17.06.2013 Views

submission - Independent Pilots Association

submission - Independent Pilots Association

submission - Independent Pilots Association

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Airline<br />

Air Wisconsin<br />

Alaska<br />

Allegheny<br />

Aloha<br />

Aloha Island Air<br />

America West<br />

American<br />

American Eagle<br />

Atlantic Coast<br />

Atlantic Southeast<br />

Business Express<br />

Carnival<br />

CCAir<br />

Comair<br />

Continental<br />

Continental Express<br />

Delta<br />

DHL<br />

Emery Worldwide<br />

Express<br />

Federal Express<br />

Hawaiian<br />

r"ri ryit..D<br />

i.<br />

Aviation Rulemaking Advisory Committee<br />

Reserve Rest Working Group<br />

Proposal of 77 ,955 Airline <strong>Pilots</strong><br />

January 8, 1999<br />

<strong>Pilots</strong><br />

240<br />

l 153<br />

354<br />

r92<br />

64<br />

r532<br />

9508<br />

2055<br />

694<br />

763<br />

372<br />

2t9<br />

172<br />

1000<br />

4769<br />

1010<br />

9188<br />

395<br />

45t<br />

329<br />

3611<br />

285<br />

6000<br />

Airline<br />

Mesa<br />

Mesaba<br />

Midway<br />

Midwest Express<br />

Northwest<br />

Piedmont<br />

Polar Air Cargo<br />

PSA<br />

Reeve<br />

Reno<br />

Ross<br />

Ryan International<br />

Skyway<br />

Southwest<br />

Spirit<br />

Sun Country<br />

Tower Air<br />

Trans States<br />

TWA<br />

United<br />

UPS<br />

USAirways<br />

USAirways Shuttle<br />

<strong>Pilots</strong><br />

1095<br />

804<br />

174<br />

262<br />

6103<br />

368<br />

186<br />

254<br />

33<br />

302<br />

t9<br />

257<br />

r32<br />

2735<br />

r54<br />

213<br />

206<br />

806<br />

25r6<br />

962r<br />

2100<br />

5092<br />

r67


Preamble<br />

TABLE OF CONTENTS<br />

Part I: Proposed Regulatory Lan_euage.. ...................5<br />

Part [[: <strong>Pilots</strong>' Proposal with Intent, Examples, and Rationale........... .........7<br />

Scientific Support..... .......... 16<br />

kinciples and Guidelines for Duty and Rest Scheduling in Commercial Aviation,<br />

NASA Technical Memorandum I10404 (May 1996)................ .Appendix A<br />

An Overview of the Scientific Literature Concerning Fatigue, Sleep, and the<br />

Circadian Cycle, Battelle Memorial lnstitute (January 1998)......... ..............Appendix B<br />

A Scientific Review of Proposed Regulations Regarding Flight Crewmember<br />

Duty Period Limitations, Docket #28081, The Flight Duty Regulation<br />

Scientific Study Group ..........Appendix C<br />

Remarks by Dr. William Dement to the ARAC Working Group Pilot Representatives,<br />

December l, 1998 ...............4ppendix D<br />

Fatigue, Alcohol and Performance lmpairment, Nature.<br />

Vol. 338, July-Augusr 1991 .. Appendix E<br />

Quantifying the Performance Impairrnent associated with<br />

Sustained Wakefulness, Nicole l-amond and Drew'öãffiilÌhe Centre for<br />

Sleep Research, The Queen Elizabeth Hospital, South Australia... Appendix F<br />

Crew fatigue factors in the Guantanamo Bay aviation accident, NASA abstract..........Appendix G


AVIATION RULEMAKING ADVISORY COI\ÍMITTEE<br />

RESERVE REST WORKING GROUP<br />

PROPOSAL OF 77,955 AIRLINE PILOTS<br />

January 8, 1999<br />

PREAMBLE<br />

This document is submitted on behalf of approximately 78,000 commercial airline<br />

pilots. The proposal that follows contains our recommendations for Federal Aviation<br />

Regulations concerning rest requirements and duty limitations for reserve pilots. It is<br />

applicable to all Domestic and lntemational Part l2l operations under FAR Subparts e,<br />

R, and S. Part 135 re-øulations should be revised to provide a level of safety equivalent to<br />

this proposal.<br />

Our proposal is presented in two parts. Part I is the proposed regulatory language.<br />

Part II provides our intent, examples, and rationale. The scientihc support for our<br />

proposal is included in the endno!9s.<br />

We are pleased that both pilots and air carriers were able ro agree on the<br />

following elements of a proposed reserve rest rule:<br />

I ' A pilot should be scheduled by the operator to receive a protected time period<br />

as an oppomlnity to sleep for every day of reserve duty. The operator may not<br />

contact the pilot during this period.<br />

2. An operator should limit the movemenr of a pilot's prorected time period<br />

during consecutive days of reserve dut¡, to ensure circadian stability.<br />

3. A reserve pilot's availability for duty should be limired ro prevenr pilot fatigue<br />

as a result of len-ethy periods of time-since-awake.


4. Sufficient advance notice of a flight assignment can provide a reserve pilor<br />

u'ith a sleep opportuniry.<br />

We believe that it is incumbent upon the Federal Aviation Administrarion (F.\A)<br />

to include time-of-day as a factor in designin,e duty and rest limitations. A substantial<br />

body of resea¡ch and pilot reports shows that a decrease in performance frequently occurs<br />

during "back-side-of-the-clock" operations due to circadian factors. To address this<br />

issue, our proposal provides for a reduction in the reserve availability period when<br />

scheduled duty touches the 0200 -<br />

"window of circadian low."<br />

0ó00 time period, or what the scientists refer to as the<br />

Our <strong>submission</strong> refers to several documents that have provided us with a<br />

foundation of scientific support. Prominent among them is NASA Technical<br />

Memorandum I 10404 , Principles and Guidelines for Dun' and Rest Scheduling in<br />

Comntercial Aviation, (May 1996). This document, herein referred to as NASA Tlvf.<br />

offers NASål:-spec_rlc recommendations on duty and rest Iimitations based on more rhan<br />

20 years of extensive research into the cause and prevention of pilot fatigue. It is<br />

attached hereto as Appendix A.<br />

Another reference is An Overt'iew of the Scientific Literature Concernin7<br />

Farigue, Sleep, and the Circadian Ct'cle, Battelle Memorial Institute Study (January<br />

1998). This study, herein referred to as the Battelle Study, commissioned by the FAA's<br />

Office of the Chief Scientific and Technical Advisor for Human Factors, provides an in-<br />

depth revier"'of scientific research concernin-s sleep and fatigue. Drawing upon l6_5<br />

scientific references. the Battelle Report identifies major trends in the scientific literature.<br />

and has provided valuable information and conclusions. This study ìs attached as<br />

Appendix B.


-..-.-__-^<br />

Another reference is A Scientific Review of Proposed Regulations Regarding<br />

Flight Cre*'member Dun, Period Limitations, Docket #28081, The Flight Duty<br />

Regulation scientific Study Group. This study \\'as sponsored by the Independenr pilots<br />

<strong>Association</strong> to provide a scientific review of NPRM 95- 18. It is refened to as the<br />

Scientific Srudy Group and is attached as Appendix C.<br />

The pilots met with sleep expert, Dr. William Dement, Director of Sleep Research<br />

and Clinical Programs at Stanford University. The transcript of that meeting appears in<br />

Appendix D.<br />

We have attached an article titled Fatigue, Alcohol, and Performance Impairment<br />

that summarizes a study conducted by The Centre for Sleep Research at the eueen<br />

Elizabeth Hospital in South Australia in Appendix E. This study quantifies the<br />

performance impairment associated with sustained wakefulness in terms of equivalent<br />

percent blood alcohol impairment. A subsequent study, titled, Quantifuing the<br />

-Performance Impairment associated *'ith Sustained Wakefulness, by l-amond and<br />

Dawson replicates this study and extends the initial findings. It is attached as Appendix<br />

F.<br />

The NTSB requested that the FAA conducr an expedited review of the FARs after<br />

pilot fatigue and continuous hours of wakefulness were found to be key findings in the<br />

crash of a DC-8 at Guantanamo Bay, Cuba in 1993. A NASAAITSB report titled Cr¿¡.<br />

futiguefaclors i,t the Guantanatno Bat'aviation accident is attached as Appendix G.<br />

Sereral airlines have switched to reserve pilot schemes very similar to the one we<br />

propose. These carriers include Continental Airlines, UPS. America Wesr. Alaska<br />

Airlines. and British Airways. The reserve pilots at these airlines have protected time<br />

periods of 8 ro l2 hours with reserve availabilitv periods of 1,4 to lg hours.


We owe a debt of gratitude to the many pilots who provided us with reports of their<br />

encounters with pilot fatigue. These reports reveal that pilot fatigue typically occurs during<br />

back-side-of-the-clock operations and after long periods of time-since-awake.<br />

The pilots would like to thank the FAA for providing this forum and the air<br />

carriers for contributing to the debate. We hope that this ARAC has demonstrated to all<br />

interested parties how unregulated scheduling can lead to dangerously high levels of pilot<br />

fatigue for reserve pilots. We urge the FAA to quickly remedy this very serious safety<br />

problem.


121 .xxx Reserve Rest<br />

(a)<br />

(b)<br />

(c)<br />

PART I: PROFOSED REGULATORY LANGUAGE<br />

Except as provided in paragraphs (b) and (d), no certificate holder may schedule<br />

any flight crewmember a¡d no flight crewmember may accept an assignment to<br />

reserve status unless a minimum prospective Protected Time Period (PTP) of l0<br />

hours during a 24-consecutive hour period is scheduled. The Protected Time<br />

Period must begin at the same time during any scheduled period of consecutive<br />

days of reserve status and the flight crewmember must be given no less than 24<br />

hours notice of the Protected Time Period.<br />

A certifìcate holder may reschedule a specific Protected Time Period during any<br />

scheduled period of consecutive days of reserve by the following:<br />

( I ) Rescheduling the beginning of a Protected rime Period a maximum of<br />

three hours later without prior notification.<br />

(2)<br />

(3)<br />

Rescheduling the beginning of a Protected rime Period a maximum of<br />

three hours earlier if the flight crewmember is provided 6 hours notice<br />

prior to the beginning of the originally scheduled Prorected rime period.<br />

Rescheduling the Protected Time Period by more than 3 hours once during<br />

any 7 consecutive days by providing the flight crewmember l0 hours<br />

not¡ce.<br />

A certificate holder may assign a flight crewmember and a flight crewmember<br />

may accept an assignment for flight time in scheduled air transportation or other<br />

commercial flying if such assignment is permitted by this subpart;<br />

( l) If the assignment is scheduled to be completed within 16 hours after the end<br />

of the preceding Prorected Time Period: however.<br />

(2)<br />

If the flight crewmember is given a flight assignment for any part of the<br />

period of 0200 to 0600 hours. any such fli_eht assignment must be scheduled<br />

to be completed within l4 hours after the end of the preceding protected<br />

Time Period. The operator u'ith the concurrence of the administrator and<br />

the pilot group mar designate any 4-hour period for all operations between<br />

0000-0600 hours in place of0200-0600 hours.<br />

These limitations may be extended up to 2 hours for operational delays.


(d) When there are no other reserve pilots who have sufficient reserve availability<br />

penods to complete an assignment, the certificate holder may schedule a flight<br />

creu'member for an assignment for flight time in scheduled air transportation or<br />

other flying permined by this subpart, provided that the crew member is given a<br />

minimum of l4 hours of advance notice and is released to protected time at the<br />

time of the notice.<br />

(e) Each certificate holder shall prospectively relieve each flight crewmember<br />

assigned to reserve for at leasl24 consecutive hours during any 7 consecutive<br />

days.<br />

(Ð For augmented Intemational operations, a certificate holder may assign a flight<br />

crewmember and a flight crewmember may accept an assignment for flight time<br />

in scheduled air transportation or other comrnercial flying as follows:<br />

(l) For single augmentation, the assignment must be scheduled to be completed<br />

within l8 hours after the end of the preceding Protected Time Period; or<br />

(2) For double augmentation, the assignment must be scheduled to be<br />

completed within 22 hours after the end of the preceding Protected Time<br />

Period.<br />

These limitations may be extended up to 2 hours for oper_4lio¡al delays.<br />

DEFTNITIO}JS<br />

--


12l.xxx Reseme Rest<br />

Part II: <strong>Pilots</strong>' Proposal with rntenÇ Examples, and Rationare<br />

(a) Except as provided in paragraphs (b) and (d), no certiftcate holder may<br />

schedule any flight crewmember and no flight crewmember mar- accept an<br />

assignment to reseme status unl¿ss a minimum prospective Protected Time<br />

Period efP) of l0 hours during a 24-consecutive hour period is scheduled.<br />

The Protected Time Period must begin at the same time during any scheduled<br />

period of consecutive days of reserte status and the tlight crewm¿mber must be<br />

given no lcss than 24 hours notice of the protected rime period<br />

Intent: To ensure that all reserve pilots are scheduled for and receive a prospective, and<br />

predictable, lO-hour oppornrnity every rqserve day to obtain 8 hours of sleep and to<br />

maintain circadian stabilitv.<br />

Example:<br />

Pilot - PTP 2000-0600<br />

Rationale: The human body requires an average of 8 hours of ¡¡ninterrupted, restorative<br />

sleep in a 24 hour period when sleeping during normal slée-þffiffi tvh.n auempring<br />

to sleep outside of normal sleeping hours, 8 hours of sleep is still required. However,<br />

scientific data indicates additional time is needed to obtain the required 8 hours of sleep.<br />

The l0 hour Protected Time Period (PTP) would, therefore, include an opportunity to<br />

prepare for and actually receive 8 hours of restorative sleep in all circumstances.<br />

Additionally, a lGhour PTP was selected '* ith the assumption that the minimum required<br />

rest for all pilots would be l0 hours (See N?RM 95-l8). A lO-hour PTP would maintain<br />

consistency of rest for all pilots. Starting consecutive PTPs at the same time is<br />

imperative to maintaining circadian stabiliry. The desired merhod of assigning pTp<br />

would be when the crewmember is assigned reserye. A minimum of 24 hours<br />

notification of a Protected Time Period u ill provide an opporrunity to prepare for<br />

impending reserve days. I


(b) A certifrcate hol.der may reschedule a Protected Time Period during any<br />

scheduled period of consecutive days of reserve by the following:<br />

Intent: To provide the reserve pilot with a predictable, prospective rest period and also<br />

give the oPerator scheduling flexibility to accommodate unforeseen circumstances.<br />

Rescheduling a PTP +/- 3 hours is only applicable to that PTP. Remaining reserve days in<br />

a block would begin at the original start time, Shifting of a PTp does not extend a<br />

Reserve Availability Period (RAP).<br />

Example:<br />

Ø Rescheduling the beginning of a protected rime period a<br />

marimum of three hours later wiÍhoul prior notificatian.<br />

(In this example, under no circumstances may a PTP start time be later than 2300)<br />

Day I<br />

PTP 2000 to 0600 (original PTP)<br />

Day 2<br />

PTP 2300 to 0900<br />

Day 3<br />

PTP 2000 to 0600<br />

2270<br />

,-Fæ.<br />

Rationale: Delaying a sleep opportunity, up to three hours. is not excessively disruptiye<br />

to circadian stability. In this case, no prior notificarion is required.<br />

0900


(2) Rescheduling the beginning of a Protected Time Period a maximum of<br />

3 hours earlicr if the flight crewmember ß provided 6 hours notice prior<br />

to the beginning of the originally scheduled Prolected Time Períod.<br />

Example:<br />

(In this example, under no circumstances may a PTP start time be earlier than 1700)<br />

Day I<br />

PTP 2000 to 0600 (original PTP)<br />

Day 2<br />

PTP 1700 to 0300<br />

Day 3<br />

PTP 2000 to 0600<br />

Rationale: Moving a sleep oppornrnity earlier, up to three hours. is disruptive to<br />

circadian stability. To accommodate and prepare for this rescheduled.sleep opportunity<br />

additional notice is required.<br />

9


(3) Rescheduling the Protected rime Period by more than 3 hours onci<br />

duríng any 7 consecutive days by providíng the flight crewmember I0<br />

houn notice.<br />

Rationale: Changing a sleep opportunity more than +/- 3 hours is very disruptive to<br />

circadian stability. For extreme circumstances beyond the control of the operator (i.e.,<br />

inclement weather, closed airports, etc.) an operator has the ability to reschedule a PTP<br />

more than 3 hours from the original start time. A minimum of l0 hours prior notifrcation<br />

of the new PTP is required to allow the pilot a period of time to adjust for the rescheduled<br />

sleep opportunity. This provision is restricted to once in every 7 days because it is so<br />

detrimental to circadian stability. This restriction also would preclude the operator from<br />

arbitrarily utilizing this provision and¡et allows the certificate holder the flexibility to<br />

operate under extreme circumstances.'<br />

10


(c) A certiftcate holder may assign aflÍght crewmember and aftight<br />

cret+'member may accepl an øssígnmentforflighl time ín scheduled aír<br />

transportation or other commerciarflying if such assignment ís<br />

permined by thß subpart;<br />

(I) If the assignment is scheduled to be completed within 16 hours<br />

after the end of the preceding Protected Time períod;<br />

Intent: To establish a "Reserve Availability period" (RAp).3<br />

Example:<br />

ll


(2) If the flight crewmember is given a flíght assignment for any part of the<br />

períod of 0200 to 0600 hours, any such flight assignment must be<br />

scheduled to be completed within 14 hours after the end of the preceding<br />

Protected Time Períod. The operator with the concurrence of the<br />

administrator and the pílot group may designate any 4-hour period for<br />

all operøtions between 0000-0600 hours in place of 0200-0600 hours.<br />

2 Ìtl<br />

rlrnrion<br />

lf Duty Occurs Between 0200 - 0600<br />

16 hr RAP<br />

lf Duty Occurs Outside 0200 - 0600<br />

These limitations may be extended up to 2 hours for operational delays.<br />

Rationale: Time-since-awake contributes to fatigue. This section acknowledges timesince-aç'ake<br />

by limiting the RAP to l6 hours if the pilot is afforded the opporrunity to<br />

sleep during a normal sleep period. The science further indicates fatigue occurs sooner<br />

when given a sleep opportunity at a time other than normal sleeping hours. This section<br />

addresses that fact by reducing the RAP to 14 hours should duty occur during this normal<br />

sleep period.a<br />

l2


(d) When there are no other resene pilots who have sufftcient resene availability<br />

periods to complete an assìgnment, the certificate ioUt, may schedule a fligit<br />

crew member for an assignment for flight time in scheduled air transportation<br />

or other flying permitted by this subpart, provided that the ,rrn *r^ber is gíven<br />

a minimum of 14 hours of advance notice and is released to protected time al<br />

the time of the notice.<br />

Intent: All pilots are originally scheduled in a PTP system. Circadian stability is<br />

ensured by all pilots having a de<br />

pilots have been utilized, l4 hou<br />

à Rigt t. Once norihed of a fligh<br />

responsibility until he_reports for duty. While this method of assigning reserve is less<br />

than desirable, it enables the certificate holder to continue operations as necessary.<br />

Rationale: while advance notice can present a sleep opportunity, scientific research is<br />

very clear that circadian factors make it very difñcult anå sometimes impossible to take<br />

advantage of it. For example, consider a pilot who finishes his pTp at 0å00 an¿ is then<br />

contacted by the carrier for an assignment that report s at 2200. This would be an<br />

application of l4 hours advance notice. Circadian factors make it very difficult, if not<br />

impossible, for the pilot to sleep again until later, typically during the afternoon circadian<br />

low point ( 1500 - 1800) or earlier if possible. Howãver, úy receiving the notice early, he<br />

*rt pr.på.. himself for the afternoon<br />

illy, he would go to bed around 1500 _<br />

rovide enough time to shower, dress,<br />

vance notice, this pilot could only<br />

expect to sleep 4 - 5 hours prior to reporting for a back-side-of-the-cloct assignment that<br />

could last until 1200 the following day. It should be apparent thar less than lã hours ._-_-{¡.-.*notice<br />

could result in less than 4- 5 hours of sleep ano ìàise the probability of serious<br />

pilot fatigue during the assignment.<br />

IJ<br />

he Denver ARAC meeting. At one<br />

rinion regarding what should be<br />

Dr. Hudson's response was l3 to l4<br />

to


(e) Each certifrcate holder shall prospectively relìeve each flight crewmember<br />

assigned to resene for øt least 24 consecutíve hours during any 7 consecutive<br />

days.<br />

Intent: All reserve pilos must receive a prospec tive 24 hour period free from duty<br />

during any 7 consecutive days.<br />

Rationale: <strong>Pilots</strong> assigned to reserve status must be conrinually prepared for any flight<br />

duty. These pilots should be relieved from this obligation for 24 hours during any 7<br />

consecutive days. The pilot must be notified prior to the beginning of that off duty<br />

period.<br />

l4<br />

-<br />

-fF<br />

-,-


A<br />

Example:<br />

Example:<br />

For augmented Internatíonal operations, a certificate holder may assign a<br />

ÍItght crewmember and a flight crewmember may accept an assignment for<br />

flight time in scheduled air transportation or other commercial flying as<br />

follows:<br />

(I) For single augmentatíon, the assignment must be scheduled to be<br />

compl-eted within I8 hours after the end of the preceding Protected Time<br />

Period; or<br />

(2) For double augmentation, the assignment must be scheduled to be<br />

completed wilhin 22 houn after the end of the preceding Protected Tíme<br />

Period-<br />

These limitations may be extended up to 2 hours for operational delays.<br />

Intent: To establish a Reserve Availability Period (RAP) for long-haul international<br />

reserve pilots.<br />

Rationale: Long-haul international flights necessarily involve back-side-of-the-clock<br />

flying. Therefore, for a single pilot augmentation, we added 4 hours to the l4-hour backside-of-the-clock<br />

duty period and 8 hours for double augmentation. This is in accord<br />

with the NASA TM. ó<br />

l5


I 12I.xxx Reseme Rest<br />

Scientific Support<br />

(a) Except øs provided in paragraphs (b) and (d), no cenificøte holder may<br />

schedule any flight crewmember and no flight crewmember may accept an<br />

assignment to resertte status unlcss a minimum prospective Protected Time<br />

Period efP) of I0 houn during a 2&consecutive hour period is scheduled.<br />

The Protected Time Period must begin at the same time during any scheduled<br />

perid of consecutíve days of resene statas and the flight crcwmember must be<br />

given no less than 24 hours notice of the Protected Time Period.<br />

Scientific support:<br />

(a) l0 hour hotected Time Period to provide an opportunity to obtain 8 hours of sleep.<br />

Eacà individual has a basic sleep requirement that provides for optimal levels of<br />

performance and physiological alertness during wakefulness. On average, this is<br />

8 hours of sleep in a 24-hour period, with a range of sleep needs greater than and<br />

less than this amount. Losing as linle as 2 hours of sleep will result in acute sleep<br />

loss, which will induce fatigue and degrade subsequent waliing performance and<br />

alertness.<br />

NASA TM,II .1.1,p.2.<br />

Offduty period (acute sleep and awake-time-off requirernents) - Therefore,<br />

the off-duty periodqþ-uld be_a minimum of l0 hours unintemrpted within any<br />

24-hou r period,ïóäftlftIãäi 8 -h ou r sl eep opportunity[. ]<br />

NASA TM, t2.1.2,p.5<br />

Standard Sleep Requirements and Off-Duty Period - Research by Drs. Carskadon<br />

& Dement, 1982 and Wehr et al., 1993 support a minimum of 8 hours of sleep<br />

based upon a range of studies that use several approaches including:<br />

o Historical levels of sleep<br />

o Measures of da¡ime alenness<br />

. Sleep levels achieved when given the opportunity to sleep as long as<br />

desired<br />

Battelle Report, p. 15.<br />

. . . There appears to be substantial evidence that a minimum of eight hours of<br />

sleep is required for most people to achieve effective levels of alertness and<br />

performance.<br />

Battelle Reprorr. p. 21.<br />

t6


. . . It is important to realize that an individual *'orking nights is at risk for<br />

signif,rcant sleepiness for two distinct reasons: . . . an individual u,orking<br />

successive nights is forced to obtain sleep during rhe da¡'light hours at itime<br />

when the circadian pre-disposition to sleep is minimal. . . . As mentioned, sleep<br />

under these circumstances is typically fragmented. sleep state architecture is<br />

distorted, and the restorative nature of sleep . . . is reduced.<br />

A Scientific Review of Proposed Regulations Regarding Flighr Crewmember DuN period<br />

Limitations, The Flight Duty Regulation scientific Study Group, {2.6, p. 5-6.<br />

Minimum rest periods should be adjusted upward for sleep periods that include<br />

the time of peak circadian alerrness (4 - 6 PM.).<br />

xte<br />

efficiency of sleep during that time. (Emphasis added.)<br />

Scientific Study Group,Il5.l.2, 5.1.4, p. I l.<br />

Remarks of Dr. Dement:<br />

for dec<br />

Q: . . . One of the most basic tasks is for us to agree on a recommendation for a sleep<br />

opportunity . . . to afford every reserve pilot the opportunity of a protected time<br />

period so that he or she is absolutely insulated from contact from the operator.<br />

How many hours do you recommend for a minimum fixed sleep opportunity?<br />

A: I will start out by assuming that we would take 8 hours of sleep as the most<br />

requirement. Then you need to add iPmmo¡ to that in order to be able to get the<br />

froper amount of sleep. In your situation, I would think it would be a little larger<br />

than it might be for someone who really wasn'r doing anything. So, I'd add a<br />

couple of hours to get the proper ¿rmount of sleep.<br />

Appendix D, p. 4.<br />

Q: Dr. Dement, . . . we're really at the point now where we're going beyond the<br />

philosophy and we're trying to put our hnger on numeric values. Our position at<br />

least from the pilots' standpoint, is that we see the need for a l0-hou, sl..p<br />

opportunity knowing that the oppornrnity may nor alway's be at the best time of<br />

the day. We're facing an industry position that is looking for 8 hours as the<br />

minimum. Our position is predicated on the fact that 8 hours mav be adequate if it<br />

overlaps the WOCL. But since we don't know for sure when we're going to har.e<br />

that opportunity, we believe that, or we think that havin,s that extra 2 hours is<br />

going to give us a little more of a buffer, especially when it comes during the<br />

daytime. Would you consider that to be a consen'ative and a jusrified position?<br />

A: Absolutely. I don't think you could possibly assume someone is going to fall<br />

asleep instantly and then sleep continuously for 8 hours. nor even under the mosr<br />

ideal circumstances. Maybe it should be longer.<br />

Appendix D, pp. 5-6.<br />

t7


{¡+-<br />

Scientific support:<br />

(a) Scheduling the Protecred Time Period for the same rime each day<br />

Time'of-day / Circadian Physiology Affects Sleep and Waking Performance -<br />

. . . Time-of-day or circadian effects are important considerations in addressing 24<br />

hour operational requirements because circadian rhythms do not adjust rapidly to<br />

change.<br />

. . . Thus, circadian disruption can lead to acute sleep deficits, cumulative sleep<br />

loss, decreases in perforrnance and alertness, and various health problems . . .<br />

Therefore, circadian stability is another consideration in duty and rest scheduling,<br />

NASA recommends a sleep opportunity that is predictable (24 hours notice<br />

recommended), does not varv more than 3 hours on subsequent days to ensure circadian<br />

stability, and is protected from intem¡ption. (Emphasis added.)<br />

NASA TM, Il .3, p. 34; 12.6.2, p. 8.<br />

Conclusion - Reserve assignments should attempt to maintain a consistent 24<br />

hour cycle.<br />

Banelle Report, p.28.<br />

Remarks of Dr. Dement<br />

Q: Dr. Dement, thete's one a.rea that we really haven't touched upon at this point and<br />

I don't want to miss. These are questions regarding the maintenance of circadian<br />

stability. In your opinion, why is maintaining circadian stability so important?<br />

A: Well because usually... and by that you mean:your sleep opportunities and your<br />

wake opportunities are in that period of stability, then you have the best sleep and<br />

the best wake. If you get out of that cycle, then both sleep and wake will be<br />

impaired.<br />

Q: What happens to the body as you change a person's cycle?<br />

A: All sorts of things happen, but the major thing of course is that you are now trying<br />

to sleep when the body wants to be awake and you're trying to be awake when the<br />

body wants to be asleep because you left the circadian stability that you talked<br />

about.<br />

Appendix D, pp. 16-17.<br />

r8


(3) Rescheduling the Protected rime Period by more than 3 hours once<br />

during any 7 consecutive days by providing the flight crewmember l0<br />

hours notice.<br />

Scientific support:<br />

(b) Limiting the movement of the Protected Time Period to PIus or Minus 3 hours<br />

