DEPARTMENT OF THE NAVY
OFFICE OF THE CHIEF OF NAVAL OPERATIONS
2000 NAVY PENTAGON
WASHINGTON DC 20350-2000
OPNAVINST 1500.86
N13M
12 Apr 2021
OPNAV INSTRUCTION 1500.86
From: Chief of Naval Operations
Subj: TACTICAL COMBAT CASUALTY CARE TRAINING
Ref: (a) Public Law 114-328
(b) DoDI 1322.24, Medical Readiness Training, March 2018
(c) ASD (HA) Memo of 4 Apr 2019
(d) DoDI 1322.31, Common Military Training, 20 Feb 2020
(e) ASD (HA) Memo of 6 May 2020
(f) ASD (HA) Memo of 29 Jul 2020
1. Purpose. To issue Tactical Combat Casualty Care (TCCC) training guidance for all Navy
personnel. TCCC is the Department of Defense (DoD) standard of care for all first responders,
both medical and non-medical personnel. References (a) and (b) mandate the use of
standardized TCCC training. Reference (c) directs the sole use of Defense Health Agency’s
(DHA) TCCC trauma skills curriculum for all “Service trauma skills currently taught in first aid,
self-aid, and buddy care courses.” Reference (d) establishes TCCC as a pre-deployment
requirement. References (e) and (f) updates reference (c) guidance and timelines.
2. Applicability
a. The requirements in this instruction apply to all uniformed Active and Reserve
Component Navy personnel.
b. Standardized TCCC curriculum developed by the DHA replaces all Service first aid, self-
aid, buddy care and field trauma training. The curriculum published by the DHA for each of the
four role-based TCCC training tiers represent the minimum learning objectives for certification
to ensure training standardization across the Services. Additional topics may be added to meet
Service, mission, platform, or unit-specific requirements. In line with reference (f), existing
courses should be updated to use the standardized DHA curriculum by 30 June 2021.
c. Four TCCC tiers provide role-appropriate curriculum for personnel.
(1) TCCC Tier 1. All Service Member (ASM) training is designed to provide basic,
evidence-based lifesaving skills for non-medical personnel at their duty stations or in preparation
for non-combat deployments.
(2) TCCC Tier 2. Combat Lifesaver (CLS) TCCC training is primarily for designated
non-medical personnel tasked to provide additional medical support within their units during
