Land Operations (ULO). The element has been deployed to the site and the Incident Command System (ICS) has assigned the element an adequate area of operation. Note: The term MOPP on this task equates to MOPP4. Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The element completes site arrival preparations and establishes an area of operations at the incident site or designated area in order to provide decontamination, urban search and rescue, (US&R), reconnaissance, and/or medical support. Element deploys from the Base Support Installation (BSI) to a staging area and/or the designated site.

SAFETY LEVEL: Low.

DANGER

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

GO

N/A

1. Unit leaders conducts preparations to establish an area of operations.

a. Initiates incident log using appropriate ICS form.

b. Receives authorization to depart BSI.

c. Deploys entire unit to staging area from BSI.

d. Conducts initial meeting with staging area manager (SAM) and provides the following information:

(1) Provides total number of vehicles and personnel; provides breakout of main body and advance party numbers for both personnel and vehicles.

(2) Provides the appropriate ICS forms as required.

(3) Provides personnel listing and certification for entire capability to include Chemical, Biological, radiological and nuclear (CBRN), medical, and US&R.

e. Advance party deploys forward to incident site upon release by SAM.

* 2. Element leader of advance party conducts link-up with incident commander (IC) or representative.

a. Conducts initial meeting with the IC or representative in order to determine mission requirements and gather information.

b. Provides initial meeting to the IC or representative that includes capabilities/limitations, resource issues, and other relevant information as required.

c. Identifies location to establish decontamination, reconnaissance, US&R, sites, and area of operations.

GO

N/A

d. Emplaces early warning detection devices and other equipment if available and if hazard is known.

e. Prepares site occupation diagram and gains approval from ICS safety representative prior to movement of equipment into the designated area.

f. Unit safety representative prepares safety plan for integration into the ICS safety plan.

g. Operations section requests copies of building diagrams, blueprints, water and gas utilities and/or any other building or site information through the IC representative.

h. Coordinates the integration of available security forces into the occupation plan as required.

3. Operations section requests the information on the incident from the IC representative. Information may include:

a. Time of incident.

b. Time of contamination.

c. Type of CBRNE hazard.

d. Number of ambulatory and non-ambulatory casualties.

e. Signs and symptoms of casualties.

f. Type of release or agent (if known).

g. Information on other known or suspected hazards.

h. Other response agencies on the scene.

* 4. Commander develops a plan to support the ICS incident action plan

(IAP).

a. Conducts mission analysis and planning.

b. Synchronizes the IAP and the commander's critical information reqirements (CCIR).

c. Develops and submits, as required, logistics data (vehicle density, equipment status, initial requests for supplies) to the IC representative to ensure continuous future operations.

5. Operations section establishes the area of operations.

a. Establishes reporting procedures with the ICS.

b. Maintains the incident log.

c. Posts the situation map sketch.

6. Operations section coordinates sustainment, logistics, and maintenance support.

a. Reports equipment readiness status to the Incident Command Post (ICP) and higher headquarters (HQ).

b. Monitors water supply for decontaminations operations.

c. Coordinates requisition and distribution of supplies and equipment.

d. Maintains property accountability and initiates reports of survey for all lost, damaged, or destroyed equipment.

e. Tracks all line of duty (LOD), injuries.

(1) Coordinates Chaplin support services.

(2) Initiates casualty feeder reports for LOD injuries.

f. Ensures pre and post entry medical assessments are completed as

g. Coordinates support for mortuary affairs with the ICP, if required.

7. Comunications section develops a communications plan.

a. Establishes internal and external communications.

b. Provides organic communication support.

c. Performs troubleshooting procedures as required.

GO

N/A

8. Operations section monitors the marking of projected hot, warm and cold zones within the decontamination area.

a. Posts safety cones and/or safety tape as needed.

b. Establishes water and electrical requirements.

