STATE OF FLORIDA DEPARTMENT OF MILITARY AFFAIRS Office of the Adjutant General St. Francis Barracks, P.O. Box 1008 St. Augustine, Florida

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1 STATE OF FLORIDA DEPARTMENT OF MILITARY AFFAIRS Office of the Adjutant General St. Francis Barracks, P.O. Box 1008 St. Augustine, Florida SAAO-S 11 July 1989 DEPARTMENT OF MILITARY AFFAIRS Florida Army National Guard Pamphlet July 1989 SAFETY Occupational Vision Program Supersession: This pamphlet superseded FNG PAM dtd 15 Aug 85. Applicability: This regulation is applicable to all personnel and activities of the Florida Army National Guard in potential eye hazard areas. Suggested Improvements: The proponent agency of the pamphlet is the Florida Army National Guard, Director of Administration, Department of Military Affairs. Users are invited to send comments and suggested improvements on DA Form 2058 (Recommend Changes to Publications) directly to TAG-FL, (ATTN: ADMF), Office of the Adjutant General, St. Francis Barracks, P.O. Box 1008, St. Augustine, Florida TABLE OF CONTENTS PARAGRAPH PAGE CHAPTER1 INTRODUCTION Purpose References Scope Referral Policy CHAPTER 2 RESPONSIBILITIES Adjutant General Safety Manager Occupational Health Specialist Support Personnel Management Office United States Property & Fiscal Office Supervisors / Commanders Employee 2-7 4

2 STATE OF FLORIDA DEPARTMENT OF MILITARY AFFAIRS Office of the Adjutant General St. Francis Barracks, P.O. Box 1008 St. Augustine, Florida SAAO-S 1 December 1989 CHANGE 1 DEPARTMENT OF MILITARY AFFAIRS FLORIDA ARMY NATIONAL GUARD PAMPHLET July 89 SAFETY Occupational Vision Program FLARNG PAMPHLET , Occupational Vision Program, has been revised, requiring the removal of Appendix A and Appendix B, both dated 11 July 89, and inserting the attached Appendix A with 3 examples. FOR THE ADJUTANT GENERAL: JOSEPH OLIVER, JR. (2) Encl CPT, GS, FLARNG as State Safety Officer

3 CHAPTER 1 INTRODUCTION 1-1. Purpose: This regulation ensures a comprehensive Occupational Vision Program that is applicable to all personnel in the Florida Army National Guard References: a. AR 40-3, Medical, Dental & Veterinary Care dtd October b. AR 40-5, Health & Environment dtd June c. AR , Protective Clothing and Equipment dtd May d. NGR 40-61, Special Programs & Procedures dtd July e. TB Med. 506, Occupational & Environmental Health Occupational Vision dtd December f. 29 CFR , General Industry (OSHA). g. ANSI Standard Z Scope: The ability to use one s vision effectively and with safety depends upon an efficient vision program that includes: a. Periodic determination of employee s visual capacity and referral of those with defective vision for professional eye care. b. Ensuring that adequate lighting is available for each occupational activity. c. Ensuring the availability and utilization of both environmental and personal measures necessary for maximal eye safety. d. Continuing health education program pointing out the benefits of the Occupational Vision Program and stimulating cooperation of all concerned Referral Policy: Employees not possessing the desired visual skills shall be referred, by the Occupational Health Specialist, for a complete professional clinical vision evaluation and recommended therapy as follows: a. Military personnel shall obtain the examination at appropriate medical treatment facilities (MTF). b. Civilian employees in designated eye hazard positions, who require a prescription change (as determined by vision screening) or have not previously worn prescription glasses, shall be provided this service at government expense by procedures outlined in Appendix A.

4 Note: Positions determined to be eye hazardous are normally within the maintenance areas, i.e., OMS shops, CSMS s, MATES, AASF #1 & #2, and UTES. Warehouse personnel may also be exposed to eye hazards. When supervisors are not sure of position identification, questions will be directed to the State Safety Office. CHAPTER 2 RESPONSIBILITIES 2-1. The Adjutant General will establish policies and responsibilities to: a. Provide each employee with a healthy work environment, free of eye hazards that are likely to cause illness or injury. b. Comply with pertinent directives and policies through functional managers and first line supervisors. c. Ensure that each first-line supervisor is provided a list of personnel under their control requiring occupational vision surveillance The Safety Manager will: a. Assist in preparing a list of eye-hazardous occupations and areas requiring vision protection. b. Coordinate with commanders and supervisors in determining the correct type of protective eyewear required for employees exposed to eye hazards. c. Monitor the protective phase of the program, provide posters and signs and make applicable recommendations for improvements. d. Ensure the acquisition and utilization of appropriate eye safety equipment The Occupational Health Specialist (OHS) will: a. Maintain a complete inventory of all work areas and eye hazards utilizing a jobtitle list. b. Designate applicable vision standards for specific occupations. years. c. Vision screen all employees in designated eye hazard positions every two d. Determine whether personnel screened have met the visual criteria for their particular job. e. Refer all personnel not possessing the required visual capabilities for a complete professional eye examination.

