Module 1 FMP Introduction and Overview Module 1 Overview • Introduction to Fatigue • Overview of Fatigue Management Program • Module Summaries NAFMP | North American Fatigue Management Program Copyright © 2012 2 List of Abbreviations and Acronyms CMV commercial motor vehicle FMP Fatigue Management Program FMT fatigue management technology HOS hours-of-service OSA Obstructive Sleep Apnea NAFMP | North American Fatigue Management Program Copyright © 2012 3 Module Objectives (1 of 2) • Define Fatigue Management Program (FMP) • Identify need for fatigue management in Commercial Motor Vehicle (CMV) operations • Identify benefits of implementing the FMP • Identify importance of the corporate change process, driver scheduling, fatigue management training, and sleep apnea screening and treatment • Identify major elements of the FMP • Identify what is in the implementation manual • Identify major topics covered in each module NAFMP | North American Fatigue Management Program Copyright © 2012 4 Module Objectives (2 of 2) • Identify how the FMP assesses your learning in each module • Identify which modules are designed for drivers, carrier executives and managers, drivers’ families, trainers, shippers and receivers, and dispatchers NAFMP | North American Fatigue Management Program Copyright © 2012 5 Lesson 1: Fatigue Introduction to Fatigue • What is fatigue? • Combination of symptoms 1. 2. 3. 4. 5. 6. 7. Decreased alertness Decreased attention to the environment Reduced performance Reduced motivation Irritability Impaired judgment Feelings of drowsiness NAFMP | North American Fatigue Management Program Copyright © 2012 7 Fatigue vs. Sleepiness • Fatigue may also be physical and felt in the body – De-energized, sore, achy • Sleepiness felt in mind – Heavy eyes, difficulty concentrating • Physical fatigue is generally not the main problem, while sleepiness and mental fatigue are NAFMP | North American Fatigue Management Program Copyright © 2012 8 Characteristics of Fatigue (1 of 2) • Acute (short-term) fatigue • Chronic (long-term) fatigue – May be experienced daily – Reduced or eliminated by a night’s sleep or nap – Caffeine or rest (without sleep) may temporarily perk up alertness – But obtaining sleep is important to alleviate acute fatigue – Inadequate sleep, or sleep deprivation, over weeks/months – Personal, home life, or workrelated stressors may contribute – Need a few nights of long, sound sleep or break from work – May be linked to obstructive sleep apnea (OSA) or other sleep disorders NAFMP | North American Fatigue Management Program Copyright © 2012 9 Characteristics of Fatigue (2 of 2) • • • • • • Loss of alertness, attention, and vigilance Reduced field-of-vision Wandering thoughts/boredom Loss of motivation Slow reactions, poor response Impaired judgment – Adversely affects safe driving practices • Impaired memory • Occasionally experience microsleeps • Little effect on purely physical tasks NAFMP | North American Fatigue Management Program Copyright © 2012 10 How Fatigue Affects Commercial Motor Vehicle Fleets • Fatigue’s role in crashes – Principal cause in 31% fatal-to-the-driver large truck crashes (NTSB, 1990) – Asleep-at-the-wheel in 4% of heavy vehicle crashes (Knipling & Wang, 2004) – Associated factor in 13% of serious heavy vehicle crashes (FMCSA, 2006) • Fatigue-related crashes may be result of: – Lack of sleep/sleep disorders – Extended driving hours – Switching day and night shifts without time to adjust – Work conditions NAFMP | North American Fatigue Management Program Copyright © 2012 11 Health and Wellness Issues (1 of 2) • • • • • • • • Disrupts circadian rhythm Increased blood pressure Increased risk of heart disease Gastrointestinal problems Increased calorie consumption Weight gain Type II diabetes Poor immune system function NAFMP | North American Fatigue Management Program Copyright © 2012 12 Health and Wellness Issues (2 of 2) • • • • • • More likely to smoke & use alcohol Irritability and depression Disrupts relationships Worsens psychiatric conditions Decreased quality of life Increased sick days NAFMP | North American Fatigue Management Program Copyright © 2012 13 Lesson 2: FMP FMP Overview • No simple solution to mitigate driver fatigue • A comprehensive approach to effectively manage fatigue – – – – – Corporate culture Education and training Sleep disorder screening and treatment Scheduling and tools Fatigue monitoring and management technologies • Collaboration between drivers, families, management, dispatchers, and customers • Applicable regardless of industry type and fleet size • Benefits can be found if implemented appropriately NAFMP | North American Fatigue Management Program Copyright © 2012 15 Benefits of an FMP • Safety – Reduced fatigue-related risks – Improved driver alertness – Reduced crashes and near crashes • Health and well-being – Increased job and life satisfaction – Fewer health complications – Weight loss • Financial – Reduced legal exposure – Lower healthcare and crash costs – Increased productivity through reduced absenteeism NAFMP | North American Fatigue Management Program Copyright © 2012 16 FMP Format • FMP information organized in a series of modules covering different fatigue topics • Instruction options – Instructor-led PowerPoint presentation – Web-based non-interactive course – Web-based interactive course • Quizzes to assess learning • End of lesson tests NAFMP | North American Fatigue Management Program Copyright © 2012 17 Implementation Manual • Step-by-step guide for implementing an FMP • For carrier management, including: – President/CEO – Safety managers – Fleet managers – Logistics managers – Transportation managers • Practical, easy-to-understand reference guide NAFMP | North American Fatigue Management Program Copyright © 2012 18 Overview of the Implementation Manual • • • • • • • • Definition and benefits of an FMP Role of safety culture Roles and responsibility in an FMP Performance measures and rewards in an FMP