. . . the 8-hour sleep opportunity should not vary by more than 3 hours on<br />

subsequent days to ensure circadian stability. . . .<br />

NASA TM,12.6.2, p. 8.<br />

Remarks of Dr. Dement<br />

Q: . . . we're trying to insure that the protected time period, the rest period, stayed the<br />

same from day to day, assuming the reserve crewmember is not called. Or for<br />

that matter when he is called, he goes back into his cycle. We're anempting to try<br />

to snap him back to as close to that original cycle and maintain that same rtrythm<br />

from day to day. NASA has f,rndings on that. Their recommendation was to<br />

maintain that circadian stability plus or minus 3 hours. Do you agree or disagree?<br />

A: I absolutely agree that's better than no stability. Obviously the smaller that<br />

number, the better. I think practically it couldn't be zero, but I think we rend to<br />

feel there's kind of a daily flexibility within that range, like 0 ro 3 hours, O to 2<br />

hours. To go outside of that is, again, inviting a condition of sleep deprivation.<br />

So deliberately creating a bad siruation.<br />

Appendix D,pp. 16-17.<br />

l9


(c) A certificate holder may assign a flight crewmember and a flight<br />

crewmember ma! accept an assignment for flight time in scheduled air<br />

transportation or other commercial tlying if such assignment is<br />

permitted by this subpart;<br />

If the assignment ß scheduled to be completed within 16 hours<br />

afrer the end of the preceding Protected Time Period;<br />

Availability Period Limitation<br />

Continuous Hours of Wakefulness/'Duty Can Affect Alertness and<br />

Performance - Extended wakefulness and prolonged periods of continuous.<br />

performance or vigilance will engender sleepiness and fatigue.<br />

Extended flight duty period - An extended flight duty period should be limited<br />

to l2 hours within a 24-hour period to be accompanied by additional restrictions<br />

and compensatory off-duty periods. This limit is based on scientific findings<br />

from a variety of sources, including data from aviation, that demonstrate a<br />

significant increased vulnerability to performance-impairing fatigue after 12<br />

hours. It is readily acknowledged that in current practice, flight duty periods<br />

extend to l4 hours in regular operations. However, the available scientific data<br />

support a guideline different from current operational practice. The data indicate<br />

that performance-impairing fatigue does increase beyond the l2-hour limit and<br />

could reduce the safety margin.<br />

NASA TM, qq 1.4,2.3.4, pp.4,6.<br />

NASA does not provide a specific recommendation for the duration of a Reserve<br />

Availability Period. However, it follows that NASA's recommended maximum duty limit<br />

of l2 hours plus 2 hours for operational delays (total - 14 hours) obviously requires a<br />

pilot to be awake at least that much time. By adding report time to NASA's<br />

recommended maximum duty limit. it is apparent that NASA's duty limir is<br />

commensurate with our proposed I Ghour reserve availability period limit for unaugmented<br />

flying.<br />

The results of an NTSB analysis of domestic air carrier accidents occurring from<br />

1978 to 1990 suggest that time since awake (TSA) was rhe dominanr fatiguerelated<br />

factor in these accidents (NTSB, 1994). Performance decrements of hi-eh<br />

time-since-awake crews tended to result from ineffective decision-making rather<br />

than deterioration of aircraft handlin-s skills. . . . There did appear to be two peaks<br />

in accidents: in the morning when time since aw'ake is low and the crew has been<br />

on duty for about three to four hours, and rvhen time-since-awake s as high, above<br />

l3 hours. Similar accident peaks in other modes of transportation and industry<br />

have also been reported (Folkard.l99l). Akerstedt & Kecklund (1989) studied<br />

pnor time awake (four to l2 hours) and found a strong conelation of accidents<br />

20


with time since awake for all times of the day. Belenky et al. (1994) found thar<br />

flight time hours (workload) greatly increase and add ro rhe linear decline in<br />

performance associated with time since awake.<br />

Battelle Report, p. 13.<br />

Some symptoms of fatigue are similar to other physiological conditions. For<br />

example, with fatigue one's ability to attend to auxiliary tasks becomes more<br />

narrow, very much analogous to the effects of alcohol (Huntley et al., 1973;<br />

Moskowitz, 1973), hypoxia (McFarland 1953). and heat srress (Bursill, 1958).<br />

Battelle Report, p. 5.<br />

Australian researchers Drew Dawson and Kathryn Reid (1997) evaluated performance<br />

after 17 hours of wakefulness and found performance degraded to a level equal to that<br />

caused by a blood alcohol concentration (BAC) of 0.05 percent. At 24 hours,<br />

performance decrements were equivalent to that of a 0.10 BAC. After ten hours of<br />

sleeplessness, the decline in performance averaged .74 percent per hour. Their study<br />

titled Fatigue, Alcohol and Perforrnance Impairmenr appeared in Narure, Vol. 338, luly-<br />

August 1997. Gee Appendix E). These findings were replicated and extended by<br />

Nichole Lamond and Drew Dawson in 1998. (See Appendix Ð.<br />

If an individual has been awake for l6 to l8 hours, decremenrs in alertness and<br />

performance a¡e intensified. If time awake is extended to 20 to 24 hours, alertness<br />

can drop more than 40 percent flVRAIR, 1997: Morgan et al.. 1974; Wehr, 1996).<br />

Battelle Report, p. 25.<br />

The NTSB cited pilot fatigue as the probable cause of rhe crash of a DC-8 at Cuantan.¿mo<br />

Bay in 1993. The individual crewmembers were continuously awake for 19, 21, and23.5<br />

hours prior to the accident.<br />

Mark R. Rosekind, et al., crew fatigue factors in the Guantanamo Bav* aviation accident.<br />

& Appendix G).<br />

Remarks of Dr. Dement<br />

Q: Dr. Dement, after our reserve pilots receive their sleep opporn-rnity, they become<br />

available for duty. We call the availability period the "reserve availability period"<br />

and that's basically the time they are available for work. for flyin_e. After the<br />

sleep opportunity, what would you consider to be a safe limit of time since awake<br />

for a crewmember?<br />

For the lO-hour (sleep opportunity) period?<br />

Yes.<br />

A. Fourteen hours. And I wouldn't say that's 100f? safe but if rou have a number,<br />

that adds up to the 24-hour day. It ought to be reasonabl,"- safe.<br />

2l


a<br />

A<br />

a<br />

A<br />

a<br />

V/here do you get your number from?<br />

Well, it comes mainly in my head from circadian type 24-hour studies to see the<br />

pattern of the manifestation of the drive to sleep versus the awakening effect of<br />

the biological clock. If you're getting outside the 24-hour cycle, then you're<br />

going to have periods of greater risk. . . .<br />

That assumes that the individual wakes up ¿rs soon as his protected time period is<br />

over. So in other words, you see a complimentary factor: t hours of rest should<br />

dictate a l5-hour availability period?<br />

Yes. I think most people would agree that would be the ideal.<br />

Going beyond that, what is probably the most greatest points of contention right<br />

now - the debate between the pilots and the industry operators - is the fact that<br />

the operators would like to extend this reserve availability period in excess of<br />

what you say is 14 or l5 or l6 hours, whatever the case may be, to a larger<br />

increment, extending that reserve availability period based upon an advance<br />

notice of a nap opportunity. ln other words, a pilot comes on call at 8:00 a.m. He<br />

is then told at 9:00 a.m. that he is to report for duty 5 hours later. The industry's<br />

position is that the notice constitutes an opportunity for additional rest which then<br />

would be utilized to add more restorative energy or analogous to putting more<br />

charge into a battery, and then carry that pilot into more of an extended duty<br />

period with an additional amount of time.... up to in certain cases 24 hours of<br />

duty. What is your feeling on that type of scenario?<br />

A: To me, that's a recipe for disaster because iffi;*sponsible, professional<br />

pilot -- who has a reasonable schedule, - who is not honibly sleep deprived, and<br />

who has a fairly stable circadian rh¡hm, then the likelihood that he can get<br />

adequate slecp by trying to nap I think is relatively small. I would not depend on<br />

it at all. I would think also to have to do it sort of unexpectedly like this. ...Oh!<br />

Take a nap....Only people who are very sleep deprived....<br />

a<br />

[.et's say I have a 10-hour sleep opportunity: l0 p.m. to 8 a.m. That means I'm<br />

available for l4 hours unless they fly me into the next l0 p.m. slot tonight. Could<br />

I not get a call say at noon and say instead of you being off tonight at l0 p.m., we<br />

want you to work until seven tomorrow morning but you aren't going to go to<br />

work until l0:00 that night. So they call me at noon. they give a lO-hour notice<br />

that I'm not going to have to go to work until l0 hours from noon, so at 2200 I<br />

report for work, and they want me to fly until 0800. So that would be a total of 24<br />

hours from the time I theoretically woke up and I'r'e had a lO-hour notice that I<br />

was going to be flying this fatiguing schedule. Would that be safe?<br />

A: Well, I wouldn't be on your plane. No. I think that's almost insanity in the<br />

sense of savins that is safe. First of all. naps can't be depended on - even under<br />

ideal circumstances - to get you through this period when the biological clock<br />

)1


alerting is gone, when you're alone with your sleep debt so to speak, during the<br />

WOCL. There's no way that isn't going to be dan_eerous. . . .<br />

Appendix D, pp. 8-9.<br />

:)


(2) If the Ílight crewmember is given a flight assígnment for any part of the<br />

period of 0200 to 0600 hours, any such flight assignment must be<br />

scheduled to be completed within 14 hours afier the end of the preceding<br />

Protected Time Period. The operator with the concurrence of the<br />

administrator and the pilot group may designate any 4-hour period for<br />

all operations between 0000-0600 hours in plnce of 0200-0600 hours.<br />

Scientific support:<br />

(c ) Reducing the Reserve Availability Period by two hours during Back-Side-Of-The-<br />

Clock Operations (0200 - 0600)<br />

Otr-duty period (following standard flight duty periods during window of<br />

circadian low) - Extensive scientific research, including aviation data,<br />

demonstrate that maintaining wakefulness during the window of circadian low is<br />

associated with higher levels of performance-impairing fatigue than during<br />

daytime wakefulness. . . .<br />

Definition: 'fuindow of circadian low" - The window of circadian low is best<br />

estimated by the hours between 0200 and 0600 for individuals adapted to a usual<br />

day-wake/night-sleep schedule. This estimate of the widow is calculated from<br />

scientific data on the circadian low of performance, alertness, subjective report<br />

(i.e. peak fatigue), and body temPerature. . . .<br />

NASA TM.1l1t 2.t.4,2.3.2, pp. 5-6.<br />

' The ingredient of day versus night long-haul flights raises a second concern, the<br />

time qfuþ¡þ,parture. Because sleepiness and fatigue are strongly related to<br />

circadiãiì rhythmicity, they should not be controlled by regulations, which ignore<br />

time-of-day in favor of elapsed time. . . . For the sake of efhciency and safety, it is<br />

incumbent upon regulatory authorities to include úme-of-day as a factor in<br />

designing flight crew duty and rest limitations.<br />

R. Curtis Graeber, et al., Aircrew Sleep and Fatigue in Long-Haul Flight Operatiorts,<br />

Tokyo, Japan (October 26-29, 1987), p. 13.<br />

Back of the Clock Operations, Circadian Rhythm and Performance<br />

There is a substantial body of resea¡ch that shows decreased performance during<br />

night shifts as compared with day shifts. The reasons for this decreased<br />

performance include:<br />

a Circadian pressure to sleep when the individual is attempting to work.<br />

a Circadian pressure to be awake when the individual is attempting to sleep.<br />

o Time since awake may be substantial if the individual is up all day before<br />

reporting for the night shift.<br />

o Cumulative sleep debt increase throughout the shift.<br />

Research conducted by Monk et al. (1989) indicates that subjective alertness is<br />

under the control of the endogenous circadian pacemaker and one's sleep-u'ake<br />

cycle (time since auake). When time since auake is long and coincides with the<br />

^l ,l<br />

:a


circadian lo*'¡here is a very sharp drop in alertness, a strong tendency to sleep<br />

and a significant drop in performance (Perelli, 1980). Alertness is relatively high<br />

when the circadian rh¡hm is near the acrophase and time since au'ake is small.<br />

Monk (1996) argues that this cycle is consistent with the NTSB (1994) finding of<br />

a peak accident rate occurring in the evening. . . .<br />

Battelle Report, p.23.<br />

Microsleeps have been shown to be a useful approach to assessing the effects of<br />

time of day on sleepiness levels. EEG brain wave changes confirm that pilots<br />

experience grea¡er sleepiness and decreased alertness between 2:00 to 4:00 a.m.<br />

(Gundel, 1995).. . .<br />

Battelle Report, p. 9.<br />

. . . In determining maximum limits for extended duty periods, consideration also<br />

needs to be given to other fatigue-related factors that could contribute to excessive<br />

fatigue levels during extended duty periods, including number of legs, whether<br />

the flieht impinges on the window of circadian low [WOCL). and time since<br />

awake. (Emphasis added.)<br />

Battelle Report, p. 14.<br />

Night operations are physiologically different than day operations due to circadian<br />

trough and sleep loss. This carries a higher physiological cost and imposes<br />

greater risks of accidents. One of the most established safety issues is working in<br />

the circadian trough between 0200 and 0600. During this period workers<br />

experience considerable sleepiness, slower response times. increased errors and<br />

accidents (Miùer, l99l: Pack. 1994). Manv recent accidents from various<br />

transportation modes have been associated with this circadian trough (Lauber &<br />

Ka¡en, 1988). Lyman and Orlady (1981), in their analysis of the Aviation Safety<br />

Reporting Sysem researcher state that 3l percent of incidents occurring between<br />

2400 to 0600 hours were fatigue relatec.<br />

In Japan, 82.4 percent of drowsiness-related near accidents in electric motor<br />

locomotive drivers (Kogi & Ohta" 1975) occur at night. Other landmark studies<br />

over the past s€\'eral decades have documented the increase in accidents and error<br />

making. Klein et al. (1970) argue thattheirresearch with simulators proves that<br />

night flights are a greater risk than day fìights. Their research found 7-5- to 100percent<br />

mean perforrnance efficiency decrements in simulator flights during the<br />

early morning hours, regardless of external factor such as darkness or increasing<br />

night traffic or possible weather conditions.<br />

. . . A study of naval watch keepers found that benween 0400 to 0600, response<br />

rates drop 33 p'ercent, false reports rates 3l percent, and response speed ei-eht<br />

percent, compared with rates between 2000 to 2200 hours (Smiley. 1996).<br />

Samel et al. (1996) determined that many pilots begin night flights already having<br />

been awake more than l5 hours. The study confirms the occunence of as many<br />

as five micro-sleeps per hour per pilot after five hours into a night fli_eht. . . . The<br />

authors concluded that "During day time, fatigue-dependent vigilance decreases<br />

?{


with task duration. and fatigue becomes critical after 12 hours of constant \\ ork.<br />

During night hours fatigue increases faster u'ith on_goin_e duty. This led to rl-.:<br />

conclusion that l0 hours of work should be the maximum for night flyin_e."<br />

[Note Samel's conclusion - Reduce the duty period from l2 to l0 hours.]<br />

Gander et al. (l99ll found in an air carrier setting that at least I I percent of pilots<br />

studied fell asleep for an average of 46 minutes. Similarl¡,. Luna et al. ( 199Ì r<br />

found that U.S. Air Force air trafhc controller [sic] fell asleep an average of 55<br />

minutes on night shift. A possible explanation for these sleep occurrences, in<br />

addition to circadian nadir, is the finding of Samel et al. that many pilots beg:n<br />

their night flights after being awake for as long as l5 hours.<br />

Battelle Report, pp. 24-25.<br />

reduced. (Emphasis added.)<br />

Battelle Report, p. 28.<br />

. . . flight dutv regulations that adequately account for circadian modulation in<br />

the capacity of sleep and in human performance have been used in the United<br />

Kingdom for 6 years . . . and by account appear to be working well. The SruJy<br />

Group is aware of no qualitative reason why adjustments such as those<br />

incorporated in the UK regulations could not be used in the US as well.<br />

Scientific Study Group. ta.2. p. 10.<br />

Flight duty periods during window of circadian low.<br />

. . . Therefore, it is recommended that in a Tday period, there be no extended<br />

flight duty period that encroaches on any portion of the window of circadian low.<br />

[Note: a standard fli-eht duty period should not exceed l0 hours within a 24-hour penod.]<br />

NASA TM, lq 23.5.8.. 2.3.3.<br />

26


(d) When there are no other reseme pílots who have sufficient reseme<br />

availability periods to complete an assignment, the certificate holder may<br />

schedule a flíght crew member for an assignment for flight time in scheduled<br />

air transportation or otherfiying permitted by this subpart, provi^ded that the<br />

crew member is given a minimum of 14 hours of advance notice and is released<br />

to protected time at the time of the notice.<br />

Scientific support:<br />

(d ) Minimum of l4 Hours Advance notice<br />

Considerable research into other arenas has taught us that individuals are better<br />

able to cope with unusual or extended duty schedules when they can plan for them<br />

in advance. This forewarning allows them to develop time-linked performance<br />

goals and to schedule their rest and activity optimally before reporting for duty.<br />

R. Curtis Graeber, et al., Aircrew Sleep and Fatigue in Long-Haul Flight Operations,<br />

Tokyo, Japan (October 26-29,1987), p. 12.<br />

... In other words. simply bein,g off duty was not a sufficient condition for crew<br />

members to be able to fall asleep. . . .<br />

Philippa N. Gander, eT al., Crew Factors in Flight Operations: VIIL Factors Influencing<br />

Sleep Timing and Subjective Sleep Qualim^ in Commercial Long-Haul Flight Crews<br />

(December l99l ), p. 29.<br />

. . . In the limited time remaining, he attempts to sleep irrespecti"'e of his<br />

physiological readiness to sleep (circadian phase) and the local time, both of<br />

which may compromise the quality and quantity of sleep he is able to obtain.<br />

Philippa N. Gander, et al., Crew Factors in Flight Operations: VIII. Factors Influencing<br />

Sleep Timing and Subjective Sleep Quality in Commercial l-ong-Haul Flight Crews<br />

(December l99l), p. 31.<br />

This reinforces the importance of ensuring that adequate time is available for sleep.<br />

Conclusions -.<br />

. . Flight and duty time regulations can be interpreted as a means<br />

of ensuring that reasonable minimum rest periods are respected. However, the<br />

perspective highlighted by this study is that the time available for sleep is less<br />

than the scheduled time off duty. . . .<br />

Philippa N. Gander, et al., Cre*' Factors in Flight Operations: VIII. Facrors Influencing<br />

Sleep Timing and Subjective Sleep Qualin' in Cotnmercial Long-Haul Flight Crev,s<br />

(December l99l), p. 33<br />

27


Remarks of Dr. Dement<br />

a<br />

A<br />

a<br />

A<br />

a<br />

A<br />

a<br />

How about that the flight is _eoing to happen, There is going to be every day in<br />

America, pilots that report to work at 2300 or whatever and fly until 0800 the next<br />

morning. Now, what's different about the man who knou's a week, a month in<br />

advance that this is going to be his schedule and the reserve pilot who finds out at<br />

noon after having woken up at 8 a.m.? What would be the difference?<br />

You know that the time you do all of the things you can to move toward a better<br />

situation . . . You can never get to perfection, but the more practice, the more<br />

warning, the better you'll be able to handle it. Some people learn that there is a<br />

time when it's quiet and if I do this, I can pretty much depend that I will fall<br />

asleep. It'snot l00Tobutyoukindof learnthatoryoupr¿ìcticeorwhatever. But<br />

if it's without warning, all bets are off.<br />

Dr. Dement, you've kind of led the discussion into another area of this<br />

rulemaking that has to do with an alternative method. Assuming that the pilots in<br />

this protected time period method were depleted, the carriers then want to give<br />

pilots advance notice to cover any mission or any assignment. They are looking<br />

at l0 hours as the criteria. We don't believe that to be adequate based upon . . .<br />

Are you talking lO-hour warning?<br />

Ten-hour warning, yes. To do an¡hing.<br />

That would be 1007o wrong.<br />

whv?<br />

Well, because the l0 hours could fall sort of toward the beginning of what we call<br />

"clock dependent learning." There's no way you could sleep. And then you go<br />

into your duty period at the worse possible time you could have in that situation.<br />

What sort of time would you think would be adequate to give a guy enough time<br />

to get an opportunity to rest so that he would be safer than l0 hours?<br />

A: Trventy-four hours. At least a day before. Wouldn't you think? I don't see how<br />

vou can get notified as the day is beginning and feel you could depend on being<br />

able to take a nap. If it happened every day or somehow ¡ ou know that you could<br />

certainly -set the probability up, but it's not something that 1'ou could ever really<br />

control. Again, there ought to be a better way.<br />

Appendrr D.pp. l0-l l.<br />

28<br />

"-F-'--


a<br />

A<br />

a<br />

A<br />

a<br />

A<br />

We're shooting around the subject. I hate to break any of this up, but this<br />

question has been plaguing this committee. The industry keeps harping on the<br />

fact that there should be no difference between the schedule holder who knows<br />

he's got to fly from midnight to 8:00 a.m. If he can do it safely. why can't a<br />

reserve that wakes up at the same time in the morning t8:00 a.m. or 6:00 a.m.).<br />

Why is it not safe for this reserve pilot who does it with notice?<br />

I don't think it's safe for either pilot. Maybe a linle less dangerous in the sense of<br />

performance, etc. But I think at least he has preparation. warning, etc. and knows<br />

his own strengths and weaknesses whereas the other pilot I think is always<br />

without warning and has really no chance to prepare. I don't think the two groups<br />

are the same.<br />

Are you implying that the preparation should acrually start the previous night?<br />

Yes. If I was going to drive all night, I wouldn't want someone to tell me that<br />

day.<br />

They're really killing us for making that same argument. I mean we make that<br />

argument across the table and we get smiles and nods of the head and shrugs of<br />

the shoulders from the other side. They say it's not a valid argument. That's<br />

always what they come up with.<br />

They say it's not a valid argument? It is a supremely valid argument. I mean<br />

that's just like sayin_e down is up.<br />

Appendix D, p. 13.<br />

29


u (f) For augmented International operations, a certificate holder may assign<br />

a flight crewmember and a flight crewmember may accept an<br />

assignment for flight time in scheduled air transponation or other<br />

commercial flying as follows:<br />

(I) For single augmentation, the assignment must be scheduled to be<br />

completed within 18 hours after the end of the preceding<br />

Protected Time Period; or<br />

(2) For double augmentation, the assignment must be scheduled to<br />

be completed withín 22 houn after the end of the preceding<br />

Protected Time Period.<br />

These limitations may be extended up to 2 hours for operati.onal delays.<br />

Scientific support:<br />

(Ð ( I ) and (2) augmented crews<br />

Extended flight duty period: additional flight crevy - Additional flight crew<br />

afford the opportunity for each flight crew member to reduce the time at the<br />

controls and provide for sleep during a flight duty period. Consequently, with<br />

additional flight crew and an opportunity for sleep, it would be expected that<br />

fatigue would accumulate more slowly. In such circumstances, flight duty<br />

periods can be increased beyond the recommended limit of l2 hours within each<br />

24-hour period. For each additional flight c_rew member who rotates into the<br />

flight deck positions. the flight-õffid can be extended by 4 hours as long as<br />

the following requirements are met: I ) each flight crew member be provided one<br />

or more on-duty sleep opportunities; and 2) when the extended flight duty period<br />

is l4 hours or longer, adequate sleep facilities (supine position) are provided that<br />

are separated and screened from the flight deck and passengers. Controlled rest<br />

on the flight deck is not a substitute for the sleep opportunities or facilities<br />

required for additional flight crew members.<br />

NASA TM,I 2.3.6. p.7.<br />

30


V<br />

X<br />

I q<br />

N<br />

g<br />

d<br />

d<br />

V


NASA Technical Memorandum 1'lO4O4<br />

Principles and Guidelines for<br />

Duty and Rest Schedul¡ng in<br />

Commercial Aviation<br />

David F. Dinges, University of Pennsylvania Medical School, Philadelphia, Penrsylvania<br />

R. Curtis Graeber, Boeing CommercialAlrplane Group, Seattle, Washington<br />

Mark R. Rosekind, Ames Research Center, Moffett Field, Califomia<br />

Alexander Samel, and Hans M. Wegmann, DLR-lnstih¡te of Aerospace Medicine,<br />

Cologne, Germany<br />

May 1996<br />

National Aeronautics and<br />

Space Administ¡ation<br />

Ames Research Center<br />

Motfen Field, California 94035- 1 @0


Table of Contents<br />

l.O Crcnerat Principlcs<br />

2<br />

l.l Slecp, Awakè Tinæ Off, and Recovery a¡c Primary Considerations........... .................. 2<br />

l.l.l Slccp<br />

l.l2 Awaicc dme off ....<br />

1.1.3 Recovcry...........<br />

123<br />

133<br />

1.1<br />

4<br />

l5 bilities Exand o Fl 4<br />

1.6 of Individuals.......... 4<br />

1.7 hecludc an Absolute Solution........ 4<br />

20 Spcciñc Prirriples" Guidelincs, and Rccom¡ændations<br />

2.l'Off-Duty Pcriod<br />

Zl.l De6trition:'offdut¡f .........<br />

Zl2 Ofiduty pcrid (aanæ slecP and awale-time-offrequireocnts) 5<br />

' 2-1.3 Otrduty pcrioe (recovcry requireænt).............<br />

21.4 Otrduty period (following standsrd flight duty pcriods during wiodow of circadian tow).--. 5<br />

5<br />

L2Dlny Pcrioás'<br />

22.1 Dcfir¡ition: "duqf<br />

z22Drcñrition: "dury p€riod" ................-. 5<br />

6<br />

223 Duty pcrid<br />

ii*trÍ:lm:ti'r*i;,':::: ::::: ::::::: ::: ::: ::,: :::::::::::::::::::::::::::::::::::::::::-- :<br />

23.3 Sta¡dård füght duty pcriod 6<br />

L3.4F:vndcd flight duty pcriod 6<br />

235 Exænded flighr dury perioð rcstrictions and compensatory off{ury Perids<br />

6<br />

2.3 Flight fiu-ty pe¡o¿s ...;.............. 6<br />

23.6 Exændcd flighr duty pcriod: additional flight crew 7<br />

23.7 Flitt'tt duty pcrioa (cr¡mulative)............. 7<br />

2.a Exccptions DuCo Unfo¡escco Opcrational G¡cumsu¡rccs 7<br />

24.1 Reduc.cd offdury pcriod (exccption)................ ..............-.... t<br />

L42F;xte¡dcd flighr dury period (exception)................ I<br />

25 Træ DifTcrenccs<br />

2.6 Rescrve Starus<br />

26.l Dcfinition: "ai4løt standby rcscrye" I<br />

t<br />

262 Definition:'oo


PREFACE<br />

This documcnr is inændcd o provide scientific input ¡o rhc issuc of dury a¡rd rest scheduling of flight crcws<br />

in commcrcial aviadon. Ir is availabtc ro any in¡erlted party rhar is addrcssing ùesc complex issues'<br />

opcrational dcma¡rds. To add¡ess this<br />

rhlsc dema¡rds uæt to devclop prirriples<br />

rcial aviation.<br />

ed areas of scientiñc lnowlcdge<br />

daa ræ¡e avail¡ble a¡d also a¡eas<br />

ent scicotific knowlcdge, gcoeral princþles directly<br />

ablishcd. Wiù thc gcsalpirciples as r basis'<br />

scientific Basis for principles and Guidetincs. Tbe scientific worki¡g gTouP ì1'8s cofl¡Poïd of<br />

scientisa a"1ir6y i¡vorvcd i¡ cxamining tbcsc issr¡cs.in aviuion scnings. The grorp inands- o poducc rwo<br />

documcns bascd on tÌ¡cir r/crt This nåt ¿o.,t*or is intcnded to be concisc, o bc focuscd oa opcrational<br />

planncd thar an iniriål draft of rhis sccor¡d docutrEnr E'ill be Ña¡autswithin approximavly 12 months'<br />

ation of these principles urd guidelincs may<br />

rs include cconomic,lcgd, coRltcncfit, and othcr<br />

cing gouP rc addrcss ú¡esc issues, and thcy a¡c left<br />

'deliberatioo<br />

duals a¡ld not as fcprcscntadves of ury orgurizatioo or of a<br />

, rhc views and çinioru expresscd in this docuæ¡t a¡e thosc<br />

necessarrlly rcflcct thosc of any qgurization'<br />

In alphabcdcal order, thc scic¡¡tific working glouP<br />

Mark R Rosekind,ÉtD, Alcxandcr Saæi,R¡'n,<br />

this dæuænt to the scicntific working got¡p' pleasc<br />

ber'PhD'<br />

about<br />

Mark R Rosckind, Ph-D.<br />

NASA Amcs Ræca¡ch Ccottr<br />

Mail Stop 2624<br />

Moffen Ëicld, cA 94o3tl0æ<br />

(415) &3Y2t (Office)<br />

(415) M3729 (Fax)<br />

Hans M. Wegmann, ÌvtD.<br />

DLR-Insituæ of Aeroepacc Medicinc<br />

ü¡¡derHoehc<br />

Þ'51147 Kocl¡<br />

Germany<br />

49 ?203 û1 I exr 36ó7 (Officc)<br />

49 2203 696372 (Fax)


