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IN THE NAME OF ALLAH THE BENEFICIENT THE MERCIFUL
2
3
Aviation psychology
“Man will never fly for God has reserved
flight for Angels”
Bishop Wright(1851)
Aviation psychology
4
5
Jeanette Van Tassel
7
Jeanette Van Tassel
Jeanette Van Tassel, a young balloonist from the United
States, was hired by the then incumbent Nawab Khwaja
Ahsanullah. At 6.20pm on the 16th March 1892, she set off to
fly from the southern bank of the River Buriganga to the roof
of Ahsan Manzil, lying across the river. But a gusting wind
carried her off to the gardens of Shahbag, where her balloon
became stuck in a tree. She was killed in her fall to the
ground, and lies interred in the Christian graveyard at
Narinda, Dhaka
8
Thunderbolts of No. 30
Squadron RAF taxiing
past a line of Hawker
Hurricane Mark IICs,
at Cox's Bazar
9
Thunderbolt Mark Is
of No. 135 Squadron
RAF lined up, being
over flown by three
other Thunderbolts
at Chittagong
10
Aircrew Fatigue
and
Management
Objective
The objective of this Presentation is to
apprise about the Aviation/Air crew Fatigue
and the Management Procedure.
Sequence
• Concept Of Fatigue
• Stress , Burnout and aviation fatigue
• Fatigue factors in flight operations
• Common Misconceptions
• Fatigue Management Strategies
• Interactive session
Leisure
William Henry Davies
What is this life if, full of care,
We have no time to stand and stare.
No time to see, when woods we pass,
No time to see, in broad daylight,
Streams full of stars, like skies at night.
No time to turn at Beauty's glance,
And watch her feet, how they can dance.
A poor life this if, full of care,
We have no time to stand and stare
16
17
STRESS
• Stress is a common part of life in today’s
world.
• It exert negative effects on both physical
health and psychological well-being,
• Stress is caused not only by external
factors, but is also generated internally by
our hopes and aspirations, beliefs and
attitudes, personality attributes and by our
unrealistic expectations of ourselves.
18
Stress
The process that occurs in us in
response to events that disrupt, or
threaten to disrupt, our physical or
psychological functioning
Burn out
A state of emotional, psychological,
and physical exhaustion caused by
excessive and prolonged stress
FATIGUE
• Fatigue is a feeling of constant tiredness or
weakness and can be physical, Psychological or
a combination of both
• Most adults will experience fatigue at some
point in their life
• Fatigue is a symptom, not a condition
Symptoms of fatigue
• chronic tiredness or sleepiness
• headache
• dizziness
• sore or aching muscles
• muscle weakness
• slowed reflexes and responses
• impaired decision-making and judgement
Symptoms of fatigue
• moodiness, such as irritability
• impaired hand-to-eye coordination
• appetite loss
• reduced immune system function
• blurry vision
• short-term memory problems
• poor concentration
• hallucinations
• reduced ability to pay attention to the situation at
hand
• low motivation.
Fatigue Types
• Transient fatigue : Acute fatigue brought on
by extreme sleep restriction or extended
hours awake within 1 or 2 days.
• Cumulative fatigue Fatigue brought on by
repeated mild sleep restriction or extended
hours awake across a series of days.
• Circadian fatigue : Reduced performance
during night time hours, particularly during an
individual’s “window of circadian low” (WOCL)
Causes of fatigue
• Medical causes : May be a sign of an underlying
illness, such as a thyroid disorder, heart disease
or diabetes.
• Lifestyle-related causes: Alcohol or drugs or lack
of regular exercise can lead to feelings of fatigue.
• Workplace-related causes : workplace stress can
lead to feelings of fatigue
• Emotional concerns and stress: Fatigue is a
common symptom of mental health problems,
such as depression and grief
Medical causes of fatigue
• There are a number of diseases and disorders
which trigger fatigue.
• If you experience prolonged feeling of fatigue
consult your doctor
Lifestyle-related causes of fatigue
• Lack of sleep : Adults need about eight hours of sleep
each night
• Too much sleep : Adults sleeping more than 11 hours per
night can lead to excessive daytime sleepiness
• Alcohol and drugs : Alcohol is a depressant drug that
slows the nervous system and disturbs normal sleep
patterns. Other drugs, such as cigarettes and caffeine,
stimulate the nervous system and can cause insomnia.
• Sleep disturbances: disturbed sleep may occur for a
number of reasons, for example, noisy neighbours, young
children who wake in the night, a snoring partner, or an
uncomfortable sleeping environment such as a stuffy
bedroom.
Lifestyle-related causes of fatigue
• Lack of regular exercise and sedentary behaviour :
physical activity is known to improve fitness, health
and wellbeing, reduce stress, and boost energy levels.
It also helps you sleep.
• Poor diet Low carbohydrate diets or high energy foods
that are nutritionally poor don’t provide the body with
enough fuel or nutrients to function at its best. Quick
fix foods, such as chocolate bars or caffeinated drinks,
only offer a temporary energy boost that quickly wears
off and worsens fatigue.
