Occupational and Environmental Health Risk Management OEH RM

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Occupational and Environmental Health Risk
Management (OEH RM)

• Tony Pitrat
• USACHPPM

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Challenges

• Operational Planners and Medical Community Speak
  Different Languages
• Risk Definitions
• Each Field within the Medical Community has a
  different perspective
• ALARA and FM 100-14

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TG 248 Audience

• The PMO at Division, Corps or JTF levels who has
  to plan and conduct the in theater OEHS mission.
• This is GUIDE not a cookbook

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TG 248 Outline

• Basic RM concepts supplemented definitions
• OEH RM roles at corps and below
• Predeployment phase
• Deployment phase
• Post deployment
• Communicating risk within the command
• Supplemented PM estimate

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RISK MANAGEMENT The Army Standard

• RM STEPS
• Identify Hazards
• Assess the Hazards
• Develop Controls and Make Decisions
• Implement Controls
• Supervise and Evaluate

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Conduct of Risk Assessment
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RM and the Decision Making Process
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ARMY HAZARD RISK ASSESSMENT MATRIX
HAZARD PROBABILITY
Frequent
Likely
Occasional
Seldom
Unlikely
S E V E R I T Y
Catastrophic
E
E
H
H
M
H
Critical
E
H
M
L
Marginal
H
M
M
L
L
Negligible
L
M
L
L
L
RISK LEVELS E (Extremely High Risk) - Loss of
ability to accomplish the mission. H (High Risk)
- Significantly degrades mission capabilities in
terms of required mission standards. M
(Moderate Risk) - Degrades mission capabilities
in terms of required mission standards. L (Low
Risk) - Little or no impact on accomplishment of
the mission.
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Components of Risk Assessment
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Severity - Catastrophic

• immediate death of personnel is anticipated or

• loss of ability to accomplish mission or mission
  failure.
• death or permanent total disability loss of
  major or mission-critical system or equipment

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Severity - Critical

• Significantly degraded mission capability or unit
  readiness.
• Permanent partial disability, temporary total
  disability exceeding three months

• Immediate symptomatic health effects may result
  in significant degradation of functional
  abilities
• Long term, permanent partial disability may occur
  as a result of exposure at these levels.

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Probability

• Based on exposure assumptions used in the
  derivation of media guidelines
• Frequency
• Duration
• Based on knowledge of activity patters of exposed
  populations

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Phases of Deployment

• Pre Deployment
• Operational Planning
• Incorporating OEHS into planning
• Deployment
• Concurrent monitoring
• Ongoing Risk Assessment/Management
• Post Deployment
• Archiving, retrospective analysis

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Pieces of the OEH RM Puzzle
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Risk Level Integrating it all
Chemical
Air
Radiological

Water
Biological
Soil
Entomological
Occupational
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Schedule

• First Draft - 1 August for FHP
• 1 October Comments due
• 1 January Final
• There may be one more review after the October
  revision.

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Questions?

• Tony Pitrat
• MCHB-TS-EHR, APGEA MD 21014
• Tony.Pitrat_at_amedd.army.mil