* 9. Commander provides liaison capability to the incident command post

(ICP).

a. Establishes and maintains liaison with the ICP.

b. Coordinates the integration of the unit into the IAP.

c. Ensures the liaison officer provides current unit and/or incident information.

Supporting Reference(s):

FM 3-11.21 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Consequence Management Operations

FM 3-11.3 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Contamination Avoidance

FM 3-11.4 Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection

FM 3-11.5 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination {MCWP 3-37.3; NTTP 3-11.26; AFTTP(I) 3-2.60} (This item is included on EM 0205)

MOPP STATEMENT: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents (2013 edition).

ENVIRONMENT: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning. Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to FM 3-34.5 Environmental Considerations and GTA 05-08-002 ENVIRONMENTAL-RELATED RISK ASSESSMENT.

SAFETY: In a training environment, leaders must perform a risk assessment in accordance with FM 5-19, Composite Risk Management. Leaders will complete a DA Form 7566 COMPOSITE RISK MANAGEMENT WORKSHEET during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC). Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW FM 3-11.4, Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and

TASK TITLE: Establish Mass Casualty Decontamination (MCD) Site (03-2-5124)

CONDITION: An intentional or unintentional release if chemical, biological, radiological, nuclear, or high-yield explosive (CBRNE) has occurred during Unified Land Operations (ULO). The decontamination and medical elements are ordered to establish the mass casualty decontamination site. The Incident Commander's (IC) representative has designated the location of the decontamination site. The site is established in a contaminated free environment. Note: The term MOPP on this task equates to MOPP4.

Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The element establishes the mass casualty decontamination site. The element leader coordinates with the appropriate official to locate the site upwind and uphill, from the contamination source, and identifies the Hot, Warm, and Cold Zones. The site is established, operational, and ready to receive casualties within 90 minutes of the arrival of the main body and/or commencement of the site set-

up. The decontamination site is assessable by vehicle.

SAFETY LEVEL: Medium.

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

GO

N/A

* 1. Element leader receives and analyzes the mission.

a. Determines support requirements.

b. Determines mission sustainment requirements for personnel and equipment.

c. Coordinates for medical, force protection and security support.

d. Coordinates for logistical and resupply support.

e. Coordinates additional lighting for limited visibility.

f. Configures equipment based on updated mission statement.

2. Element sets up the hazardous waste site in the proposed Hot Zone.

Note: Unit commander will determine location of the hazardous waste collection site. Commanders coordinate with adjacent units, incident commander, safety officer, and first responders to insure that disposal of hazardous waste to include runoff does not affect them or future operations.

Final plan is approved by incident commander.

a. Determines the direction the hazardous liquid will flow.

b. Positions hazardous waste collection equipment at least 50 meters, (150 feet) from the forward edge of the hot zone decontamination site.

c. Places protective sheeting over the ground.

d. Prepares and clearly marks the hazardous waste collection points.

e. Positions hazardous waste receptacles at the stations that require them.

f. Marks drainage line(s) as "Hazardous Waste".

GO

N/A

g. Marks the perimeter if collecting hazardous liquid into an open site.

h. Performs the following procedures if hazardous liquid is not contained:

(1) Determines the route hazardous liquid will flow.

(2) Clearly marks the corridor the hazardous liquid will flow.

(3) Conducts ditching or damming divert procedures to route the hazardous liquid to the appropriate location.

(4) Avoids routes that require personnel to step over the hazardous liquid.

3. Elements (chemical and medical) set up the following as part of the designated Warm Zone:

a. Station 1. Casualty collection point to include: triage, stabilization and emergency treatment.

(1) Triage and stabilization:

(a) Identifies ingress and egress to the collection point.

(b) Prepares litters and litter dollies for use.

(c) Establishes communications with operations section.

(d) Prepares spray bottles or pressure sprayers for radiation or biological contamination.

(e) Prepares decontamination/rinse solution and containers.

(2) Emergency medical treatment area:

Note: Medical personnel perform triage and emergency treatment.

