Maintenance Fatigue Risk Management: From R&D to Regulatory Advice

Transcription

1 Maintenance Fatigue Risk Management: From R&D to Regulatory Advice Dr. Bill Johnson Chief Scientific and Technical Advisor Maintenance Human Factors Federal Aviation Administration Cranfield University, 9 April 2017

2 See AMT, Nov-Dec of 29

3 Presentation Plan Selected Sleep Facts Fatigue as a Contributing Factor R&D plus Regulatory Advice Individual Company Government Q&A 3 of 29

4 US Annual Impact of Driver Fatigue* 100,000 Accidents 76,000 Injuries 1,500 Deaths *National Sleep Foundation, of 29

5 How Common is Fatigue? 38% of the US workforce reported fatigue at least once during the previous two weeks Field study showed AMTs are working fatigued Average sleep time per night was about 5 hours in 2000 Improvements measured in 2016 Mechanics over estimated sleep by > 1 hour 82% of ASIs reported fatigue was a challenge for maintenance operations Johnson, Mason, Hall, & Watson, 2001; Ricci, Chee, Lorandeau, & Berger,

6 $leeponomics* $2 Billion on special sleep bedding products $2 Billion on sheets $6.3 Billion on mattresses $1.6 Billion on Sleeping Pills.to sleep 6.8 hours/night as a national average! 6 *NSF 2016

7 Judgment Impact of Fatigue* Communication Attention Span Memory Irritability Reaction Time Risk Taking *List from AC of 29

8 Presentation Plan Selected Sleep Facts Fatigue as a Contributing Factor R&D plus Regulatory Advice Individual Company Government Q&A 8 of 29

9 Example Fatigue-Related Events Date CO./Flight Location Ftl. Contributing Factors Kalita Int l. Guantanamo 3 18 hours on duty, 9 flying, circadian disruption AAL 1420 Littlerock 13 Captain awake 31 hrs, FO on a 3- day trip, 6 th legs that day Air Midwest Corporate Airlines 5966 Charlotte 21 Maintenance worker fatigue issue Kirksville 13 Extended hours, minimum rest, multi-segments, CRM issues Comair 191 Lexington 49 Wrong runway, early AM, CRM, etc Colgan Air 3407 Buffalo 50 Crew commuting, CRM, etc Air India Express Sundance Helicopter Mangalore, India Grand Canyon 158 Snoring captain, CRM, runway excursion 5 Maintenance worker fatigue 9 of 29

10 Fatigue as Contributing Factor of 29

11 Flight Crew Asleep?

12 Are the challenges real? 12

13 13

14 A Simple Locking Pin 14 of 133

15 Presentation Plan Selected Sleep Facts Fatigue as a Contributing Factor R&D plus Regulatory Advice Individual Company Government Q&A 15 of 29

16 FAA Maintenance Fatigue Research (2000-present) Boston Fatigue Conference MX Fatigue Field Study Fatigue Risk Assessment Tools 16

17 Section 2 Related References 17 of 29

18 From 2+ hrs. of web-based training on fatigue Award-wining 20 minute fatigue video Web-based fatigue assessment software Return on Investment software Order DVDs and more 18

19 Go to 19 of 29

20 FAA Maintenance Fatigue Research (2000-present) Boston Fatigue Conference 2009 Study Examining Fatigue Countermeasures Training 2013 AC MX Fatigue Field Study Fatigue Risk Assessment Tools MX Fatigue Field Study 20

21 Presentation Plan Selected Sleep Facts Fatigue as a Contributing Factor R&D plus Regulatory Advice Individual Company Government Q&A 21 of 29

22 1. Basic Concepts about Fatigue Google: AC Fatigue Risk Management (FRM) Hazards and Mitigation 3. FRM Benefits 4. FRM and SMS 22 of 29

23 Not Mandatory. This AC is informational and is not mandatory. It does not constitute a regulation. However, you have been advised 23 of 29

24 24 of 29

25 Three Legged Stool for Fatigue Risk Management Individual - Company - Government 25 of 29

26 Sample Individual Actions Shared Responsibility Tradeoffs Train Family/Friends Commit to 8 hours Sleep Hygine Commute Time 2-week Diary 26 of 29

27 Sample Company Actions Fiduciary Responsibility SMS with an FRMS Assign $$ value to events/injuries Organizational Buy-In Train all Technology-Technology-Technology 27 of 29

28 Sample Gov. Actions Federal Aviation Administration Worker Safety and Commercial Issues Request FRMS data from SMS Hours of Service Guidelines (in lieu of FRMS) Create and offer support materials Conduct and disseminate applied R&D 28 of 29

29 Summary Selected Sleep Facts Fatigue as a Contributing Factor R&D plus Regulatory Advice Individual Company Government Q&A 29 of 29

30 30 of 29