AF Form 1754: Job Capability and Safety Analysis Guide

AF Form 1754: Job Capability and Safety Analysis Guide – The AF Form 1754, officially titled Job Capability and Safety Analysis (LRA), is a critical U.S. Air Force form used to evaluate whether a service member or civilian worker can safely and effectively perform the essential tasks of their position, particularly when medical conditions, hearing profiles, or other limitations may be involved. It helps commanders, medical providers, and safety professionals ensure mission readiness while protecting personnel from unnecessary risk.

This form is especially important in high-risk environments such as flight lines, maintenance shops, or noisy industrial areas common across Air Force installations. It supports compliance with occupational safety and health standards, including those in DAFI 91-202 (The Air Force Mishap Prevention Program) and related hearing conservation or fitness-for-duty evaluations.

What Is AF Form 1754 Used For?

The primary purpose of AF Form 1754 is to conduct a structured assessment of job capability (medical perspective) and job safety (risk to self and others). It determines:

  • Whether a worker can perform essential job tasks given their medical condition.
  • If reasonable accommodations or restrictions could enable safe performance.
  • Potential safety risks the worker might pose to themselves or coworkers (e.g., inability to hear warnings near operating aircraft or moving equipment).

It is commonly triggered for:

  • Hearing conservation program (HCP) evaluations, especially with H-2, H-3, or H-4 profiles.
  • Return-to-duty after injury or illness.
  • Fitness-for-duty reviews.
  • Positions involving hazardous noise, hazardous materials, or physical demands.

The form is marked as a Local Reproduction Authorized (LRA) item and is available as a fillable PDF from official Air Force e-Publishing sources.

Official Download Link:
AF Form 1754 PDF

Structure of AF Form 1754

The form (revision May 91, V1) is divided into clear sections completed by different responsible parties. It includes patient identification information at the top and continues on the reverse side as needed.

Key Sections:

  1. Patient Identification
    • Name, Service/Component, Grade/Rank, Sponsor’s Name (if applicable), Year of Birth, SSN/ID Number, Organization, Workplace ID, PAS Code.
  2. Reason(s) for Request and Date
    • Brief explanation of why the analysis is needed (e.g., annual HCP review, medical waiver, profile evaluation).
  3. Part 1 & Part 2 – Essential Tasks (Completed by Appointing Official / Supervisor or Safety)
    • List specific, essential tasks the worker must perform to qualify for or retain the position.
    • Be specific — Examples on the form include: “Change brake pads on aircraft on the flight line” or “Drive on the flight line.”
    • Avoid vague statements; use action-oriented descriptions like “Operate a drill press” or “Work near rotating propellers.”
    • Continue on the reverse if more space is needed.
  4. Part 3 – Job Capability Survey (Completed by Medical Personnel / Examining Practitioner)
    • Question: “Is the worker capable, considering the medical condition(s) above, of performing the task?”
    • If “No,” specify whether a reasonable accommodation or restriction would make it possible (and describe it).
    • Signature of the examining practitioner required.
  5. Part 4 – Job Safety Analysis (Completed by Safety Personnel)
    • Question: “Can the worker perform the task without personal risk to others? If NO, list the specific nature of the risk(s).”
    • Examples: “Can’t hear verbal warnings near operating aircraft” or “Personal danger near rotating propellers.”
    • Safety office completes this section with input from the shop supervisor.
    • Signature required.

All sections require signatures from the appropriate parties (appointing official, medical, safety). The completed form is typically forwarded to the member’s medical record.

Who Completes AF Form 1754?

  • Appointing Official / Supervisor: Lists essential tasks (Parts 1/2).
  • Medical Treatment Facility (MTF) Personnel / Examining Practitioner: Completes the capability survey (Part 3).
  • Safety Office / Organizational Safety Staff: Performs the safety analysis (Part 4), often with supervisor input.
  • Hearing Conservation Program Manager (HCPM) or Public Health may initiate or assist, especially for noise-related concerns.

In many units, the process flows through the Occupational and Environmental Health Working Group (OEHWG) for coordinated fitness and risk evaluations.

Step-by-Step Guide: How to Complete AF Form 1754?

  1. Initiate the Request — The supervisor or medical provider starts the form with patient details and reason for request.
  2. List Essential Tasks — Supervisor provides a clear, specific list of minimum tasks required for the job.
  3. Medical Evaluation — Provider reviews the member’s medical history and answers the capability questions, noting any needed accommodations.
  4. Safety Review — Safety professionals assess risks to self and others, documenting any unacceptable hazards.
  5. Review and Sign — All parties sign. Route the form for inclusion in medical records or personnel actions.
  6. Document Accommodations or Restrictions — Clearly note any limitations or adjustments (e.g., hearing protection requirements, task modifications).

Tip: Always reference the specific job description or position qualification standards. For hearing-related cases, coordinate with the installation Hearing Conservation Program.

  • DAFI 91-202 — Covers mishap prevention and references AF Form 1754 in safety processes.
  • AFI 48-127 / Hearing Conservation — Details use of the form for noise-exposed workers.
  • DAFMAN 91-203 — Occupational Safety, Fire, and Health Standards (includes Job Hazard Analysis concepts that complement this form).
  • Local supplements or wing instructions may provide additional procedures.

The form supports broader Job Hazard Analysis (JHA) efforts, where hazards are identified and controls (including PPE) are implemented.

Why AF Form 1754 Matters for USAF Readiness?

Using this form helps:

  • Prevent mishaps by identifying risks early.
  • Support reasonable accommodations under applicable guidelines.
  • Maintain compliance with federal occupational safety standards (e.g., OSHA 29 CFR 1910.95 for hearing conservation).
  • Ensure only qualified personnel perform critical tasks, protecting both the individual and the mission.

Commanders and supervisors who proactively use AF Form 1754 demonstrate commitment to risk management and personnel safety.

Download and Access

Access the most current version directly from the official source:
Download AF Form 1754 – Job Capability and Safety Analysis (LRA)

For questions about implementation, consult your unit Safety Office, Medical Group, or the Air Force Safety Center resources.

Note: Always verify the latest form and instructions on the Air Force e-Publishing website (e-publishing.af.mil), as processes may be updated through supplements or new guidance.

This article provides general information based on official Air Force publications. For specific cases, consult your chain of command, medical provider, or safety professional. Proper use of AF Form 1754 contributes to a safer, more effective fighting force.