The decontamination element will assist at the station.

(a) Identifies four patient condition locations for the medical treatment station.

(b) Identifies the location for expectant, immediate, delayed and minimal casualties.

(c) Contains litters, litter stands and waste containers.

(d) Establishes an equipment storage site to handle multiple casualties.

(e) Identifies litter and contaminated litter locations.

NOTE: If rollers are not available, two wheel dollies are prepared for use.

b. Station 2. Self/Emergency decontamination.

Note: Emergency decontamination procedures are conducted by medical personnel (for open wounds, burns and wet down) prior to casualties processing through the mass casualty decontamination site.

c. Station 3. Clothing and personal items removal (non-ambulatory and ambulatory).

(1) Establishes non-ambulatory station, as required:

(a) Places protective sheeting over the ground for undress tent.

(b) Erects the undress tent with lighting.

(c) Prepares containers to hold decontamination / rinse solution and contaminated clothing.

(d) Prepares roller system.

Note: Prepares litter on stands or saw horses if rollers are note available.

(e) Installs light set.

(f) Ensures station is equipped with cutting tool or scissors.

(g) Ensures station is equipped with a radio.

(2) Establishes ambulatory station, as required:

(a) Places protective sheeting over the ground for undress tent.

(b) Erects the undress tent with lighting.

(c) Establishes partition wall to separate male and female personnel.

(d) Prepares saw horses or handrail stands.

(e) Ensures station is equipped with cutting tool or scissors.

(f) Prepares decontamination/rinse solution and containers.

Note: The waste containers are set outside of the undress tent to hold the contaminated clothing.

d. Station 4. Contaminate removal and shower (non-ambulatory and ambulatory).

(a) Places protective sheeting over the ground where the shelter will be set up.

(b) Emplaces the containment berms and pumps to capture hazardous liquid waste.

(c) Erects decontamination shelters.

(d) Establishes the roller system from entrance to exit of the shelter.

(e) Installs and secures floor pallets.

(f) Installs lane divider for male and female entrance.

(g) Prepares decontamination/rinse solution and containers.

(h) Installs light set.

(i) Installs shower system to provide decontamination and rinse solution.

(j) Connects shower apparatus to water and decontamination delivery systems.

(k) Connects wands for decontamination auxiliary ports of the decontamination apparatus located in the Cold Zone.

(l) Prepares other equipment as needed.

(2) Establishes ambulatory station, as required:

(a) Places protective sheeting over the ground where the shelter will be set up.

(b) Emplaces the containment berms and pumps to capture hazardous liquid waste.

(c) Erects decontamination shelters.

(d) Installs and secures floor pallets.

(e) Prepares decontamination/rinse solution and containers.

(f) Installs light set.

(g) Installs shower system to provide decontamination and rinse solution.

(h) Connects shower apparatus to water and decontamination delivery systems.

(i) Prepares other equipment as needed.

NOTE: Hazardous waste water is pumped directly from the decontamination shelter into the hazardous waste water container.

The drainage lines and containers are clearly marked “Hazardous Waste”. The hazardous waste site is located 50 meters from the entrance of the decontamination line in the Hot Zone.

(3) Tests shower systems.

e. Station 5. Monitoring point (non-ambulatory and ambulatory).

Note: Ensure there is at least 20 feet between the decontamination tent and redress tent.

GO

N/A

(1) Establishes the non-ambulatory station, as required:

(a) Positions roller system.

Note: If rollers are note available, prepare litter on stands or sawhorses.

(b) Places protective sheeting over the ground in the monitoring area.

(c) Identifies and establishes the liquid and vapor control lines.

(d) Places containers with absorption pads next to the liquid control line.

(e) Emplaces the appropriate monitoring equipment in the cold zone to monitor the vapor control line.

(f) Installs lighting.

(2) Established the ambulatory station, as required:

(a) Places protective sheeting over the ground in the monitoring area.