• Individual factors : Personal illness or injury, illnesses
or injuries in the family, too many commitments (for
example, working two jobs) or financial problems can
cause fatigue.
Workplace-related causes of fatigue
• Burnout : striving too hard in one area of life
while neglecting everything else.
‘Workaholics’, for example, put all their
energies into their career, which puts their
family life, social life and personal interests
out of balance.
• Unemployment : financial pressures, feelings
of failure or guilt, and the emotional
exhaustion of prolonged job hunting can lead
to stress, anxiety, depression and fatigue.
Workplace-related causes of fatigue
• Shift work : the human body is designed to sleep
during the night. This pattern is set by a small
part of the brain known as the circadian clock. A
shift worker confuses their circadian clock by
working when their body is programmed to be
asleep.
• Poor workplace practices : These may include
long work hours, hard physical labour, irregular
working hours (such as rotating shifts), a stressful
work environment (such as excessive noise or
temperature extremes), boredom, working alone
with little or no interaction with others, or fixed
concentration on a repetitive task.
Psychological causes of fatigue
• Depression : this illness is characterised by severe
and prolonged feelings of sadness, dejection and
hopelessness. People who are depressed
commonly experience chronic fatigue.
• Anxiety and stress : a person who is chronically
anxious or stressed keeps their body in overdrive.
The constant flooding of adrenaline exhausts the
body, and fatigue sets in.
• Grief : losing a loved one causes a wide range of
emotions including shock, guilt, depression,
despair and loneliness
Diagnosing fatigue
• Medical history : Recent events such as childbirth,
medication, surgery or bereavement may
contribute to fatigue.
• Physical examination : Check for signs of illness
or disease. Your doctor may also ask detailed
questions about diet, lifestyle and life events.
• Tests : such as blood tests, urine tests, x-rays and
other investigations. The idea is to rule out any
physical causes, for example anaemia, infection
or hormonal problems.
Aviation Fatigue
36
Checklist
Board
Writing
Disposal
Where am
I????
Cultural
Prog
Base
Lecture
Flt
Commander
Family
Problems
Military Member
Military General
Fire Fighter
Airline Pilot
Police
News reporter
Senior Executive
Health Worker
Event Manger
Driver
37
What is fatigue?
Physiological state in which
there is a decreased capacity
to perform cognitive tasks and
an increased variability in
performance
International Civil Aviation
Organization (ICAO)
 “A physiological state of reduced mental or
physical performance capability resulting from
sleep loss or extended wakefulness, circadian
phase, or workload.”
 The phenomenon places great risk on the
crew and passengers of an airplane because it
significantly increases the chance of pilot
error.
Manifestations of Fatigue
Signs and Symptoms
• Mood deterioration – irritability & apathy
• Decreases attention, vigilance & complex decision making
capabilities
• Tendency to withdraw & poor communication
• Slowed reaction time
• Task fixation
• Feeling lethargic
• Lack of concentration, irritation
• Forgetfulness
• Lethargic and body aches
• Sleepiness
How to understand Aircrew is
Fatigued
• Inaccurate flying;
• Missed radio calls;
• Symptoms of equipment malfunctions being missed;
• Routine tasks being performed inaccurately or even
forgotten; and, in extreme cases,
• Falling asleep - either a short "micro-sleep" or for a longer
period.
In an ATCO, fatigue may result in:
• Poor decision making
• Slow reaction to changing situation;
• Failure to notice an impending confliction
• Loss of situational awareness
• Forgetfulness.
NASA Survey
Out of 1424 flight crew members
responding to NASA Survey to
fatigue factors in air line
operations, 80% acknowledged
having “nodded off” during a flight
at some time.
The mistakes that led to a deadly Blue Angels crash —
and how the Navy wants to prevent them
Capt. Jeff Kuss
"Capt. Kuss represented the best and
brightest of Naval Aviation," Vice Adm. Mike
Shoemaker, head of Naval Air Forces, said in a
statement. "His professionalism, expertise and
love of flying made him a valued member of
the Blue Angels. His loss is devastating and felt
across the Naval Aviation community. It is our
duty as leaders and aviators to stress vigilance
and operational risk management to avoid
future tragedies."
Something was not right with the Marine flier at the stick of Blue Angels jet
No. 6 on June 2, the day he split off for a routine maneuver and crashed into a
field during an air show practice.
Shortly after takeoff Capt. Jeff Kuss, the opposing solo pilot, initiated a Split-S
maneuver. But he was flying too fast and too low, according to a new Navy
report. He called in over the radio that he'd turned off his afterburners, but he
hadn't.
At the time, rumors flew on social media and blogs that Kuss must have gone
unconscious because he hit the ground at such a high speed. Others were sure
he had sacrificed himself and stuck with the jet to make sure he didn't fly it
into a populated area.
The truth is, by the time he realized what was happening and tried to eject, it
was too late.
A cloudy day, tactical errors and — investigators concluded -— fatigue were to
blame for the accident that claimed the 32-year-old pilot's life in Smyrna,
Tennessee, according to the Navy investigation released Thursday.
