why may fatigue be a safety concern? associated with performance declines –less vigilant...
TRANSCRIPT
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Fatigue Risk
Management System,
-in the aviation industry
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Why may Fatigue be a safety concern?
• Associated with performance declines– Less vigilant– Increasingly variable, overall slower reaction times– Forgetfulness– Inattention – Poor decision-making– Apathy– Mood swings– Diminished communication– Non-reactive - ASLEEP
Task Factors
Circadian Factors
Sleep Factors
Physical- / Mental- Fatigue
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«IMO» in the aviation industry: «ICAO»
• 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)
• 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
Shared Responibility
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Fatigue in the Airline Industry / «fact’n figures»
• macho culture, following WW2 and military operations,
-pilots are capable?
• 1993 worlds first Fatigue accident (?), Root Cause, Guantano Bay DC-8
• 2007, Cathay Pacific 747F, ground collision Arlanda (crews awake 18-20hrs; incident at 03:30 a.m.)
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Fatigue Risk Management System – in Norwegian
TheFatigue Safety Action Group, FSAG. ( 7 stakeholders );• FRM based on reliable data such as AQD-reports, surveys, measurements etc• Produces recommendations
Development:2011; Survey, all crew2012; Establishment of FSAG 2013; Structured education and reporting sytem 2014; «SMS» system
Examples;Non punitive Reporting «AQD» / fatigue@...«Not Fit For Flight «
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Not ONE, but multiple solutions to FRMS;
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Shared Responebility –some elements
Roster Design
Lifestyle and Sleep
Workload Workforce/duties
– management
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One sollution (?)
Air India -133
12 APR 2013,
BKK / 08:55