(b) Identifies and establishes the liquid and vapor control lines.

(c) Places containers with absorption pads next to the liquid control line.

(d) Installs dividers between male and female area and lanes.

(e) Emplaces the appropriate monitoring equipment in the cold zone to monitor the vapor control line.

(f) Installs lighting.

4. Elements (chemical and medical) set up the following as part of the designated Cold Zone:

a. Station 6. Redress area for non-ambulatory and ambulatory.

(a) Places protective sheeting over the ground for redress tent.

(b) Erects the redress tent.

(c) Prepares rollers, or litters and stands.

(d) Installs light set.

(e) Emplaces the heater system.

(f) Ensures station contains temporary clothing or blankets to cover casualty.

(2) Establishes ambulatory station, as required:

(a) Places protective sheeting over the ground.

(b) Erects the redress tent.

(c) Establishes partition wall to separate male and female personnel.

(d) Installs the light set.

(e) Emplaces the heater system.

(f) Ensures station contains temporary clothing or blankets to cover casualties.

b. Station 7. Patient disposition point.

(1) Log-in and log-out stations.

(a) Sets up table and chairs for casualties.

(b) Establishes communication with undress tents and operations center.

(c) Prepares log-in and log-out sheets for casualty accountability.

(2) Triage and stabilization.

(a) Erects treatment and triage tents.

(b) Establishes communication with medical operations.

GO

N/A

(c) Establishes locations for expectant, immediate, delayed and minimal casualties.

(d) Places medical equipment sets in designated tents to handle multiple casualties.

(3) Patient holding area based on mission, Terrain and weather, Troops and support available – Time available, Civilians (METT-TC).

(4) Casualty pick-up point.

NOTE: Coordination is made for casualty movement or transportation to a medical facility. Casualties are moved to the log-in and log-out stations for pick-up.

5. Element establishes the technical decontamination site.

Note: The number of stations required for technical decontamination will vary depending on factors such as the type of agent and the weather.

Personnel will perform technical decontamination in the wash and rinse stations not used in the non-ambulatory decontamination tent if a separate technical decontamination stations is not established.

a. Designates location of the equipment drop table at the rear of the technical decontamination lane.

b. Prepares personal protective equipment decontamination station.

c. Prepares portable sprayer for suit decontamination.

d. Establishes monitoring station, between the vapor control and liquid control lines.

NOTE: Whenever possible ensure the use of redundant detection equipment.

e. Establishes the protective clothing removal station.

f. Establishes the clothing/respirator removal station.

g. Places containers with absorption pads next to the liquid control line.

6. Element establishes the equipment and property decontamination station.

a. Protects the ground from contamination at the decontamination station.

b. Prepares the neutralization station.

c. Prepares the equipment/property wait time station.

d. Prepares equipment/property at the wash/rinse station.

e. Prepares monitoring equipment for the contaminated check station.

f. Emplaces (marks with red hazard tape) containers for hazardous solid waste and personal effects items.

g. Emplaces chemical agent alarm at vapor control line in the cold zone.

h. Positions station parallel and adjacent to the casualty decontamination line.

i. Identifies personal effects collection station.

7. Element ensures the following is set up in the cold zone in support of the decontamination site:

a. Power generation and water station.

(1) Emplaces flash heaters with fire extinguisher.

(2) Emplaces generator(s) with fire extinguisher.

(3) Installs plumbing for decontamination site.

b. Mission command center.

c. Administration and logistics site.

d. Resupply and reconstitution site.

e. Rest areas.

* 8. Element Safety officer inspects and certifies the decontamination site is ready for operations and reports status to the IC representative.

SUPPORTING REFERENCE(S):

FM 3-11.21 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Consequence Management Operations

FM 3-11.3 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Contamination Avoidance

FM 3-11.4 Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection

FM 3-11.5 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination {MCWP 3-37.3; NTTP 3-11.26; AFTTP(I) 3-2.60} (This item is included on EM 0205)

NFPA 472 National Fire Protection Association, Standard for Professional Competence of Responders to Hazardous Materials Incidents, 2002 Ed

MOPP STATEMENT: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents (2013 edition).