• Kuss made an error by starting the Split-S maneuver at
a higher speed and below the required altitude, and
investigators believe his other mistakes and oversights
were likely due to tiredness. Officials are ordering
changes that allow Blues pilots to more readily opt out
of flying when they're not feeling ready, are reviewing
all air show maneuvers and are reworking future air
show schedules to give fliers more rest time.
• After the crash, investigators noted that he hadn't
signed off on his aircraft discrepancy book that day,
giving the jet the good-to-go for the practice. His F/A-
18C Hornet was fine, but it was uncharacteristic for
Kuss to forget to do something like that. It was also odd
that he forgot to enter his radar squawk code and turn
on his transponder, according to the report, and then
later told air traffic control that he had turned off his
afterburner, though he hadn't.
Red Arrows pilot ‘fatigued’ and ‘distracted’ before
fatal crash which killed engineer
• Investigators found that a Red Arrows pilot involved in
a fatal crash was almost certainly fatigued and
distracted.
• Corporal Jonathan Bayliss, a Royal Air Force Red Arrows
engineer, died when the Hawk T1 aircraft he was on
board of crashed at RAF Valley at around 1.30pm on
March 20, 2018 during a routine training exercise.
• The pilot, Flight Lt David Stark, suffered non-life
threatening injures after ejecting from the plane. He
was later discharged from hospital.
• He had approximately 2.5 seconds from selecting full
power to deciding to eject, during which time the
engine was accelerating
• The Service Inquiry Panel (SIP) said in the report
that the jet departed from RAF Valley with the
intention of simulating an engine failure in a
training exercise.
• During the training manoeuvre, the plane stalled
and crashed near the runway as it was flying too
low to recover.
• The inquiry found Flight Lt Stark generally worked
from 7.30am until 5.30pm and did not include,
“sufficient time for rest”. It was also noted that he
was distracted by an air traffic control call asking
him to confirm the aircraft’s landing gear was
down shortly before the crash.
• Stark was described by the panel as an experienced
pilot who was familiar with the exercise.
• The panel found no specific evidence to indicate that
fatigue was directly affecting his overall performance.
Although he was not visibly stressed, the panel
considered that his fatigue levels may have been
influenced by underlying work related stress.
• The SIP( service inquiry panel )concluded that fatigue
and distraction were a contributory factor that may
have influenced Flight Lt Stark’s actions on the day.
• In the report it states: “The panel concluded that when
considered collectively it was very likely that he was, to
a degree, fatigued, distracted during the flight and may
have had reduced situational awareness.”
US-Bangla pilot was mentally stressed:
Nepal probe report
Captain Abid Sultan of US-Bangla Flight BS211 was going through
tremendous 'personal mental stress and anxiety, and a series of
erroneous decisions on his part that led to the crash of the flight',
The pilot of the US-Bangla plane that crashed at Kathmandu's
Tribhuvan International Airport in March killing 51 people, appears
to have 'lied' to the control tower during the landing procedure and
was smoking continuously inside the cockpit during the one-hour
flight from Dhaka to Kathmandu, said the report, a copy of which
was obtained by the Kathmandu Post.
Throughout the flight, Sultan was engaged in 'erratic behaviour'
that marked a departure from his usual character-signs that should
have immediately raised red flags, Nepali investigators concluded in
the report.
Sultan had joined US-Bangla in 2015. Prior to flying commercial flights, he had
served in the Bangladesh Air Force, and according to reports, had a history of
depression. While in the Bangladesh Air Force, back in 1993, he had been
removed from active duty after a psychiatric assessment. But he was re-
evaluated by a psychiatrist back on January 9, 2002, and had been declared fit
for flying.
The report said that Sultan's detail medical history was not reviewed by US-
Bangla Airlines when he was hired.
However, the report clarifies that Sultan did not exhibit any recurring mental
issues during the medical examinations from 2002 to 2018.
‘None of the medical reports that the committee reviewed from 2012 to 2017
mentioned any symptoms about depression,’ the report said, adding that
during his routine medical evaluations, he was declared fit and free from any
symptoms of depression.
Colgan Air Flight 3407
Colgan Air Flight 3407, was a scheduled
passenger flight from , New Jersey to Buffalo,
New York, which crashed on February 12,
2009. The aircraft, entered an aerodynamic
stall from which it did not recover and crashed
into a house in Clarence Center, New York at
10:17 p.m. EST (03:17 UTC), killing all 49
passengers, aircrew and cabin crew as well as
one person inside the house.
NTSB Report
• Pilot performance was likely impaired because
of fatigue.
• Captain sleeapt in the crew room the night
before. He was awake for 15 hours.
• First officer spent most of her time sleeping in
a jump seat the night before.
• Both of them were unable to recognize the
abnormal flight pattern.
Causes of Fatigue
Sleep loss
Circadian rhythms
desynchronization
FLIGHT
CREW
FATIGUE
Flight operations affects sleep and circadian physiology
Is fatigue a concern in flight
operations?
