Fatigue Risk Management System

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Why may Fatigue be a safety concern?
• Associated with performance declines
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Less vigilant
Increasingly variable, overall slower reaction times
Forgetfulness
Task
Inattention
Factors
Circadian
Poor decision-making
Factors
Apathy
Sleep
Factors
Mood swings
Diminished communication
Physical- / MentalNon-reactive - ASLEEP
Fatigue
«IMO» in the aviation industry: «ICAO»
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An operator’s FRMS Policy ‘reflect the shared responsibility of management, flight and
cabin crews, and other involved personnel’. Regulators will need to find evidence of this
sharing of responsibility, (ICAO Annex 6, App 8 / 2011)
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The composition of the Fatigue Safety Action Group should reflect the shared responsibility of
individuals and management by including representatives of all stakeholder groups
(management, Pilots Operators Regulators Shared Responsibility scheduling staff, and crew
members and/or their representatives)
Crew
Operator
Regulator
Fatigue in the Airline Industry / «fact’n figures»
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macho culture, following WW2 and military operations,
-pilots are capable?
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1993 worlds first Fatigue accident (?), Root Cause, Guantano Bay DC-8
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2007, Cathay Pacific 747F, ground collision Arlanda
(crews awake 18-20hrs; incident at 03:30 a.m.)
Fatigue Risk Management System
– in Norwegian
TheFatigue Safety Action Group, FSAG. ( 7 stakeholders );
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FRM based on reliable data such as AQD-reports, surveys, measurements etc
Produces recommendations
Development:
2011; Survey, all crew
2012; Establishment of FSAG
2013; Structured education
and reporting sytem
2014; «SMS» system
Examples;
Non punitive Reporting
«AQD» / fatigue@...
«Not Fit For Flight «
Not ONE, but multiple solutions to FRMS;
Shared Responebility –some elements
Workload
Workforce/duties
– management
Roster
Design
Lifestyle
and Sleep
One sollution (?)
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