ENVIRONMENT: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning. Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to FM 3-34.5 Environmental Considerations and GTA 05-08-002 ENVIRONMENTAL-RELATED RISK ASSESSMENT.

SAFETY: In a training environment, leaders must perform a risk assessment in accordance with FM 5-19, Composite Risk Management. Leaders will complete a DA Form 7566 COMPOSITE RISK MANAGEMENT WORKSHEET during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC). Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW FM 3-11.4, Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and

TASK TITLE: Conduct Ambulatory Casualty Decontamination (03-2-5125)

CONDITION: An intentional or unintentional release of chemical, biological, radiological, nuclear, or high-medical element are ordered to conduct ambulatory casualty decontamination. The Mass Casualty Decontamination (MCD) site is already established. Note: The term MOPP on this task equates to MOPP4. Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The decontamination and medical element conducts ambulatory casualty decontamination.

The element limits the spread of contamination by processing the casualties through the decontamination site. Upon the request and through coordination with the Incident Commander's (IC) representative the elements properly close the site. The ambulatory decontamination section must process 40 ambulatory casualties per hour.

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

GO

N/A

1. Decontamination element processes casualties through separate male and female clothing and personal items removal stations.

Note: Personal belongings and contaminated clothing are placed in separate containers unless directed by the commander through the Incident Command System (ICS) to collect and decontaminate together. Attention is paid to modesty issues.

a. Instructs casualties on clothing and personal items removal.

Note: Casualties remove their own clothing and personal belongings and discards clothing in container with a plastic bag and places personal items in a "red onion" or plastic bag provided. Generally, ambulatory casualties can remove their clothing without assistance. Provide assistance only if required.

b. Removes clothing with cutting device (scissors or safety knife) if required and decontaminates device to avoid cross contamination.

Note: Pressure bandages and splints are not removed. Clothing is cut around them and any material under the bandage or splint is left in place. Cutting devise is then decontaminated and rinsed.

c. Consolidates contaminated clothing and personal items in separate containers marked with red hazard tape as hazardous waste.

2. Decontamination element processes the casualties through separate male and female decontamination stations.

a. Directs casualties on wash decontamination procedures.

b. Centers the casualties in wash decontamination shower with hands and arms raised to allow water flow to all parts of the body.

c. Directs upper nozzles to the head and side sprayers to the sheltered portions of the body.

d. Directs casualties to the rinse station.

Note: If a casualty develops complications during the decontamination process, the station operator will stop the flow of decontamination or rinse solution. The station operator will summon medical aid. Medical personnel will dictate if the casualty continues the decontamination process or is reclassified as a non-ambulatory casualty.

3. Decontamination element processes the casualties through separate male and female rinse stations.

a. Directs casualties on rinse procedures.

b. Centers casualties in rinse shower with hands and arms raised to allow water to flow to all parts of the body.

c. Directs upper nozzles to the head and side sprayers to the sheltered portions of the body.

d. Directs the casualties to the monitoring station.

4. Decontamination element processes casualties through separate male and female monitoring stations.

a. Monitors casualties for appropriate/identified contamination.

Note: Utilize two types of monitoring -- continuous or periodic. The use of periodic monitoring will be coordinated through the IC representative.

b. Routes the casualties back through the decontamination line if contamination is detected.

5. Decontamination and medical element processes the casualties through separate male and female redress areas.

a. Issues temporary clothing to casualties.

b. Provides medical stabilization as required by medical personnel.

c. Directs casualties to patient triage, stabilization, holding, and disposition point as required.

6. Medical element processes the casualties through the disposition point.

a. Treats, stabilizes, and holds casualties until ready for transport.

b. Prepares log-in / log-out sheets for casualty accountability.

c. Logs-in / logs-out (tracks) casualties for departure.

d. Assists element personnel in providing the operations center with the number of personnel processed.

