PHYSIOLOGICAL SUPPORT DEBRIEFING

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP69B00041R001300040006-5
• Release Decision: RIPPUB
• Original Classification: T
• Document Page Count: 14
• Document Creation Date: December 12, 2016
• Document Release Date: March 6, 2002
• Sequence Number: 6
• Publication Date: December 15, 1967
• Content Type: FORM

Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
PHYSIOLOGICAL SUPPORT DEBRIEFING
25X1A
DATE 1572PC / 5 / ACFT 7 Pu,OT
TIME IN FLIGHT 4--i Ti IN SUIT
1. PHYSICAL CONDITION (PILOT)
2. SURVIVAL KIT AND CUSHION
3. PARACHUTE
4. HELMET
A. REFLECTIONS
B. FACE HEAT
C. COMMUNICATIONS
SUIT PROPER -- .3
A. CABIN DECOMPRESSION; YES
6. OUTER GARMENT -
7. BOOTS' AND SPURS
8. GLOVES
9. OXYGEN SYSTEM
DEPART RETURN
TIME AMT TIME ' ANT
#I 10,5jr
#2 of 9,6-
10. MISCELLANEOUS
U. EVALUATION ITEMS
A.
B.
12. REMARKS: (EXPLAIN UNSATISFACTORY REPORT)
PREBREATHING TIME
SATISFACTORY UNSATISFACTORY
/ .'
25X1 A Approved For Release 2002/06/10: CIA-RDP69Bg0041 R001300040006-5
 PHYSIOLOGICAL SUPPORT DEBRIEFING
25X1A
ACFT - t~ PILOT
DATE 15-&-C
'T'IME IN FLIGHT TIME IN SUIT - - 3 6 PREBREATHING TIME
SATISFACTORY UNSATISFACTORY
1. PHYSICAL CONDITION (PILOT)
2. SURVIVAL KIT AND CUSHION
3. PARACHUTE
4. HELMET A. REFLECTIONS
B. FACE HEAT
C. COMMUNICATIONS
5. SUIT PROPER --,3
A. CABIN DECOMPRESSION: YES
6. OUTER GARMENT - -3
7. BOOTS. AND SPURS
8. GLOVES
9. OXYGEN SYSTEM
DEPART RETURN
TINE AMT TIME -W
10. MISCELLANEOUS '
11. EVALUATION ITEMS
A.
25X1A
12. REMARKS: (EXPLAIN UNSATISFACTORY REPORT)
Ap
P R00130004000&5
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
FULL PRESSURE SUIT VEST LOG
SUBJECT rf Q I
Si, lIT _
OUTER !1A ;NT W/FLOAT GEAR
IL'ELNET # r ? /
FLIGHT DATE z__ ___
DON
";.LOVL:a iz - oL TECHNICIA
BOOT S
IM, ST PRE-FLIGHT SUBJECT TEST
Nai. Pr e s sur? e t i ! G ()
Difcerel tjal f
Leak mate
SYSTEM "2
Max Pressure Ito
Differential /, a
Leak Rate Cjnpre s ; Leak Rate
OX11 T't_, and 'Cord
Knife
Controller Number
Packet
Grease Zippers
Check Location of CO2
Pressure Tap screws
/ S Sr
4 a- L4 1)
POSTFL'
X1A
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 Approved For Release 2002/06/10 : CJA-RDQ69B00041 R001300040006-5
PRESSURE SUIT HOOK-Up CHECKLIST
1./ Packet in pocket.
2.L-Stirrups secured,
3.,4-Foot rest guards over seat foot rests.
4e Communications secured and functioning.
5./--Face heat ON (LOW).
6 -Oxygen hoses secured in'QD.
7I-Three harness snaps secured - harness adjusted and surplus stowed.
81. Kit adjusted and surplus stowed.
9I/Two (2) bailout hoses secured.
LOL-Lap belt, shoulder harness, key, secured and adjusted. (VELCRO TAPE SECURED)
ll,-Oxygen hoses under right leg strap, chest strap under helmet hold-down.
12. u-ergency oxygen lanyard secured and pin removed.
13,een apple secured.
14,6,Red knob secured, guard removed.
15 nua1 over-ride handle secured.
16(- wo (2) Rocket-Jet releases secured.
17."ress-to-test both 02 Systems, (LOW pressure-#1 Sys z 0#2 Sys C9.
18,1-Check face heat.
19.t-Rd-adjust lap belt.
20.LKit lanyard secured to D-Ring, under Lap Belt.
21s/Parachute beacon; AUTOMATIC ( ), UNSNAPPED (X), SNAPPED ( ).
