-17. Hearing conservation program

3-17. Hearing conservation program

a. Each ATC will follow the Army Hearing Program in accordance with Special Text 4-02.501, paragraphs 48-53; DA Pam 40-501, paragraph 6-1; and Technical Guide 41. Commanders at all levels will enforce the requirement for all IET Trainee/Soldiers, instructors, and cadre to wear earplugs or other approved hearing protective devices, when exposed to noise levels. Hazardous noise levels are defined as 85dBA or greater for steady state noise (such as generators or aircraft), or 140dBP or greater for impulse noise (such as weapons fire). Leaders are responsible for ensuring the Army Hearing Program is implemented in their units, especially the monitoring and enforcement of wearing hearing protection in noise hazardous areas to include blank weapon fire (such as urban operations training).

3-18. Health care committee

a. The IET environment presents unique health care issues. Managing these issues involves a joint effort between MTF clinical staff and training battalions. An IET health care committee provides the structural framework to facilitate this effort and develop coordinated approaches at the battalion level.

b. Objectives.
(1) Reduce and control injuries in IET that take Trainee/Soldiers away from training.
(2) Conduct a regularly scheduled forum at the brigade level.
(3) Monitor overuse injuries, communicable illnesses, environmental injuries, and suicidal behaviors.
(4) Identify issues that would need the attention of HQ TRADOC.
(5) Obtain feedback on initiatives.
c. The health care committee can be stand alone, or part of a committee already in existence.
(1) Membership. Commandants should identify a brigade commander as the chairperson. The commandant staff and MTF will determine the rest of the committee membership. Membership may include, but is not limited to:
(a) Chief, primary care or deputy commander for clinical services.
(b) Commander, MTF and/or dental clinic.
(c) Psychologist or social worker for IET.
(d) Officer-in-charge, MTF physical therapy.
(e) Chief, preventive medicine.
(f) Environmental science officer.
(g) Training chaplain.
(h) Training unit commanders and/or senior NCOs.
(i) Senior NCO for medical support to training.
(2) Agenda. Items to be addressed may include, but are not limited to:
(a) Sick call.
(b) Medical support for training.
(c) Access to specialty care (for example, orthopedics, podiatry, mental health).
(d) Medical evaluation board (MEBs).
(e) IET attrition.
(f) Profiles.
(g) WTRP.
(h) Behavioral health professional support.
(i) Illness, injury, and behavior trends.
d. The chairperson should forward issues that require the assistance of HQ TRADOC to the TRADOC Surgeon at usarmy.jble.tradoc.list.g1g4-surgeon@mail.mil or Defense Switched Network (DSN) 501-5633 or commercial (757) 501-5633.
e. All medical appointments or procedures/emergencies performed off post will require Trainee/Soldiers to have a battle buddy or a medical staff member escort the individual from the unit to the medical facility. Trainee/Soldier will be signed in and transfer responsibility to a medical liaison. The liaison will ensure the Trainee/Soldier receives the needed treatment. Upon completion of such treatment the Trainee/Soldier will be returned to the medical liaison to coordinate transportation back to the unit. The medical liaison will not release the Trainee/Soldier until a member of the unit or medical staff assumes responsibility for them and escorts the Trainee/Soldier back to their assigned unit. A chain of custody must me established and maintained throughout the entire process.

3-19. Sleep

a. Sleep is a basic biological need for proper brain and body functioning and a critical element for Trainee/Soldier performance. Trainee/Soldiers need a minimum of 7 hours of high quality sleep to sustain operational readiness. FM 6-22.5, Leader’s Guide to Combat and Operational Stress Control, chapter 4 provides guidance on the principles and practices for sleep discipline and optimal sleep in garrison and operational settings.

b. Sleep is best viewed as a critical item of resupply like water, food, fuel, and ammunition. The longer a Trainee/Soldier goes without sleep, the more their thinking slows and becomes confused, and the more mistakes they will make. Leaders need to plan adequate sleep for themselves and their Trainee/Soldiers in training and tactical environments.
c. Observing a Trainee/Soldier's behavior is the best way to evaluate for signs of inadequate sleep. Indications of inadequate sleep include: struggling to stay awake during briefings, difficulty understanding or tracking information, lapses of attention, decrease initiative/motivation, or irritability.
d. Chronic insufficient sleep (less than 7-8 hours per 24 hours) produces a "sleep debt" which is characterized by impaired performance and readiness, and worsens as nightly sleep decreases. Routinely getting 7 to 8 hours of quality sleep per day improves Trainee/Soldiers’ mood, attention to safety, physical, mental, and immune system performance.
e. Fatigue risk management for CQ and staff duty.
(1) Sleep loss and insufficient sleep associated with CQ and Staff Duty impairs decision making and alertness and places Trainee/Soldiers at risk for accidents.
(2) Sleep deprived Trainee/Soldiers need to be cautious when engaging in high risk activities.
(3) Student NCOs should not be assigned CQ duties. Their focus should be on academics and not performing permanent party duties.
(4) Recommendations.

a. End staff/CQ duty at 1100 hours. This is the ideal circadian/physiological time to end an extended/overnight duty.

b. Encourage personnel on CQ to sleep whenever mission allows.
c. After 24-hour duty, employ risk mitigation strategies such as napping after duty and prior to driving home or having the Soldier driven home by an alert staff duty driver/spouse.
(5) CQ/staff duty scheduling examples.
a. The CQ duty schedules shown below are recommended to ensure Soldiers are alert during critical periods (driving to/from duty; while on duty).
b. Trainee/Soldier attending training should only perform duty as CQ runner or Access Control Guards for a period of 1 hour but not more than 2 hours. Trainee/Soldiers in training should not perform multiple additional duties in one day.
c. The examples are anchored at 1100 hours based upon optimal circadian/physiological alertness for all personnel, i.e., opportunity for sleep and attending to personal matters prior to reporting for duty; and driving to and from duty during periods of decreased motor traffic, minimizing risk of POV accidents.
12-hour shift: 24 Hour Shift

Shift 1 - 1100 – 2300/ Shift 2- 2300-1100 1100-1100

Directory: TPUBS -> regs
regs -> Department of the Army *tradoc reg 5-11 Headquarters, United States Army Training and Doctrine Command
TPUBS -> The tradoc model safety program and self-assessment guide
regs -> The tradoc doctrine publication program
regs -> 05 March 2010 Historical Activities United States Army Training and Doctrine Command Military History Program
regs -> 28 May 2015 Administration U. S. Army Training and Doctrine Command
regs -> Recruitment and selection of historians and museum division chiefs, museum directors, and supervisory curators

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