* 7. Element leader initiates closure of site when directed by higher headquarters (HQ).

Note: The element leader informs higher HQ and the IC representative when the last group of casualties has processed through the casualty collection point. In coordination with the IC representative station operators begin closing the decontamination site starting from the casualty collection point.

FM 3-11.21 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Consequence Management Operations

FM 3-11.3 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Contamination Avoidance

FM 3-11.4 Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection

FM 3-11.5 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination {MCWP 3-37.3; NTTP 3-11.26; AFTTP(I) 3-2.60} (This item is included on EM 0205)

MOPP STATEMENT: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents (2013 edition).

ENVIRONMENT: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning. Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to FM 3-34.5 Environmental Considerations and GTA 05-08-002 ENVIRONMENTAL-RELATED RISK ASSESSMENT.

SAFETY: In a training environment, leaders must perform a risk assessment in accordance with FM 5-19, Composite Risk Management. Leaders will complete a DA Form 7566 COMPOSITE RISK MANAGEMENT WORKSHEET during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC). Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW FM 3-11.4, Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and

TASK TITLE: Conduct Non-Ambulatory Casualty Decontamination (03-2-5126)

CONDITION: An intentional or unintentional release of chemical, biological, radiological, nuclear, or high-medical element are ordered to conduct non-ambulatory casualty decontamination. The Mass Casualty Decontamination site, (MCD) is already established. Note: The term MOPP on this task equates to MOPP4. Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The decontamination and medical element conducts non-ambulatory casualty decontamination and limits the spread of contamination by processing the casualties through the decontamination site. Through coordination with the Incident Commander's (IC) representative, the elements properly closes the site and reports to higher headquarters (HQ). The non-ambulatory decontamination section must process 20 non-ambulatory casualties per hour.

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

GO

N/A

1. Decontamination and medical element processes casualties through the clothing and personal items removal station.

Note: If the casualty is unconscious, personal information is obtained from the casualty's personal belongings. This information is relayed to the log-in and log-out station. Personal belongings and contaminated clothing are placed in separate containers if the commander through coordination with the IC representative directs the collection and decontamination of personal items. Attention is paid to modesty issues.

a. Litter transfer team transports casualties to the clothing and personal items removal station.

b. Places casualties "head first" on to the roller system.

c. Cuts clothing from casualties and rolls fabric back from exposed skin.

d. Removes contaminated clothing from litter.

e. Decontaminates cutting device during the clothing removal process.

f. Transports and discards contaminated clothing and personal items at the waste collection site.

g. Moves casualties to the decontamination station.

2. Decontamination and medical element processes casualties through the decontamination station.

GO

N/A

Note: If a casualty develops complications during the decontamination process, the station operator will stop the flow of decontamination or rinse solution. Roll the casualty on their side in case the casualty begins to vomit.

Medical personnel will dictate if the casualty either continues the decontamination process or is evacuated to a medical treatment facility.

a. Instructs casualties on decontamination procedures.

b. Centers the casualties in decontamination shower.

c. Sprays or wipes casualties with decontamination solution.

Note: The station operator must use caution not to obstruct breathing of the casualties during the decontamination and rinse process.

d. Raises or rolls the casualties upper body from back board and wipes board clean.

e. Decontaminates the back board.

f. Raises or rolls casualties lower body and wipes under side.

g. Moves the casualties to the rinse station.

3. Decontamination and medical element processes the casualties through the rinse station.

a. Instructs the casualties on rinse procedures.

b. Centers the casualties in the rinse shower.

c. Sprays or wipes casualties with rinse solution.

d. Raises or rolls the casualties upper body from back board and wipes

e. Raises or rolls the casualties lower body from back board and wipes

f. Moves the casualties to the monitoring point.

