Medical Officer also has authority to designate a medicinal as “controlled.” BULK CUSTODIAN The commanding officer appoints in writing a commissioned officer to serve as the bulk custodian. This officer is responsible for and maintains custody of all bulk controlled substances. SECURITY Security of controlled substances is of utmost importance. Therefore, access to controlled medicinals is limited to the bulk custodian and the senior medical department representative (SMDR). Only individuals whose official duties require access to such spaces will be provided the safe combinations. ACCOUNTABILITY The bulk custodian and the SMDR are responsible for the receipt and custody of controlled substances. Each unit must maintain a detailed record of the receipt, transfer, survey, dispensing, and expenditure of controlled substances in accordance with MANMED, chapter 21. INVENTORY BOARD Monthly, or more frequently if necessary, the Controlled Substances Inventory Board will conduct an unannounced inventory of controlled substances. The commanding officer appoints three members to this board, at least two of whom are commissioned officers. The third member is an E-7 or above. The officer having custodial responsibility is not appointed to the board. After the board conducts the monthly inventory, it will submit a report to the commanding officer. SURVEY OF CONTROLLED SUBSTANCES The survey or inspection of the controlled substance inventory will be much easier if you adhere to proper documentation procedures. Destroy controlled substances in the presence of at least one member of the inventory board. Make appropriate entries to the stock records and the Controlled Substances Log. Items are destroyed in a manner that ensures total destruction and prevents subsequent use. The method of destruction must meet federal, state, and local environmental pollution control standards. PROPERTY SURVEYS A property survey is the procedure that is used when Navy property or Defense Logistics Agency material is lost, damaged, or destroyed. The purpose of a survey is to determine who or what is responsible for the loss, and to determine the actual loss to the United States Government. To make a true determination, the facts surrounding the loss or damage must be thoroughly investigated in a timely manner. The forms discussed in the following paragraphs are used in connection with survey procedures. FINANCIAL LIABILITY INVESTIGATION OF PROPERTY LOSS, DD FORM 200 The Financial Liability Investigation of Property Loss, DD Form 200, is used if personal responsibility is evident, and if the commanding officer or higher authority so directs. For more detailed information about the survey procedures, refer to the NAVSUP Manual, volumes I and II. CONTINGENCY SUPPLY BLOCKS LEARNING OBJECTIVE: Recall assemblage and management procedures for medical contingency supply blocks. At some point in your career, you may be assigned to one of the six types (surgical, medical regulating, preventive medicine, specialist support, special psychiatric rapid intervention (SPRINT), or h u m a n i t a r i a n s u p p o r t ) o f M o b i l e M e d i c a l Augmentation Readiness Teams (MMART), to a fleet hospital, or to some other contingency-related unit. MMARTs are specialty units that can be deployed anywhere in the world on short notice. The Medical Augmentation Program (MAP), BUMEDINST 6440.5, gives detailed information on policies, procedures, and responsibilities on the various types of teams. These specialty units require supplies and equipment that may not be available or are in limited supply in the area to which deployed. To circumvent this problem, contingency supply blocks have been established. Contingency supply blocks consist of functionally packaged medical and dental equipment and supplies. Each block is assembled to meet the needs of a specific 13-20