• CBAT Kit Inventory FY2026-2027

    Chemical/Bacterial Agent Transport Kit

  • The purpose of this inventory is to substantiate the location, contents, and condition of the CBAT kits supplied by the MT Laboratory Services Bureau (MTLSB). The information you provide will also determine if the kits still contain the proper elements and are not damaged.

    In an effort to maintain the knowledge of the kits, their contents, and their intended use in the face of personnel turnover, it is prudent to conduct a yearly location and inventory.

    The custodian of the CBAT kit should be a local or tribal health contact, a DES personnel, a HAZMAT Team member, a jurisdictional sanitarian or environmental health officer, a member of the 83rd Civil Support Team of the MT National Guard, or a member of the MalmStrom Air Force Base 341st Emergency Management Flight. In some cases, a hospital clinical laboratory or public water works may be identified as a repository of the kit. The responsible individual assigned to the kit would qualify as "other".

     


    lf your jurisdiction has more than one CBAT Kit, please fill out one form for each CBAT kit. 

    DO NOT RESEAL the Kit until you have all the needed supplies to fill it.

  • Please complete the following information for the person completing this form and the jurisdiction (county, tribe, or health district) you represent. 

  • Format: (000) 000-0000.

  • Is the person completing this inventory responsible for knowing where the kit is located in an emergency?

  • CBAT user

  • Is the person completing this inventory form from the local or tribal public health department or health district?

  • CBAT user PH

  • Is the person completing this inventory a regional HAZMAT team member, a DES member, a member of the 83rd Civil Support Team of the MT National Guard, or a member of the Malmstrom Air Force 341st Emergency Management Flight?

  • CBAT user HAZMAT

  • Please check this box and then indicate your position and affiliation if you did not fit the above categories.

     

  • Are you the Primary or Secondary PHEP person for your jurisdiction?

  • PHEP level*

  • Please provide the name and email of the jurisdiction's Primary PHEP contact.

  • Did you locate your jurisdiction's CBAT kit?

  • CBAT Found?*

  • PLEASE CONTACT KIM NEWMAN AT knewman@mt.gov OR 406-444-3068 FOR ASSISTANCE. 

  • Examination of the CBAT Kit

  • Image field 59
  • Image field 60
  • Is the tamper-resistant seal on the CBAT Kit unbroken?*

  • Please rate the condition of the CBAT kit exterior. 

    *You can break the seal to conduct this inventory! The LSB will provide replacement evidence seal tape.

  • Kit Exterior Condition*

  • Complete each inventory section: Check off each box if the item is present and intact. 

    If an item is missing, expired, or damaged, please describe it in the Comment box below each section. (Example: Missing one sterile spatula). 

  • Outer Container - Check all that apply

  • Outer Container*

  • Inner Contents: Cold Zone Pack (one each) - Check all that apply

  • Cold Zone Pack*

  • Inner Contents: Warm Zone Packs (two each) - Check all that apply

  • Warm Zone Pack*

  • Inner contents: Hot Zone Packs (two each) - Check all that apply

  • Hot Zone Pack*

  • In 2026, the LSB will provide new updated Kit Instructions with additional tearaway HOT ZONE and WARM ZONE sheets, new Chain of Custody forms (single-sheet, double-sided), sterile sampling swabs, tranfer pipettes, ballpoint pen, and new tamper resistant evidence tape in the quarter prior to the inventory. The kit should be resealed at the finish of the inventory process unless other supplies are needed. The LSB will provide replacements for any noted missing supplies based on the inventory. Please DO NOT RESEAL the Kit until all replacement supplies have been placed in the CBAT Kit.

     


    You will receive an email with the information you provided as a receipt of submitting this form. If you are not a PHEP Officer, please forward this email to your jurisdiction's (county, tribe, or health district) PHEP Officer.

  • Have you resealed the CBAT Kit with the evidence tape provided?*
  • Should be Empty: