BY ORDER OF THE
SECRETARY OF THE AIR FORCE
DEPARTMENT OF THE AIR FORCE
INSTRUCTION 48-145
22 SEPTEMBER 2022
Aerospace Medicine
OCCUPATIONAL AND
ENVIRONMENTAL HEALTH
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/SG3PB Certified by: AF/SG3/4
(Maj Gen Sharon R. Bannister)
Supersedes: AFI48-145, 11 July 2018 Pages: 44
This instruction implements DoD Instruction (DoDI) 6055.05, Occupational and Environmental
Health (OEH); Air Force Policy Directive (AFPD) 48-1, Aerospace & Operational Medicine
Enterprise (AOME); and AFPD 90-8, Environmental, Safety, & Occupational Health
Management and Risk Management. It establishes procedures consistent with the guidance in Air
Force Instruction (AFI) 91-202, US Air Force Mishap Prevention Program and DAFI 91-204,
Safety Investigations and Reports, for medical support requirements. This publication applies to
the entire Department of Air Force (DAF), including all federal civilian employees and uniformed
members of the Regular Air Force, the Air Force Reserve, the Air National Guard, and the US
Space Force. This instruction does not apply to DAF units receiving occupational and
environmental health (OEH) support from other military services under joint basing agreements.
The lead service under the joint basing agreement will provide OEH support in accordance with
their regulations and guidance. The supported unit is responsible for ensuring compliance with
the tracking and completion of occupational health exams and training requirements. Additionally,
this instruction does not apply to employees working under government contract. Contractors are
solely responsible for compliance with Occupational Safety and Health Administration (OSHA)
standards and the protection of their employees unless otherwise provided by law or regulation to
be specified in the contract. This instruction does not prohibit providing workplace sampling and
survey information to contractors subject to local arrangements. Compliance with the attachment
is not mandatory. Ensure all records generated as a result of processes prescribed in this
publication adhere to Air Force Instruction 33-322, Records Management and Information
Governance Program, and are disposed in accordance with the Air Force Records Disposition
Schedule, which is located in the Air Force Records Information Management System. Refer