• NASA Aviation Safety Reporting System (ASRS)
 21% of reported incidents mention fatigue-related factors
• National Transportation Safety Board (NTSB)
 “…it is time for an aggressive Federal program to address the
problems of fatigue and sleep issues in transportation safety”
 “…educate pilots about the detrimental effects of fatigue and
strategies for avoiding fatigue and countering its effects”
 Fatigue cited as probable cause in Guantanamo Bay aviation
accident
• Federal Aviation Administration (FAA)
 An objective of the National Plan for Aviation Human Factors
Risk factors
• Long duty hours
• Limited time off
• Early report time
• Less then optimum sleeping condition
• Rotating and non standard working hours
• Jet lag
• Multiple flight lags
Sleep physiology
• Quantity vs quality of sleep
 Normal requirement 6 – 8 hrs
 Getting 8hr of disrupted sleep can have effects similar to
too little sleep
 After sleep loss, sleep is deeper rather than longer
• Sleep loss is additive and results in a cumulative
sleep deprivation
Circadian Rhythms
• Circa = about; dies = day
• A circadian clock in the brain coordinates daily
cycles:
o Sleep/wake Performance
o Temperature Hormones
Fatigue Management
Strategies
Important Considerations
• Recommendations are based on ‘what is currently
known’
• Should be tailored to an individual’s need
• Best effects from combining multiple strategies
rather than relying on a single one
Preventive vs Operational Strategies
Preventive strategies
 Underlying physiology
 To manage & maximize sleep and promote circadian
adaptation
Operational strategies
• In-flight measures to maintain alertness and
performance
• Short term measures which help to conceal or attenuate
underlying physiological sleepiness
Preventive Strategies Sleep
Scheduling and Quantity
 At home get the best sleep possible before
starting a mission. On a trip try to get at least as
much sleep per 24 hrs as you would in a normal
24-hour at home
 Trust your own physiology
o If you feel sleepy and circumstances permit, then sleep
o If you wake spontaneously and cannot go back to sleep
within 15–30 minutes, then get up
Good Sleep Habits
 Keep a regular sleep/wake schedule; protect sleep time
 Develop and practice a regular pre-sleep routine
 Use bedroom only for sleep; avoid work, worry, exercise
 If hungry, eat a light snack; do not eat or drink heavily
before bedtime
 Avoid alcohol or caffeine before going to bed
 Use physical/mental relaxation techniques as needed to
fall asleep
 If you don’t fall asleep in 30 minutes, get out of bed
Good Sleep Habits
 Sleep environment
• Dark room (if necessary, use mask, heavy curtains)
• Quiet room (turn off phone, use earplugs)
• Comfortable temperature
• Comfortable sleep surface
 Lifestyle changes
• Maintain a high standard of physical fittness
• Exercise regularly (but not too near bedtime)
• Eat a balanced diet
Operational Strategies
What can you do in your cockpit seat?
• Engage in conversations with others
• Do something that involves physical action
• Stretch / in-flight exercises
• Be sensible about your hydration & stay hydrated
Coping with ‘Jet lag’
 Should ameliorate both physiological and cognitive
effects
 Two strategies
 Remaining on the home based timing
 When expected to return to base as soon as possible
 Need to be isolated from external events
 To adjust to the new time zones
 Need to stay for a period of time at destination
 Behavioral pattern to match with local schedule rapidly
Responsibilities of employer
• Ensure that work schedules, including
consecutive shift-working patterns, are
constructed so as to have the least possible
impact on off duty - and, if applicable, on duty
rest.
• Seek to provide optimum working conditions;
• Use Crew Resource Management (CRM)
and Team Resouce Management
(TRM) training to promote awareness to
fatigue and sleep issues.
Responsibilities of employer
• Establish a Fatigue Risk Management System
(FRMS)either as a part of the Safety Management
System (SMS) or as a standalone system. An
effective FRMS is data-driven and routinely
collects and analyzes information and reports
related to crew alertness as well as
• operational flight performance data. Computer
models can be used to predict average
performance capability from sleep/wake history
and normal circadian rhythms
Responsibilities of Pilots/ ATCOs
• Planning activities, meals, rest and sleep
patterns during off-duty periods;
• Making the most of permitted rest breaks,
including naps;
• Advising colleagues if one detects feeling
drowsy;
• Alerting colleagues if they appear to be
becoming drowsy
Contributory Factors
• Circadian adaptation, i.e. adjustment of the body
internal clock (e.g. due to the shift pattern, jet
lag, etc.)
• Length of previous rest period;
• Time on duty;
• Time awake prior to duty (duties that start in the
evening are more likely to cause fatigue than
those beginning at e.g. 8 a.m.)
• Sleep/nap opportunities (during the duty but also
at layover destinations)
Contributory Factors
• Physical conditions (temperature, airlessness,
noise, comfort, etc.)
