BY ORDER OF THE
SECRETARY OF THE AIR FORCE
AIR FORCE INSTRUCTION 48-133
7 AUGUST 2020
Aerospace Medicine
DUTY LIMITING CONDITIONS
COMPLIANCE WITH THIS PUBLICATION IS MANDATORY
ACCESSIBILITY: Publications and forms are available for downloading or ordering on the
e-Publishing website at www.e-Publishing.af.mil.
RELEASABILITY: There are no releasability restrictions on this publication.
OPR: AFMRA/SG3PF
Supersedes: AFI10-203,
20 November 2014
Certified by: AF/SG3/4
(Maj Gen Robert I. Miller)
Pages: 39
This publication implements Air Force Policy Directive (AFPD) 48-1, AEROSPACE &
OPERATIONAL MEDICINE ENTERPRISE (AOME). This instruction describes requirements
for medical profiling on members with duty or mobility restrictions, case management of
mobility restricted Airmen, and processes for improving medical deployability. This publication
applies to all civilian employees and uniformed members of the Regular Air Force (RegAF), Air
National Guard (ANG), Air Force Reserve (AFR). This instruction requires the collection and/or
maintenance of information protected by the Privacy Act of 1974, authorized by Title 10 United
States Code, Section 9013, Secretary of the Air Force. System of records notice F044 F AF SG
E, Medical Record System, applies, and can be found at
http://dpclo.defense.gov/Privacy/SORNs.aspx. Ensure all records created as a result of
processes prescribed in this publication are maintained in accordance with Air Force Instruction
(AFI) 33-322, Records Management and Information Governance Program, and disposed of in
accordance with the Air Force Records Disposition Schedule located in the Air Force Records
Information Management System. Refer recommended changes and questions to the office of
primary responsibility (OPR) listed above; route AF Forms 847, Recommendation for Change of
Publication; through the appropriate functional chain of command. This publication may be
supplemented at any level, but all supplements must be routed to the OPR listed above for
coordination prior to certification and approval. The authorities to waive wing/unit level
requirements in this publication are identified with a Tier (“T-0, T-1, T-2, T-3”) number
following the compliance statement. See AFI 33-360, Publications and Forms Management, for
a description of the authorities associated with the Tier numbers. Submit requests for waivers
through the chain of command to the appropriate Tier waiver approval authority, or alternately,
to the requestor’s commander for non-tiered compliance items.
