RNZAF FATIGUE MODELLING AND MITIGATION STRATEGIES. Dr Darrell Bonetti Physiologist Aviation Medicine Unit Royal New Zealand Air Force
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1 RNZAF FATIGUE MODELLING AND MITIGATION STRATEGIES Dr Darrell Bonetti Physiologist Aviation Medicine Unit Royal New Zealand Air Force
2 RNZAF OVERVIEW 2400 Active Military Personnel 5 Operational Squadrons Key personnel to mitigate: 500 Active Aircrew and 900 Maintenance and support crew All remaining personnel will be affected by fatigue at some point in their career
3 COMMON FATIGUE RELATED ISSUES Long duty periods, shift work, environmental stress extended wakefulness and limited sleep opportunities can lead to: Poor subjective ratings of fatigue, objective measures are required Flight or ground safety events Compromised metabolic health Decreased resilience Reduced morale
4 RNZAF FATIGUE RISK MANAGEMENT The RNZAF has historically employed a single layer rules based system of orders and guidance to limit fatigue and enhance safety and productivity of personnel It has now been recognised that this approach has several limitations and in many instances will not effectively protect personnel from substantial levels of fatigue and the resulting risks
5 Implementation of a Fatigue Risk Management System (FRMS)with multi layers and control systems at both organisational and individual levels would go much further to protect both the organisation and individuals from fatigue Consequently, the components and framework of a multi-layered FRMS are being constructed and trialled by the Aviation Medicine Unit (AMU) and the Directorate of Air Force Safety and Health (DASH)
6 Active Errors Latent Errors RNZAF FRMS DEFENCE IN DEPTH Defence Level Error Trajectory Control 1 Work-Sleep Duty & Rest Periods Framework FAST Individual factors 2 Personal fatigue Score Operating factors 3 Symptom monitoring & reporting Fatigue related errors 4 Fatigue proofing strategies Fatigue related mishaps 5 Incident analysis
7 SPECIFIC COMPONENTS OF THE FRMS Duty periods and rest intervals Fatigue modelling software Personalisation of individual fatigue countermeasures EDUCATION!!
8 DUTY PERIODS AND REST INTERVALS Incorporation of prior-sleep wake rules to make current duty limits valid for afternoon or evening shifts. Need to take into account circadian disruption due to travel or shift work Reliable records of sleep, objective and subjective measures of fatigue required to support changes to duty limits and rest periods Transport home following duty periods where fatigue is highlighted as a risk
9 FATIGUE MODELLING SOFTWARE The Fatigue Avoidance Scheduling Tool (FAST) has been informally trialled since Generally used to investigate Flight Safety Events and deficiencies in operational schedules. Crew Alert has been informally trialled since Generally used to highlight deficiencies in operational schedules
10 FAST: EXTENDED WAKEFULNESS
11 CREW ALERT: EXTENDED WAKEFULNESS
12 FAST: DAY TO NIGHT SHIFT
13 AMU is now working with Operational Squadrons to encourage procurement of FAST or Crew Alert and proficiency in the generation of fatigue reports AMU then reviews the report and provides mitigation advice if fatigue is highlighted as a risk factor Several additional models are emerging across various platforms (IOS, Android, Windows) and will be considered when available.
14 OBSERVATIONS FAST Provides the capacity to generate multiple scenarios and categorize risk in terms of an equivalent blood alcohol Expensive and not very user-friendly Over estimates fatigue risk in eastward travel Crew Alert User-friendly, cost efficient and provides a good representation of deficits in cognitive performance following periods of extended wakefulness. Provides a realistic estimate of fatigue in eastward travel Limits the input of sleep data to duration
15 PERSONALISATION OF INDIVIDUAL FATIGUE COUNTERMEASURES Caffeine or Military-Approved Pharmacological Countermeasures? Caffeine Gum Sleep medication Diet and exercise Actigraphy, EEG, sleep hygiene, light therapy Fatigue related flying or work rules
16 EDUCATION Regular education on fatigue recognition and mitigation Distribution of relevant resources and publications Widespread distribution of fatigue modelling Apps? Education at Squadron, Unit and family level
17 SUMMARY The framework of a multi layered FRMS has been established Key components of this system are been trialled Fatigue modelling software, objective measures of fatigue and sleep tracking will be important tools. Acceptance of change and acknowledgment that we need to mitigate fatigue more effectively are substantial challenges for the RNZAF.
18 CONTACT DETAILS Dr Darrell Bonetti Aviation Medicine Unit RNZAF Base Auckland Phone Mobile: New Zealand
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