• Workload (high or low)
• Emotional stress (in family life or at work);
• Lifestyle (including sleeping, eating, drinking
and smoking habits) and fitness; and,
• Health
Summary
• Underlying physiological mechanisms
• Fatigue affects performance
• Individualized mode of intervention
• Preventive measures are must
• Operational measures help
• Combination of more than one strategies is
recommended
INTERACTIVE SESSION
Presented by
Wing Commander Rumana Akter,psc
Bangladesh Air Force
rumana_aref@yahoo.com

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29 sept21 fatigue in aviation

  • 1. 1 IN THE NAME OF ALLAH THE BENEFICIENT THE MERCIFUL
  • 2. 2
  • 3. 3 Aviation psychology “Man will never fly for God has reserved flight for Angels” Bishop Wright(1851)
  • 5. 5
  • 6.
  • 8. Jeanette Van Tassel Jeanette Van Tassel, a young balloonist from the United States, was hired by the then incumbent Nawab Khwaja Ahsanullah. At 6.20pm on the 16th March 1892, she set off to fly from the southern bank of the River Buriganga to the roof of Ahsan Manzil, lying across the river. But a gusting wind carried her off to the gardens of Shahbag, where her balloon became stuck in a tree. She was killed in her fall to the ground, and lies interred in the Christian graveyard at Narinda, Dhaka 8
  • 9. Thunderbolts of No. 30 Squadron RAF taxiing past a line of Hawker Hurricane Mark IICs, at Cox's Bazar 9
  • 10. Thunderbolt Mark Is of No. 135 Squadron RAF lined up, being over flown by three other Thunderbolts at Chittagong 10
  • 11.
  • 13. Objective The objective of this Presentation is to apprise about the Aviation/Air crew Fatigue and the Management Procedure.
  • 14. Sequence • Concept Of Fatigue • Stress , Burnout and aviation fatigue • Fatigue factors in flight operations • Common Misconceptions • Fatigue Management Strategies • Interactive session
  • 15.
  • 16. Leisure William Henry Davies What is this life if, full of care, We have no time to stand and stare. No time to see, when woods we pass, No time to see, in broad daylight, Streams full of stars, like skies at night. No time to turn at Beauty's glance, And watch her feet, how they can dance. A poor life this if, full of care, We have no time to stand and stare 16
  • 17. 17
  • 18. STRESS • Stress is a common part of life in today’s world. • It exert negative effects on both physical health and psychological well-being, • Stress is caused not only by external factors, but is also generated internally by our hopes and aspirations, beliefs and attitudes, personality attributes and by our unrealistic expectations of ourselves. 18
  • 19. Stress The process that occurs in us in response to events that disrupt, or threaten to disrupt, our physical or psychological functioning
  • 20. Burn out A state of emotional, psychological, and physical exhaustion caused by excessive and prolonged stress
  • 21. FATIGUE • Fatigue is a feeling of constant tiredness or weakness and can be physical, Psychological or a combination of both • Most adults will experience fatigue at some point in their life • Fatigue is a symptom, not a condition
  • 22. Symptoms of fatigue • chronic tiredness or sleepiness • headache • dizziness • sore or aching muscles • muscle weakness • slowed reflexes and responses • impaired decision-making and judgement
  • 23. Symptoms of fatigue • moodiness, such as irritability • impaired hand-to-eye coordination • appetite loss • reduced immune system function • blurry vision • short-term memory problems • poor concentration • hallucinations • reduced ability to pay attention to the situation at hand • low motivation.
  • 24. Fatigue Types • Transient fatigue : Acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days. • Cumulative fatigue Fatigue brought on by repeated mild sleep restriction or extended hours awake across a series of days. • Circadian fatigue : Reduced performance during night time hours, particularly during an individual’s “window of circadian low” (WOCL)
  • 25. Causes of fatigue • Medical causes : May be a sign of an underlying illness, such as a thyroid disorder, heart disease or diabetes. • Lifestyle-related causes: Alcohol or drugs or lack of regular exercise can lead to feelings of fatigue. • Workplace-related causes : workplace stress can lead to feelings of fatigue • Emotional concerns and stress: Fatigue is a common symptom of mental health problems, such as depression and grief
  • 26. Medical causes of fatigue • There are a number of diseases and disorders which trigger fatigue. • If you experience prolonged feeling of fatigue consult your doctor
  • 27. Lifestyle-related causes of fatigue • Lack of sleep : Adults need about eight hours of sleep each night • Too much sleep : Adults sleeping more than 11 hours per night can lead to excessive daytime sleepiness • Alcohol and drugs : Alcohol is a depressant drug that slows the nervous system and disturbs normal sleep patterns. Other drugs, such as cigarettes and caffeine, stimulate the nervous system and can cause insomnia. • Sleep disturbances: disturbed sleep may occur for a number of reasons, for example, noisy neighbours, young children who wake in the night, a snoring partner, or an uncomfortable sleeping environment such as a stuffy bedroom.