INTRODUCTION<br />

PrinciPles and Guidelines for<br />

Duty and Rest Scheduling in Commercial Aviation<br />

David F. Dinges, R. Cunis Graeber, Mark R' Roækind,<br />

Alexañder Saæ[, a¡d Hans Ìrd' tilegmann<br />

(¡n aþhùetùnl ordcr)<br />

Twenty-four Hour RequÍrements of the Aviation Industry<br />

æct oPcrational dcma¡rds Grounù in global long'<br />

cstic o'pcrations will continue o increasc these<br />

: available to suPpqt 24-hour-aday operations to<br />

tcrnuional aviatioo can also reqt¡ire crossing multiple<br />

schedules,<br />

Thesc<br />

impairing<br />

knowtedge an{ cùsnsver possibla inco'rpøaæ<br />

circadian physiologr ino 24-bou cviatioo<br />

cpcrations. fJriliz-¡ie¡ of zuch scientific i¡rforoatiø can help promote crew perfoElanoe ard alermess<br />

drring flight operations and t¡c¡eby maintain and improve the safery margin.<br />

Chaltenges to Human PhYsiologY<br />

alertncss during operations. Over rhe past 4O 1æars,<br />

physiolory, sleepinesValermess'<br />

iñ.."d tigni¡c¿nrfv. Scientiñc<br />

cnvhonænts, including ñeld urd simuluor studies<br />

aviarcrs of performand-i-p"iting fatigue rcsulting from the slecp loss, circadian disnrption' and<br />

y¡orkload engendered by cr:rrent flight and duty practices'<br />

Hr¡mans a¡e ccntral ¡9 aviation operadons a¡d continue n perform cridcal fi¡¡lctions þ Ecct the<br />

?*hotnrcquiremen¡5 of the industry. Tlrrefoæ, human physiological capabilides, and [i6itr¡is¡¡5,<br />

rcmain *rà"t faaors in maintaining safety and produai"ity in aviaiæ-<br />

Principles Based on Scientific Knowledge<br />

Tbough ¡esca¡ch on fatigue, slecp and circadian physiology, and shift wort schedules has generatcd<br />

- "*i"*i"e body of sciãndfic knowledge, rhe application of this information to the requircmens of<br />

opcrational scnings is relativcly riew<br />

increasing, is transfer to operatiors<br />

counærDeåsr¡res) offen the greatest<br />

schcduling pnacticcs rarely acknowledge or incorE<br />

e<br />

al


dær¡ocnt is to ourlinc scientifically-bascd prirriples that can bc applied ¡o ¡l¡e dury and rest scttcduling<br />

rcqui¡eæns of thc aviation industry.<br />

Sharcd Responsibility<br />

Tbcæ is no one absolurc or pcrfect solution to thc demar¡ds of duty and rcst scheduling in aviation. It<br />

is crhl;al that safery be acknowledged as a sha¡cd rcsponsibiliry anong all the indutry particþutts<br />

Facb coryonent of the aviuion s)rytem should bc cxamined fq avenues to incorPoratc scientifrc<br />

infqm¡ion and to apply guidclincs and straægies that will oaximizc perfømancc and alcnncss during<br />

flight operarions. Regulatory considerations, scheduling practices, pcrsonal strategies, and tcchnologt<br />

desgn ue spccific compo¡¡cns of thc industry ùu could be subject to such an exami¡æion<br />

Each of thesc cornporients is complex and prescnts rurique challenges. This docr¡ment is focr¡scd on<br />

scientiûcally-bascd principlcs and $idclincs fødrry a¡rd rest scheduling. Howevcr, i¡ is acknowlcdged<br />

thet rcgula¡ry action involves Eeny corsidcrations, zuch as legal" economic, and curre¡t practica It is<br />

Éc intcnt of úris docuocnt ôu rclwant scieilific information be considcrcd in üe rc$laffiy dmain<br />

'6afC can be Difficult to Quantify<br />

Detcrmining a "safe" operation is a cooplex tlsk Aircr¿ft accidens arc such rare occumenccs that they<br />

Eay nor proyidÊ ùc bcs outcoæ variable to esimaæ safe opcrations. The aviation indt¡stry r¡d flfng<br />

publb dcmar¡d a high margin of safety and reó¡nda¡rcy. Amng Eodcs of transportatioq üre aviatio<br />

indusrry's reputation for safcry 's welldescrrred. As many scgmcnts of thc industry incrÊåss thcir<br />

activitics, as tcchnologl enables longer fligh¡f ar¡d as overall growtlt continues, the challengc will be o<br />

rnaint¡in, and whcre possible, improve tl¡e safcty margin Thc fatigræ factors addressed in tl¡esc prirciples<br />

can crea¡e a wlnerabiliry for decremens in perforurance a¡d alertncss that can reduce the safety Eargin.<br />

Guidclines designcd to ¡pccifically addrcss thesc factc¡n can help to minimize this vulncrabiliry.<br />

Objectives<br />

Thc øEary objective of this docr¡me¡rt is o provide cmpirically derived principles and guidefines for<br />

duty and rest scheduling in comærcial aviatiæ. In ¡he Fmt section, scientifically-bascd prirriples<br />

rclared to operational issues poscd by the aviation industry are outlined In the sccond scctioo, the<br />

prircþles are applied ro guidelincs for duty a¡¡d ¡est scheduling in commercial aviation, with specifics<br />

provided wherc appropriaæ and available. In thc thi¡d scction, a brief ovcrview of othcrpotential<br />

indusry strategies ¡o add¡ess thcsc issues is pnovided<br />

r.O GENERAL PRINCIPLES<br />

1.1 Sleep, Awake Time Off, and Recovery are Primary Consideratioru<br />

l.l.l Steep Sleep is a vital physiological necd- Sleep is neccssary ¡e ¡nai¡ffi alermess and<br />

performance, pos'itive mood, and overall heålth and well-being. Each individual has a basic slecp<br />

requircænt that provides for optimel levels of performance a¡d physiological alertness druing<br />

u¡akefulness. Or¡ average, this is 8 hours of sleep in a 24-horu perid, with a range of sleep needs<br />

grcårer than a¡d less than this amounr Losing as linle as 2 hou¡s of sleep will rcsult in aanæ slecp<br />

loss, which will induce fatigue and degrade subsequent waking performance and alertness. Over<br />

days, sleep loss-any amount less than is requirefwill accn¡e into a cumulative sleep dcbr The<br />

physiological need for sleep created by a dcficit can only be rcversed by sleep. An individual who


has obtaincd required sle+ will be bcncr prcpared æ perform after long hor.r¡s awatc or altcrcd<br />

work schedules than one who is operating with a slecp deñcir<br />

l.lJ Awake time off- Fatiguc-rclarcd pcrformance decrements a¡e traditionally defined by<br />

,cnt on a given t^sk. Breaks from continuoos<br />

ing, are impøtant to nainuin consistent ¡txl<br />

wake time ofris introó¡ccd here to describc timc<br />

time off and slecp a¡e needed to ensurc opimum<br />

lcvels of Performanca<br />

l.lj Recovery- Rccovery from a¡r acutc slccp deficit, cumulative slcep debt' Prolonged<br />

pcrfamance a¡rd alc¡tness<br />

12 Frequent Recovery Periods are Important<br />

promote perfømancc and aleruress. Thesc ¡rp<br />

cd periods of wakeñ¡lms G.e-, ù¡ty) and ci¡cadian<br />

corrcry is impøant oredrrce cumulatiw cffccs<br />

rformance and alermcss<br />

fatiguc morc effcctively than less frequent oG'<br />

rcr likelihood of rcliwing ecute fæigue üæ<br />

s tha¡ cnsurc m¡nimum days off pcr weck ae<br />

vcr longerPcriods of timc (e.g-, montb yØ).<br />

1.3 Time-of-ilay/Ciicadian Physiotog¡r Affects Sleep and TVaking Performano?<br />

Thcre is a clock in the human brain, as in other organisurs, that regulates 24-hor¡¡ Pattcrns of body<br />

functions This clæk cmrrols not only slecp ar¡d wakefulness altcrnuing in panrbl with thc<br />

e¡¡vi¡onmcntat lighr/dart cycle, but also thEoscillalory nature of most pbpiolog:cal,Psythologcal'<br />

and behavioral fu¡rctions 'iìc wide range o¡ body functions controUed by the 2¿l-hor¡r clock includes<br />

body tc'pcran¡rc, hømne sccretion, digestio+ physical a¡d mcntal pcrformancc, moo4 and many<br />

o.È*. On a 2,4-hor¡r b6sis', rhcsc furrctions flucn¡¡rrc in a rcgular pattcrn wi¡h a higb lerrcl u onc ti-æ<br />

of day a¡d a low lcvel u anothcr time-<br />

wakcfulr¡css and islecp is programmed<br />

circadian clockt e""L üis pãnern e¡ ¿ daily tnsis<br />

@ü)<br />

to<br />

O6m, arc identified as a time when the body is prognmmcd to sleep urd during which pcrformancc<br />

is degnded- 1-rmeofday or circad.ian effecs are important consideratiæs in addressing 2Á-bot¡r<br />

o,pç¡.ã',ion"f requi¡emens because circadian rhythms do not adjust rapidly to change.<br />

Fa exaryle, an indiviô¡al operating during the night is maintaining wakefulness in dhect oppositioo<br />

,logical, psychological, and behavioral ñ¡ætions a¡l<br />

by Þing awake and acrivt.<br />

position to physiological<br />

p,rograrnming to be açalc. Thc circadian system prc of functioning during day that<br />

cDunteracts the abiliry o sleep. Thus, circadian disrnption can lead to acute slecp deñcits, cumulativc<br />

3'


slecp loss, decre.ases in performancc and alertness, ar¡d va¡ious health problems (e.g., gastroi¡æsdnal<br />

Therefore, circad.ian srabiliry is another consideration in duty and rcst æhcduling.<br />

--pt.itto).<br />

1.4 Continuous Hours of Vgakefulness/Duty Can Affect Alertness and Performance<br />

Exrended wakefulncss and prolonged pcrids of continuors performancc ø vigilancc m a task will<br />

cn<br />

aP<br />

of<br />

cumulative effecs car¡ bc addresscd by weekly tirqi<br />

e¡pport guidclines for acutc timitations than todeteroine qpccific cr¡mulativc limitatiæs" Neverôcless'<br />

c.-,rl"Cr" tirnitatirns (weckly and bcyod) ¡emain an important considcmtio¡ f6 minirnizing<br />

ærcumul¡tioo of fuigue effccrs<br />

l5 lluman Physiological Capabilities Extend to Flight Crews<br />

fqmancc dcficis rcflect these physiological limis.<br />

rm that of other humans. Therefore, it mr¡s bc<br />

fccting perforrnance and alermess in expcrimenal<br />

f pcrsonnel, and othcn also affect flight crcws. It<br />

h¡siological capabilities and pcrfømancc dcEcis<br />

froo fæig¡e, slecp loss, and ci¡cadiur physiology cxænd to fligltt crc\trs.<br />

1.6 Flight Crews are Made Up of Individuals<br />

Thcre a¡e considerable individual differcr¡ces in the magniude of fatigue efrecs on pcrformance,<br />

phpiologi<br />

slecp¡ ¡et",<br />

Individual<br />

other fact6s. Individuals ca¡r also vary in their pan<br />

druing a subsequenr dury perid (e.g., commuting across long distances immediaæly Pnor to starting<br />

a dury pcriod).<br />

1.7 DifÏerences and Variability Preclude an Absolute Solution<br />

Ir mgst bc acknowledged rhar ¡hc aviation indusuy rspres€nB a diversc range of required work<br />

dcmands and operarional environmcns. Sections 1.5 and 1.6 highligh¡ the divcrsc si¡utions and<br />

individtuls that are encompasscd by gercratized guidclines. This funt¡er ilh¡stntes tlrat guidclines and<br />

regulations qìnnor compleæty cover all pcrsonnel ø opcrarional conditions a¡rd thu úcre is no singlc<br />

abcolute solution to thesc issues.<br />

2.0 SPECIFIC PRINCIPLES, GUIDELINES, AND RECOMMENDATIONS<br />

Tbc following are specific principles, guidelines, and rccommendations to add¡ess üe 24-hour duty<br />

and rest schjutingiequireæntsof rhc aviation industry. Thesc prirriples and guidelines, bascd on<br />

the General princifles inroduced in scction 1.0, arc intended to provide a consisænt margin of safery<br />

across aviæion operations. Thercføe, rlrey are intended for application to minimum flight crew<br />

complemens of -r*o or morc. Similarly, they are intended for consisænt application across Part l2l<br />

and ihn 135 operarions. There is no scientiñc basis to differentiate betwecn these opeÎations. Thesc


speciñc principles and guidetines also apply actpss all flþg dury of flight crcw trÌembcrs required o<br />

p"rfot Þ* 9t or milirary füght opcrations befqe or aficr scheduled commerciel operatioos.<br />

In ødcr ¡9 provide specific guidelines, it is nccessary o dcfine the terms uscd in ttresc guidclin¡s<br />

Altcring thèsc defrnitions may invatidaæ the prûriples tl¡at follow.<br />

2.1 Off-Duty Period<br />

2.1.1 lÞfinition: *off-duty"- A continuous pcriod of unintcrrupted tiæ during which a crcw<br />

æmbcr is froe of all duties<br />

Z.I.Z Off-duty period (¡cr¡te sleep a¡d awaketime.off requirements)- Thc offduty<br />

p"ti"¿ should ¿lo* for ùrcc coryon<br />

offduty palnis an<br />

'ghoo<br />

slecp opporn¡niry. Tbc gencml<br />

slecp dcûcit ?{ I<br />

cumulativc-steep AcUt.å" ¿"gn¿" pcrformancc<br />

bc ¡eæg¡izcdùrt an<br />

r faII asleep. Tt¡c scoond codlPoDent is awatetiæ<br />

I pcrfømance of requircd tasks The ùird<br />

rg an offduty pcrid Tbcsc otrcr rieccsstt<br />

lapttr accoomodations' boal check i¡/oq æâ¡s'<br />

sbowcr, and pcrsonal bygiene. Therefore, rbe offdrry Pcriod st¡ould bc a minimum of l0 hous<br />

unintemrprcd *itnio any-Z+norrr pcrio{ o includc ¡n &hor¡r slecp opporunity, awake tiæ off'<br />

and tiæ ior other necessary activiries. (In üe casc of cxænded fligbt duty pctio4 scc sccri¡<br />

2.3.s.)<br />

2.lS Off-duty period (recovery requiræmentÞ The general principles outline the<br />

impøtancc of rccovery ro Einimizc the cumulative cfrects of slecp loss and fæiguc. Tuo<br />

nighs of r¡sual slc€p is a minimr¡m rÊquireænt to stabilizc sleep panerns a¡d rcûEri<br />

-*outir"<br />

uraking pcrf6suncc and ale¡tr¡css to usual þvels. Two consccutiræ nigÞs of recovcry slecp can<br />

providi-rccovery from slecp loss. The¡eforc, rhe sta¡dard offduty pcriod fcrreco¡ery shætd bc<br />

ã -ioi-u- of 36 continuous hor¡n, to include two consccutive niglrs of rccovcry slccp, wiúin a<br />

74zy perid<br />

2.L.4 Off-duty period (following standard flight duty periods during window of<br />

circadian low'I--Extensive scientific rrscarch, incÌuding aviation data demonstraþ thår<br />

m^inraini¡g wakefulness druing the window of circadian low is associatcd witb bithcr lert+ d<br />

performancc-impairing fariguc-than during dayrimÊ wakcfulness. Thcrcfqe, flight dury paidsthat<br />

occur dgring t¡e *in¿ó* oi"io"¿i- low bave a higtrcr potential for fatigrrc and incrÊascd requiremenr<br />

for recovery. It is recorrr-cnded rha¡ if rwo or rnorc füght duty periods wiütin a74ay Pcdod<br />

encroach on all - -y portion of É¡e window of ci¡cadian low, then the su¡da¡d otrduty pøiod (36<br />

continuous hours within 7 days) be extendcd to 4t bours recovery.<br />

2.2 Duty Periods<br />

2.2.1DeÍtnition: .duty'- Any task a ctew membcr is required by the oPsrator O pcrfono'<br />

including füght time, administrative worh training, dcadheading, and airPqt sundby rcscÛ!.<br />

2.2.2 Definition: .,duty period"- A conti¡uous period of time during which tasks a¡c<br />

perforrned for thc op"*tor, determined from rcport time until frec from all required tasks.<br />

' For defrniúqr of 'wi¡dow of circ¿dian low.- see scctia¡ 23å<br />

5


223 Duty period- To reducc vulncrabiliry to performancc-impairing fatiguc from cxtended<br />

hours of conrinuous wakefulness and prolonged pcrids of continuous pcrformancc requirements,<br />

cr¡mularive dury pcr 24 horns should bc limitcd- It is rccommcrded that this limit not exceed<br />

14 hot¡n wi¡hin a 24-hotu perid. (In the case of additional flight crew, sec section 2.3.6.)<br />

2.3 Flight Duty Periods<br />

23.1 Definition: 'ftight duty period"- The period of time that begins when a ctew membcr<br />

is required ro rcport for a duty pcrioa dret includcs one or møe flighs and ends u thc block-i¡<br />

tiæ of ûre ñnal flight scgnrcnt At a minim,,m, this perid includes required Pre-f,i$t activities<br />

and ftight timc.<br />

232 Definition: "rrindow of circadian low'- The window of circadia¡ low is bcst<br />

estinaæd by thc houn between 0200 and 0600 fq individr¡als adaptcd o a r¡sr¡al day-wakqhigùtslccp<br />

schcdule. This estimate of tbe window is calculatcd fr,m scie¡rtiñc data on thc circadian low of<br />

cc, alerrncss, srbjectivc repct G.e., peak fatiguc), a¡d body tcmpcratr¡re Fr flight duty<br />

psriods thet cross 3 q fewcr timc zo¡¡es' tl¡e wi¡rdow of circadi¡ri low is ç5tirnatcd to bc 02tr to<br />

0600 Uoæ-base/domicib time. For flight duty pcriods üat cross 4 or mqe tiæ zones, the window<br />

of circadian low is estimated to bc 02tr to 0600 home-basc/domicile time føùc frst 4t hors only.<br />

After a cr€w membcrrcmains mre tban 48 hor¡¡s away from bme-basc/domiciþ, thc window of<br />

ci¡cadian low is g5tim¡¡¡{ to be 0200 o 0600 rÊferred to local timc at the point of dcprure<br />

233 Standard flight duty period- To reducc vulnerability to pcrformance-imPairing fuigue<br />

from exænded hou¡s of continuous wakefulness and prolonged pcriods of continuous performance<br />

rcquirements, cumulative flight duty pcr 24 hor¡rs should be limitcd It is recommended ùu fø<br />

standa¡d opcrations, this cumulativc flight dury period not excccd l0 hor¡n ,¡/ithin a 24-bor¡r<br />

penod- Sta¡da¡d operations i¡rclude multiple flight segrrrnts a¡rd day or night flytng.<br />

23.4 Extended flight duty period- An extended cu-ulative flight dury príod should be<br />

limitcd to 12 hours u/ithin e 24-hour period to be accompanied by additional rcstrictions a¡rd<br />

compcnsarory off-dury periods. This limi¡ is based on scientific findings from a variety of sources,<br />

including dau from aviuion, that deoonstrate a significantly increascd wlnerabiliry fø<br />

performance-impairing fatigue afl¡cr 12 hor¡rs. It is readily acknowledged tlrat in current practicc,<br />

flight dury pcriods exter¡d to l4 hor¡rs in regular operations. Howevet, the available scicntific data<br />

s¡ppqr a guideline different from currc¡rt operarional practice. Thc data indicue that perfømanccimpairing<br />

fatigue does i¡¡creasc beyond t¡e l2-hor¡r limi¡ ¿¡¡i could reduce the safety magin<br />

2J-5 Extended flight duty period: restrictions and compensatory off-duty periodstf<br />

¡þs çnmulæive flight dury period is exændcd o 12 hor¡rs then the following rcstriaions a¡d<br />

compensatory off-dury p€riods should bc applied<br />

A. Cutnutatíve $ecs: tøxínm cumdaíve løu¡s of øension. Over time, ex¡ended flight dury<br />

periods can result in cumulative effecs of fatigue. To support opcrational flcxibility and still<br />

minimizc ttrc potential for cumulative effecs, it is rccommended ¡hat extended flight dury pertods<br />

can bc schedr¡led for a cumulative total of 4 hor¡n u/ithin a74ay perid For example, Ûterc could<br />

be wo 2-hou¡ extensions of the standa¡d lGhou¡ flight dury pcriod (2 x2 = 4 hr) or fou¡ l-hour<br />

extensions(4x1=4hr).<br />

B. Flíght dtuy periods duríng wíndow of círcodian low.As described in Section 2.1.4, the<br />

window of circadian low (as defined in Section 2.3.2) is associated with higher levels of


perfomrance-impairing fatigue. Thercforc, it is recomær¡ded that n a74ay pcriod, there be no<br />

cxrcndcd flight oury frioa-trat encroaches on any ponion of ttre window of cLcadian low'<br />

2 s.6 Ex ten ded n is¡t d utv peri od: a d di ti onar<br />

bllowing the flight<br />

rlcovery from ú¡e acurc fatigue<br />

cllw<br />

Promdc<br />

i¿itimal offduty tinc is rccomocnded' Tbc<br />

,t¡ld bc cxændcd by thc tinc duration of tl¡c f,ight<br />

t f,igbr dt¡ty pcriod of ll.5 bor¡n wor¡H bc<br />

bcing extcnded to 11.5 hours<br />

Jlíli,å'i#Hin"#;itriJÏg<br />

rf a¡¡ exte¡rded flight dury pcriod is inc¡eascd according o tl¡e above requireæntg the Eaximuo<br />

flight dury pcrioa-timiroó*"do the l4-horu duty psi4limil (s€ctio¡Z2)'<br />

2-weck limi¡ 5þ6¡¡ld atso bc scL Also, thesc cun<br />

4-hour cuoulative fligbt duty pcriod limit' a<br />

¡ecificd offduty rÊcovsry P€riod<br />

per 7 days focus<br />

¡sidcr¿tions To minimizc fuigrc üat is rct<br />

rce exccssive accr¡mula¡ion ætoss longcr pcriods<br />

s úe rÊcorrr¡rrnde¿ Thcre is not slfficicnt<br />

ús a¡ea- Howc:vcr, the gcncral prirriples apply'Fcr<br />

yea¡ly emunt$ tbc 30{aY<br />

Thc yealY sr¡muluivc Oigbt<br />

dury period limitatiqr should be dccreascd a Pcfcentage from úrc 3o{ay arþunl This wiu ñrÎ}tcf<br />

rcducc thc poæntial fø long-term aær¡mulæion of fæigue factors<br />

2.4 Exceptions Due tO unforeseen operational circumstances<br />

Excep<br />

of the<br />

These<br />

spond rc unforcsccn circurnstanccs bcyond thc conuol<br />

They rre not intended for use in rcgular practicc.<br />

7


2.4.1 Reduced off.duty period (exceptionÞ To suppon opcrational flexibiliry, it is<br />

engntzúthat duc to circumstances bcyond the control of tl¡e opcrator, it may be ncccssa¡y o<br />

reducc an offduty perid to t hours. This reduction would occur only in rcsPonsc to an<br />

unforcsccn opcrarional requirenrent. In this siruadon, the srbscquent offdury perid should bc<br />

extcr¡ded to ll hours.<br />

2.4.2 Extended flight duty period (exception)- To support opcrational flexibiliry, an<br />

cxtcnded flight ôrty pcriod can be increascd by up to a uraxinu"' of 2 hor¡n duc to unforesccn<br />

si¡çurnst¿¡¡ccs beyond the conuol of thc opcr¿¡or. The subscqrrcnt required ofrduty pcriod should<br />

bc inc¡eascd by üc timc by which tlr flight duty pcriod is incrcascd.<br />

25 Time Differences<br />

In geocral, the longcr a flight crcw æmbcr is away from thc hoæ-basc/domicile time zooe, üre møe<br />

rccovcry rimc is riecdcd for readjustment back to home-basddomicile time. Tbcrefqe, it is<br />

recomændcd rhat fcr flight duty pcriods tbat cross 4 q more tiæ zones, ar¡d tl¡u involvc 48 hor¡rs q<br />

Eue away from tbc bome-basc/domicile time zone, a minimr¡m of 48 bours ofrduty be allowcd upon<br />

rennn tobooc bascöomicile time.<br />

2.6 Reserve Status<br />

nigbt c¡ew mcmbcrs on Fessrye $au$ prorvids a critical eleænt o opcrational flexibility ar¡d tbc<br />

oppom¡nity to meet unanticipatcd necds It is impøant thu f,ight crew membcrs on rescrve status<br />

obtain required slecp p¡ior to a flight duty pcriod<br />

2.6.1 Definition: "airport standby reserye'- A rescrve flight crew membcr required to bc<br />

available (on standby) at an airpon fø assignmcnt to a flight dury Pcrid<br />

An airport standby rescrye ftight c¡ew mcmber should bc considered on duty and the prcvious dury<br />

perioa guidelines apply.<br />

2.6.2 Definition: *on-call reserye"- A rcserve flight crew member required to be available<br />

!o an opemtor (away from thc airpon) fø æsignrnent to a ftight duty perid<br />

On-call rescrve sratus should not be considerci dury. However, it is imporunt that the flight crew<br />

æmbcr bas an çpornrnity o obtain sleep priø o an assigned flight duty period Two spccific<br />

principlcs shor¡ld bc applied Tbc füght crew mcmbcr should be provided e 1) prediaablc ar¡d 2)<br />

prrotccrcd 8-hour slecp opportuniry.'?redict¡ble" indicates that thc füght crew Embcr should have<br />

prior informaúø,(24 hours notice is recommc¡¡ded) as o whcn tbc 8-horu slec,p oppomniry can b<br />

obtained wirhin rhc 24-houon-call ¡escrve time. The 8-horu slecp oppornniry should not vary by<br />

mrc tha¡¡ 3 hor¡¡s on subsequent da)6 to ensurc ci¡cadian stability. "A ¡rrotected 8-hour slecp<br />

oppornrnity" sbould bc protected from inæmrption by assignment to a flight duty period Any<br />

approach that æs the requirements of thesc two principles could be utilized


2.7 summary overview: Guidelines and Recommendations<br />

Fi*¡re I prwidcs a summary ovcrr¡icw of ¡hc guidelines and recomændations discusscd in<br />

this docuænt-<br />

t, o<br />

=<br />

Ìt o()<br />

CN<br />

Þ I:t<br />

Þ(D<br />

C)<br />

rn<br />

c<br />

D<br />

P..<br />

2a{r 9.rbd<br />

Off-Duty Perlod Duty Period Ftight DutY Perlod<br />

P.r<br />

r¡f<br />

1) A¡ bar<br />

36 cofllirÞ<br />

!þu3 lþut!.<br />

ro hdudc 2<br />

consocrrtþc<br />

nþhts ol<br />

rccovcry<br />

deç, h r 7.<br />

dsy psbd.<br />

21.8<br />

continuous<br />

trcr¡¡s h e 7daü<br />

pcrbd<br />

(loloilùìg<br />

trlght dutY<br />

p€rird h<br />

circadian<br />

low).<br />

q¡t Þ.a<br />

¡+lú<br />

t-lrl<br />

¡¡8 contiÞ<br />

tpr¡s lpurs<br />

uporì r¡tum<br />

tsna<br />

lolbwi¡<br />

flþH dtty<br />

period<br />

acfoss<br />

mutti¡lr<br />

t¡rn<br />

zones.<br />

tholly,<br />

llontHy,<br />

ln¡¡¡¡ly<br />

11h^l Therc b nol<br />

sufficient<br />

scientlic dalr<br />

to prwilc<br />

specilic<br />

guidance h this<br />

afe¿<br />

Dr<br />

taaú<br />

¡.rlcd<br />

Pt<br />

r.d<br />

brúrl',<br />

^rYr.Iy<br />

'10 hrs The¡¡ b not<br />

¡uffþicnl<br />

¡cientif,c<br />

dd¡b<br />

prwid.<br />

¡pcc¡frc<br />

guUam h<br />

thb arcr;<br />

lþwcvct<br />

c¡¡muhtþc<br />

llþhl duty<br />

12 hrs llaximut<br />

(reqdres f 4 curr¡<br />

fesriid at¡vc<br />

landngs. rcurs cl<br />

max¡Tl¡ll<br />

cumublþc<br />

hours,<br />

comp€nsåtorl<br />

otlduty time).<br />

For dt<br />

additi¡n¡l<br />

fþûú crer<br />

meirùer, ffighl<br />

duty lime can<br />

be ¡sees.d<br />

by t hrs<br />

(requiræ<br />

sle+ opportunity<br />

lor eac*<br />

crer mernbd.<br />

andbr FDPt<br />

> 1¡l lus, e<br />

bur* facilttY).<br />

E¡tcndcd<br />

FDPcan be<br />

increased by<br />

upb2hrs<br />

(srËequent<br />

ofl{uty<br />

perird<br />

inøeased by<br />

an equal<br />

amount).<br />

Figwe I. Srormary oveÌniûv of guidelíncs and recotun¿nd¿tiotts.<br />

9<br />

perkrd<br />

limitdiræ<br />

sho¡rld b.<br />

edjustcd<br />

do*rnvatd<br />

owf<br />

irueasing<br />

l¡me framca.<br />

cn<br />

I =CL<br />

Þ<br />

ct<br />

m<br />

x<br />

o =o.<br />

(D<br />

o.<br />

G t9m<br />

dx<br />

õc) õo<br />

-t,<br />

e9<br />

(' ltt<br />

=P go<br />

Êlæ<br />

to<br />

(D<br />

¡â


3.0 OTHER INDUSTRY STRATEGIES<br />

öcsc issucs in aviation Howcvcr, tbcrc is no singl<br />

dc'ands of t¡e aviation industry. To highlight this sha¡ed responsibililY, scveral other indutry<br />

srrategies fq add¡essing thesc issues wiu Uc described- Thesc a¡e intendcd to complement thc<br />

rccorrrr¡cndations listcd abotæ.<br />

3.1 Education and Training<br />

I inforocd about tl¡e exænsivc lnowledge now<br />

rsiology as it rclates to perfamancc urd aviation<br />

d ino d¡ily opcrations. Thc infømation can bc<br />

ersor¡al srategies to rlranage performance and<br />

g modules to meet this need re available a¡d<br />

stry.<br />

3.2 Scheduling Practices<br />

Thc scþnrific infcmatim ay¿ilable can be particululy uscful in gt¡tding rational and ph¡rsiologcaly'<br />

rx a¡¡d multi-determined proccss. HoY,wcr, it is<br />

ttunan physiology as a faaø for considcratiou<br />

st/beneñt considerations are critical Therc a¡e<br />

rrmation on fatigue into schedule constn¡ction.<br />

33 Controlled Rest on the Flight Deck<br />

Scientific data obtained during flight opcradons have clearly demonstra¡ed the effectivcness of a<br />

planncd cockpit rcst pcriod torprromotc pcrfomrancc a¡rd alertness in flight<br />

gPeradons. C-ontrolled rcst is a single operational stralegy and is not<br />

opcrations. It is abaolutely not inænded as a su<br />

ht ctew,<br />

dês, ø ¡ts support for ex¡ended dury. All possible strategics ¡hat maintain q<br />

argin should bc considered<br />

3.{ Operational Countermeasures<br />

A variery of other straægies fcr usc during flight opcrations should be examined and utilized wherc<br />

apprryriarc. This includcs the design and use of rechnology to prornote pcrformance and alertness<br />

dG"; op€rarions. varying work dema¡¡ds or other creative uses of flight deck auomation could be<br />

Oc"efãfr to maintain alcrures and perforrrance. Ser/eral activities in this are^a arc underway with<br />

sorne succcssñ¡l applications currcntly in usc.<br />

35 Future DeveloPments<br />

Ttprc a¡e a number of other possibilities that a¡e in diffe¡ent sBges of development hovæative<br />

laboratcry studies of sevcral *un¡srmeasures are often cited. However, validation of their effectiveness<br />

and safety in opcrational scrings is still needed prior to widespread impleræntation. Resea¡ch continues<br />

and mayþroviãe furthcr findings on counterrneasurcs rclevant to regulatory, scheduling, personal<br />

strategies, and technology approaches to manage alertness in aviadon operations<br />

10


REPORT DOCU]VI ËNì AI'ION PAUts, OLlB No.07UAræ<br />

P,ä. rreot'ùño Þrfõn tor ¡x oo¡laclrdl ol nlol'naüql a a<br />

o¡t¡rúe rrv me,ør,nng tìa 6¡'r¡ ñaa


fl<br />

x<br />

I<br />

o<br />

N<br />

fl<br />

d<br />

d<br />

v


Uterature Reyiex'<br />

An Overvlew of the Sclentiñc Llteraü¡rc<br />

Coocerning Fatigug $oP, ¡nd the Circ¡dhn Cycle<br />

Prepared for the Ofüce of the Chief Scieutif¡c<br />

¡nd Technic¡l Advisor for Euman Factors<br />

Federal Avl¡tlon Adrninis tra tion<br />

By<br />

Ba ttelle Memorial tnst¡ tute<br />

JIL Inforuration Syste ms<br />

January l99t<br />

Page I


Introduction<br />

An Oven'ierc o[ the Scientific Literature<br />

Concerning Fatigue. Sletp, and the Circadian C.r cle<br />

Thjs docurncnr provides a bricf rcview of rhc scicntifìc resea¡ch relating to issues of pilot fatiguc<br />

arising from crcw schcduling practiccs. A massive ¿rmount of rcsearch has bccn conducæd on<br />

s¡cb iisues as thc cnvi¡onrncntal conditions that cootribuæ ¡o thc occt¡rrc¡ce of fatiguc, acute and<br />

ch¡onic slccp debt and tlrci¡ effccts on pcrforrnancc. and thc inflrrcncc of tbc ci¡cadian cyclc on<br />

alert¡rcss. This papcr attcmpts to idcotify major trcnds in this üærarr¡rc tbat might be of value in<br />

addressing spþ6{ul i ng reguluory iss¡Ë.<br />

Tbc papcr is organizcd i¡to scvcn scctioos. Tbc frnt scctioo,'\ilhat is Fatiguc," attcmPls !o<br />

pro"idé a functional dcfinition of fatigr.rc that scrves to dehne thc scopc of issues thu necd to bc<br />

considered, including variablcs that contributc to the occr,urence of fatigttc and rncthodologies for<br />

asscssing the impact of fatigrrc on human functioning.<br />

Scction two, "Indications and Efrects of FUigr.rc," briefly rcvicws the hurna¡l performancc and<br />

pbysiologlcal i¡dicators of farigrrc. Tbc inænt is to idcnúfy possible dccrcmns in pcrformancc<br />

that could bave a safery impact. This scction dso briefly add¡esscs the complcxitics involved in<br />

rneasuring farigue levcls. As this scction cxplains. fuigue is a complex conc€Pt thar docs not<br />

aJu.ays produce expected me¿surable de¡rcrnents in pe rformancc.<br />

Scctionr¡rec, "Fariguc and thc Aviatioo Envi¡onment," add¡esscs tbc issue of fatiguc *ithjn the<br />

aviationenvi¡onrnent. Beforc changes a¡e madc to existing regularions, tlre question of *hether<br />

rhere is a problem that needs to be rcsolved should bc addresscd. Available research on the extent<br />

ci farigue *ithln the aviation envi¡onrrrcnt s rcr'ie*ed. In addition. factors that compLicate the<br />

assessrnent of the extent of the faUgue problem ln an oP€rational envltorìrDent a¡e also described<br />

A piJor's lerel of alertness at any tinrc dcpcnds upon a complcx interactlon bet*ecn a number of<br />

ya¡rables. Fou¡ va¡iables. in particular, nccd to þ considered: tin¡e on task. time si¡ce au'a-ke, any<br />

exisring sleep debt. and tbe pi.lot's own ci¡cadian cycle. Scction fou¡. "Sta¡rdard Dury Period,"<br />

descnbe s the resc¿rch trends pcrtairung to orne e¡ 1asft and un¡c si¡cc a'*'alie while scction fìr'e.<br />

"Sra¡dard Slecp Requirenrnts," addrÊsscs Írcutc and ch¡oruc sleep debt, including<br />

recommendations for slecp debt recovery. Scction sü, "The Circadian Cycle and Fuigue," which<br />

looks ar rhe resca¡ch on ci¡cadian cycles and thei¡ implications for back'of-the


\l'hat Is Fatigue<br />

The oblectir.e of rhe regulations proposcd in the NPR.\Í is to idcntr$ sç'heduling constraints that<br />

wilt mirurruzc rhe impact of pilot fatigue that ariscs from dury unp and sleep debt duc to crcw<br />

schcdulcs. The terrn "fatigue," has ya to bc defined in a concretc fashion (Malrcr & McPbcc,<br />

l99a): Mendelson. Richa¡dson & Roth. 1996). Fatiguc, as addresscd in the buman pcrforrnance<br />

litcraru¡e. rcfers to "deteriora¡ion in human performance, arising as a consequencc of scveral<br />

poæntial factors, including slcepincss" (p. 2). Slccpincs, in cont¡ast has a morc prccisc<br />

äcfrnitioo: .slccpirrcss, æcording to an enErging cooscasus üDoot slccp resca¡chcrs and<br />

clinicians, is a basic physiological starc (like) hungcr or thi¡st. Dcarivatioo or rcstrictioo of sloep<br />

increascs slecpiæss a¡d as bungcr or thirst is rcvc¡siblc by eating or drinking, rcspcctively, slecp<br />

reverscs slccp-incss- (Roth ct al., 19t9, citcd by Mendclson, Ricba¡dson & Roth, 1986, P.2).<br />

In kecping with curren¡ thinking on tlrc concept of fatigræ. Mahcr and McPbec's approach is uscd<br />

bcrc:<br />

.Tatigue" must conti¡ue to have thc stahrs of a hypothetic¿l constn¡ct, an cntify<br />

*hose existence and dimensions a¡e infened from anteccdent and consequent<br />

evenLs or variablcs" (P. 3-4).<br />

This ræans that farig¡c is trc¿ted as a conccpt that occurs in rcsponsc to prcdefined conditions<br />

and has physiological and performancc conscquences. Tbe antecedent conditions of i¡ærest bcrc<br />

i¡clude:<br />

o Trrne on task, including fì-ight ti¡r¡c and dury pnod du¡a¡oo<br />

. Trme sincc awale wbcn bcginnrng the dury Pcnd<br />

r ,{cute and ch¡oruc sleep debt<br />

. Cúcadian disruptron. multiple time zones, and shrft uork<br />

The objectives of this docurne nt are to rcr'iew the scientific rese¿rch tn order to:<br />

o l,Jenrify the impacr of these anæcedent variable s on huma¡ pe rformance<br />

o Relare rlesc variabtes to appropriate pbysiological measu¡es that have bee n demonstrated<br />

ro bc accomPanicd by decrenrents i¡ huma¡ pcrformance<br />

Idenrify. ro rhe extenr possible, limjtarions and requirements concerning dury Period durations,<br />

minimum sleep rcquirernenLs, etc. that should be rcflecæd in the regulatioDs.<br />

Lite rolure Rev teu<br />

Page 3


lndicatioru and Effects of Fatigue<br />

The massire ltrerarure on fatigue has identifred a numbcr of symptons that indicate thc presence<br />

of fatigue. including: increased anxiety. decrcascd short ærm rnemory. slowed reaction tirnc.<br />

decreascd work cffrciency, rcduccd morivational drivc. dccre¿sed vigilancc, incrcased variabiliry<br />

in work pcrformance, incrcascd crrors of omission which increasc to commission whcn tinre<br />

prcssure is addcd ro rhc rask, and increascd lapsc with incrcasing fatigtæ i¡ both numbcr and<br />

äuration (Mohler, 1966: Dingcs, 1995). Many of thcsc syrnPtoms aPPcer ooly aftcr substantial<br />

lcvcls of slecp dcprivuion havc bccn imposcd. A rcview of thc litera¡¡¡e tb¿ involvcd fatigue<br />

lcvels likely to be cxpcrie¡ccd by pilots suggests that a conunon fatigtE slrnPtom is r change in<br />

tbc lcvel of æptablc risk a¡ individr¡al will tole¡aæ'<br />

Brown et al. (l97O) bad subjccs d¡ovc for for¡¡ 3-hor¡r sc^ssions. Tbc prformancc ræesurc uscd<br />

was a count of thc numbc¡ of æcasioos in which thc subþt cxecutcd wh¡ thc cxperirncnær<br />

considered a risþ passing r¡a¡ìcuver. \I/ben driving pcrformance bc¡pccn tbc lst aDd 4th scssions<br />

werc comparcd. a 50% increåsc in th€ occurrencc of risþ passing rnaDcuvcrs in laær sessions,<br />

when subjecrs $'ere Prcsullìåbly morc fatigucd, was obtaincd'<br />

This change in tlre levcl of acccpøblc risk was confi.rrrrcd by Bartb a d. (1976) and<br />

Shingledecker and Holding (1914) who found that fariguc caused subþs to cngage in greatcr<br />

risk taking activiry in an cfforr to avoid additional cffort. In the Shingledcckcr and Holding srudy'<br />

subjects pe rfornrcd 36 choicc-of-probabifiry (COPE) tasþ, which i¡volved locating a fault in one<br />

of th'er remo\able ban-ks of one-wan rcsistors, eacb r¡'ith "'arying degrecs of probabiUry- that tbe<br />

banli had farled. Twenry


cf inaction t1'pical of fatigue (Ncwman, 199ó)'<br />

r a full minute before thc crash, they rnadc no<br />

ristic of fari-eue . Tlis is due to a rcduccd lcvel of<br />

d abiliry to cognitively makc a connection<br />

bct*.ecn causc and cffccr. one may recognizc a problcm but not translatc is effcct duc to lack of<br />

full comprchension of thc siruation or simple failu¡e to initiate an actioo'<br />

Relucd cvidcncc exigs tha fatigued workc¡s a¡e satisficd with lowcr pcrformancc and rh¿<br />

bc a factor whcn ai¡cnft cfews ane conoentranng<br />

dcvclop duc to ttcglccr<br />

In thc case of thc l9t5 ctrina Airlincs Fligbt 006 mishap, thc pilot þca¡æ focuscd oo thc loss of<br />

power in one eng<br />

injuncs occurrcd<br />

from 31,000 fect<br />

In rhc Guantanamo Naval Basc accident" tbe pilot was so focuscd on finding a suobc ligbt that he<br />

rts that thcy werc aPProåching a stall sPccd - -<br />

rvestiguion of Ai¡ Force C-5 misbaps or ricår-<br />

son¡c symptotns of faugue a¡e simila¡<br />

farigue on.', abilìr¡* to:anend to auxili<br />

aled ¡o ancntiond focus problcms a¡td 24 Pcrcent<br />

ological conditions' For example, with<br />

mes r¡orc n¿urow' very much analogous to<br />

the effecrs of dconor (HuntJey er al., t i¿. 1973), hypoxia cMcFarla¡d t953)' and<br />

bc¿r strcss @ursill, lg5g). Dawson and Rcid (lg evaluared pcrformance aftcr l7 bor¡rs awake<br />

and found pcrformancc dcgraded to a lcvcl equal to that c¿uscd by a blood alcohol coDccntration<br />

(BAC) of 0.05 P€rcent. nt Z¿ bou¡s, pcrformancc decrcnrens werc equivalent to that of a 0'10<br />

BAC. After ten hou¡s of sleeplessness, the decline in pcrformancc averaged .74 pcrcent per hour'<br />

Finally. Harnson a¡rd Horne (19?9) found that slccp loss result<br />

ideal word or phrase for the idea or thought the pcrson wanted<br />

loss in intonation and an overall dull¡ess which suggestcd loss<br />

rhar ùus may very well result in penonal communication probl<br />

Literalure Reviev<br />

ä<br />

4<br />

ting the<br />

re was a<br />

ggest<br />

Page 5


EfTecs of Fatigue and Steep Loss on the Brrin<br />

nc¡ion. Hornc ( l99l) states that this restora(ion is<br />

tcx of thc bra¡n. This is consisænt with the<br />

timc sincc awake significantly incrcased the<br />

981) found that dominant EEG @uencics in<br />

þntiooâl focr¡s. Thcsc EEG changes are<br />

anc¿ dccærrcnts occur' Howin cr d' (lftt)<br />

found that under higb workload siruations the<br />

¡f thosc disPlaYed bY fresh <strong>Pilots</strong>'<br />

Anoúer physiorogical ¡ne¿Lsure of fatigue and srecp is bnin grucosc revels. All riszue of the body.<br />

*.he¡hcr it bc heart muscle, kidneys, lungs, or the brain'sorks electroclrcmically' and conforms to<br />

one principle: thc more work donc, rhe Ãore fucl uscd. Thus, by nrcasuring glucosc utilization'<br />

oxyten .onsunl¡ion.and blood flow in the brain, a¡eas whicb afe very activc druing various<br />

t¿sks ca¡¡ bc determined.<br />

Thomas er al. (1993), using posiUon emrssion ropography (PET) scan has provided strong<br />

ph¡srological evidence U"] ,top loss is accompanied by a decreasc in brai'o glucose nrc¡abolism'<br />

Tbc a¡eas mosr involvsi werc rhc prcfrontal cortcr' thc inferior paneu'l conex' and thala¡nus'<br />

Dunng 48 houn slee p depnvation, Ú¡e orerall brain glucosc ucilz¿rion dcc-uftcfT percent' whtJe<br />

rn t-be a¡eas of higher order thinking declines ranged from l0 to l? Percent (Thomas' 1997)'<br />

r over a 48 hour Pend. Gold ( 1995) reccnt'ly<br />

ha¡ges could signifìcantJy enha¡cc cogrutire<br />

ealthy yo{¡ng aduls, elderly, and se rerc sutes of<br />

Jronr Pabents.<br />

PET sca¡s of recovery sleep, taken sequentially ttÚough the nighr and sy'nchroniz¡À wiüt EEG<br />

changes. sho*, that släw ,*,áue slecp appears to have-is greåtest effecs on the sarnc brain a¡eas<br />

rhar Thomas et al ( 1993, l99z) showed were most afrcctcd by sleep loss (Braun et al., 1997)' This<br />

rndicates that a¡eas of the brain invorved in are rtness, anentionar focus, concentration. short term<br />

r¡crDor) . drir e a¡d initiative, problem solving, complex rcasoning' and decision making a¡e tbe<br />

gt r,.ri be neficiaries of deep sleep Q-amberg' 1996)'<br />

Sioce the front brain is rcsponsible for analysis of information' judgnrnt' planning' decision<br />

mahng.andthernitiationofactions.itisnotsurprisingtharNTSBfounddecisionmaking<br />

abiUues suffered *'ith high time since aw'ake'<br />

Litera:ure ßet tex<br />

Page 6


The orderty planning and sequencing of complex trharrors. the abiliry to attend to<br />

several components simulnneously. and thcn flexibl¡ altcr thc focus of<br />

concentrarion. rhe capacit¡ for grasping the context and gst of a complex<br />

siruation, rcsis¡ancc to distraction and intcrfcrence, the abrlqv to follow multi-step<br />

instructions, thc inhibirion of immediate but inappropriarc rcsPons€ tcndencies,<br />

and thc abiliry ro sustain behavioral outpr¡t... may each bccon¡c rnarkedly<br />

disrupæd (Resak, l98t).<br />

Many of tbc functions dcscribcd by Restak are thc sarne funcúoûs Hcssary to a pilot's ability to<br />

competentlY flY an aircrafr.<br />

Meesuring Fetigue<br />

Although the srudies just lisæd do show perforrnancc decrenrenls dræ to fatigue. other studies<br />

have strown no effect (c.g., Roscnthal, 1993), particularly *'hen slecp loss lcvels up to 24 hours,<br />

or small ch¡onic partial slcep loss levels of only one or two hor¡n Pcr day arc uscd. The lack of<br />

dcfinirive rcsuls in panid sleep deprivation srudies rnây þ duc to differcnces in æsting<br />

proccdures. Roscnthat tcsted on four scpa¡atc occasions, wþsreås othcrs ¡csæd only once Pcr day.<br />

in . ror. s€vere stecp deprivation srudy, Thornc (1983) made t-be rc$ilg i¡stn¡nrcnt the primar¡'<br />

task. *,hich lasted 30 mlnutcs of e¿ch hou¡. As slecp loss bcca¡r imrcasingly greåter, subjects<br />

became slower, Thereforc, the tirne to complete the sclf-paced t¿sk r¡creased about 70 perce nt,<br />

and at timcs doubled<br />

Evans er at ( l99l), in a rcvie'*' of fatiguc in combãt, clearly' stalùJ Lhat gudies using embedded<br />

testing. such as Thorne (1983). Angus and Heslegrave (1985), a¡d \lulla¡ey et al. (l9El),<br />

consisrenrl¡,sho* -srearer effecrs of farigue and slecp loss performance decrements tha¡l short<br />

durarion isolared inrusire tesLs Belenk) et al (1986) notes that Jt^rìtr.rìuouS embedded æsting<br />

rcr,eals Iarger performance decremenLs soonerthan does interrruaen¡ tesring. [n Angus and<br />

Heslegrare (1985). anal¡sis of results found a78% decremenl ur en''oJing/decoding performance<br />

and a 43% decremenr rn logical reasorung afrer 24 hours a*aj¡e H.r:lam (1982), using non'<br />

embedded testing, for¡nd no decrerncns and 29%, rcsP€ctivel)<br />

The greater sensitiviry of embe dded æsting is not surprising grcn that tlrey rrrasure performance<br />

for a more prolonged pcnd. Brief, intn¡sive psychomerric tesls. in conrasq a¡e novel a¡d act as a<br />

resr break, distraction, and temporary stimulus, thereby incre¿si¡s sbort ærm mobilization of<br />

effort thus boosting prformance. Tbe use of such an inswment *ould function similar to the<br />

effecr Chambe rs (1961) found in an i¡dustrial output study when outPul rcmains higher when a<br />

r*orker was switched to different jobs periodically than to stå)'al ooc job.<br />

.A.notherexplanation for t̡e varying effects of performance due ro fatrgtrc is that performance is.<br />

Lileralure Reyier'<br />

Page 7


in parr, depcndent upon the cr¡cad.ian physiology of úe subject' subjccs cxpcriencing circadian<br />

dysrhy,thr* o, op.r",ing dunng the' ciicadian trough âf€ rTìcrFC ltkely ro yield substa¡dard<br />

pe rformance-<br />

Also,<br />

"Both<br />

bchav<br />

luionship bctwccn fatigue and performancc'<br />

have a largc impæt on rcsults' particularly t ù!<br />

cffecs are freqræntly most aPParcot ocar thc end<br />

of studies (whcrc pcrfornrancc improvcnrcnt is sonrti¡æs for.rnd) but also m¡ly account for rhe<br />

difñculry in showing ¿or"r*oo L¡y io pcriods of shcp læs" (Bonnct' 1994' p' 5o).<br />

h<br />

n<br />

"<br />

function.<br />

s coosidc¡ed to incre¿se scnsitiviry in tcsting for<br />

rch¡dc conti¡r¡or¡s perforrnancc, prolonged<br />

;is sbown to wort in dccrerænt ô.8 to noisc<br />

ravc bccn rcportcd to bc less atrectcd by slccp<br />

oo lÈ Naitoh. 19?4). Fæigrrc effccs ænd to be<br />

motivuing. a¡d fccdback is given' On the uhcr<br />

of newlY acquired skills' and<br />

s is bccausc wort'Paccd tasks<br />

*scrve caPacirY of brain<br />

nreasu¡es<br />

Roth et al. (1994) supPort loog<br />

of<br />

dcærioration<br />

sleep loss de cremeniand slecp<br />

bccn<br />

of skiils o'er rime a promisili<br />

anempted in a','iation ,o..t"ùUy Neville a al' ( lgg2)<br />

recordcrs for<br />

. L - ^L - r---. ^..^.<br />

rncasuring parafncrers of fligbt over timc. This proccdufe fDrly be the best avenue ya for mrly<br />

measunn! performance dccrcn¡cnts r¡ an opcratrond sening'<br />

l\f icræleePs<br />

performance ¡T€åsures have obvious value for asscssing the effects of fatigue and slccp-rclated<br />

rch. Mjcrostecps werc fust recognizrd by Bills<br />

intervening yeå-rs thcy bave also bccn called<br />

ps." Thc pbysiological drive to slccp can result in<br />

utcs. The laner ærminology is the result of EEG<br />

fo nnati on proc es s i n g, su bjects m onpntaril y sü P<br />

into a light sleep. This occufs with the cyes open an! u-sually *'ithout the knowledge of the<br />

individual, a¡ observation fi¡s¡ rcportcd-by Miles (1929). Bonnct and Moorc (1982) found that<br />

beforeYslya*areoffallingasl*p'.¡"yhadbeen<br />

asleepinconsciousnessimpairperformanccby<br />

leadin<br />

on ln se rial tasks that are work paced'<br />

I)te ra,ure Ret iew'<br />

Page E


mrcrosleeps can also lead to enor of commrssion a¡d. if frequent enough or long enough, ca¡ le¿d<br />

to loss of situational atr a¡eness.<br />

Microslecps have bccn shown to be a uscful approach to asse ssing the effects of tinrc of day on<br />

slccpiness levels. EEG braln wave changes confirm that pilos expenence greater slecpiness and<br />

decreascd alertness bctween 2:0O ¡o 4:00 a.m. (Gundel, 1995). Alpha rraves in EECn indicate<br />

micro cvents or micro slecps and have bccn found to bc threc times grearer during night than<br />

during day flights (Sarncl. 1995). Sarrrcl et d. (1997) found that during or¡tbound flights, pilos<br />

expcrienccd 273 microshcps or aD avcragc of l.3t microslccps per pilot pcr hour. On rcturn<br />

flighs thc fotlowing night, pilots expcricnccd 544 microslecps or 2.47 microslcc¡¡5 pcr hour pcr<br />

pita. Both fectings of fatigrre and duty tiræ<br />

progf€,sscd. Rosckind et al. (1994) rogressive increasc<br />

as flights progressc{ particularly in thc latær por ings confirm botb<br />

thc physiological occurreoce of microslccps in commercial aviation pilots, and the accu¡nulative<br />

na¡urc of fatigue in succcsive night opcrations.<br />

The beneFlcial effects of taking brcaks havc also bccn demonst¡ated by rncasuri-ng microslccps.<br />

\L'orkers pcrforming continuous tasks without brیks (Bills, l93l;Broadbent, 1958) orsuffering<br />

from slecp loss bcgan ro demonst¡atc signs of micro slecps much sooner than those with rcst<br />

breals or getting adequatc resL resPectively (KjeUbcrg' 1977b).<br />

Tl¡e resea¡ch cited in this section suggests that fatigue may bc a faclor in ¡he aviation envi¡onrnen(<br />

due to drect performance decrerne nrs and, rndi¡ectJ), through nucrosleeps that disrupt pilot<br />

functioning. The next secuon looks at data relari-og ¡o the occurrence of faugue in tbe aviation<br />

env¡¡oruTle nL<br />

Fatigue and The Aviation Enrìronment<br />

The unique characreristlcs of the aviation envÛon¡ænl mav malte prlots particularly susceptible to<br />

farrgue. Environrnental factors such as mo\em€nt rcstriction. Poor alr flo*', lo* light levels.<br />

background noise, and vibration a¡e known caus€s of fatigue (\fohler. 196ó). In addi¡ion, tìe<br />

rnuoduction of advanced automation into tle cockpit has changed the na¡u¡e of the job for man¡'<br />

pilos. Hands-on flying has been replaccd by greaær demands on the crew lo pcrform vigilant<br />

mon|roring of thesc systems, a task which people ænd to frnd tinng if pcrforrncd for long pcrids<br />

of rime. For example, Colquhoun ( 197ó) found that monotonous vigilancc tåsks could decrcasc<br />

alenness by 80 pcrcent in one hor:¡, which is conelated with increascd EEG theta activity or<br />

sleep-like stare. Since physical actrvity and inærcst in the task ca¡ he lp to mirumizc the decline in<br />

prrformance due to continuous r+ork and slecp loss flVilkinson. 1965;Lille. 1979), automat¡on<br />

may conrribute to increased drowsiness in pilots suffering from fatigue or sleep loss. Also, æ witl<br />

bc shonn below, rhese cognitire-based activities rnay þ susceptible to t-he effects of fatigue.<br />