22/Departing LOX quantity, #1 System ____9, ? - #2 System I - f TIME / C 5
q
23Ieturning LOX quantity, #1 System #2 System 930
TIME A5
SUBJECT AIRCRAFT NUMBER 17 7
25X1A TECHNICIAN Dec
DATE OF FLIGHT h r
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 Approved For Release 2002/06/10 : CIA-RDP,69B00041 R001300040006-6
EQUIPMENT PREFLIGHT FOR HIGH FLIGHT
PARACHUTE:
1. ilipcord pins seated (main and first stage).
2.VCheck power cable linkage.
3-t 'Pack opening elastics secured.
4?` First stage jettison mated and pins secured.
5?v Two (2) rocket jet unit
s secured.
6. /Manual over ride handle secured.
7.c' Green apple secured.
8./ Red knob secured, guard installed.
9.Y Bailout hoses adjusted for HIGH flight.
10.1-'Bailout hose connectors operating.
11., /Bailout hose safety clip lanyard checked.
12. 'Harness adjusted for HIGH flight.
13.r/Automatic openers - triggered and reset.
14.,/Aneroids (sea level to 7500').
15. ailout cylinder pins secured.
16. /Bailout cylinder pressure ##1 /l'6c #2 / d 6
17. Communication cord secured to chute
1$. Visual inspection completed.
19.' Faceheat battery pack checked.
SURVIVAL KIT:
1.V'Yellow handle secured.
2.r/Trigger clearance.
3.-Kit disconnects secured.
4.,-'Lid secured.
5.t-Visual condition.
INSTALLATION:
1. -Shoulder harness installed.
2. zVent hose secured at disconnect.
3.--Kit secured to chute, loose.
4. L- ergency oxygen lanyard secured to chute with pin installed.
5?e..-Communication cord secured at disconnect.
6. -Vent hose secured to chute.
7. Yin secured in QD and safetied.
8. Oxygen system low pressure #1 G jr- 7P 2
9. -Pip pin in I'D" ring.
10.-?Stirrup cables extended and operating freely.
11. -Foot rest guards over seat foot rest.
SUBJECT# / AIRCRAFT # ? PARACHUTE #_. ? ,,SEAT KIT
A.L%.ILlj v, , DA1'~ 1 - 9 u e c f VENT HOSE # 7/
-----
TECHNICIA
25X1 A
Approved For.Release 2002/06/10 : CIA-RDP69B00041 ROO1300040006-5
 Approved For Release 2002/06/10 : CIA-RDP69B00041 8001300040006-5
FULL PRESSURE SUIT TEST LOG
OUTER CANT W/FLOAT GrR
~t'~LMET #
u ,O VES
,PuE1`-r, m TEST
k]J. n7m.L1"i #y
Max Pressure
Leak Rate
SYSTEM # 2
Max Pressure
Differential
leak Rate
'Cidip.n~-b:> Leak Rate
Face Ee at?
mmu and Cord
eancil.s
Controller Number
Packet
Grease Zippers
P~-FLIGHT' SUBJECT TEST
I b
L,3
Check Location of CO2
Pressure Tap Screws
FLIG1 DATE ~ej to r
DON / Id
DOFF 1`W
TIME IN SUIT J' t ?
TEM ICIANd
III
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
25X1A
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
PRESSURE SUIT HOOK-UP CHECKLIST
25X1A
1./ Packet in pocket.
2.G Stirrups secured.
3.L-Foot rest guards over seat foot rests.
4/;-'Communications secured and functioning.
5.~'Face heat ON (LOW).
6.4-Oxygen hoses secured in 'QD.
7,hree harness snaps secured - harness adjusted and surplus stowed,
8,/-i(it adjusted and surplus stowed.
91_--`Two (2) bailout hoses secured.
10-p belt, shoulder harness, key, secured and adjusted. (VELCRO TAPE SECURED)
11.L1 xygen hoses under right leg strap, chest strap tinder helmet hold-down.
12.i--Emergency oxygen lanyard secured and pin removed.
13.-Green apple secured.
14.(-R d knob secured' guard removed.
15 ual over-ride handle secured.
16 ~+'o (2) Rocket-Jet releases secured.
1sb'Press-to-test both 02 Systems, (LOW pressure-#I Sys 74 0 _ #2 Sys
18.eck face heat.
19 e-adjust lap belt.
20. Kit lanyard secured to D-Ring, under Lap Belt.
21, Parachute beacon; AUTOMATIC ( ), UNSNAPPED C(D, SNAPPED ( ).
22.LDeparting LOX quantity, #1 System -Y,3 #2 System TIME ///3
23? Returning LOX quantity, #1 System ' S_ #2 System ?. 6 T. /J.SS
SUBJECT
se
DATE OF FLIGHT /3e n 0/ J
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
EQUIPMENT PREFLIGHT FOR HIGH FLIGHT
PARACHUTE:
1.r4ipcord pins seated (main and first stage).