  • 28. Lifestyle-related causes of fatigue • Lack of regular exercise and sedentary behaviour : physical activity is known to improve fitness, health and wellbeing, reduce stress, and boost energy levels. It also helps you sleep. • Poor diet Low carbohydrate diets or high energy foods that are nutritionally poor don’t provide the body with enough fuel or nutrients to function at its best. Quick fix foods, such as chocolate bars or caffeinated drinks, only offer a temporary energy boost that quickly wears off and worsens fatigue. • Individual factors : Personal illness or injury, illnesses or injuries in the family, too many commitments (for example, working two jobs) or financial problems can cause fatigue.
  • 29. Workplace-related causes of fatigue • Burnout : striving too hard in one area of life while neglecting everything else. ‘Workaholics’, for example, put all their energies into their career, which puts their family life, social life and personal interests out of balance. • Unemployment : financial pressures, feelings of failure or guilt, and the emotional exhaustion of prolonged job hunting can lead to stress, anxiety, depression and fatigue.
  • 30. Workplace-related causes of fatigue • Shift work : the human body is designed to sleep during the night. This pattern is set by a small part of the brain known as the circadian clock. A shift worker confuses their circadian clock by working when their body is programmed to be asleep. • Poor workplace practices : These may include long work hours, hard physical labour, irregular working hours (such as rotating shifts), a stressful work environment (such as excessive noise or temperature extremes), boredom, working alone with little or no interaction with others, or fixed concentration on a repetitive task.
  • 31. Psychological causes of fatigue • Depression : this illness is characterised by severe and prolonged feelings of sadness, dejection and hopelessness. People who are depressed commonly experience chronic fatigue. • Anxiety and stress : a person who is chronically anxious or stressed keeps their body in overdrive. The constant flooding of adrenaline exhausts the body, and fatigue sets in. • Grief : losing a loved one causes a wide range of emotions including shock, guilt, depression, despair and loneliness
  • 32. Diagnosing fatigue • Medical history : Recent events such as childbirth, medication, surgery or bereavement may contribute to fatigue. • Physical examination : Check for signs of illness or disease. Your doctor may also ask detailed questions about diet, lifestyle and life events. • Tests : such as blood tests, urine tests, x-rays and other investigations. The idea is to rule out any physical causes, for example anaemia, infection or hormonal problems.
  • 34.
  • 35.
  • 37. Military Member Military General Fire Fighter Airline Pilot Police News reporter Senior Executive Health Worker Event Manger Driver 37
  • 38. What is fatigue? Physiological state in which there is a decreased capacity to perform cognitive tasks and an increased variability in performance
  • 39. International Civil Aviation Organization (ICAO)  “A physiological state of reduced mental or physical performance capability resulting from sleep loss or extended wakefulness, circadian phase, or workload.”  The phenomenon places great risk on the crew and passengers of an airplane because it significantly increases the chance of pilot error.
  • 40.
  • 42. Signs and Symptoms • Mood deterioration – irritability & apathy • Decreases attention, vigilance & complex decision making capabilities • Tendency to withdraw & poor communication • Slowed reaction time • Task fixation • Feeling lethargic • Lack of concentration, irritation • Forgetfulness • Lethargic and body aches • Sleepiness
  • 43. How to understand Aircrew is Fatigued • Inaccurate flying; • Missed radio calls; • Symptoms of equipment malfunctions being missed; • Routine tasks being performed inaccurately or even forgotten; and, in extreme cases, • Falling asleep - either a short "micro-sleep" or for a longer period. In an ATCO, fatigue may result in: • Poor decision making • Slow reaction to changing situation; • Failure to notice an impending confliction • Loss of situational awareness • Forgetfulness.
  • 44. NASA Survey Out of 1424 flight crew members responding to NASA Survey to fatigue factors in air line operations, 80% acknowledged having “nodded off” during a flight at some time.
  • 45.
  • 46. The mistakes that led to a deadly Blue Angels crash — and how the Navy wants to prevent them Capt. Jeff Kuss
  • 47. "Capt. Kuss represented the best and brightest of Naval Aviation," Vice Adm. Mike Shoemaker, head of Naval Air Forces, said in a statement. "His professionalism, expertise and love of flying made him a valued member of the Blue Angels. His loss is devastating and felt across the Naval Aviation community. It is our duty as leaders and aviators to stress vigilance and operational risk management to avoid future tragedies."
  • 48. Something was not right with the Marine flier at the stick of Blue Angels jet No. 6 on June 2, the day he split off for a routine maneuver and crashed into a field during an air show practice. Shortly after takeoff Capt. Jeff Kuss, the opposing solo pilot, initiated a Split-S maneuver. But he was flying too fast and too low, according to a new Navy report. He called in over the radio that he'd turned off his afterburners, but he hadn't. At the time, rumors flew on social media and blogs that Kuss must have gone unconscious because he hit the ground at such a high speed. Others were sure he had sacrificed himself and stuck with the jet to make sure he didn't fly it into a populated area. The truth is, by the time he realized what was happening and tried to eject, it was too late. A cloudy day, tactical errors and — investigators concluded -— fatigue were to blame for the accident that claimed the 32-year-old pilot's life in Smyrna, Tennessee, according to the Navy investigation released Thursday.