Itteralure Reviev' Page 9


AJrhough these envronment¿l cha¡actenstics a¡e suggestire, the acrual extent to n,hicb fatigue is<br />

a safet¡' issue ne¿ds to be asscsscd. A srudy of ASRS incident reports suggested thar I lVc oÍ<br />

incrdens*erefatigue-related Thisñgurewaschallengedb¡ Baker(199ó).whopoinredourrhar<br />

rhe databasc is a biased sysæm due to sclf rcporting, and the data werc fu¡tìer biased by thc<br />

rescarchcrs' interprctation of thc rcports. Kirsch (1996) argues that thc âcrual ASRS esrimâte is<br />

fou¡ to rven p€rc€nt. Graebcr (1985) clarifìes thc siruation as follows:<br />

tu initial analysis of NASA's Aviation Safery Rcponing Sysæm (ASRS) in 1980<br />

rcvcalcd that 3.t pcrccot (77) of thc 2006 air transport crew ræmbc¡ crror rçports<br />

rcccivcd sincc 1976 *r¡e directly associatcd with fatigue (Lyroan &, Orlady,<br />

l9t0). This may sccm likc a rathcr srnall proportion, but as tþ authors cmphasi2¿,<br />

fatiguc is freqæntly r pcrsonal cxpcricoce. Thus, while onc crrw trErDbcr rnay<br />

anributc atr error to fatigr.rc, anoôcr rnay anributc it to a rrþrr directly pcrccived<br />

causc such as inattcntion or a miscomm"nication. When all rtporu whicb<br />

npntioned factors directly or indirectly rclated to fatigue a¡e included, the<br />

pcrcentage incrcascs to 2l.l perccnt (426). Thcsc incidens tendcd to occru n¡orc<br />

often betwecn 0O:0O a¡d 06:0O flocal ti¡ncJ and during the desccnt, approach or<br />

landing phases of fligbt. Fu¡tberrnorc, a large rnajoriry of thc rcports could bc<br />

classifred as substantive, potentially unsafe errors and not just minor errors.<br />

ln a srudy of fligbtcrcw-involved major accidcnts of dorne stic ai¡ ca¡riers during the 1970 rhrougb<br />

1990 pcriod (NTSB, 1994), ooc conclusion pcrtained di.nectly to the issue of fatigue: "Half rhe<br />

capøins ior whom data were available had been awake for more tha¡ ll bou¡s prior to their<br />

accidens. Half the Frst officc¡s had bccn awake more tha¡ I I houn. Crcws comprising capr¡in5<br />

a¡rd hrst officers whosc ti¡r¡c sincc awakening was above tbc mcdia¡ for tbei¡ crcw position rnade<br />

rrrore enors overall, and sigmfìcantly more proccdurd and tacuc¿l dccision errors" (p. 75). This<br />

finding suggests that farigue rnay be an important factor in the ca¡rier accidents. Because the<br />

study rnrolredonJydomesticcameraccidens,itremainsunclea¡asto*hetherotàerfatiguerelated<br />

factors, such as long flght tirr¡es and cúcadian disruption due to multiple trme zones<br />

r¡ould aJso appear as causative factors. On the basis of this srud¡. the \TSB recom¡r¡ended rhar<br />

thc FA{ addrcss the issues of flight dury dnæs and rest penods<br />

AJt}ough the results of this srudy are suggestivc, the acrual impact of fuigue has yet ro bc<br />

dctcrmi¡ed. Sincc no real effon bas bccn made to identify theeffe¡sof fuigue in accidenr a¡¡d<br />

i¡cidencc iovestigation, it is difficult to asscss the magnirude of thc problem. In additjon, ir is<br />

possiblc that sclf-reponing systerns, such as ASRS, rnay bc affected by the inabiliry of pcoplc ro<br />

accuratcly ¿ìss€ss thei¡ own fatigue levels (Sasaki et al.. 198ó; Richa¡dsooet al., 1982; Dinges,<br />

1989). Subjective eva.luations of sleepiness have not þen found to bc rcliable excepr in exr¡ernc<br />

sleepiness. Rosekind and Schwartz (1988) notcd that the scientihc literarurc generally<br />

demonst¡ates a discrepancy between subjective reports and psy'chophysiological nreasu¡es, rhe<br />

result be ing underestimations of one's level of sleepiness (cf. Dement & Cankadon, l98l).<br />

Dement et al. (1978) and Rotlr et al. (1994) reported that some subjecs.¡udged thernselves alert<br />

Literature Ret'iev Page l0


\ hen in fact they *'ere in thc process of falling sleep'<br />

Graebe r et al. ( 198ó). summ¡nzing the collaborative efforts tret*een Europran. Japanese. and<br />

Amencan investigators to e\duate sleep in long haul atrcrer¡s. reported that subjective<br />

evaluations ile sometirnes cnoneous ÍLs to the true narure of the psychophysiological søæ of<br />

stecpiness. These rcsults uerc obnined in two scParate srudies by Denrcnt et al. (t986) and<br />

Sasaki et al. ( 1986). Mullancy ct al. ( 1985) also found that subjecs subþctively felt that thcy<br />

pcrformed bcrær under slccp loss conditions when paired *'ith anothcr subject, when in rcdiry it<br />

Lad no effcct on actual pcrfornrance dccrcnænts. Rosckind e{ al.(1994) found pilots unablc to<br />

subjcctively evaluare changcs in pcrforrnancc duc to a short inflight uep. Although pilots did<br />

show physiotogical improveu¡cnts in alcrtrrcss, they could not<br />

Bclcnþ er at. (1994) poios or¡t that duc to thc psychophysiol<br />

cognitivc judgmcnt a¡e¿s wirh fatigue and slccp loss, thesc ch s<br />

abiliry to cvaluarc his or hcr own performancc accurately.<br />

One possible rcason for tbcsc frndings is that the prcscncc of certai¡ fæton masks slccpirns and<br />

the abscnce of other factors unmasks slecpiness. Envi¡onrnental factors that have a maskilg affect<br />

includc noisc, physical ætiviry, caffei¡c, nicotine, thi¡st, hunger, cxciærnent, talking about<br />

somcthing intercsting, etc. fur example, Howia et al. (1978) fouod ttr¡¡ slecP deprived pilas in<br />

opcrational senings felt no ooticcable farigue oncc flight prcparations werc under way and flight<br />

conuncnc€d. This explanaion is supporæd by rcscarch that r¡scd the multiple sleep laæncy tcst<br />

(Dernent et al.. 1986, Sasaki et al., 1986; Rorkind et al., 1994; Roth et al', 1994)' [n conuast to<br />

rhe subjective ev'aluation. t-hc multiple slee p laæncy test asks subjecrs to quietJy lie do*'n. closc<br />

their ey'es and try to slecp. This in essence temoves many of the maskrng factors, whercas<br />

subjectir.e alcnness in relæion to EEG recording aPPears to bave bencr correlation beca¡¡sc both<br />

ca¡l be rccordcd in rhe sa¡r cnvi¡onmental sctung. Ogrlvie et aJ. 11989) rcponed that zubjecuv'e<br />

sleepiness responses to t-be Sanford Sleepiness Sca.le onJy reached signiÍrcance uhen subjects<br />

,*ere entering srage I sleep Thus it nÉy be that ''rhen EEG aJpha and uheu actiriry appcars there<br />

is truly a feeling of sleePuress.<br />

AJrhough masking reduces percei"'ed fee lings of sleeprness. it does Drrt courìtÈract the effecs of<br />

fatigue on performance. Kecklund and Alentedt (1993) conclude that aJthough sleep-depnved<br />

subjects may not fecl ¡Ì¡cr¡ sleepiness or fatigue due to environmental ranables, the slecp prcssure<br />

is still latently present.<br />

Standard Duty Period<br />

The first regulatory issuc tlat nee ds to be addre ssed concerns the durarion of the standard duty<br />

perid."standa¡d" i5 r¡s€d bere to refer to dury periods that do not involve n'indow of ci¡cadian<br />

low (WOCL) effects orriroc zone changes. The pnma.ry focus of the standard duty period issue<br />

addresses the buildup of fa,rigue as a function of perform.in-s the various lasks tnvolved in adut¡<br />

I)teralure Ret ieY+'<br />

Page I I


pe nñ Six factors that may need to be considered are<br />

a<br />

a<br />

o<br />

a<br />

O<br />

a<br />

Time on task<br />

Time since arvake<br />

Task type<br />

Duty period extension<br />

Cumulative duty times<br />

E¡vi¡onnrcntal factors.<br />

Each of tlrcsc factors is discusscd bclow.<br />

Time-On-Tesk<br />

Therc appeå-rs to be some consensus that thc effects of tinre-on-¡ask on performanc€ ¿trc difficult<br />

to ¡rssess (e.g., Malrer & McPhec, 1994) a¡d a¡e affected by a number of variablcs, including time<br />

of day, the narurc of the task, the subject's motivational level, and if fatigue or slccp loss arc<br />

dready prcscDt (Dingcs & Kribbs, l99l; Maåcr & McPhee . 1994: Mendclson, Richa¡dsoa &<br />

Ro{h. 1996). [n spite of this, pcrformancc on nuny labontory tasks follows a simila¡ cr¡rvc<br />

(Vrics4ricver &. Meijman, 1987): relativcly low starting performancc, followed by optimal<br />

pcrformance, which then declines due, prcsumably, to fatigue. The poinu at which o¡io{<br />

pcrformance begins and then starts to degnúc va¡ics witlr the task. For sorne cognitive tasks,<br />

optinøl performance is achieved afterabout five bou¡s. then dec[nes to its lowest levets afrer l2<br />

to ló houn s¡ r¡s|ç (Spencer. l9STlNicbolson. l9E?l Sorne tasks. such as monitoring rasks that<br />

requrre h.rgh ler els of vigilance, show perforrnatrce decrernenls after shoner durations. Colquho_un<br />

ll9?6) found that monotonous vigilance tasks could decrease alenness b1't0 p€rcent i¡ ooelour<br />

ba.ed on increased EEG thera activiry *'hrch conelates uith a sleep-like stare. Reducrioos in task<br />

pe rformance o\ er time a¡e also accompanied br a¡ incre ased need to sleep. as sho*,n b¡,Lisper et<br />

al rl936t. rrho found thal ca¡ drirers shoued a¡ tn,'rea-.ed lr]tellh.rod of fa.lling asleep afur9<br />

houn of dnr ing<br />

T¡.nron-task me¿sures for a single task may hare limited applicabiliry ro rhe aviation domaln as<br />

the pilot's job involves perform:ng a number of tasks during a given duq' period. Switching<br />

bet*een i¡dividual t.sks may override some o[the effects of fatigue due to tinre-on-task. Srudies<br />

which have investigated the effects of extended shift du¡ations on \\orker pcrfornance rnay þ<br />

re ler a¡t as the!' ass€ss fatigue and performalìce as a function of the set of tasks that are prformed<br />

during a shift rather than perforrnance decrenrnts that accrue on a single task. In a ma.oufacruring<br />

enrironn¡ent (Rosa & Bonnet. 1993), the numbcr of cnors made uas relativcly high ar rhc<br />

be ginning of the shift. then decreased becausc of rc-familiariz^ation u'ith the task. Optirnal levels<br />

'*'erc reached r*ithin a few hours. then declined over the eight-hour shift. In general. worliers on<br />

l2-hou¡ shifts becamc considerably more fatigued than in more traditional eight- ro lQ-bour shifts<br />

(Ros¿ & Colligan. 1987) Tlis fìnding has been \.'onfirrned in nurses (\f rlls et al., 1983). indusrnal<br />

Literoture Ret iev Page l2


shift *orkers (Colligan & Tepas. 1986). night shift *orkers (Rosa & Colligan. 1987). sea *'atch<br />

*orkers (Colquhoun. 1985). and truck drirers (Hanrelin, l9t7). The laner stud¡ also found an<br />

increase in the numbrr of accidents that o\-cur *'hen I 2'hour shifts are used.<br />

This increascd likelihood of accidcnt risk due to long duty pcriods has becn found in other<br />

srudies. The relative risk of an accident at l4 houn of dury riscs to 2.5 times thar of the lowest<br />

pornr in thc f-rst eight hours of dury. Askenedt (1995) rcports accidcnt risks to bc th¡ecfold at l6<br />

hours of duty, whilc Harris and Macki e (1972) fo¡nd a th¡ecfold risk in just over l0 houn of<br />

driving. These levefs of risk a¡e simila¡ to that associaæd with baving narcolepsy or slccp apnca<br />

(L-avþ er d., 1982), or a blood alcohol lcvcl of 0.10 pcrccnt. Wegmann et al. (19t5), in a srudy of<br />

ai¡ carrier pilots, argucd for a duty pcrid of l0 houn with t.5 hours or less of flight duty pcriod.<br />

Time Since Awake<br />

The rcsults of an NTSB analysis of dornestic ai¡ carricr accidens occurring from l97t to 1990<br />

suggest thu time sincc ar*'ake (TSA) was the dominant fatigue-relaæd factor in these accidents<br />

(ì{TSB. 1991). Pcrformancc decrerncns of high tinrc-sincc-awake crews ænded to rcsult from<br />

ineffecrivc dccision-making rather than dc¡erioration of ai¡craft þ¿¡¡dling skills. Thcsc dccrcn¡cnts<br />

were nor felt to be rclucd to tirrrc zone crossings sincc all accidens i¡volved sbort haul flighs<br />

*,ith a rna¡imum of ¡wo tirne zones crosscd. Therc did appcar to bc two pcåks in accidents: in the<br />

morning when ¡irne since awake is low and the crcw has be¿n on dury for about th¡ee to fou¡<br />

hou¡s,anduhentime-since-awakewash.rgh.above l3houn.Similuaccidentpeatsinother<br />

modes of rransportauon a¡d industry hare also bcen rcportcd folkard. 1997). Akerstedt &<br />

Kecklund (1989) srudied pnor trroc a*'ale (fou¡ to l2 hou¡s) and for¡¡d a st¡ong correluion of<br />

accrdenrs uith tirr¡e since a*'ake for all omes of the da¡'. Belenþ et al. (1994) found that flight<br />

time hou¡s lr¡orkload) greatlv incre¿se a.îd add to the lineardecline in prrformance associated<br />

uith unr srnce a*'ake.<br />

Task T¡'pe<br />

The effecu of rask typ€. as they conrribuæ to the buildup of fatigue. need to be considered from<br />

t\Ä o p€rsPe ct¡\'es:<br />

o \\hether certain ac¡ivities can be excluded from duty period time<br />

o \\"f¡erher certain actjvities are inherently more fatiguing and may need to be restricted.<br />

The cunenr regulations regulate only flight time. No limits are provided for dury tirnc. The<br />

resulaiions proposed in the Noticc of hoposed Rulemaking 95- l8 (ì"PRM) allow for the conccpt<br />

of "assrsned time," which also is uffegulated as to maximum limits Tle extent to uhich<br />

acriuries caregorized as non-flight time or a-ssigned time contribute to fatigue has ¡,et to be<br />

Ulerature Reviev' Page I 3


emprncalr ascertarned. However. it is clea¡ that thcsc activitics would contribute to fatigue in the<br />

form of trmc since a*,ake. consequenrly, ir ma¡ tr appropnate to limit rìese acriviries in eirher of<br />

t\r o wa) s:<br />

o \À'i¡h rcspccr to when they occur rclative ro flight ti¡nc so as ¡o avoid pilos achieving high<br />

tirrt.since-awakelevelsduringflighttirrreperiods.<br />

o hor.ide maximum levels for these acúvities comparable to duty Pcrid tinrc levels.<br />

othcr duq pcrid activitics. Bec¿r¡sc hea¡t rate in r - r-r -<br />

suggests öar proposals to limit landings for flighs rhat have other bown fatigr¡c faaon (c'g.,<br />

tinre sincc awake, window of ci¡cadian low, cxtcndcd flight dury periods) may bc appropriue'<br />

The rclarionship bctween task tyPc and fatiguc buildup in thc aviation domain rcmains to bc<br />

derermined. The demands placei on rong-haul pi.ros are crearly differcnr from thosc of the<br />

: lþrdri ve n airpl anc witb I'imitcd ar¡ to rnari oo.<br />

lc lcg of si¡ or rmre hours. Thc mai¡ task'rclaæd<br />

rritive fatiguc due to vigilancc. Thc rcgional pilot.<br />

luc to the high wortload involvcd in pcrforming<br />

six or morc takeoffs and tandings. For this rcåson. it may prove nectssafy to develop s€Paratc<br />

regulations that a¡e appropriue for each major tlPe of ope ra¡ion'<br />

DurY Period Extensions<br />

The rese.¡-.'h cited on dury'PeriÑ duration sug-sesLs that duty pe nods at or above l2 houn a¡e<br />

a:sociaæd *rth a higher nsi oierror Thrs factor. together *'ith the trmc-si¡cc-a'*aIe fa.-tor,<br />

suggesrs rlar extend-ed duty pe nods also inrolre a higher poæntial for crew efror' In determrning<br />

maximum hnuts for exrended duty penods. consrderation a.Ìso needs to be given to other fatiguerelated<br />

facrors rhar could contnbure ro excessire fatigue levels during e¡ænded dur¡' pcriods.<br />

includine number of legs. wherher the flight impinges on thc *indow of ci¡cadia¡ low (1\'OCL)'<br />

and tirne srnce arl'ale,<br />

Cumulative DutY Time<br />

No data,¡ere found that provide guidance for maximum dury tirnes over longertime penods, such<br />

as one month or one Ye¿u.<br />

Literalure ReYiev'<br />

s<br />

Page l4


Environmental Factors<br />

The ph¡sical environmenr of rhe co.'kpit is a source of other factors tà¡l can conrnbute to fatigue<br />

r\fohler. l9óó) Factors such as vibration. poor ventilation, ooise. and thc availability of limiæd<br />

auromarion can contribure to rhe buildup of fatigue or accelerate its oosct when coupled with time<br />

since a*'ake. numbcr of tegs, and whetlrcr the fìight involvcs thc I#OCL. This may hate<br />

impticauons for regional c¿rricr pilots who fìy propcller{'riven ai¡cr¿ft.<br />

Conclr¡slons<br />

Tlrc resca¡ch ciæd suggests an incrcasc i¡ the liketihood of crror as Ory Pcrids a¡e extcodcd<br />

bcyond l2 bor¡rs. This finding is cspccially critical for exænded duty pcriods whicb are likely to<br />

occqr under conditions (e.g., wcuher) tb¡t, in and of thernsclvcs, rDay incrcase thc probability of<br />

crew efTor.<br />

The interactions be twecn multiple fatigue-rclated factors must also be considered. Scparaæly,<br />

dury pe riod du¡ation, tirnc si¡ce arlake, number of lcgs, and envi¡onmtal factors cont¡ibuæ to<br />

fatigue buildup. Wtren ¿rny ooe of thesc factors reaches a high level, coosidera¡ion should bc<br />

given to rcducing thc maximum allowable levels on tbcsc other factqr Tiræ sincc awake also<br />

has obvious implications for rescne assignrnents and for pilos who mmutc.<br />

Standa rd Sleep Requirements<br />

Standard Sleep Requirements end Off'Duty Period<br />

There is a generally consisænt body of resea¡ch whjcb demonstrates t-h¡ most pcople requre an<br />

a\erase of t houn of sleep pr ni-eht to achreve normal levels of alerocss tfuoughout daytt¡ne<br />

hours *.irhour drowsiness a¡d to aroid tlre buildup of sleep debt (C¡ntadon & Demen¡, l98l:<br />

\\'ehr er al.. 1993). This figu¡e is bascd upon a range of srudies that r.¡scd several approaches.<br />

rnc ludins.<br />

o l-Ilstorical levels of sleep<br />

o }leasures of da¡iroc alertness<br />

. Sle€p tevels achievcd when given the oppornrniry to sleep as long as desi¡ed.<br />

Webb and Agne*,(1975) reported that habirual sleep around the rur¡ of the cenrury was about<br />

nine hours. A 1960 srudy of more than 800,000 Anrericans found tha¡ l3 Percent of men and l5<br />

p€rcenr of '*omen, ages 35ó5, slept less the seven hours with 48 PercÊnt of both obtaining less<br />

rhan eighr hours of sleep pr nighr l,L'ake Up America, 1993). B¡ 1977. one in eight Anæncans<br />

I)terature Review'<br />

Page I 5


eponed gening sú or feuer hours of slecp pe r nighr {Schoenborn & Danchik' 1980) Br 198-ì'<br />

jusr six yiars later. rhat number had jumpcd to one rn four (Schoenborn & Cohen. 198ó).<br />

The average distribution of habitual sleep ranges bet<br />

ht' and<br />

includes 95 pcrcenr of rhe adutt population with an a 88). Most<br />

researchers scem to agrcc with this fìgurc (['cvinc ct l99l' Dinges<br />

ct al.. 1996; Bonn., d et"nd. 1995)' However' \l'cb indit'idual<br />

differences in habirual sl€cp in a samplc of morc tlran 30,0oO individuals from I I industrial<br />

counrries. In rhis srudy ¡wo pcrcent werc rcporæ/ to slccp less than five houn pcr nigbt whilc<br />

five pcrccn¡ reporrcd stæping morc than l0 hor.¡rs. Thesc aycr€es bave bccn rcportcd in simila¡<br />

findings across various populuion grot¡Ps'<br />

Most rcsca¡cbcrs advocac an avcrage slæp requirerncot for aduls of 7.5 to t.0 bours pcr day<br />

(l-cvine ct al.. lgtg: Ca¡skadon, & Roth, l99l: Dinges et al., 1996). Although early oo, Denpnt<br />

et al. (lgg6) indicated tha¡ g hours was ncccssary for optirnal alertncss throughout thc day, Hornc<br />

considered 6 hours ..corc slecp" sufficient. Although Horne's advocacy of 6 hours core slccp has<br />

detracæd soræwhat from what most slccp rcsca¡chcrs now fecl to bc optimal slccp, it hæ not<br />

dislodged thc weight of evidence.<br />

carskadon ( lggl ) rcpons tlar t? pcrceor of college srudents habitually slecping scven to 7.5<br />

thc aftcrnoon with 60 perccnt rcponing acnrally<br />

lvocaung only 6 hou¡s of "core slecp," thcr<br />

ljers specify a habirual amount of slecp above<br />

nt. The six-hou¡ core arnount does Dot s€€m to<br />

apply to many. bascd upon the sclf-pcrceived adequacy of slecp'<br />

Roeh¡s er al il9g9l sho*.ed rhat *'hen shoñ or long sleepcrs were re4uire.d to slay in bcd for ten<br />

hours. alJ :ub.¡ect_s sle pr abour a¡ hour longer ùa¡ usual. The result was that all subjecs unprored<br />

in theú alenness. rigilance, a¡d reacúon time necded for dnving or morutorl.ng modero conuol<br />

panels Dlr ¡ded anention pe rformance showed sigruficant rmproren¡ent, ud cent¡al øsk<br />

pe rformance sho*.ed some*,hat bcner improrerrlent rhan pcripheral task prformancc. Da¡rime<br />

sleepiness decreased for both troups. but ro a grËterextcnt for the individuals who prcriousl¡'<br />

reporred suffering from slecpiness. Subjecrs uho'*erc usually slecpy *'ere morc alert, a¡d those<br />

u.ho usua¡¡ functioned at a high tevel be¿ame eien sha¡Pe r (Ca¡skadon et al'. 1979)<br />

A_llou.ing just one hour extra sleep pe r night over four night rcsulted in a progressive rcduction in<br />

da¡,time si.e piness of ncarly 30 pe rce nt '*r¡¿¡ ¡eåsured by the Multiple Slecp latency Test<br />

tViSlf l. ,{Uo*'ing stecpers who r¡'pically slept ? -í hou¡ Per day to sleep ad libitum, otiet<br />

resea¡chers found that sieep tirne increased2S perc€nt from 7.5 to 9.6 houn' (Taub, l98l:webb<br />

& Agneu.. l9?5). Taub ( I 976) srudied the magnirude of differences berw*een regular (7 to 8<br />

hours) sleepers and long (9.5 to 10.5 hours) slecpen when their slecp tr'æ phase shifted t¡re€<br />

hours for*a¡d or backwa¡d. They'also examined changes when both groups had sleeppnods<br />

I)teralure Rettew<br />

Page I6


exrended or reduced ,{,lthough resulLq shoued degrecs of impairmenl from the acuæ alterations in<br />

rr sleepen consistently showed grcater<br />

) found that extending the total tin¡c in bcd from<br />

lo*ed thcm to incrcase tl¡ei¡ total slecp tinrc on<br />

grufrcant improvenrcnt in daytinrc alerhcss<br />

tended slccp. suggesting a rcpaying of slccp debt.<br />

Thc rcsea¡chers fclt thar ¡his improvemcnr supporæd suggestions that eight hor¡n of bcd tirnc rnay<br />

rcprcs€nt a ch¡onic slecp dcprivation c<br />

søir-step rcsPonse with thc lcngth of s<br />

scones for alertncss were bancr for æn<br />

and two nighs witb ñve hou¡s werc betrcr than s<br />

than scorcs with no slccP.<br />

)3) found in a foru-cieck tcst thu yotrng adults<br />

excess of l0 bot¡¡s a day during tbc fust thrcc<br />

) bours. The rcmai¡dc¡ of thc 28 days lcvelcd off<br />

ral base-line slecp wasT .2 boun. Thc initially<br />

of ch¡onic slecp dcbt A similar slccp<br />

a Walær Recd rcsc¿¡cb æ¿m (1997) in an interim<br />

toncal data indicue that optimal slecp<br />

;lecp with an averate of about 8'5 hor¡¡s,<br />

The be nefirs of slecp are presenrly considered ro be logarithmic in narurc, *'ith the initial boun<br />

showrng significantiy treårcr<br />

be nefirs ùrat diminish as ooc approacbcs his o¡ her optimal sleep<br />

lerel. This accounts for bo*'nrany can slecp less a¡d appar to still function normally. Ho*ever<br />

the findings of Roh¡e (lggg) and Taub and Berger t1976) indicate that during the fi¡st si¡ hours<br />

of sleep. pe rformance is resrored ro a sarisiactor¡ lerel under normal conditions, although<br />

ajenness and rigor ma¡,srilJ be diminishec In r-he houn bey'ond sLr houn of slecp the restoration<br />

process further restores alenness and vigor a¡d ¡he bral¡'s capaciry to handle siruadons above<br />

that of normal and for longer priods'<br />

,â,neramplcof rhisisbcsrillusraædby Sarrrl eraJ.(1997) whercthesecondof rwonightflights<br />

showed a considerable reducúon in ¡otera¡,'e il)d a¡ rncreasc in fatigue aftcr only th¡e¿ houn of<br />

flighr whereas on rhe hnt night fatigue did nor sct r,n until after t hor¡n. Tbt¡s. thc additional<br />

hours served as a res€r\.e capacity againsr norkload (Howin et al.. 1978) orhou¡s of duty (Sarncl<br />

et al., 199?:Gundel et d ' 1997)'<br />

l)teralure Ret teu<br />

Poge I7


Other Variables<br />

tndividual Differences In Sleep Requirements. Many of the srudies describcd above showed<br />

that there appears<br />

iliry in individual sleep necds. Thus, the eight'hour<br />

slee p rcqui¡erncn¡<br />

lecp nceds, but does not take into account of the<br />

n"".i, o¡hosc ind<br />

onal slecp and who represcnt a fair perccnt of thc<br />

population.<br />

Age-Reletcd Ctanges<br />

nightly slccp dr.rc to inc<br />

1980; Carskadon ct al.,<br />

individuals. habiruat nigbniræ slccp is ¡ìccomP¿u<br />

dosing. and napping.Thit incre¿sc in<br />

quantrry and appcÁ to indicatc that s<br />

tif.tim. Miles & Dement' 1980; FIab<br />

næmbe rs may have particular diñìculties in achie<br />

schedule (cf. Ca¡skadon, Broum & Dcrncnt, 1982)'<br />

normal slecp<br />

person's adult<br />

older crcw<br />

a normal dury<br />

Logist¡cål Issues. A number of srudies have investrgated thc issue of the amount of slecp that is<br />