Risk management Guide to corporate culture change How to select trainers Step-by-step guide to implement a sleep disorders screening and treatment program NAFMP | North American Fatigue Management Program Copyright © 2012 19 Lesson 3: Module Summaries Instructional Modules Module Title Target Audience Estimated Duration 1 FMP Introduction and Overview Carrier Executives and Managers 45 minutes 2 Safety Culture and Management Practices Carrier Executives and Managers 1.5 hours 3 Driver Education Drivers 3 hours 4 Driver Family Education Drivers’ Spouses and Family 45 minutes 5 Train-the-Trainer for Driver Education and Family Forum 6 Shippers and Receivers Shippers and Receivers 30 minutes 7 Motor Carrier Sleep Disorders Management Carrier Executives and Managers 1.5 hours 8 Driver Sleep Disorders Management Drivers 1.25 hours 9 Driver Scheduling and Tools Dispatchers and Managers * 1 hour 10 Fatigue Monitoring and Management Technologies Carrier Executives and Managers 1 hour Trainers NAFMP | North American Fatigue Management Program Copyright © 2012 3.5 hours 21 Module 2: Safety Culture and Management Practices • Understand how various safety culture components can be used to implement and maintain a successful FMP • Introduction to safety culture • Corporate responsibilities and roles in FMP implementation • Strategies for engaging and empowering staff and generating commitment in the FMP • Overview of organizational culture change • Performance measures to gauge effectiveness of the FMP NAFMP | North American Fatigue Management Program Copyright © 2012 22 Module 3: Driver Education • • • • Introduction to fatigue/drowsiness Sleep, alertness, and wellness Introduction to sleep disorders Critical fatigue management knowledge, skills, and attitudes • Hours-of-Service (HOS) and scheduling NAFMP | North American Fatigue Management Program Copyright © 2012 23 Module 4: Driver Family Education • Driver health and wellness • Teach drivers’ families critical driver fatigue management knowledge, skills, and attitudes relevant to home life • Strategies for improving sleep and alertness • Introduction to sleep disorders • Improve home support for driver sleep hygiene NAFMP | North American Fatigue Management Program Copyright © 2012 24 Module 5: Train-the-Trainer for Driver Education and Family Forum • Prepare carrier management/trainers to teach Modules 3 and 4 and facilitate web-based learning • Introduction to the trainer’s role in the FMP • Trainer activities and responsibilities • FMP training structure and features • Principles and strategies for effective instruction NAFMP | North American Fatigue Management Program Copyright © 2012 25 Module 6: Shipper and Receiver Education • Teach driver fatigue knowledge, skills, and attitudes relevant to shipper/receiver actions • Improve shipper/receiver support for driver rest and HOS compliance • Industry guidelines and standards • “Chain of Responsibility” concept • Shipper and receiver best practices for reducing driver fatigue Drivers Carriers Driver Shippers & Families Receivers NAFMP | North American Fatigue Management Program Copyright © 2012 Fatigue Management 26 Module 7: Motor Carrier Sleep Disorders Management • Introduction to sleep disorders, including obstructive sleep apnea (OSA) • Prevention and treatment of OSA • Corporate responsibility and roles in identifying, treating, and managing sleep disorders • Developing and implementing a sleep disorders management program • Strategies for providing driver support and encouragement NAFMP | North American Fatigue Management Program Copyright © 2012 27 Module 8: Driver Sleep Disorders Management • • • • • • Inform drivers about sleep disorders, including OSA Introduction to sleep disorders Signs, symptoms and implications of OSA Screening and testing for sleep disorders Treatment options for OSA Complying with obstructive OSA treatment • Working with managers for a successful FMP NAFMP | North American Fatigue Management Program Copyright © 2012 28 Module 9: Driver Scheduling and Tools • Teach best practices to develop and implement a practical, dynamic, and effective driver scheduling program • Introduction to fatigue and its effects • Scheduling factors that drive fatigue • Limitations of current work/rest regulations • Shared responsibility in minimizing fatigue in schedules • Scheduling and tools • Scheduling challenges/case studies Scheduling and Management Regulators Drivers Fatigue Management NAFMP | North American Fatigue Management Program Copyright © 2012 29 Module 10: Fatigue Monitoring and Management Technologies • Educate management on fatigue management technologies (FMT) and their successful selection and integration in a fleet FMP • Introduction to FMTs • Back-office level FMTs vs. driver-level FMTs • Concepts of FMTs • Current FMTs • Deployment considerations • Operational guidelines • New technologies evaluation Back Office Level Non-driver measures Driver Level Driver Physiological Measures & Psychomotor Vehicle Kinematics & Driver Input Skills Both Levels NAFMP | North American Fatigue Management Program Copyright © 2012 30 Instructional Modules Module Title Target Audience Estimated Duration 1 FMP Introduction and Overview Carrier Executives and Managers 45 minutes 2 Safety Culture and Management Practices Carrier Executives and Managers 1.5 hours 3 Driver Education Drivers 3 hours 4 Driver Family Education Drivers’ Spouses and Family 45 minutes 5 Train-the-Trainer for Driver Education and Family Forum Carrier Safety Managers and other Trainers 3.5 hours 6 Shippers and Receivers Shippers and Receivers 30 minutes 7 Motor Carrier Sleep Disorders Management Carrier Executives and Managers 1.5 hours 8 Driver Sleep Disorders Management Drivers 1.25 hours 9 Driver Scheduling and Tools Dispatchers and Managers * 1 hour 10 Fatigue Monitoring and Management Technologies Carrier Executives and Managers 1 hour NAFMP | North American Fatigue Management Program Copyright © 2012 31