2.,,'Check power cable linkage.
3.d Pack opening elastics secured.
4-;/First stage jettison mated and pins secured.
5./ Two (2) rocket Jet units secured.
6.`/Manual over ride handle secured.
7.l/ Green apple secured.
8. J Zed knob secured, guard installed.
9. "Bailout hoses adjusted for HIGH flight.
10./ Bailout hose connectors operating.
11. /Bailout hose safety clip lanyard checked.
12.,-'Harness adjusted for HIGH flight.
13. i Automatic openers - triggered and reset.
14. /Aneroids (sea level to 7500').
15.r Bailout cylinder pins secured
.
16. -Bailout cylinder pressure #1 C) #2 / o
17. ""Communication cord secured to chute. ~
1$.-'Visual inspection completed.
19.-' Faceheat battery.pack checked.
SURVIVAL KIT:
1. Yellow handle secured.
2.`/Trigger clearance.
3.1' Kit disconnects secured.
4./ Lid secured.
5./Visual condition.
INSTALLATION:
1.I'Shoulder harness installed.
2. t4ent hose secured at disconnect.
3.c-'Kit secured to chute, loose.
4.r-''Emergency oxygen lanyard secured to chute with pin installed.
5.t ommunication cord secured at di
sconnect.
6.I-'Vent hose secured to chute.
7.-/Pin secured in QD and safeti
d
e
.
8.-'Oxygen system low pressure #1 ' ~ f d 2 4 7o
9.1- Pin pin in nn "r .i--
10. vStirrup cables extended and operating freely.
11.,~/Foot rest guards over seat foot rest.
TYPE CUSHION S DATE /5'.Dee G 7 VENT HOSE #7 ~_TECHNI
SUBJECT# o AIRCRAFT #/ PARACHUTE # E-5 SEAT KIT #
Approved For. Release 2002/06/10 : CIA-RDP69B00041 ROO1300040006-5
25X1A
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R00130004;0006-5
PHYSIOLOGICAL SUPPORT DEBRIEFING
25X1A
DATE J ,~ 7 ACFT
TIME IN FLIGHT It y- TIME IN SUIT . 3 -f- ()-6 PREBREATHING TIME
-~ a
SATISFACTORY UNSATISFACTORY
1. PHYSICAL CONDITION (PILOT)
2. SURVIVAL KIT AND CUSHION 5 d Q
3. PARACHUTE i
4. HELMET
A. REFLECTIONS
Be' FACE HEAT
C. COMMUNICATIONS
5. SUIT PROPER 1/
A. CABIN DECOMPRESSION: YES --
6. OUTER GARMENT- q
7. BOOTS' AND SPURS ~- -- "0
8. GLOVES _ y
9. OXYGEN SYSTEM
DEPART RETURN
TIME _ AMT TIME AW
#1
#2 D
10. MISCELLANEOUS
11. EVALUATION ITEMS
12. REMARKS: (EXPLAIN UNSATISFACTORY REPORT)
17 -
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 TIME IN FLIGHT TIME IN SUIT
1..
PHYSICAL CONDITION (PILOT)
2.
SURVIVAL KIT AND CUSHION b
S
3.
b.
PARACHUTE 19,j)
HELMET -
A. REFLECTIONS
B. FACE HEAT
C. COMMUNICATIONS
SUIT PROPER a
A. CABIN DECOMPRESSION:
OUTER GARMENT-
YES
..NG-
7.
BOOTS `AND SPURS
8.
GLOVES - 9
OXYGEN SYSTEM
PHYSIOLOGICAL SUPPORT DEBRIEFING
DEPART RETURN
TIME AMT TIME AMT
25X1A:
------------------
DATEL 2 ACFT
#1 5`l ~i S
#2
1'f S" j,, p
10. MISCELLANEOUS
11. EVALUATION ITEMS
A.
B.
C.
25X1A
12. RT)
PREBREATHING TIME SATISFACTORY UNSATISFACTORY
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 Approved For Release 2002/06/10 : CIA-RDP69B00041R001300040006-5
, `-~ 912 ~
DCOL CHECK LIST
* DLf OTES MANDATORY CALL TO COMMAND POST UPON COMPLETION
H-24:U0 TO H-23:30: SECURE SUITS, CHUTES, KITS AND VENT
25X1A
DESIGNATE LIFE SUPPORT TECHNICIAN
4O
UNITS:
ATTEND rONO~~ANDEKS
SUBMIT HANGAR ACCESS ROSTER, S CYS I-MC 3-SECURITY 1-CCOL .....