,.*^tty achrere,J as a function of rhc length of the off-dury p€nd Tbcs€ studies demonsLrate<br />

tbar ofidurl, penods rhat appcar to provide an acceprable slee p oppornrnitl may not' in rcaliry' bc<br />

sufficienr. In one srudy...àú.uont in slccp of t*'o to th¡eehou¡s pr24 bou¡s occurrcd when tbc<br />

r rme be r* ee n shrfts oi work was rcduccd to only' n ine hor¡¡s (Knauth, l9t3). In the NASA srud ies<br />

of shon.haul prJou (Gander et al . 199.1:Gander & Graebe r, 1994), pilos reported an average of<br />

ll 5 hou¡s off-durl rinr bet*een dutr penods, but onJ¡ obained 6.7 bou¡s rcst.<br />

Obsen auons of nurses on l2 hou¡ shifu *ork-rng ll.5 hours * irtr I I .5 hours off bctri'etn shrlts<br />

obtaine,J an a\.erage of 6 9 hours sleep (Ìvfills er d.. 1983). ,q.nother srudy of long-haul and short<br />

haul-rruck dnrers 1,1yRAJR, l997lsho*ed that short-haul drirers r¡irh sirrula¡ rest penods<br />

bet*'een shifu obtained ercn fe*er slecp durations<br />

Commercial rn¡ck drivers' (FI{\I'A, 199ó; Mirler et al., 1997) sleep/off duty schedules a¡e shor¡¡<br />

i¡ Table l. \\'hen rruckers (cl-10) had 10.7 houn off dutl'bet*een l0 hourday shifts, sleep<br />

durarions of onJy 5.4 hours werc achieved. On a l3-hour day shift (C1'13) with 8'9 hours off<br />

berw.een duty periods. sleep durarions averagcd 5.1 hours. On l0-hou¡ routing shifts (C2'10) uith<br />

g.7 houn off dur¡ , the sleep rinre r+ as 4.8 hours and after a I 3-hour night shift (C3- l 3) witÌ¡ 8.6<br />

hours off. rhe re sulting sleep diminished to only 3.8 hours. In quick changeovers *'ith 8 hours off<br />

ber*.een shifu. Tonerde¡ tigg0lfound rhat *orkers only acquired 5.1-l hours sletp. Kurumata¡r<br />

r 199{) found a;crrelauon (r=.95)berween the hours betr*een shtft and sleep duration. The¡<br />

Lileralure R¿t lf r.<br />

tual<br />

Page I 8


concluded (hat at least ló hou¡soff duty tirnc *ere needed.bctç'ecn shifu to ensure ?-S hour<br />

sleep. ¡ conclusion reiterated in a recent review (Kecklund & Akentedt' 1995)'<br />

Tablel.Truckdriversshiftr¡pea¡doffdutyhoursinrclationtotimesPentinþdand<br />

sleeP tirne' ( 1996)<br />

leep betwecn quick shi-fr changeovers may bc tbe<br />

orsvall and Akerstdt (1988) showed that ships'<br />

ecreased qualiry of slecp * hich thc¡ anributed<br />

sicians in smaller bospitals and appcan to be<br />

*'ing day (A*erstedt & Gillbcrg. 1990)'- -<br />

Other reasons for ùe lo*'leyels of actual rest achiered is due to the other actirities that must b€<br />

ç,e rformed during the off-dut) FËnùc For pilots on la¡o\eFs' these actirities include Senlne to<br />

a¡d from the hoter. rne ars. and prsonar h¡giene. Thesc acti'vicies creuly take a*ar from the unr<br />

available to sleep (Samel et al ' 199? I<br />

Reduced Rest<br />

Condition<br />

Cl-10 daY<br />

C3-13 night<br />

C4- 13 daY<br />

Houn off'dutY<br />

Hours in Bed<br />

rsiological and task performance has failed to<br />

nay be reduced before a signifìcant impact on<br />

i ,*ere described previously in tle section entìtled<br />

981) reduced subjecs' sleep to onll frve hours<br />

:nl increase i.o sleep te ndcncy. Bascd on this<br />

nclude that as little as two hou¡s of sleep loss can<br />

:tions in alertness. V/ilki¡son (1968) r'aned sleep<br />

î^^^r J-^.oo.o¡ iquantit),b¡dIo*,ingsubjecs0.l.2'3.5,or7.)hoursin*.hichtosleep.significantdecre¿sesi¡<br />

Lilero¡ure Ret iew


.igilance performance \r'ere found the follo*ing de-"" *hen sleep'*as reduced belo* th¡ee houn<br />

foi one night or [e*er than fir'e hours for tuo conrccutive nights. Cankadon. Haney and Dcment<br />

( lggl ) found ¡ncreased daltime sleepiness. as rrriured by the ¡vlSLT. after one night of slerp<br />

reduced ro four hours in a group of l2-year-olds. although pcrformancc decrements \¡'ere Dot<br />

found.<br />

Restriction of sleep in young adults to jusr 5 houn increases sleepiness on the MSLT the next dar<br />

by 25 pcrcenr and by 60 pcrccnt the scvcnth day rCankadon & Derncnt, l98l). rWhco slecp was<br />

rcduccd to five hours or less. perfoffnancc and dcrtncss sr¡ffered and slecpincss significantly<br />

increascd (Wilkinson et al., 196ó; Johnsoo, l9t2: Carskadon & Roth, l99l:Gillbcrg & Akerstcdt<br />

1994; Taub lt, Bergcr, 1973; Ca¡skadon ll Denrnr. lgtl). A reccnt snrdy of Ausralian tn¡ckcrs<br />

for¡nd that 20 perccnt of drivcrs slecp 6 hours or less a¡d æcor¡nt for 40 pcrcent of thc hazardou<br />

cyenrs rcportcd (Arnold et al., 1997\. Drring Opcration Descn Storm, tbc pilots of thc Military<br />

Airlifr Cómmand flighs obtaining only I I hor¡¡s slecp in 48 hours werc found to bc in dangcr of<br />

experiencing diffrculties i¡ concentrating and su¡ ing awake (Ncvillc et al., 1992). Furthcr pilot<br />

oblrvarions indicated that to prevent fuigue in tbesc pilos. at least l7 hours of slccp in 4t bours<br />

(?.5 hou¡J 24 hours) werc requi¡ed<br />

Dinges (1997)showed sigoificant cumulative effects of slecp debt on waking functions wbcn<br />

subþs werc rcsrricæd from thci¡ usual 7.41 hor.rn slecp to only 4.9t hou¡s (sd .57 hrs) of usual<br />

steep (67 percenr). Across rhe scven oreigbtda¡sof slecp rcstrioion subjccs showcd increasing<br />

levels of subjecrive sleepiness, fatigue, confusion. tension, nrcntal exhaustion indicators, sùess,<br />

and lapses in,-reasing ih frequency and duration These escalating cbanges prol'ide strong<br />

evidence that partial sleep rcstriction similar ro ¡-hat experienced by pi.los has cumularive effecs<br />

simlla¡ to thosc found rn total or morc excrÊfne pafttal rcstriccion.<br />

In conrra-st. Hocker's r1986)anal¡sis of pa,rid sleep depriration srudy findings revealed rrunimal<br />

performan.-e changes bur rhere *ere sigruiì:¡nt rtJuctions in rieila¡ce, efhciency. and increased<br />

subjective sleepiness *ith a¡d mood detenoratloo<br />

These resulrs suggesr that rcducing rest b¡ an hour should have linle impact on a pilot's<br />

pe rformance ri rhe pilor is *ell rested prior to the reduced rest. If the pilot is suffenng from sleep<br />

debt prior to the reduced rest. there may be an rnpact on the pilot's performancc. If so. a reduced<br />

dut¡, pe nod should follow rhe reduced rest pe riod Ln order to comP€nsate for the possibility tiat<br />

the pilot may' bc more susceptible to tirnc.since-au ake effects.<br />

Required RecoverY Time<br />

Complete recovery from a slecp debt may not oc.-ur after a single sleep period (Ca¡skadon &<br />

Dernenr. 1979: Rosenthal et al.. l99l). Typicall\. two nighs of recover-r are required (Carskadon<br />

& Demenr. l9?9: Kates er al.. 1970), atthough t-be required recovery P€nod may depend on the<br />

lengrh of pnor *'aliefulness (Ca¡skadon & Dernent. 1982). Forexample, Kales et al. (1970 found<br />

U te rat ure Ret ie¡<br />

Page ?0


thar re:tncrrng sleep to 5 hor.¡¡s pcr night for ? da's' which morc closel¡ rcscmbles cre*'slecp<br />

p¡(rerns. requrred ;i; ; singleirtenãtJ nignr of sltep of l0 hours for full reco\er]' \f orris<br />

( r996) foun,J ratigul-reiultiig from rhe rosiof 1.5 hours of srecp in one ru-shr uas nor adequatel¡<br />

rcsrored in spite of t hours oislecp on one recovery night' Srudies of C'l{l creus fì¡ing to<br />

sourheast Asia during the viemam conflict found uairtr¡ee nighrs werc required bcforc slccp<br />

rerurned ro normar åi,i. fou¡rh nigt,r irt.nma¡r. lgTl). These rcsuhs *erc obscned even rhough<br />

the crc,*'s averaged 7'5 hours sleep pcr nrght'<br />

rhc rcscarch arso susscsts ùat ! fiiî.HffiiTt:t#*<br />

effective if rhc slccP oPPornrniq<br />

supporr efrcctive uútiåion ort<br />

;lccp gaincd depends morË uPon<br />

ngrh of prior wakefulncss<br />

the circadian pbasc a¡ whicb slc<br />

(Strogatz. K¡ooauer & Czcisþr' 'l'' 1975)'<br />

Conclusions<br />

There appcars to be substa¡ciar e'idence thar a minimum of eigbt hours of srccp is required for<br />

most pcopt. ,o .rr..,¡u. lc"ets of alert¡¡ess and pcrfor*-".. This rcsr þver dso caables<br />

""ui.*<br />

rhe individu¿r to copc with reduced rest should the necd a¡isc. Achieving tbc required eight bours<br />

under la¡,over .onã¡,ion, depnds upo-n the length of the offdury P€rid' Tbc dalå suggesl that an<br />

off_dut¡ p€nd hours'may noi b. sufficient ro supporl an eight-bo.r sreep opporturury'<br />

"fi;;<br />

Reducingr}rercstpenodblanhourshouldbavelinleeffcctgn.P'iIo."Ii:ïandperforrnanceif<br />

the indiridual is *eU ""tå' Reduced sl€cP' r*'ben aceompanied b1'an'exrsting slecp dcbt<br />

.Jrminishes p.rio.n.,"n.e and rhe auiliry orthe individuar ro mainain arertness rhroughout the dury'<br />

p'enoJ e s:'e .-rallr rf a long ttme since ¡u ake is involved'<br />

Recoren fromsleepdebtoftcnrequwst\,\orughrsof<br />

rest T}usrcsultputsintoquestiontìe<br />

sffsç!¡r.eness of extending r-he off-dutr Pe nd fãllo*ing a¡ exænded duq peno*J Also' if no<br />

sreep debr is alro*ed ro a-ccumul.r.. ii i, not clea¡ rhar *eekj¡ breaks a¡e required Howerer. rhe<br />

data suggesr rhat sleep debt is likely to accumutare if l0-hou¡off-dutv pnods a¡e uscd'<br />

The Circ¿dian CYcle and Fatigue<br />

B iol ogical Circad ian Rh]'th ms<br />

Chronobiolog¡,is the srud¡ of time'dependent changes in'a¡ious levels of the phy'siologic<br />

o r g an r za u o n ¡, o.", r'' ll;;' ; * þ<br />

.1 " lî : J :- :T,:;)l "l: :'" : : ",ï1i.îå1 i î i' Ï:i<br />

:lt"Ëi:.äiÏir'r;;;;, rn a predictable rh¡rhnuc fashron a¡d a¡e refened to as osciuations<br />

Lit¿ r;ture Rer lex<br />

Page 2 I


The oscillarrons appear as \ a\es, and the time to complete one full '*'a\e !-ycle is called a<br />

"çrenod." The¡ are dirided rnto th¡ee -sroups by'lengrh of ¡le rh¡thm L'ltradian are rh¡rhms of 20<br />

hours or less. Crrcad¡an encompasses rh¡rhms bet'*een 20-lS hours. and Infradian a.re rh¡rhms<br />

grearer tha¡r l8 hours The laner include rhythms called circaseptan 17 days, t 3 days).<br />

circadiseptan (14 days t 3 days). circavigintan (21 days, t 3 days). circatrigintan (30 days. r 5<br />

days) and ci¡caa¡rnual (one )'ear. t 3 months). According to Haus & Touitou (1994) thcrc is<br />

cvidence of 7 dzy,30 day a¡d annual rhythms in humans, as well as the circadian and ultrdia¡r<br />

rhythms.<br />

Circadian rhythms have bcca recognizcd for dccadcs. Ye¡ thc biological clock that regulatcs thc<br />

24-hour physiological a¡d bcbavioral rh¡hms was not idcntificd until the 1970s. Tbcsc t*o<br />

bilaterally locaæd nrrclci cellcd thc suprachiasmic nuclei (SCN) a¡e locarcd above thc opth<br />

chiasm in thc antcrior hypothalamus. Tbcsc nrrclei arc coosidcred the circadian pæcrnalcs<br />

Destrucrion of thcsc nuclei producc an arrh¡hmia and scverc disruptioo bctwccn bchavior and<br />

physiological pararncæn including the timing of food i¡take and slecp. Thcy appcar not to<br />

rcgulate thc amount of cither of these behaviors (Turck & Recth, 1996).<br />

Signals produccd by the SCli a¡e botb hormonal and neuual. Graflcd nuclei withot¡t ncurd<br />

connections restorc ci¡cadia¡ rhythrns of eating and activiry. Mcluonin sccrctions, howeve¡, a¡t<br />

not restored, suggesti¡g neuÍon control. MelUonin reccPtors bave becu found in thc SC?.f and<br />

appear to bc part of a fecdback mechanism thar causcs shifu i¡ thc ci¡cadia¡ clock. Tbc SO.f has<br />

bee n found to possess its own built-in rh¡hm. Ev'idencc gathercd thus far indicares that SCÎ{<br />

receive i¡for¡ation about the light-dark cycle via t*o neu¡al pathwal's fromthe optic nene. one<br />

from the retinohy'pothalamrc t¡act and the other tfuougb the genicu.lohypothalamic Fact. Tbc laner<br />

path*a' appcå¡s to pro\ide inforrnation or signals tlrat bclp witå recnrr¿i¡¡ænt a.ftcr a shiñ i¡ thc_<br />

lighr-dark c¡cle. Bur reccit rese¿¡ch appea¡s to indicate tàat otler photo receptors may also Þ<br />

inrolred i¡ the entrilrunent process rCampbell & \lurphr. 1998'<br />

Peaii lerels oiph.\srolragrcal functronrng, occur dunng the [rght pha-se of the Ught/dark c¡cle This<br />

sy'nchronizalrr--¡n of ph¡sroloercaJ rh¡thrns enhances *ork pcrformance during the da¡irnc and<br />

supporrs slee p at rughr b¡ rurrung dox n the rne nbolrc thermosut The internal synchronizarion of<br />

rhe ranable metabolrc p¿rram€ters *ith the light/dark cyclc are runed for optimal functioni-og.<br />

Over 100 b'rologr;al rh¡rhrns are geneùcally generated withrn the human body, then enrai¡ed or<br />

synchroruzed to bener *ork in concen 1'Wehr. 199ó; Talahasi, 199ó). The greaær the<br />

synchromzation bet,*'een hormone production. nrclabo[c rale. enzyrnc a¡d neurotransmiue¡<br />

s) nrhesis. r}e hLgher tle amplirude of the rh¡hm and the gre¿ter the communication ber*ecn the<br />

body's cells Thus, tìe maintenance of a suong circadian rh¡hm ca¡ries with it considerable<br />

ramifications for good heållh, *ell-being. and functioning Cw*eiu. 19961.<br />

The suprachiasnuc nuclei, togetlrer'*itb the pineal gland, function as rneøboüc a¡d behavioral<br />

concen conducton n cue *ith enrúonmental facton such as hghVdark. næal timing. social<br />

inreraction, and phrsrcal activity. This synchronization of internal and behavioral *'ith the<br />

Li leralure Ret rex Page 22


e\rernal en\rronrrcnt around the24 hour da¡' \circa--about: dies-4a¡')is callcd ci¡cadian rh¡-thm<br />

entralnfT¡€nt.<br />

AJrhough o¡her internal a¡rd cxternal factors do ptay a role, thc light-dark cycle is the major<br />

enrrainrncnt factor for most of the animal kingdom. For huma¡s. though, thc Light-dark cycle is<br />

fett to be a rclativcly weak svnchronizarion of<br />

","*:ffiîïïil#iffit;täneåsons'<br />

inæ nsiry requ ired for c i¡cadia¡¡ sync hronizari on<br />

rstimatæ re.ngc from 120G250O lt¡¡ (Reinbcrg &'<br />

re adcquacy of indoor tigbting. Sccon( man is<br />

ht cyclc.<br />

Sociat environnrcnt appcafs to play a fûoFe important rolc i¡ cntrainrænt sæial factors tbu can<br />

rhythrlts includc tcmPcrarurË. flight duty, stess,<br />

I & Wcgmann, 1987). Exercisc or activity dso<br />

ption. Ferrcr et al. (1995) ci¡e evidcnce ¡hat<br />

rts to shift work changes regardless of irs<br />

ically frt and cxcrcisc rcgularly havc highcr<br />

als, and those with high circadian rh¡hm<br />

er et d., 1995). This belps to cxplain u'hy age'<br />

to incre¿scd sleep diffrcultics' poor adjusÙn€n¡ to<br />

night uork a¡d transnæridian flighs in thosc over 50'<br />

Back oi the CtocX Operations, Circedian Rh¡'thm ¡nd Performance<br />

There rs a subsrantiaJ bod¡ of research th¡r sho*'s de.'rea:sed pe rformance during night shifts as<br />

compared uirh day shifts. The reasons for tlus decrcased prformance tn;lude:<br />

o CLrcadran Pressure<br />

to sleep when the rndir idual is anemPting to *ork<br />

o Cúcadian pressure ro be awake when the i¡dividual is anempting to sleep<br />

o Time s,nce a*ake r¡ay bc substa¡rrial if the individual is up alJ dav bcfore rePonin-E for the<br />

nigbt shift.<br />

.Cumularivcsleepdebtincreasethroughoutrheshift.<br />

Rese¿rch conducted by Monk et al. (1989) indicates that subjecute alenness is under ¡he control<br />

of the endogenous ciróadia¡ pacemaker and one's sleep-wakc cycle (tinrc since a*'alte). \åften<br />

tirne si¡ce au,ake is tong and coincides with rhe circadian lo*'there is a very sharP drop in<br />

alerness, a s¡ong tendÃc¡'ro slecp a¡rd a significant drop in performancc (Perelli, 1980)'<br />

Alenness is relatively higb when the ci¡cadian rh¡rhm is ne¿¡ the acrophæc and tinre since a\[alie<br />

is small. Nfonli (1996).r!u.t that this c¡cle is consistent with the NTSB (1994) frnding of a peak<br />

accident rare occurring irithe evening. The srrength of the ci¡cadian clcle is substa¡tial Alerstedt<br />

Literoture Retiev'<br />

Poge 23


,1989 )argr.res that. up to 24 hou¡s without slecp, crrcad¡an influenc¡s probabl¡ have greater<br />

cÌTects tha¡¡ time since awake.<br />

ln Japan. 8J..1 percent of d¡o*siness-related near accidens in elect¡ic motor locomotive dnr6¡5<br />

rKogi & Ohtå" 1975) occur at night. Othcr landma¡k srudies ovcr the past scveral decadcs<br />

bave docunæntcd the increasc in accidcns and crror making. Klein et al. (1970) argue that thei¡<br />

resca¡ch uitlr simulators proyes that night flighs are a gr€åtcr risk ùan day fìights. Thei¡ rcscarch<br />

fot¡nd 75- to 100-pcrccnt rrìcan perforrnancc efticicncy dccrcments i¡ simulator flighs during the<br />

carly rnoruing bours, rcgardless of extcroal fætor s¡ch as darkncss or increasing night tra-ff¡c or<br />

possible *'e¿ther conditions.<br />

Task perforrnâncc in a varicry of nigbtiù6 has bcen comparcd with pcrformancc of tbcir dayrtnrc<br />

co.¡nrcrparts. and rcsults consisæntly show dc¡erior¿ion of pcrfonnance on the night shift.<br />

Browne ( 1949) srudied tclephonc opcraor:s' responsc tirnc in answering incoming callc in relation<br />

ro rhe bour of the day and found tbc lmges nesponsc ti¡rrcs occr¡rred bctwccn 0300 and 0400<br />

bours. Bjcrær et al. (1955) exami¡cd t¡ìs company hourly ledger computations of gas produccd<br />

and gas uscd over an l8-year perid and found that rccording error werc highest at 0300 hor¡rs<br />

rirh a smallcr sccondary pcak at l50O bot¡rs. Hildcbrandt et d. (1971). investigating automatic<br />

u:ain braking and acoustical warni¡g signal alarrns sct-ofrs, also for,¡¡d rwo peaks u 0300 and<br />

1500 hor¡rs in thesc safery-rclatcd eveots. Simila¡ ñnding have been rcported in ur¡ck accidcnts<br />

fHa¡ris, 197'l¡ and in Ai¡ Forcc aircrañ æcidcnts (Rjbak et al., l9t3). Othcr accident analyscs of<br />

unrc of day and hours of work show ¡hat borh ci¡cadian rhyttun and hor.¡¡s of dury play a<br />

srgnificant role in the occurrence of accidents (Folka¡d, 1997:l¡n¡c et al., 1997). tn addition. the<br />

incidence of accrdental injury nearly doubles dunng tàe night shrft compared to morning shjfr.<br />

rrhrle tlrc rveriry of injr.ry i¡creascs 23 pcrccnt (Sm¡th et al., 1994). Night nurses make nearly<br />

r*ice the pauent medication errors as da)'nurses and expcrience nearlv tlr¡e¿ tinrcs the auto<br />

ac,-idents corrmutine to and from *'ork (Gold et al.. 1993).<br />

\Ìerstedr rl988l revie*'ed the effecs of slecpiness from ni_eht shift *ork and found rhat the<br />

¡.'tentiaJl¡ hazardous siruatron resulting from i¡creascd sleepiness dunng night shrft is reaj and<br />

underesrrmared. Akerstedt (19t8) also rcports that fatigue rn shrft *orkers is highcr rhan in dav<br />

*orkers. h.rghesr in night workers, folloned by morning workers Over¿ll, sleepiness among rught<br />

norken s estrmaled to be around t0 to 90 percent. Rotì et al. (1991) i¡dicaæ that rates for<br />

'¡orkers ialling aslecp on tle job whrJe on night shift have bcen reported to be as high as 20<br />

Pcrce nt.<br />

\ight operations are physiolopcally different than day operaùons due to ci¡cadlan trough and<br />

sleep loss. This cames a higber pbysiologrcal cost and imposes greater nsks of accidents. One of<br />

ûre most established safety issues is working in the circadian trougb be rueen 0200 and 0600.<br />

During this period workers experience considerable sleepiness, slouer responsc times, i¡cre¿scd<br />

errors and accidens (Mitler, l99l:Pack, 1994). Nlany recent accidenr from various<br />

ransponåtion modes hare been ass,rciated *'ith tlus cúcadian trough (Lauber & Ka¡ten, 1988).<br />

Uterature Revieu Page 24


L¡,m- and orlad¡ ( 198 I ). in ther¡ anal¡ sis of the Aviation Safetl Repcnrng System resea¡cher<br />

srare uì31 3l percenr of incident, o..utTing bet\¡een 2'{00 to 0ó00 hurun uere fatigue related'<br />

hours after beginning the shift'<br />

rilots erhibited paniaJ adaptation to night *ork<br />

ly temperarure. uith subjective fatigue and<br />

;. pi.loa still expe rienced a rh¡ee-fold increase in<br />

:cent) and a 1.2 hour slecp dcbt per night<br />

bc dtæ to tinrc since tbc last slccp' Pokorny a d'<br />

'year period and for¡od tbat, dthough tltc ti¡nc of<br />

þnätt fætors in driver æcidcnts was how early<br />

vecn 0500-060O had about six timcs as many thc<br />

A Pcåk in accidens also occurrcd two to four<br />

rs. decrcments in alenness and performance are<br />

r hou¡s. alertness can drop morc than 40 pcrcent<br />

5). A study of naval uatch kccpers fouod that<br />

)rcanr. falsc rcpons ra¡es 3l percent. and rcsponsc<br />

spcrd eight p€rc€nt. compared with raæs between 20O0 to 2200 hours (Smiley' 1996)'<br />

Sanrl a al. (l996) dcrermi¡ed rhat many piJocs begi¡ rught fìights ar¡e¿dr ha'ing bccn au'ake<br />

more ûra¡¡ t S troun. nre srudy coofirms'thc occrrrrencr of as many as ftve micro-sleeps pe r hour<br />

, also found thar 62 pcrcent of aJl pilos srudied<br />

ìi'-y longer after tÌ¡eu rught flight This<br />

t fìights rhat shou ed sigruficant ph¡ sioloeicaJ<br />

ase after flying tuo rught flights (outbound a¡d<br />

Nthough flights raned from north-south and<br />

1.5 days. sleep debr aççea¡ed similar' East-*'est<br />

flrghs had signifìcantly longer layovers but werc disruptive to cir'-adien rhyrhms' Tle authors<br />

concruded t¡"t..puring ¿.yii*., fatigue-dependenr vigirance decreascs uirh task durarion. and<br />

fati-rue becomes criticãl aftcr l2 houn of consta¡rt work During night bours fatigue increases<br />

fasrer*ithongoingduty.Thisledtotheconcrusionthar r0hoursof uorkshourdbe tremarimum<br />

for night flYing."<br />

Gander er al. (1991) found in an ai¡ carrier sening that at least I I pcrccnt of pilots studied fell<br />

asreep for an "r.*g. of 46 minures. Simila¡ly, Luna er al. (r99i¡ found ¡-hat u.S. Ai¡ Force a-rr<br />

traffrc controller fell asleep an average of 55 minutes on night shift' A possible explanation for<br />

the- sleep occufrences, in addition to ci¡cadian nadir, is the Flndin-e of Samel et al that many<br />

pilcr_. beg; theu' nigbt flighrs after b'eing au'ake for a-s long as l5 hours<br />

Lite rat u re Ret teu'<br />

Page 25


The effecr of tinp srncc the last slccp is e\en greater rIa sleep debt aJreadl eriscs. An NTSB<br />

hcavy trucks accident analysis (NTSB. 199ó)clearly shous that "back of the clock" driv'ing wir}<br />

a slecp debr ca¡rics a very' high nsk Of 107 single-rehicle rruck a,.'cidents. l- dnvers exceeded<br />

rhc hou¡s of dury. l.íincry-two pcrccot t2ó) of ¡hese had farigue-related acc¡dents. Tle NTSB<br />

report also shows tha¡ 67 pcrccnt of tn¡ck drivers with irregular dury or slecp panerns had fatigue.<br />

rctacd accidcns compared to 38 pcrcent i¡ drivers with rcgular duty or sleep panerns.<br />

