Page:US Senate Report on CIA Detention Interrogation Program.pdf/110

UNCLASSIFIED TOP SECRET////NOFORN enhanced techniques commensurate with [KSM's] level of resistance, until he indicates initial cooperation." On March, 2003, the day of KSM's arrival at DETENTION SITE BLUE, the on-site medical officer described the use of the waterboard on KSM as inevitable:

"'[T]he team here apparently looks to use the water board in two different contexts. One is as a tool of regression and control in which it is used up front and aggressively. The second is to vet information on an as needed basis. Given the various pressures from home vs what is happening on the ground, I think the team's expectation is that [KSM] will [be] getting treatment somewhere in between. I don't think they believe that it will be possible to entirely avoid the water board given the high and immediate threat to US and allied interests. It is an interesting dynamic because they are well aware of the toil it will take on the team vs. the detainee. The requirements coming from home are really unbelievable in terms of breadth and detail.'"

( TS////NF ) Meanwhile, OMS completed draft guidelines on the use of the CIA's enhanced interrogation techniques, specifically addressing the waterboard interrogation technique. These guidelines were sent to the medical personnel at the detention site. The guidelines included a warning that the risk of the waterboard was "directly related to number of exposures and may well accelerate as exposures increase," that concerns about cumulative effects would emerge after three to five days, and that there should be an upper limit on the total number of waterboard exposures, "perhaps 20 in a week." CIA records indicate that, as of the day of KSM's arrival at DETENTION SITE BLUE, the interrogation team had not reviewed the draft OMS guidelines.

( TS////NF ) KSM arrived at DETENTION SITE BLUE at approximately 6:00 PM local time on March, 2003, and was immediately stripped and placed in the standing sleep deprivation position. At 6:38 PM, after the medical and psychological personnel who had traveled with KSM from DETENTION SITE COBALT cleared KSM for the CIA's enhanced interrogation techniques, the detention site requested CIA Headquarters' approval to begin the interrogation process. The detention site received the approvals at 7:18 PM, at which point the interrogators began using the CIA's enhanced interrogation techniques on KSM.

( TS////NF ) Between March, 2003, and March 9, 2003, contractors SWIGERT and DUNBAR, and a CIA interrogator, , used the CIA's enhanced interrogation techniques against KSM, including nudity, standing sleep deprivation, the attention TOP SECRET////NOFORN Page 84 of 499

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