4. Decontamination element processes casualties through the monitoring station.

a. Monitors the casualties for contamination.

Note: Utilize two types of monitoring -- continuous or periodic. The use of periodic monitoring will be coordinated through the IC representative.

b. Routes the casualties back through the decontamination line if contamination is detected.

5. Decontamination and medical element processes the casualties through the redress area.

a. Covers casualties.

b. Provides medical stabilization as required by medical personnel.

c. Assists moving non-ambulatory casualties to disposition point.

6. Medical element processes the casualties through the disposition point.

a. Triages, stabilizes, and prepares casualties for transport.

b. Prepares log-in / log-out sheets for casualty accountability.

c. Logs-in / logs-out (tracks) casualties for departure.

d. Updates the operation section of the number of personnel processed.

* 7. Element leader is directed by higher headquarters, (HQ) to close the site.

Note: The element leader informs higher HQ and the IC representative when the last group of casualties has processed through the casualty collection point. In coordination with the IC representative station operators begin closing the decontamination site starting from the casualty collection point.

FM 3-11.21 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Consequence Management Operations

FM 3-11.3 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Contamination Avoidance

FM 3-11.4 Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and Chemical (NBC) Protection

FM 3-11.5 Multiservice Tactics, Techniques, and Procedures for Chemical, Biological, Radiological, and Nuclear Decontamination {MCWP 3-37.3; NTTP 3-11.26; AFTTP(I) 3-2.60} (This item is included on EM 0205)

MOPP STATEMENT: Depending on the projected hazard encountered, this task is performed in some level of personal protection, which may include MOPP4 or higher levels of protection as defined in National Fire Protection Association (NFPA) 472, Standard for Competence of Responders to Hazardous Materials/Weapons of Mass Destruction Incidents (2013 edition).

ENVIRONMENT: Environmental protection is not just the law but the right thing to do. It is a continual process and starts with deliberate planning. Always be alert to ways to protect our environment during training and missions. In doing so, you will contribute to the sustainment of our training resources while protecting people and the environment from harmful effects. Refer to FM 3-34.5 Environmental Considerations and GTA 05-08-002 ENVIRONMENTAL-RELATED RISK ASSESSMENT.

SAFETY: In a training environment, leaders must perform a risk assessment in accordance with FM 5-19, Composite Risk Management. Leaders will complete a DA Form 7566 COMPOSITE RISK MANAGEMENT WORKSHEET during the planning and completion of each task and sub-task by assessing mission, enemy, terrain and weather, troops and support available-time available and civil considerations, (METT-TC). Note: During MOPP training, leaders must ensure personnel are monitored for potential heat injury. Local policies and procedures must be followed during times of increased heat category in order to avoid heat related injury. Consider the MOPP work/rest cycles and water replacement guidelines IAW FM 3-11.4, Multiservice Tactics, Techniques, and Procedures for Nuclear, Biological, and

TASK TITLE: Disassemble Mass Casualty Decontamination (MCD) Site (03-2-5127)

CONDITION: During Unified Land Operations (ULO) and after arriving on site, establishing and then operating the mass casualty decontamination (MCD) site, the element leader receives guidance from higher headquarters (HQ) through coordination with the Incident Commander's (IC) representative to terminate operations and disassemble the MCD site in accordance with (IAW) applicable regulations and the unit standing operating procedures (SOP). Note: The term MOPP on this task equates to MOPP4.

Standard MOPP conditions do not exist for this task. See the MOPP statement for specific conditions.

STANDARD: The element completes the site disassembly by following the appropriate sequence:

Casualty collection point (CCP)/triage; undress tent; wash/rinse tent; monitoring area; re-dress tent and technical decontamination area. While closing the site, the element decontaminates all sensitive equipment and discards all contaminated equipment and supplies in the Hot and Warm Zones that cannot be decontaminated. The element salvages all clean equipment within the Cold Zone while taking all precautions to reduce cross contamination and mitigate vapor/liquid hazards.