Lrrcgulariry resultcd in a decreasc oi I ó houn on average in slccp with a total of only ó.1 hor¡¡s<br />

compared ¡o7.7 hours in rcgular parcrn drivers. Thc f,iTSB report indicatcd that they could not<br />

daerminc wbcrbcr irrcgula¡ dury/slccp pa¡tcrns pcr sc led to fatiguc but sonp experinrcntal dara<br />

s¡pport this notioo. Tbc ñnrl¡ngs of fu NTSB not only for¡¡d shifted slccp pancrus but this shift<br />

was couplcd with slccp loss. Tar¡b ad Bcrgcr (1974), whilc rnai¡taining slæp leogth, shif¡cd<br />

slccp tirm and found thu pcrformacc oo vigilancc, calculatioo t"sks, and rnood werc<br />

significantly irnpaked. funbcrmc, Nicbolson et al. (1983) showcd thu irregular slec/work<br />

resultcd in increasing pcrforrnancc iryairmcots which nas fr¡¡thcr incre¿scd by tinre on task.<br />

cumulative slccp loss. and working through thc ci¡cadia¡ nadi¡.<br />

Performancc cån also bc afTecfcd b1'cumuluive fatigue buildup across multiple days. Gundel<br />

( 1995) found rhat pilots flying rwo coosccutive nighs wit! 24 hor¡¡s bctwecn fligba slept about<br />

rwo and a half bours less during tbcir daytirnc layovcn (8.6ó hours versus ó.15 hours), and<br />

cxpcrienccd a signiñcant dccline i¡ alcrmss on thc sccood night flight. Alerbcss during tbc fint<br />

si¡ hou¡s in both fligbts appcaren o bc thc sarrE. Tbe laucr part of the sccood flight showed<br />

i¡creascd dcsyochroniz¿tion of EEG dpha wave activir.v, i-odicating lo'*'er levels of alertness.<br />

Spontaneous dozrng indicared an i¡crea-d susceptibilrry sleep. Subjectrvely. pilos felt grearer<br />

farigue on the sccood night. Tbercfore. wrth ti¡rrc since auake berng the sarnc. slerp qualir.v and<br />

quantiry during tbc da¡ime layover rcsultcd in i¡cre¿scd fatrgue.<br />

Samel et al. (1997) monitored I I rugbt flight rotations from Frankfon to Ifa}e/Seychelles<br />

crossing th¡ec ti¡nc zones. Piloa slept on average eight hwrs on base l-lne nighu. On lavover.<br />

sleep *as reduccd to ó.3 bou¡s. Pil..ts amved at SEZ after ll hor.¡¡s of beLng ar*ake (except for<br />

approximaæ 1.5 hou¡ nap pnor todepamrre.t Fatigue scores increased orerboth outbound a¡d<br />

i¡bound flighs *'ith ll.-l mrcro-slecps pcr pilot outbouod and2a.7 on rerurn. Prior to the<br />

outbound FRA-SEZ flight 85 pcrccnt of piJos felt rcsted *hereas on rÊturn onJy 30 percent<br />

reported feeling so. Thesc srudlcs docurncnt t-hu night fìrgbs a¡e associated r*ith reduced sleep<br />

quantity and qualiry, and arÊ accompanied by cumuluire sleep debt.<br />

Borowsþ a¡ld WaIl (1983) found t-hat flight-related accidents in \ar'¡ aucraft xere significantly<br />

higher in flighs originating bct*'ec¡ 2400 and 0600 hou¡s. The hrgher nushap incidence was felt<br />

ro be the result of ci¡cadian desyncbronizaúon and disrupted sleep-u'ake *'cle. Sharppell and<br />

Nen ( 1993) divided the operational day of nary pilos in Desert Shield and Dese rt Storm<br />

operations in to fou¡ quartiles bep-oning al 060l-1200 uitì 0001 to 06O0 beine the fourtl¡<br />

quartile. They found that therc tras a progr€ssive incre¿se in pilots' subjectrre need for rest<br />

tre rween flighs as flights originated later a¡d later in the da¡ from quartile I to quartile 4. In<br />

Uterature Reyiev' Page ?6


addit¡on murriplc missions and cumurarive days flling also in.'reased rhe pirors subjecurc need<br />

for addirional resr bet$een missions. The tanir effect is the cumulatire effect of fatigue' As slecp<br />

tirne increased Þfore a flighr the sub.¡cctire rest needed before the nert flight decreased'<br />

SleeP P¡tterns During Tbe DeY<br />

rypc of shift aod rotatioo. tbc¡e cao bc l¡<br />

sboc/cd ürat slccp duration was dcPcDdcot oo thc ci¡cadian Pbasc'<br />

ripino"tly reduced compared to nigbt tiræ sleep'<br />

Thus da¡iræ slccp was<br />

Tbc propcnsiry to slecp is high durin-g_the night and low during the day' But tbcrc is a gradient<br />

effect in slecpincss. gir*".D six and r2 hor¡rs a*ake. sleepiness in conr¡ol subjecs increascd<br />

scyeD pefccnt; bctwecn six a¡d lt hor¡rs, 28-37 Percent (Mi¡or & \\'aterhour' 1987: Minor et al'ì<br />

l9g6). This is r-be rcsult of a myriad of otbcr rh¡lms-horrnond, sccrerory, rcmpe raure-rhat<br />

orcbcg¡arc an rorernal envi¡onnpnt for action ã*i"g the day a¡d for r"st ar night. Tbe effect of<br />

ci¡cadian rbyth' oo p"rro.."ncc is ilr¡strarcd i¡ tbc findings of a srccp deprivation srudy on<br />

mulri-task pcrrorm-c e. Cæüer er et. (lgg4) poiDts out rha¡ alertness and prformancc would<br />

normalry decli¡c as a function of ti¡nc since awake, exccpt s'hen co.rpred to the ci¡cadian risc in<br />

body æmperaru.re, tle two functions stay rclatively søbiJe through most of thc waking boun Tbe<br />

bcg.inning of a drop i¡ alert¡css stars th¡ec to fou¡ hours prior to normal bcdtinrc' At þdtirne<br />

thcre is a suddcn å¿ ¿r.r-aic-lt-20 perccnt-fall irupcrformance a¡d dertness, coiociding<br />

*ith tbe rapid drop in body tcmPerarurc'<br />

Nighr s,ork uhrch rcquires daytinr srecp bas becn shor¡n ro reduce rhe amount of sleep obu:ned<br />

w.herher on pcfroanent rugbt or roøting shifts (cotligan & Tepas, l9tó) [n quick changeovers<br />

,^irh t bou¡s off ber*ecn sbfu. Tonerdetl (1990) found *orkers onl¡ acquircd 5-14 hours sleep<br />

Kurumaram (1991)obscned that workers getting off at ló0o hfs and rcquued to began sgaln at<br />

24OO boun srepr 2._15 hrs. or a similar shift cba-oge bur gening off ll00 hß and rerurning ro dun<br />

u 2400 h¡s workers werc onry abre to get 3.0 hn sleep. The'. researcbers found a correraúon<br />

(r=.95) bctwecn the hou¡s bcr*een shft a¡ld sleep duration' They concluded that at le¿st ló houn<br />

off dury tirnc werc oeedcd bcrween shifu to insu¡e 7-8 hou¡ slecp, a conclusion reiterated in a<br />

recent review (Kecklund & Akerscdt' 1995)'<br />

T ra nsme ridia n OPerations<br />

Tra¡rsræridian oçerations create simila¡ problems in attempting to \\ork uhen the bod¡ \\ants to<br />

sleep and sleep nhen the body wants to be au'a\e The b'rggest chal)enge posed by multiple time-<br />

Literature Rer iex<br />

o<br />

Page ?î


zone flighrs is rhe rime required for tbc body to ad.¡ust to the ne'* time ¿one. The pcnod of<br />

adjusrment appcars to depcnd on thc drection of t¡avel. Adjusrment appars to be faster aficr<br />

\r.esr\rard fìights than eastward fligbs (Klein & tÀ-egmann. 19801. Adjustnrnt follou'ing<br />

wesrward flights appears to occur ¡u a rate of about 1.5 houn per day ,* hile e¿st*ard-flight<br />

adjustnrenr occrrs at about I hour Ft day. This ma¡' be due to the body's inherent tendency to<br />

lengrhen irs pcriod bcyond 24 hours. which coincides uith wests'ard flighu. These data also<br />

suggesr thar phasc shifu bclow si¡ bor,rs can have a significant impact (Ascboff et al., 1975).<br />

Asidc from tbc obvious irnplicatioos for tra¡rsnrcridian opcrations, tbcsc dau dso apply to rcscrve<br />

pilots whosc protcctcd slccp opporuniry rnay vary as to is occrrrÊnce ¿rc¡oss assignnrcnts. Evco<br />

if a proæctcd tfuæ pcrid is predicreblc, unlcss it includcs thc night boun, it may not provide an<br />

effcctive opportunity for slccp a¡d thr¡s rnay not lcsscn fatigttc.<br />

Conclusioos<br />

The follo'*ing conclusions can be dracm from the rcscarch cited abote:<br />

o An indiviô.¡al's tf/OCL sbor¡ld bc deñDed on the basis of ¡he ti¡r¡c zonc *herc he/she<br />

rcsides, which may Þ difrcre¡t from the honr domiciJe.<br />

o D'rry pcriods conducted during V/OCL alrcady carry a fatigue pcnalry due to the ci¡c¿dia¡<br />

cycle. Conscquently, duty pcriods involvi-og WOCI- should bc rcduccd<br />

o The number of dury p€nds involvrng WOCL tha¡ must be pe rfonrrd *ithout trrne off<br />

sbould bc limitcd.<br />

o Becausc tbc ci¡cadian cyclc is longer tha¡ 24 hours. each dutl' pcnd should sta¡t later<br />

than the previous dury period.<br />

. Re-ne assignments should anemp( to maintarn a consisten( l-i-hou'*cle<br />

¡ Du ection of rotatron for borå back-oi-the -cloe-k f'ly rng a¡d drrectron of t¡ansmendian<br />

operauons should bc considercd Gire n the bodr's preference forertending the da¡'.<br />

backwa¡d roLation should bc used *heo possible<br />

. Tra¡srrrridian operations should be scheduled in accordance rr i¡.lr eitler of t*o<br />

approaches:<br />

o For short pcriods, it may rnale scnse ¡o anemp( to kee p the prJot on home-donucile<br />

tirne.<br />

o For longer pcriods, reducing the dury pcrid and providing more opp'ornrnities to slecp<br />

rnay Þ the best aPProacb.<br />

Literalure Re.''ieu Page 28


Augmented Cren's<br />

Linle rescarch has been performed to assess rhe effectr\eness of managrn-l irtrgue through the use<br />

of augrncntcd flight crews. However, two recent .\-ASA p ted to srudy long'<br />

haul ãugrncntcd flighr operarions (Roseklnd et al., 19981.<br />

survey to<br />

examinã facrors thai promoted or interfercd with slee p in on ai¡craft.<br />

Rcsults werc collected from rrone than 1,40O crew¡ncmbc<br />

ing U'S' ai¡lincs'<br />

It was concludcd that. even though sonr difficultics \rcrc noþd, flight crccæmbers werc ablc to<br />

obtain a reasonabte amotmt and qualiry of slccp whilc rering in on-board h¡nfs. Furthcr, thc<br />

slecp obtaincd was associatcd with improvcd alcrtncss and pcrforrnancc. This study also<br />

i¿cnrifrc¿ factors tbar cot¡ld bc uscd to dcvelop stratcgics to obtain optimal slccp.<br />

and qu"lity of slæp obtaincd in<br />

Thc sccond proi:cr w¿Ls a fìcld srudy thar examincd thc çartity<br />

on-boa¡d bunks during augmented, long haul flighs. DaÞ werc collectcd frorn two airlines<br />

involved in differcnt rypcs of international opcrations. a¡d a corPorate oP€ra¡or. hetiminary<br />

rcsulrs showed rhat crcwmembcrs obraincd a good qu¡nuw and quality of sleep. Additional<br />

analy'ses are prcsently being conducted'<br />

Cooch¡sion<br />

A rcview of tàe scienriFlc [iterarure pertaining to fatigue. slee p, and ci¡cadian physiology w:Ls<br />

the major iszues tbat necd kr be considered rn dcveloping a<br />

tiguc and slecp debt. The ccnclusions der elopcd for each issue<br />

from additiooal FAA constderation'<br />

R,e fe re nces<br />

.{kerstedr. T (19&9). A rer.iew of sletp/ua}ie disru¡ba¡ces ln con¡ectton utth displaccd xork<br />

bours in flighr oçrrations. Slress Research Repons, \c ll8. \ational Inst¡rute for PsychologicaJ<br />

Facrors and Health. Dept. Stress Resea¡ch. Karolrnska Instrtute. Sueden.<br />

Akersredt, T. (1995). ri/ork injuries a¡d tirr¡c of day-\auonal datz. Proceedings of o Consersts<br />

Developmeru Symposiunt entirled "Work Hours, Slcepiness and Accidenls". Stockhol¡n" Sweden.<br />

s-lo sept. lgga:106. cited by Rosa, R. R. (1995). Exrended workshifu a¡d excessive faÚgue.<br />

Journal of Steep Reseorch,4' 5 l'56'<br />

Akerstedt, T., Giilberg, M. (lgg0). Subjective and objecÙre sleepiness in tbc acúve individual.<br />

International Journal of Neuroscience,52' 29-37 '<br />

Literalure Retteu<br />

Page 29


.\ngus. R. C.. Hcsel-erave. R J r 198-5) Effect-s of sleep loss on suståineJ cognitivc pcrformance<br />

.:uÀng a comm¡rd and conr¡ol srru¡tion Behat ior Rese¿rch .llethods. lnstrum¿nts. and<br />

Contputers, l- :-í'ó7.<br />

.{ngus. R. G.. æd Heselgrave R. J. (1983). The effecs of sleep loss a¡d suslaincd nrental *'ork:<br />

Imflications for command & conuol performance. Susnined Intensit'e .4ir Operations:<br />

ph siological ond perfonnance ,4,spects AGARD Confercnce hoceedin-es No. 33t. I I . l'l 1.21.<br />

.\rnold, p. K., Hartley, L. R., CorD. 4.. et al. ( 1997). Hor.rs of work, and prccptions of fatig,rc<br />

arnong truck drit'ers. Accidènt Arul.vsis and Preven¡io+ Ð,471477 '<br />

Aschoff. J.l, Giedkc, H., Poppel. E., & Vy'ever. R. (?). Tbc influencc of slcc¡inæmtption and of<br />

slecp-deprivæioo on circadian rh¡hms in huroar¡ performancc.<br />

Balier. T. L. ( 1996, June l9). koposed changcs in FAA flight and duç* rcgr.rlations: A scientific<br />

cririque of supponing evidence .l¡: Conunents Of The Air Transpon <strong>Association</strong> of Ane rica to<br />

F.{_{ À'oric e 95.1E. F¡A Docket .\'o. 2E0E I .<br />

Ba¡th.J.,HoldLng.D.H..&Sramford.B.A. (19761. Rrskversuseffonr¡¡-beasscssm€ntof motor<br />

faigue. Jount¿l of Motor Behatior, t, 189-19{'<br />

Belenky,, G.. Brliin. T., Knreger. G.. Headley. D., Solick. R. (198ó/. Efcctsof Coruinuous<br />

Operaiions tCOvOPSt on Soldter and L'nit Performance Phase I Retia'+'of the Uterature.Ft.<br />

Le ar,enwonh. KS: US Army Combrned .A,rms Combat Derelopments Åcuviry.<br />

Beler.k¡. G.. P:¡,era¡. D N{. Thorne. D. Popp. K.. Leu J. Thomas, \l . Sing' H.. Bafki¡. T..<br />

\\'esensren. N . Redmond. D r l ggJ r. The Eifecs of sleep Depnration ùr Performa¡cc Dunng<br />

Contrnuous C.-rnbat Opci-.iiir.r'ì: Il f ,:r:j (.'>rr1?ùnen:: :o Enh¿nce Per'ornûnCe. ( 199-l I \¡tlon:l<br />

\cadem¡ p¡¿5;. \\'ashrnlton DC Pg l:-'l -ì-i<br />

Brlls. .{ C rlq:ll Blockrng: .{ ne* pnnciple i¡ ment¡.1 fatrgue .{rr.'-:.'¿¡ lournal of<br />

Psr cåo/ogr. Ji l-ì0-:1-i<br />

Bjerner. 8.. Hotrn 4.. Sr+ensson. A. (19-i5) Diurnal ranation rn mental prformance: a srudv of<br />

th¡ee-shift woikers. British Journal o1'lndusrrial Mediane, l2t2): 103'10'<br />

Bonner. M. H. (1994). Sleep depnration. In \f . H. K+ger. T. Roth. & S'. C. Dement Gds ),<br />

prtnciples and Practtce of Sleep.Vedicine (2nd Edi¡ionl, Phjladelphia: S'.B. Sauders.<br />

Bonner. jU. H...\¡and, D. L t 19951. \\'e are chronicalJ¡ sleep deprive.{ S/eep, l8(10): 908-911.<br />

Bonner. lrf . H c \f oore. S E rl93ll The threshold of sleep. Percept;.-n of sleep as a function of<br />

Lilerûture iRe r t¿r't<br />

Page -


urnc asle€p and auditory th¡eshold' Sleep' 5' 261-216'<br />

Boro,*sþ'. t'f ' S.. Wall' R' (1983)' Naval ariation m'rshaps and fatisue"{riaritrn'<br />

Én, i ror-r" nrcl M ed ic in¿' 54: 5 35-5 3t'<br />

Space' and<br />

son. R. E'. Varga' M" Bald*rn' P" Sclbic' S"<br />

:rcbral Blood Fìo*'Throughout rhe Slecp-Wa\c<br />

BroadbcnLD.E.(1953).Neglcctoftbcs¡froundinginrclatiootofatiguedccrætsinouçut.lo<br />

W. F. Ftoyd A A. i.l;ú"iã Ce¿t.1, ly,,posi*^ oi Fatigru' Londoo: L'cwis'<br />

Broadbcnt.D.E.(195t).PerceptionatúCorrunt¿ttication.Pergarnoo.<br />

Brown, [. D., Tickner' A' H'' & Simmoos' D' C' (1970)' Effect of prolonged driving on<br />

"t."J¡ "g criteria- Ergonomics' 13' 239'242'<br />

Browne,R.C.(1949).Thedayand.rughtpcrforrnarrccofæleprinters,*.itcbboa¡doPera¡ors.<br />

-OrcuPorr o nal P st cholog' 23(2): I 2 I ó'<br />

Bursitl,A.E.(1958).Tbercsrictionofpcripheralvrsionduringexposuretobota¡dhumid<br />

condiuons . Quanerll- Journal of Erpen'mcåal Psycholog''' t0' I I 3- 129'<br />

carnpbe'. s. s.. & \rurphy. p. J. (lggtl Eruaocula¡ ci¡cadia¡ photoransducrioo rn humans.<br />

Science,219 Ó349)'<br />

91'<br />

C¡¡skadon. \l A. & Dement' W' C tl9?9)' Slee p tentJenc¡ dunng ertension of nocrurnal sleep<br />

Sle eP Re search' 8: I {:<br />

Ca¡skadon,M.,Bro*n.E.D..&Dernenr.\\..C.tl9t]r.Sleepfragmentarion¡¡ùeelderll:<br />

relationshiptoda¡.rimesleeptendencr'..\eurobiolog¡ofaging.3.-1]l-7.<br />

Carskadon' M' A., & Demenr, w- 9 (1979). Effects of rou] sletp loss on slee p tendenc¡'.<br />

Perceptual &' MotorSkil/s' 48' 495-506' 1979'<br />

Ca¡skadon, M. 4., & Dement. W C (1981)' Cumulative effecs of slecp rcsrriction on dal'tiræ<br />

sleepiness . Psychophysiolog¡-' 18' 107-l l3'<br />

ca¡skadon M. A.. & Dernent, w. c (lgg2). Nocrurnar deærminans of daytr¡æ sreepiness Sleep'<br />

5. 573-81.<br />

Carskadon MA, & Roth T' (1991) Sleep restnction' In T H' \fonk (Ed')' Sleep' Sleepiness arú<br />

I)teralure Revi¿x<br />

Paee -11


P e (onnance. Chicbcsær: li/ilcY.<br />

Crikadon. Nf A . Bro*'n. E.. & Denrnt. W. C. (1982). Sleep fragmentation in the elderlr:<br />

Relationships to da¡rrrne sleep ændency. Neurobiology of Aging, 3. 321-321.<br />

C¿nkadon, M. A.. Haney, K., & Denpnt \l'. C. (1981). SleeP loss in )oung adolescents. S/eep.<br />

1,299-312.<br />

Ca¡skadoa, M. 4., va¡ den Hæd, J., Denrnt, W. C. (19t0). Slecp and daytime sleepiness in thc<br />

cldcrly. Jounøl oÍGeriatric Psychiorry, 13' 135-151.<br />

Chambcrs, E. A. (l%l). Indr¡sial Faigæ. Occupational Psycholo, , 35, U'57 -<br />

Colligan, M., Tepas. D. (1986). Tlrc srcss of hor¡rs of work. Anz¿rican Industrial Hygiene<br />

Assæiat ion loum¿|" 47, 68ffi95.<br />

Colquhoun. P. (1976). Psychological and psycbophysiological asPccts of '*ork and fatigue.<br />

Acrr itas N e n,osa Superior, 18' 257'263 -<br />

coþuhoun, w. P. (1985) Ln S. Folkard &. T. H. Monk (Eds.). Hours of wort.<br />

Czeisler. C. 4., Dijk D. J., & Dufff , J. F. (1994). EntrainedpPhasc of the ci¡cadian pacemaker<br />

s€r.\ e s ro srabrlize alenness and peformancc throughout the habirual *'aking day. tn R. D OgrÌr te<br />

&. J. R. Ha¡sh @ds.). Sleep Onset: I'lorn'øl andAbnorma! Processes ,{mencan Psvchological<br />

AssoctaEoo.<br />

Czersler. C. 4.. Weiuman, E. D.. Moore-Ede. M. C.. Zimmerman. J C . & K¡auer. R. S. (19t0)<br />

Hur-.¿n slecp Ir-s du¡arion and orgamz¡tion depend on its ctrcadian pha-'e Science.ll0. ll61'<br />

I t6'<br />

Daris-Sha¡ts. J. (19891. The elder and critical care. Sleep and mobr.li¡) rssues. Nursing Clintcs of<br />

.\ o nh Amc rica, 24.'7 55'7 67 .<br />

þ¿uson. D., & Reid, K. (1997). Farigue, alcohol aad performance imparffnent Nature.388. l-15.<br />

Dejoy, D. Ì"1. The oonauditory effecs of ooise: Review and persp'ectives for rese¿.rch. Journal-of<br />

Audito r -,^ Re s e arc h. 24, l2l-l 50 -<br />

Den¡enr, w. C., Carskadon, M. A. (1981) An essay on sleepiness. [n Nl. Baldy-I{oulinier (Ed l.<br />

Acrualites en nædecine expe rirænrale, en hommage au hofesscu¡ P. Passouant (pp. 47 -71).<br />

\f .-,ntpelüer: Euronrd. From Sleep: A Scientific Perspectite pp 5-3-54'<br />

Lircroture Reviex<br />

Page 32


Denrcnt. \\'. c.. c¿¡skadon. M. 4.. Richa¡dson, G. S. (1978)' Excessive da¡rime slecpiness in the<br />

slecp apnea syndrome. C. Guilleminault & \\'' C' Denre nt (Eds'l' Sleep Apnea Syndromes' Ne*<br />

York, Ala¡ R. Liss'<br />

Dcn¡enr, 9,'. C.. Scidel, W. F.. Cohen, S. A', Bliwisc, N' G" Cankadon' M' A' ( 198ó)' Slecp and<br />

wakefurness in ai¡crer*,bcfore and after transoccanic flighs. At'iation, Space. an-d Enriron¡nenral<br />

Medicinc.57, Bl4-B2t'<br />

Dinges, D. F. ( l9t9). Tbc natr¡rc of slccpincsst ""t:e..-:o-otexLs,<br />

and conscquenc¿s' tn A' J'<br />

Sn¡nkafd &, A. B..¡; (Eds), Pcrspcctivå io g.U""ioral Mcdicinc: Eating' Slecping' a¡d Scx'<br />

Hillsdaþ, NJ: E¡lbaum'<br />

Dinges, D. F. (1995). Pcrforrna¡cc effecs of fatigue. Fatigtu s¡'mposium Proceedings'<br />

Wrr-t iog,on. DC: National Transportation safety Board.<br />

Dinges, D. F., Græbcr, R,. C., er aI. (1996). PrinciPles and guidcl'ines for dut-v and rcs schedul-ing<br />

in com¡rrrcial aviation. lYAs.4 Tcchnical Mcmorondum I 1O404' Pa¡a l ' I ' l '<br />

Drnges DF and Kribbs l.fB. ( l99l ). Performing while sl-ecpy: cffecs of experirnc¡t¡lly-induced<br />

,r*õrrr"* I¡ T. H. Monr (Ed.), Sbep, slecpiness and Performarc¿. chichestcr: wiley.<br />

Dinges DF, Pack F. Wilt<br />

rw. on GE' et ai' ( 1997)' Cumulative<br />

sreepiness, mood disrurb<br />

ilance performance decremenrs during a seek<br />

of ri..p rescncted to 4-5<br />

261-211<br />

- -<br />

fvans, s. M.. \lackie, R. R.. & wylie. c. D. (1991, Augus t. Fatigue Efects on human<br />

perfonnance in combat' ,4 ltterarure reviey|'. uS .A'rm¡ Rese¿rch Institute for the Beharioral and<br />

'social<br />

S'-tences. ARI Research Noæ 9l'90'<br />

Ferrer. C. F.. Bisson. R U., & French, J. (1995). Cucadian rh¡rhm des¡nchronosis tn military<br />

deploynrnLs: a re\ie*'of curTent srategies' Avi¿tion' Space' and Enttronmcntal 'l{edicine' 66'<br />

57l -57t<br />

Folka¡d s. (1997). Black ti¡r¡cs: Temporal deærminants of uansport safety' Accident '4'nalysis and<br />

P rev entiott 29, 417 410'<br />

Gander. p. H., Graeber, R. c.. Connell, L. J., & Grcgory. K. B- ( l99l ). Crew Factors in Flight<br />

ope rations vlII: Factors influencing sleep timing and 1b¡cctive sleep qualiry in com¡nercial<br />

long-haul flight crews' NÁ.9{ Technical Memoran'dum i,03E52'<br />

Gander. P. H., Graebcr. R. c.. Foushee, H. C.. Lauber. J' K ' & connell' L' J' (1994)' Crew<br />

Literalure Reviex<br />

Paee -' j


Factors in Flight Opcrations II. Psychophysrcloeical responses ro shon-haul a.r¡ rranspon<br />

operations. Ài^{SA Technical Memorandum I - -iSJó.<br />

Gevi¡s. 4., [¡on-e. H.. Du, R., Smith, M. E.. Le. J.. DuRousseau. D.. Zhang. J.. Libore. J. r 1995).<br />

Towa¡d lr¡€åsuretr¡cnt of brai¡ function in opcrational envi¡onmcnts.-Biological ps¡'cho/og.r,40,<br />

169- r 86.<br />

Gold, P. E. ( 1995). Role of glucosc in rcgularing thc brain and cognition. Antrican Journal of<br />

Clinical Nutrition, 6l : Suppl:pgs. S9t7-5995.<br />

Crræbcr, R. C. (19t5). Procecdings of thc Ftigùt S"f"ty ¡su¡d¡rio¡ 38th Inærnarional Air Safcry<br />

Scmina¡.<br />

Gracber, R. C. (19t8). Ai¡ crcw fatigue a¡rd ci¡cadian rh¡hrruciry-. In Human Factors in Aviation<br />

(pp. 305-¡¿¿). Academic hess.<br />

Gracber. R. C.. [¿uþr. J. K., ConneU. L. J.. Ga¡rder. P. H. (198ó). Internariona] aircrew sleep and<br />

r*'akefulness after multiple tirnc zone flights: A coopcrative srud¡'. Ay.iation, Spce, and<br />

Env i rornt¿ rual M e d ic in¿, 57, B 3-89.<br />

G,undel, 4,, Drescbcr. J., Maab. H.. Sarnel.4., Vcjvoda. M.(1995). Sleepiness of civil ai¡tine<br />

pilos during two consecutive night flights of exænded durarion Biological Èychology.40. l3ll4l.<br />

FIabæ-Gabr. E.. tÀ'allacc. R. 8., Colshcr, P. L.. Hulben, J. R.. \rìræ, L. R . Smirh. L \{. (l99t).<br />

Sleep patterns in r¡¡¡al elden: demo¡raphic, l¡c¿lth. and ps¡'chobehaiioral correlares Journal of<br />

Clinica! Epidemiolog], aa. 5-I3.<br />

Harr¡eIn, P. (l9E-r Lorq'Driver's TLrne Habit-s ln \\'ork and Tler¡ Inrolrenrnr rn Traff-rc<br />