  • 49. • Kuss made an error by starting the Split-S maneuver at a higher speed and below the required altitude, and investigators believe his other mistakes and oversights were likely due to tiredness. Officials are ordering changes that allow Blues pilots to more readily opt out of flying when they're not feeling ready, are reviewing all air show maneuvers and are reworking future air show schedules to give fliers more rest time. • After the crash, investigators noted that he hadn't signed off on his aircraft discrepancy book that day, giving the jet the good-to-go for the practice. His F/A- 18C Hornet was fine, but it was uncharacteristic for Kuss to forget to do something like that. It was also odd that he forgot to enter his radar squawk code and turn on his transponder, according to the report, and then later told air traffic control that he had turned off his afterburner, though he hadn't.
  • 50. Red Arrows pilot ‘fatigued’ and ‘distracted’ before fatal crash which killed engineer
  • 51. • Investigators found that a Red Arrows pilot involved in a fatal crash was almost certainly fatigued and distracted. • Corporal Jonathan Bayliss, a Royal Air Force Red Arrows engineer, died when the Hawk T1 aircraft he was on board of crashed at RAF Valley at around 1.30pm on March 20, 2018 during a routine training exercise. • The pilot, Flight Lt David Stark, suffered non-life threatening injures after ejecting from the plane. He was later discharged from hospital. • He had approximately 2.5 seconds from selecting full power to deciding to eject, during which time the engine was accelerating
  • 52. • The Service Inquiry Panel (SIP) said in the report that the jet departed from RAF Valley with the intention of simulating an engine failure in a training exercise. • During the training manoeuvre, the plane stalled and crashed near the runway as it was flying too low to recover. • The inquiry found Flight Lt Stark generally worked from 7.30am until 5.30pm and did not include, “sufficient time for rest”. It was also noted that he was distracted by an air traffic control call asking him to confirm the aircraft’s landing gear was down shortly before the crash.
  • 53. • Stark was described by the panel as an experienced pilot who was familiar with the exercise. • The panel found no specific evidence to indicate that fatigue was directly affecting his overall performance. Although he was not visibly stressed, the panel considered that his fatigue levels may have been influenced by underlying work related stress. • The SIP( service inquiry panel )concluded that fatigue and distraction were a contributory factor that may have influenced Flight Lt Stark’s actions on the day. • In the report it states: “The panel concluded that when considered collectively it was very likely that he was, to a degree, fatigued, distracted during the flight and may have had reduced situational awareness.”
  • 54. US-Bangla pilot was mentally stressed: Nepal probe report
  • 55.
  • 56. Captain Abid Sultan of US-Bangla Flight BS211 was going through tremendous 'personal mental stress and anxiety, and a series of erroneous decisions on his part that led to the crash of the flight', The pilot of the US-Bangla plane that crashed at Kathmandu's Tribhuvan International Airport in March killing 51 people, appears to have 'lied' to the control tower during the landing procedure and was smoking continuously inside the cockpit during the one-hour flight from Dhaka to Kathmandu, said the report, a copy of which was obtained by the Kathmandu Post. Throughout the flight, Sultan was engaged in 'erratic behaviour' that marked a departure from his usual character-signs that should have immediately raised red flags, Nepali investigators concluded in the report.
  • 57. Sultan had joined US-Bangla in 2015. Prior to flying commercial flights, he had served in the Bangladesh Air Force, and according to reports, had a history of depression. While in the Bangladesh Air Force, back in 1993, he had been removed from active duty after a psychiatric assessment. But he was re- evaluated by a psychiatrist back on January 9, 2002, and had been declared fit for flying. The report said that Sultan's detail medical history was not reviewed by US- Bangla Airlines when he was hired. However, the report clarifies that Sultan did not exhibit any recurring mental issues during the medical examinations from 2002 to 2018. ‘None of the medical reports that the committee reviewed from 2012 to 2017 mentioned any symptoms about depression,’ the report said, adding that during his routine medical evaluations, he was declared fit and free from any symptoms of depression.
  • 58. Colgan Air Flight 3407 Colgan Air Flight 3407, was a scheduled passenger flight from , New Jersey to Buffalo, New York, which crashed on February 12, 2009. The aircraft, entered an aerodynamic stall from which it did not recover and crashed into a house in Clarence Center, New York at 10:17 p.m. EST (03:17 UTC), killing all 49 passengers, aircrew and cabin crew as well as one person inside the house.
  • 59. NTSB Report • Pilot performance was likely impaired because of fatigue. • Captain sleeapt in the crew room the night before. He was awake for 15 hours. • First officer spent most of her time sleeping in a jump seat the night before. • Both of them were unable to recognize the abnormal flight pattern.
  • 60.
  • 61. Causes of Fatigue Sleep loss Circadian rhythms desynchronization FLIGHT CREW FATIGUE Flight operations affects sleep and circadian physiology
  • 62. Is fatigue a concern in flight operations? • NASA Aviation Safety Reporting System (ASRS)  21% of reported incidents mention fatigue-related factors • National Transportation Safety Board (NTSB)  “…it is time for an aggressive Federal program to address the problems of fatigue and sleep issues in transportation safety”  “…educate pilots about the detrimental effects of fatigue and strategies for avoiding fatigue and countering its effects”  Fatigue cited as probable cause in Guantanamo Bay aviation accident • Federal Aviation Administration (FAA)  An objective of the National Plan for Aviation Human Factors
  • 63.
