OEHSA - Classified Information Template - United States Army



OCCUPATIONAL AND ENVIRONMENTAL HEALTH SITEASSESSMENT – STAGE ICLASSIFIED INFORMATION TEMPLATENovember 2014Data captured at the end of the template is Classified and should be sent via SIPRNET to usarmy.apg.medcom-phc.mbx.oehs@mail.smil.milClassified Data: Add classification markings look at report requirementsLocation Name:Geographic location: Including geo-coordinate (e.g latitude/longitude) of the outside corners of the camp. At a minimum, use the center of the camp. This information may be extracted from the Engineer EBS. Note: this information may be classified.Coordinate 1:Coordinate 2:Coordinate 3:Coordinate 4:Notes:Units and Detachments/Teams/Elements Present: Note: this information may be classified.Camp Fixed Population: Note: this information may be classified.Rotation Schedule: Note: this information may be classified.Number of U.S. Troops, if not U.S. Camp: Note: this information may be classified.Classified data should be sent via SIPRNET to usarmy.apg.medcom-phc.mbx.oehs@mail.smil.milGeneral Classified NotesSample Summary and Associated Geo-coordinates (Classify appropriately)Sample ID Latitude (Decimal Degrees or MGRS)Longitude(Decimal Degrees or MGRS) ................
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