5 f. Ensure that verification of prescription and proper fitting of safety glasses are accomplished by qualified ophthalmic personnel. g. Conduct education sessions in conjunction with safety personnel and supervisors to instruct personnel in the proper use and care of protective eyewear. h. Provide budget estimates for safety eyewear and exams Support Personnel Management Office (SPMO) will: a. Notify OHS of all personnel changes. b. Utilize the job-vision standards, as outlined in TB Med 501 and TB Med 506, as an aid to determine effective employee placement. c. Ensure all new employees in the required category have baseline vision assessments. d. Ensure employees are provided the time to complete examinations that are required by regulation United States Property & Fiscal Office (USP&FO) will: a. Purchase prescription and non-stock listed plano (Clear Lens prescribed by TD Med 506, Chapter 4, para. 4-1 (1&2), Individual Safety Eyewear, as required in accordance with NGR b. Ensure procurement, use and disposal of protective eyewear will be IAW AR and Chapter 3, para. 3-1 c, NGR/FNG Pam c. Issue prescription safety eyewear to ARNG military personnel, excepted service and competitive service technicians as personal property. Records of issue will be maintained IAW NGR d. Ensure that eyewear is procured and delivered to the user in a timely manner (2 to 3 weeks, TB MED 506, para. 2-2 d (2) Supervisors/Commanders will: a. Designate and post those areas determined to be eye hazardous. b. Prepare the necessary documents to procure industrial safety spectacles for employees IAW AR and NGR 40-61, Chapter 3, para. 3-1c (1&2). c. Coordinate with the Safety and Occupational Health Office in the scheduling of employees to be screened. d. Enforce the wearing of protective eyewear.

6 e. Ensure that technicians/ AGR personnel are not placed in eye hazardous jobs without proper protection. f. Brief new personnel on the importance of safety devices for eye protection and the importance of maintaining these devices in a clean and serviceable condition. Documented proof of briefing will be maintained and a copy forwarded to the State Safety & Occupational Health Office as briefing take place Employee will: a. Participate in the Occupational Vision Program as outlined in TB Med 506. b. Utilize safety equipment and engineering controls as mandated by 29 CPR and local directives. c. Ensure that protective equipment used with a particular instrument machine or process remains accessible. d. Report any unsafe practices or areas to the supervisor and/or Safety and Occupational Health Office so that proper protective intervention may instituted. e. Keep protective eyewear clean, properly fitted and in serviceable condition. f. Be aware of the difference between industrial safety eyewear and street-type eyewear (Appendix G, TB Med 506). Only industrial safety eyewear will be worn in eye hazardous areas.

7 BY ORDER OF THE GOVERNOR: OFFICIAL ROBERT F. ENSSLIN, JR Major General, FLARNG The Adjutant General JOSEPH OLIVER, JR. CPT, GS, FLARNG State Safety Officer DISTRIBUTION: A

8 TABLE OF CONTENTS Continued APPENDIX A - Procurement Procedure For Safety Prescription Glasses A-1 APPENDIX B - Prescription Blank for Safety Glasses B-1

9 APPENDIX A PROCUREMENT PROCEDURES FOR SAFETY PRESCRIPTION GLASSES 1. Full time support personnel in positions requiring eye protection as determined by Occupation Code or as determined by the State Safety Office, will be provided services as follows: a. Vision-screening Test (every 2 years). b. Complete eye examination as determined by vision-screening results. c. Prescription safety glasses as determined by eye examination. d. Follow-up evaluation. 2. Procedures for the acquisition of prescription safety glasses will be as follows: a. Supervisors will identify personnel requiring prescription safety eyewear and follow the procedure outline below: (1) Prepare DA Form 3953, Purchase Request and Commitment, as shown in Example #1 for prescription glasses only. (2) Requisition No. will be left blank and will be assigned by State Safety Office for control upon receipt. (3) DD Form 771, Eyewear Prescription, will be completed at the time the safety glasses are procured. The original copy of this form will be furnished the State Safety Office for inclusion in individual s medical records. (See Example #2.) b. State Safety Office will, upon receipt of DA Form 3953 from supervisors, assign requisition number, assign accounting classification, approve the purchase and forward completed document to USPFO, Purchasing & Contracting c. The USP&FO Purchasing & Contracting Office will contact local vendors to contract required services and forward necessary documents to the appropriate supervisor. 3. Procedures to acquire Plano Safety Glasses will be as follows: a. Supervisors will identify by name those individuals not requiring prescription glasses and: (1) Submit DA Form 2062, Hand Receipt/Annex Number. (See Example #3.) (2) Upon receipt of plain safety glasses, supervisors will in turn hand receipt each pair to the individual for control of items.

10 b State Safety Office will issue via DA Form 2062, the requested number of safety glasses. One copy of the 2062 be retained by the Safety Office for future glasses. One copy of DA Form 2062 will be retained by the Safety Office for future inventory purposes. A copy of DA Form 2062 will be returned to supervisors, along with the requested safety glasses.