........:
SUbi4iT RECOVERY ROSTER' 3 CYS i-MC 1-ADP.IN 1-DCOL .... . .. . ... . . ..... . .:
TRANSPORT VAfvS Ll-j
SUIT ROOK VENT ....................... ?...,..........:
LOX VENT UNIT ................................?.,....:
OXYGE! CYLINDERS .....................~..,,,,........:
TEST Et~t~IPMEf,T .......................?.......?.,.,..
SEAT KIT COMPONENTS .................................<
PARACHUTE AND EMERGENCY 02 SYSTEMS,,,,,,,,,,,,,,
BOTH SUITS (EA PILOT) .................................17,
h-17:00: PREFLIGHT:
H-21:00: NOTIFY SECURITY' SEAT KIT AVAILABLE FOR PACKING: ......................
H-3:00 TO H-1:4o PREPARE PREBREATHING ROOM FOR RECEIPT OF F'ILCT: ..............
0
H-2
.00 PERSONALLY CHECK WITH MISSION CORRDINATOR AT C.P. TO VERIFY NAMES OF
PRIMARY AND SPARE PILOTS AND AIRCRAFT:
INSTALL SEAT KIT AN:17 PARACF4iiTr> ................?......?.......?,..,..
H-2:ii(t -iLCEIVE PACKET FROM INTE:LLICENCE......................?......,?.....,,:'
H-i:45 TO H-1:30: SECURITY INSPECTS S~iITS :....................?.,.....?......: d ~yti- r6 `3.
10 H-1:10: FLIGHT SURGEONS FDICAL TPA flCOL :............?,.............
H-1: i ! H-d~ . 17C: C R1E.SS r I LO1 !"?t'lP S7C1RG'. CHECK '~ ~9l ri .SIT:. , .... ? ........... , . , . /'ij~1~{~~,r"~~?+--P JI:i
H-0.5u IC HI 6:4b; TRANSPORT TO AIRCRAFT:......................?......,?,.....i- UTftj~7-'~T4O
*H-(.4;) T ' ) r-0:35: P I L O TA W HOOKUP ; SUIT A/C CFaF CK.....,...... ?....... ?...,..~Q~ O
H-0:35 TO TAKEOFF: STANDBY IN !COL AND PACK L ON RECOVERY
LANDING: REMOVE PILOT, TRAJISPORT PILOT RACK TO OCOL, DESUIT PILOT:...........
DEH-,RIEF PILOT, :?VALUATE: Ar'O CHECK Rr-LIAF ILITY `1F FCL!TP F_NT:,..........
?UST-FLIGHT EQUIP ^viENT :............................... ?....... ?....... ?.{
**TOPSECRF_T~**
/0-14 ._/4J1C
'0 ^ AL, v
/Mv
Approved For Release 2002/06/10 : CIA-RDP69B00041R001300040006-5
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
Next 1 Page(s) In Document Exempt
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
 pro gd for telex[ e_2t 9 06/1a C1A=RDPV R 04 0130 QQU~- ;
MISSION PILOTS ACTIVICTY SCHEDULE FOR OPERATIONAL MISSION
0ps Debrief
Post Mission Physical:
Debrief
Released,
H-HOUR LOCAL H-HOUR
TIME TIME TIME
PRIMARY PRIMARY SPARE
H 22:30 3 b~
H -21: 3.C..
H-20:30 /S_ -0 o
H /730
H, 17:0 0 / 3 O
,OCAL
TIi?IE
SPARE
ITEM
Eating
Pre-Mission Physical Exam
Intelligence Review
LOCATION
Fit Surg
A/C Mess
Selected
Area
DCOMI'
Brief &:Recreation DCO Brief Rm
H-14:00
A/C Mess
H
-1
3:00
22 30
Asgd house
H
4
00.
073
Wake/
up Psychological Ck
Asgd House/
H
-3
:30
0300
Final
Briefing
Crew Mess
DCO Brief Rm
H -2:30 6900
Break
fast
A/C Mess
H
-1
:20
(0 / 0
H
1:20
I/0in/n
Final
Physical
DCCL
H
-1
:10
/020_
H
yOza
Suiti
ng
:DCOL
H
50
/04/6
H
+:10
Leave
Ops
Transport Van
H
45
/0.
H
+:15
Arriv
e Aircraft
Hangar
H
-:
30
//ate
H
+:3e.
V1 a v
Start
Engine
Hangar
H -c20
/~/a
H
+ r#$
/ 3 0
Taxi
Aircraft
H 05
// 25
H
5~
// 4/)?
Trim
Engine
Aircraft
H 00
/30
H
+a-=e-e-
Y/50
Take
Aircraft
Approved.For?:Releasee 2
wised 20 Aug 67
DCOL
DCO Brief Rm
DCO Brief'Rm
 Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5
25X1A
Approved For Release 2002/06/10 : CIA-RDP69B00041 R001300040006-5