NOTES: Task steps may be modified to facilitate Defense Support to Civil Authorities (DSCA) missions.

GO

N/A

* 1. Element leader provides guidance to close down the site once informed by the IC representative that the last group of casualties has processed through the MCD site.

a. Ensures the number of gallons of hazardous wastewater and pounds of hazardous solid waste being left, for environmental clean-up, is reported to the IC representative.

b. Provides the IC representative a listing of all consumable and accountable property being left on the site. The following information is a minimum:

(1) Name of equipment.

(2) Nomenclature.

(3) Quantity.

(4) Price.

2. Upon notification, the CCP and triage elements immediately starts emptying all buckets containing hazardous waste water into the containment berm and consolidates all hazardous solid waste/equipment in approved hazardous solid waste containers or into undress/wash/rinse area (dry items in undress, wet items in wash/rinse areas) IAW the SOP.

a. Ensures all monitoring equipment that was used within the CCP/triage area is taken to the equipment drop table located at the rear of the technical decontamination lane for testing and further decontamination.

b. Processes through the technical decontamination line, (designated "Soldier Decon") as directed by the element leader once the clean-up process is completed in the designated area.

3. Upon notification, the undress elements immediately start emptying all buckets containing hazardous waste water into the containment berm and consolidates all hazardous solid waste in approved (marked as) hazardous solid waste containers, (dry items in undress, wet items in wash/rinse areas), IAW the SOP.

a. Ensures all non-reusable equipment/supplies are stored in the undress/wash/rinse area.

b. Processes through the technical decontamination line (designated

4. Upon notification, the wash/rinse elements immediately starts emptying all buckets containing hazardous waste water into the containment berm and consolidates all hazardous solid waste in approved (marked as) hazardous solid waste containers, (dry items in undress, wet items in wash/rinse areas), IAW the SOP.

a. Ensures all non-reusable equipment/supplies are stored in the undress/wash/rinse area.

b. Processes through the technical decontamination line, (designated

5. Upon notification, the monitoring elements immediately begins passing all buckets containing hazardous waste water and hazardous solid waste in the monitoring area to the wash/rinse elements and empties waste into the containment berm or consolidates waste in the hazardous solid waste containers. Passes all monitoring equipment back to the technical decontamination equipment drop table for decontamination/monitoring by technical decontamination elements.

Note: Some monitoring equipment through the element leader's guidance, may remain in the technical decontamination area to monitor technical decontamination elements once the site is closed or available near the preexisting vapor control line (VCL) for monitoring by cold zone elements.

a. Disconnects the roller system at the edge of VCL and pushes the roller system up to the liquid control line (LCL) for hot zone elements to place it in the center of the wash/rinse area.

b. Elements in warm zone, cuts the tarp at the VCL and pulls the tarp, entire width of the MCD, up to the LCL for hot zone elements to pull over the centralized equipment/pull inside the wash/rinse area; closes/zips tent closed and surrounds tent (undress and wash/rinse areas) with red hazard tape and places appropriate hazard placard on outside of tent IAW the SOP.

c. Processes through the technical decontamination line (designated

6. Upon notification, the re-dress element salvages all reusable supplies and equipment and repacks them for movement IAW the SOP and then assists other elements processing through the technical decontamination line.

GO

N/A

7. Upon notification, the technical decontamination element ensures that all hazardous waste water is drained into the waste water hazardous containment berm (Blivet).

a. Decontaminates all sensitive equipment and secures the equipment in an approved container.

b. Seals all hazardous waste containers containing used personal protective equipment, (PPE) and move all marked hazardous solid waste container into/close to the wash/rinse area.

c. Consolidates and secures all buckets, sponges, large 44 gallon trash containers in the center of the wash/rinse area.

d. Conducts the final check of the hazardous waste water blivet.

e. Ensures that the blivet is zipped-up and estimate the number of gallons of hazardous waste water held within the container.

f.…