  • 64. Risk factors • Long duty hours • Limited time off • Early report time • Less then optimum sleeping condition • Rotating and non standard working hours • Jet lag • Multiple flight lags
  • 65. Sleep physiology • Quantity vs quality of sleep  Normal requirement 6 – 8 hrs  Getting 8hr of disrupted sleep can have effects similar to too little sleep  After sleep loss, sleep is deeper rather than longer • Sleep loss is additive and results in a cumulative sleep deprivation
  • 66.
  • 67. Circadian Rhythms • Circa = about; dies = day • A circadian clock in the brain coordinates daily cycles: o Sleep/wake Performance o Temperature Hormones
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  • 71. Important Considerations • Recommendations are based on ‘what is currently known’ • Should be tailored to an individual’s need • Best effects from combining multiple strategies rather than relying on a single one
  • 72. Preventive vs Operational Strategies Preventive strategies  Underlying physiology  To manage & maximize sleep and promote circadian adaptation Operational strategies • In-flight measures to maintain alertness and performance • Short term measures which help to conceal or attenuate underlying physiological sleepiness
  • 73. Preventive Strategies Sleep Scheduling and Quantity  At home get the best sleep possible before starting a mission. On a trip try to get at least as much sleep per 24 hrs as you would in a normal 24-hour at home  Trust your own physiology o If you feel sleepy and circumstances permit, then sleep o If you wake spontaneously and cannot go back to sleep within 15–30 minutes, then get up
  • 74.
  • 75. Good Sleep Habits  Keep a regular sleep/wake schedule; protect sleep time  Develop and practice a regular pre-sleep routine  Use bedroom only for sleep; avoid work, worry, exercise  If hungry, eat a light snack; do not eat or drink heavily before bedtime  Avoid alcohol or caffeine before going to bed  Use physical/mental relaxation techniques as needed to fall asleep  If you don’t fall asleep in 30 minutes, get out of bed
  • 76. Good Sleep Habits  Sleep environment • Dark room (if necessary, use mask, heavy curtains) • Quiet room (turn off phone, use earplugs) • Comfortable temperature • Comfortable sleep surface  Lifestyle changes • Maintain a high standard of physical fittness • Exercise regularly (but not too near bedtime) • Eat a balanced diet
  • 77. Operational Strategies What can you do in your cockpit seat? • Engage in conversations with others • Do something that involves physical action • Stretch / in-flight exercises • Be sensible about your hydration & stay hydrated
  • 78. Coping with ‘Jet lag’  Should ameliorate both physiological and cognitive effects  Two strategies  Remaining on the home based timing  When expected to return to base as soon as possible  Need to be isolated from external events  To adjust to the new time zones  Need to stay for a period of time at destination  Behavioral pattern to match with local schedule rapidly
  • 79. Responsibilities of employer • Ensure that work schedules, including consecutive shift-working patterns, are constructed so as to have the least possible impact on off duty - and, if applicable, on duty rest. • Seek to provide optimum working conditions; • Use Crew Resource Management (CRM) and Team Resouce Management (TRM) training to promote awareness to fatigue and sleep issues.
  • 80. Responsibilities of employer • Establish a Fatigue Risk Management System (FRMS)either as a part of the Safety Management System (SMS) or as a standalone system. An effective FRMS is data-driven and routinely collects and analyzes information and reports related to crew alertness as well as • operational flight performance data. Computer models can be used to predict average performance capability from sleep/wake history and normal circadian rhythms
  • 81. Responsibilities of Pilots/ ATCOs • Planning activities, meals, rest and sleep patterns during off-duty periods; • Making the most of permitted rest breaks, including naps; • Advising colleagues if one detects feeling drowsy; • Alerting colleagues if they appear to be becoming drowsy
  • 82.
  • 83. Contributory Factors • Circadian adaptation, i.e. adjustment of the body internal clock (e.g. due to the shift pattern, jet lag, etc.) • Length of previous rest period; • Time on duty; • Time awake prior to duty (duties that start in the evening are more likely to cause fatigue than those beginning at e.g. 8 a.m.) • Sleep/nap opportunities (during the duty but also at layover destinations)
  • 84. Contributory Factors • Physical conditions (temperature, airlessness, noise, comfort, etc.) • Workload (high or low) • Emotional stress (in family life or at work); • Lifestyle (including sleeping, eating, drinking and smoking habits) and fitness; and, • Health
  • 85.
  • 86.
  • 87. Summary • Underlying physiological mechanisms • Fatigue affects performance • Individualized mode of intervention • Preventive measures are must • Operational measures help • Combination of more than one strategies is recommended
  • 89.
  • 90. Presented by Wing Commander Rumana Akter,psc Bangladesh Air Force rumana_aref@yahoo.com