This United States Air Force USAF Department of the Air Force Manual AFMAN 48-146 Aerospace Medicine: Occupational Health Program Management December 2022, implements requirements of Department of the Air Force Instruction (DAFI) 48-145, Occupational and Environmental Health and is consistent with Air Force Policy Document (AFPD) 48-1, Aerospace & Operational Medicine Enterprise. It provides procedures for successful management and operation of an Air Force installation occupational health (OH) program. This publication applies to the entire Department of Air Force (DAF), including all civilian employees and uniformed members of the Regular Air Force, the United States Space Force, Air Force Reserve, and the Air National Guard and those with a contractual obligation to abide by the terms of DAF issuances, except where noted otherwise.