Accidents. Ergonomtcs, 30, I 3:3-3-3<br />

Hamilton.P..r*'iüú¡son.R.T.&Edr¡'ards.R S.(1972).Asrudvoffourda¡spartialslecp.<br />

deprivation. Ln \\' P Colquhoun Gd ).Aspecrs of Human Efictenct (pp. l0l-ll3)<br />

Ha¡ris. U/. (1977). p¿¡lg¡e. circadian rhythru and truck accidens. ln: Vigilance: Theon,<br />

Operarional Perfornance, and Pht'siological Correlares. (Ed.) -\lackie, R. R.. 133-147. plenum<br />

Prcss, NY.<br />

Harris. W., & Mackie, R R ( 1972). A studv oJ the relationships an'tong fatigue. hours of sen ice,<br />

and safer¡' of operarions of trucl-s and bus dnring. (Repon No B\{CS-RD-71-2.) Washingon.<br />

DC: United States Department of Transponation, Federal Transir Adminisrnúon. Bureau of<br />

Motor Carrier Saferv.<br />

Literature Revie* Page 34


Hamson. Y.. Horne.J. A' (1997)' Slecpdepnration affecs speech' S/eep' l0' S-l-877<br />

Ha¡tman. B. O. (l97r). Ficld sudy of rransport aircrcr* uorkroad and rest. Aerospace Medicine.<br />

42(t): 817-821-<br />

Haus. E., & Touiror¡. y. (tgg4). principlcs of crinical. ch¡onobiolog¡'. [n: Biorogic Rhytrvu in<br />

Clinical arú Laboratory Mcdic¡rr¿, (EÀ') Touirou' Y'' Haus' E" & Springer-Verlag' ó-31'<br />

Hildcbra¡rdt, G., Rohnærq Yy'.. &' RutcoFan¿ J' (1974)' l2 & 24 H rh¡rhrns i¡ enor freqr'rcncy of<br />

locornotive drivcrs and tbc infrucncc of ri¡edncss . Intcrn¿tiotur Jountal of chronobiologr' 2(2):'<br />

175-1t0.<br />

and Sons' New York'<br />

cfFrciency as a function of cnvi¡onnrcntal srcss'<br />

L. Kar¡fman & J. P. Thomas (Eds )' Han'dbook of<br />

Cognitivc Processes atú Perfomanc¿' John Wiley<br />

Hornc, J A.(198t). Slecp loss and "divcrgent" thinking abiliq'' Sleep' l t' 52t'53ó'<br />

Horoe J. A. (1991). Di.ænsions to slecPi¡css' I'n T' H' \lonk (Ed')' Slecp' Sleepiness and<br />

Pe rformancc. CLichester: WileY'<br />

Howin.J.S.,Hay.A.E..Shergold,GR..&Ferres'H'Il'(1978)'\À'orkloada:rdfatigue-ln'<br />

flighr EEG cbanges. Av'i¿¡io¡t Spacz ud-Eaviron¡twnta! '\{edicine' {9' I l9?- ll0l'<br />

Huntle¡'M.S..&Perrine'\l'\'hanismofalcohol-relatedaccidents<br />

In M. E. Chafetz (Ed.), Proceedi<br />

Institute of Alcohot Abuse art'd A<br />

Spectal PoPulations '<br />

c'tholism' C"n'ference of the '\':ttorøl<br />

c'¡holisrn' Citnical Probien: :nd<br />

Johnson.L.C.(I982).sleepDeprirauooar¡dPerformance.[n\A.B'\Ä.ebbtE'¿l.Biolotical<br />

Rh¡'rhms, Sleep, and Perfonnani¿' Ne* I'ork: Joh¡ \À'iler ái Sons<br />

Jobnson. L. C., Nairoh, p. (1g74). Tlu opcrational coruequences of ste ep Depntation and Sleep<br />

Defcit. AGARDograph No' 193' p la3'<br />

Kales A, Tan T. Kouar EI, er ar. (lg?0). sreep panerns fououjng 205 hou¡s cf sreep depri'ation.<br />

Psychosom Med, 32. I E9-200'<br />

Kecklund, G.. & Akersædt, T. ( 1995). Effect of timing of shifts on sleepiness end sleep durauoa-<br />

Journal of SIeeP Research, 4' 41-50<br />

Literature R¿r iex'<br />

Page 35


Kinch. A D. ( 199ó. June l9). Repon on the statrstiç-al nrcthods emplo¡ed b¡ the U.S. F.\{ in its<br />

cosybenef-rt anaJ¡sis of rhe proçrcscd "Flight Creumember Dutr Penod Limitations. Flight Tinre<br />

Limirations and Rest Requireme nts". Docket \o. l80E I .ln: Con¡n¿nts Of The Air Trarspen<br />

<strong>Association</strong> of America to F,4A Notice 95- l E. FAA Docket No. 280E1. Appendix D pp. I '36<br />

Kjcllbcrg. A. ( l9?7). Slecp dcprivation and some aspecls of performance II. l-apses and other<br />

anendonal effecs. Waking &. Sleeping' I' 145-148<br />

KjcUbcrg. A. (1977b). (scc pg44-20 in Handbook of Perccption a¡d Hurnan Pcrforrna¡c Vol.2)<br />

Klci¡, K E., & r$/cgmann. H. M. (1980). Sigdficancc of ci¡cadian rh)4hnts in ærospace<br />

opcrations. NATO AGARDograph Numbcr 247. Neuilly sur Scinc, Fra¡ce: NATO AGARD.<br />

Kogi. K., & Ohra, T. (1975). Incidencc of ncar accidental drowsing in locornotive driving during<br />

a pcriod of rotation . Jourtul Hwnan Ergolog,¡^, a( I ): ó5-76.<br />

Kun¡mata¡ri. N.. Koda, S.. Nak^aglri. S., et al. (l99f l The effecs of frequently rotating shifr*ork<br />

on sleep a¡rd the family ljfe of hospiral nurscs. Ereonomics, Jun: 37(6):995- 1007.<br />

[:,mbe rg. L. ( 1996). tfuining up thc ravelcd slccve of care: Role of slecp and cffccs of its lack<br />

e.ramrned. Oct l6; 276(15): 1205-1207.<br />

l-auber JK and Kayren PJ. tl9t8l Slee pi¡ess. ci¡cadian dysrhythmra- a¡d fatigue in transportarion<br />

sys¡cm a,,'cidens. Slcep, I I (ó):50L5 I l.<br />

L-arie. P. K¡ernerma¡r. S . & tÃ'iel. M. (19t2). Sleep disorders and saten at uork in rnd-str1<br />

u orkers {cc¿¿¿nl .'{r¡¿lr'sls & Pretenrion, 14. -11 I -3 l't<br />

[¡nne. M. G.. Triggs, T. J.. & Redman,J R rl997l. Tinr of dar va¡iations in dnrLne<br />

pe rformanc e. Accident Analt'sis and Pretentton' l9t{ I J3l -+-1;<br />

L¡rine. B . Rc'eh¡s. T.. Zonck. F.. & Roth. T. (198E). Dayrirne sleepLness in young adul's. Sleep.<br />

I l: 39{ó<br />

LiLle, F.. Cbe[iout. F., Burnod, \' . Hazeman. P (1979). Effects of agrng and occupariona.l activity<br />

on active wakefulness. Gerontologr',25, 337-3{-1<br />

Lisprer.H.O.Laurell.H.&r'anLoon.J.(19861 Relationbetueentimeoffallingaslecpbehind<br />

rhe *heel on a closed rrack a¡d changes in subsidiar¡ reaction time dunng prolonged dnvi¡g s¡ ¿<br />

motoru'a\ ErQonomics. 29, {45-{53<br />

I)tera¡ure Ret ieu<br />

Page -36


Lun¡.T D..French J.&Mircha.J.L (199r'.\srud!'of LS.{,Fa:rrrait-rccontrollers}:rn'*ork:<br />

sleep. irtigue. actl\lt). and mood anal¡ses..{rr¿rron. Space, and En'tr[t|ìtt€t1'^t .lÍedt;tn. ó8tlt<br />

r 8-23.<br />

L¡man. E. C.. Orlad¡,. H. \\' r 1981. \farch 3ll. Fatigue and Associated Performance Decrements<br />

¡i e¡, Transport Opirations. ¡,¡ASA Ames Resea¡ch Center. Bancllc Columbus Laboratories.<br />

ASRS Office.<br />

Mahcr. K., ¿k, Mcphec, B. (1994, April). Fligfu crew duty atú rest. Sidney, Ausralia: Worksafe<br />

Ausralia.<br />

McFarland,R.A.(1953).operationalAspectsofFatiguelnHumanFactorsinAir<br />

Transponañon-<br />

lfiles. '$/. ( 1929). Sleeping *'ith the eyes oPen. Scientific Anvrican,l40, 489{92'<br />

lfiles. L.. & Denrnt. W. C. ( l98O). Slcep and aging' Sleep' 3' l -ll0'<br />

t{ius. M. E., Arnold.8.. \\'ood, c. M. (19t3). Corc-12: A Conuoucd Srudy of the Impact of l2-<br />

Hour Scheduling. .\'lrsin3 Research,32' 356-3ól '<br />

\1-¡non. D S.. & 1l,'arerhouse. J. \1. (198.t). The slee p-'*akefulness rh¡'thm. exogenous and<br />

en.loeenous factors rin man l. E.rperien¡¡a. J0r-il: 410-416.<br />

\f_rtler. \l \f. (1991I T,*o-peak l-1-hour patterns rn sleep. monaìit). and error. ln- S[eep and<br />

Health Rrs(- rEds I perer. J H . Pengel. T. P¡dizus. J.. rt-rn \\'icl-.e :r. P. & Spnnger-\-:rlas. \\'-<br />

65 -11<br />

\frrler.\f.\1 ,\filler.J.c.Lipsitz.J J.\\'csh.J K.'*'¡'he.c.D rl997r Thesleepof Long-<br />

Haul Truck Dnr.en. .\eu England Journal a.t'.ltedtcine. -ì-ì-. ?5ó--ó1.<br />

\fohler. S. R. (196ó). Farigue in ariation actlrities. .lerospoce !ç'ledtctne.37.;:l-73:<br />

\loms. T. L.. ìvliller. J. C. (1996). Elecrroculographic and perfonoance i¡dices of fatigue during<br />

simutated flighr. Biological P.'chologr' 4l' 3J3-360'<br />

\loskouirz. H. ¡9i3). A behavioral mecha¡rism of alcohol-related ac"-idents In \1. E Chafetz.<br />

(Ed.). proceedings of the Firs¡ Annual Alcoholism Conference of the Ïational Institute o-f .4lcohol<br />

Abuse and Alcoholiim. Research on Alcoholtsm; Clinical Probler¿ and Special Populations'<br />

\lullane¡. D J. Fleck.p A. ol.-udaira- N.. Kripke. D. F. (1985) .{n Åutomated S¡'stem for<br />

Lite rature Rer lex<br />

Page 37


Adminlstenn_i Continuous \\'orkload ar¡d for \f easunng Sustarned Continuous Perform¡nce.<br />

Behat toral R¿search .llethods. Instrur¿nts. &. Computers, 17. ló- I 8.<br />

lfullane¡. D J . Kripke. D. R.. Fleck. P tl99l. Aueust). Sleep loss effects on continuous<br />

sustained prrtormancc. Technical Rep..-'n # I . San Diego: Universit¡ of California Depannrnt of<br />

Psychiarrl rl98l). Citcd in Evans, S. \f .. \fackie. R. R.. Wylie. C.D. Fatigue Eflects on Human<br />

Perfonnonce In Combat: A Uteralure Revieu US Army Resea¡ch Instirute for thc Beharioral<br />

and Social Sciences. ARI Resca¡ch Ì{otc 9l-90.<br />

National Commission on Slecp Disordcrs Research. (1993). Wak¿ Up Anurica: A National Sleep<br />

Alcn. Report of the National Co¡¡nússion on Sleep Disorders Research. Executive Sun:llury an-d<br />

Executive Rrepon. Washingfon, DC: Narional Commission on Slecp Disorders Resca¡ch.<br />

National Transporration Safety Boa¡d. ( 1994. January). A Reuiew of Flightcreu'-involt'ed. Major<br />

Accidents of U.S. Air Carriers, l97E Through 1990. Safety Srudy: NTSB/SS-91-O1.<br />

Neri. D. F Shappell, S. 4., & DeJoh¡. C A. ( 1992). Simulated 5u5t^insd flight opcrations and<br />

pe rformaace. Pa¡t l: Effecrs of fatiguc !u{ilitarl' Pg'chology'.<br />

Neville, K J.. French. J., Bisson, R. L.. Boll, P.4., Storm. W. F. (1992). Sleepand Fligbr<br />

D.r¡ation Effecs On The Subjcctive Fuigue Of Pilocs During Operarion Descrt Storm.<br />

Proceedines of the Human Factors Sociery, 102-105.<br />

\icholson..\ N. (l98ll Sleep a¡d ue}tetulness of the airline pilot. Ár'iarion. Space and<br />

Ent ironn¿ ntal .)t edrcrne, 58. 395401.<br />

\icholson. \ \.. Stone. B M., Borla¡d. R G.. & Spencer. M. B. rl9t-ìt .{daptation ro<br />

r-rre_sula¡tr u¡í rest a¡d actirity. In. Su-c¿tncd Intensite Air Operc:ions Phtsiologtca! ar¿<br />

P¿'ñ'onn¿-..-i 1;¡ecrs .A,G.\RD Conjertnce Proceedtngs, No 338. l: l-ll ó.<br />

Ogilrre R D . \\'rll:lnson. R. T a¡d.{lhson. S L t l989l The detection oisleeponset<br />

Behar rtrel. phr sroloeical and subjecu\e convergence. Sleep. 12. {58{7{<br />

Pack. A \f . Cucchia¡a- 4.. Sch*ab. C U'. Rodgman, E. & Pack..{ I (199{l Cha¡acrensrics of<br />

accidents ¡nnbuted to the dnver hari¡e fallen asleep. Sleep Research.23.<br />

Perelli. L. P t 1980, December). Fotigue Stressors in Simulated l-ong Duration Flight: Eflects on<br />

Perfonrnnce lnformation Processine Subjectite Fatigue and Phsiological Cos¡s. School of<br />

.Aerospace .\fedicine. Brooks Air Forc¿ Base. Report No. SA.V-TR-80{9.<br />

Pokorny'. \f L L Blom. D. H. J.. r'a¡ L¡eur¡en. P (l98la). Analrsis olTraffic Accidenr Dara<br />

rFrom Bus Dnrers¡--An Alternatrre.\pproach tll. In A. Reinberg. N. \'ieur & P .A,ndlauer<br />

Page 36


(Eds.). Ìtiight and Shift \\'ork.<br />

pckorn¡.. If L. I..Blom.D.H J..ranLeeuuen.P'l98lh'r.{n¡lrsrsof Tr¡Î'frcAccidentData<br />

tFrom Bus Dnvers)-.{n.{lternariVe Approach (lll. ln.{- Reinberg. \' Vieux & P' A¡rdlauer<br />

tEds ). \i-eht and Sh¡ft \Ã'ork.<br />

hernitis. c. ( lgt I l. Shfür¡.ork: r¡/orkload. fatigue and stares of vigilance. In A. Reinbert. \.<br />

vievn & P. Andlaver (Eds.), Night arú shift work Biological atú social Aspects'<br />

Reinbcrg, A. E.. & Smolensky, M. H. (1994). Nigbt and shift work and transmeridia¡r and space<br />

flighs. ln: Biorogic Rhytrvns in crinicar arú Laborator¡^ Medicrne, Springer'verlag, NY, 243-<br />

255.<br />

Resrak. Richard M. (198t) . Th¿ Min¿' Bantam Books. NY' Nes'York'<br />

Ribak. J.. .{shkenazi, t. E.. cr al. (1g83). Diurnal rh¡rhmiciry a¡d ai¡ force flight accidcns due to<br />

pilor error. Ay.iation. space, and Ent'ironntental Medicine,54(12): 1096-1099'<br />

Richa¡dson. G. S.. Carskadon, M.4., Orav, E. J.. & Demen¡. U/' C' (19E2)' Circadian variation of<br />

slccp rendency in eldcrly and young adult subjects- Sleep,5. 582-94'<br />

Rceh¡s T. Timms \'. Zuyghuizen-Doorcnbos A, a¡rd Roth T. ( 1989). Sleep extension in slecpy<br />

and alen normals SleeP. 12,4É'9451'<br />

- R.osa. R R.. & Bon¡ct. M. H. (1993) Performance a¡d alenncss on t h and 12 h rotatrng shlfts at<br />

a natural gas utilit-r . Ergonomrcs. 3ó. I177-93'<br />

R,-.Sa.RR..Coltigan.\lJ.(1987).sleepquantlt\endqualtlunderS'h¡ur¡ndll-hourr'rL3lrn-s<br />

shft schedules Sieep Research. l6' tll<br />

R..:ekrnd. \f R.. & Schuanz. G. E. tl98S) Per;eprion ol sleep and'*¡Lefulness. I .\c--ur¡'-r anJ<br />

cenainr¡ oi sub.¡ectir e jud-rments' Sleep Research' l7' 89<br />

Rosekind. M. R.. Graebcr. R. c., Dinges. D. F.. conneil. L. J., Roundrrec. !1. S.. Spin*ebe r. c.<br />

L. GiUen. K. A. (1994. July) Crev'facrors infiight operarions IX: Efects of planned cockpit resr<br />

on crev.perfortnonce and alenness in long'haul operations )¡AsA Technical Memora¡dum<br />

r 08839.<br />

Rosenrhal. L., \ferloni. L.. Roeh¡s. T. Å.. & Roth. T. (1991). Enforced l1-hour recoreQ<br />

foUouing sleep deprivation' Sleep' l4' +{8-453'<br />

Rorh. T.. Roe h¡s. T 4.. Ca¡skadon. \f . 4.. De ment- W' C' r 1994)' Da¡rime Sleepiness and<br />

ltte rature R¿r'iex<br />

Page -1v


.{enness. In lt{. H Flrlger. T. Roth & \\'. C Dement tE.L r. Pnnctp!es and Prac¡ice o_f Sleep<br />

.lf edtctne. \ÀB S¡undcrs Co<br />

Sarr¡el.4.. & \\'cgmann. H. \1. (19E7). Desynchroniz¡ùu.nand intemal dissociat¡on Ln arrcren.<br />

Ergonomics. 30. 1395- l -1O{.<br />

Sarnel.4., \f,'egmann. H. M.. & Vcjvoda, M. (1996). Aircre* fatigue rn long-haul operarrons.<br />

Accident- Arul¡'sis &. Prevenrion, 29,439452.<br />

Sarncl.4., ril/cgnrann, H. M., Vejvoda M. (1995). Jet lag and slecpiness in aircrew._./oumal of<br />

Sleep Rescarclu4. 30-3ó.<br />

Sa¡æI, .{., v/cgmann. H. M., Drescher, v. M., Gundcl, À. Manzey, D.. wenzel. J. (1997). Two-<br />

Crc*'Opcratioos: Stress and Fatigue During L-ong-Haul\ight Flights. .4v'iation, Space. and<br />

Ent i ron¡ne ntal,V edic itu, 6t, 67 9 -t7 .<br />

Sasaki. M.. Ku¡osaki. Y.. Mori. 4.. Endo, S. (l9E6a). Panerns of Slec¡tl/akeful¡ess Beforc and<br />

.{ñer Transnrndian Flight in Com¡r¡ercial Airline Pilos .\iation, Space, a¡'td Entironmental<br />

Medicine,57, Bl9-B{2.<br />

Sasaki M, Ku¡osaki Y. Mori A, and Endo S. (1986b). Puterns of Sleep-Wakefulness Beþre and<br />

After Transmeridian Flight in Corun¿rcial Airline <strong>Pilots</strong>. Crew Factors in Flight Operarions; l:v'<br />

Sleep and Wakefulness in lnterna¡ional Aircrev's, RC Græbcr (Ed ). \.{SA Technic¿l<br />

\lemorandum \o ttl-ì1. \foffen Field. CA:Ames Resca¡ch Ccnrer<br />

Schoenborn. C A. & Cohen. B. H. (1986). Trends in SnoÅ'rn_g. Alcoko! Consua.rptron. anJ O:he,<br />

Health Praotces.4-ong L' S .1',lults 1977 and 193-1. \arronal Center for Healrh Srarisrrcs. L S<br />

Department oi He ith and Human Sen ices. Hr ¡rrsr rlle. \D \o I I S ì - ló<br />

Schoenbom. C .\. & Danchik. K \l rl9S0l. H¿al¡hlri.'.';r¿-i..r,4îf4i .;Jul¡s' Lnited States.<br />

l9:: .{drence dan- \attonal Center for Health Statrst:;. I' S I-Þ^-.-î.ênr ñr-Healrh ¡nd<br />

Human Senrce;. Hransrille. \{D.6J: l-10<br />

Shappell. S. A. & Nen. D. F. t1993) Effect of combat on air,-reu'sub'jäcrive readi¡css dunng<br />

Operations Desen Sb.ield and Dese n Storm. Internation¿!Joirnol of .ltiation_Pq'cholog, 3,231-<br />

25.<br />

Shin-geldecker. C 4..6¿ Holding. D. H. (197{l Risk a¡d effon measure of farieue. Jounal of<br />

Motor Behavior. ó. lj-:5.<br />

Smrley. A. ( 1996. \or embe r) . Interpretarton of Operatctr Perforntance Data. In; Operator<br />

Perfonnance.\l¿cs;rrr'ment Deteloping Conu¡tonalin.{;ross Transpctrta¡ion,Vodes -<br />

Lite rature Rer l¿¡ Paze 10


p,oceedings o_f a sepr,-ntber r99J *'orksrrop Dor Human Fa.-ton coordinarine comminee Final<br />

Repon.<br />

smrrh. L.. Follia¡d. S.. poolc. c. J \f . tl994l Incrcased injunes on night shift. I¡ncet' 3!A.<br />

I 137-l 139.<br />

spcncer. Nl. B. ( l9t? ). Thc influence of inegularity of rest and activit¡' on pe rformance: a modcl<br />

bascd on time since sleep and tinr of day' Ergonomics' 30. 1275- I 18ó'<br />

Takahasi, J. S. ( 1996). Thc biological clock: It's all in thc gcnes. In R. M' Buijo. A' Kalsbcck' H'<br />

J. Romijn, C. M. pennarrz A U.ltirmiran (Eds.), H¡*pothalamic-lntegration-of Circadian<br />

Rh¡-thms.<br />

Taub, J. ll1. (l9tl) Behavionl and Psychobiological Effect of Ad-l'ibirum Extcnded'dclaycd<br />

Slccp. tn I. Ka¡acan tEd.). Pslcìzapht'siologicol asPects of-sleep. Park Ridge' ì'i' J': Noyes<br />

Medical h¡blicarions.<br />

T¡ub, J. \f .. & Bcrger. R. J. (197-¡1. performa¡rcc and lvfood Follou'ing variations in the t-¿ngth<br />

and Timing of Sleep. P¡'choph. slologt l0' 559-570'<br />

Taub, J. M.. & Berger. R. J. (19?ó) The effects of chan-ein-e the phasc and du¡ation of sleep'<br />

Journal o-f E-xperimental Pq'cho|ory'' 2: 30-4I<br />

Thomas.\f.L.(1997|.Bratnar¿Behal'ioralEfectsofProlonged||,ake.fuInessinHu¡nans..A<br />

Posúron Emlsslon Ton.øgraph' S:u./r of Bratn Glucc,se .|letabolism During Task Performance<br />

.\fier 4E hours of Sleep fiss. L'npub,llshed dcx't.-ral disscn¡tion' Ge orge \leson Luiversit¡<br />

Thomes.\f L..Sing.H C..Belcnþ.C.eral r199-rr CerebralClucoseL'tilrz-¡tr¡nDuringTõk<br />

Performance ¿n,.J Pr-olonge,l Sleel LOss Journ¿l of Cerebral Btood Flou and lt¿:¿bolisnt'<br />

i-rt SuPPI I l. 55-11<br />

Thorne.D.,Genser.S'Srng.H.&Hegge.F<br />

rI98-ll.Plumbinghumanç'erformarrcelimltsdunng<br />

-l hou¡s of hrgh r¿sk loa,J. Proteeding\-of the 2l^-DRC-seminar on The Hunøn '4s '4 Limiring<br />

Elentent In !¡lilitan'Sì'JternJ, l'o'tme 1 Toronto' Canada' \{a¡' 3{<br />

Torsvall, L., &.\kentedt. T- (198t). Disrurbe'J sleep u'hile t'eing on'call: 'A'n EEG srudy of ships'<br />

engineers. SIeeP' I l' 35-3E'<br />

Tonerdell. P.. ll Follia¡d. S. ( 19901 The Effecs of Changing From a \\'eekl¡' Routing to a<br />

Rapidr¡ Rotatine stuft Sche,Jure In G. Cosra rEd.l. shiftuork: Hearrh. Sleep. and Performa¡ce<br />

btc rat ure Rer iert<br />

Page I I


Turek.F \\'.&\'¡nReeth.O.(199ó, Crrcadianrh,rthrns In\f J Regl¡ &C.\f BlaneistEds.).<br />

!-landborrl,


O X-éZlrj¡ú'uÞ


A SCmrsrrrrC R¡ræw OF hOpOSpp RTCULATIONS REGARDNG<br />

Fltcrrr CnrwusIuBER Durv Pnnrop LnnrlrloNs<br />

Docxer #2E0tf<br />

The Flight Duty Regulation Scientif¡c Study Group'<br />

Preperrtion of this docum€nt w¡s supported by e grant from the<br />

Indepcndent <strong>Pilots</strong> Associ¡tion<br />

Running title: Review of proposed flight duty regulations<br />

Correspondence to : Cary S. Richardson. lvlD<br />

Endæn rr -H¡perænsion Division<br />

Brigham a¡d V/omcn's Hospiul<br />

221 l.ongwood Avenue<br />

Boston. MA 021 15<br />

'Ce'Charrs: Wallace<br />

Bngham & *'omen's<br />

Hospiul.<br />

A.Mendelson. MD. Clevela¡d Chnic Foundation: Gary S. Richa¡dson, MD,<br />

Hospital and Han'ard Medical School;Thomas Roth, PhD. Henry Ford


"Review of propccd flþht d-ury E4la]iors"<br />

î,. night öury ncgt¡btqr Scientific Snrdy Crroup<br />

Ttm FLIcrr DUry RT,CUTTIoN SCnrnnc STUDY GnOup<br />

orders.<br />

tory and<br />

y recogology<br />

of<br />

both hc<br />

t€ri{r¡¡ Sleee Dlsorden Assæiaúon' and partbi'<br />

olicy on thc-diagnosis urd uearne¡rt of sleep'dis-<br />

circedian ràrdrms in human sleep and aþnn<br />

Depafidt'of fr. porr.tion anä_indrstry ol_tlr effccts of shift work and sleep {p<br />

rivation on hqn¡¡¡¡ frä*, and performance. ft h¡s been ar¡ officer on tlre executiw<br />

boad of tlre Sleep Research Society'<br />

Thom¡s Roth, PhD, is Director of Resca¡ch for tþ Henry Ford Heal¡Ì¡ System in<br />

De¡roit- Hc is also Direcor of tþ sl<br />

ognized authority on slee^p' sleepine's<br />

Uõrn r}rc SlecP Rescarch SæierY qtd<br />

Chairman of -rÌrc Advisory Council ft<br />

ùre Naúonal lnsdrure's of Health' Dr'<br />

of Transporuúon. Naúonal Highway Traffrc Safery Associauon and NASA.<br />

Members: Ruth Ber¡ca. MD. PhD<br />

U ni versitY oI W isconsin/Madiso n<br />

Madrson. WI53792<br />

Cynthia DorseY. PhD<br />

Mc[¡an HosPita'l<br />

Belmont MA 0217t<br />

Barba¡a PhilliPs. MD. MSPH<br />

Good Sama¡ita¡r HosPiul<br />

læxington. KY 4O5Ot<br />

TrmorhY Ræhrs. PhD<br />

HenrY Ford HosPital<br />

Der¡oit MI48202<br />

Mary A.Carsk¡don, PhD<br />

Bndley Hospital<br />

East hovidence. RI 029 l5<br />

Ma¡t Mal¡owdd, MD<br />

Hennçin County Medical Cenær<br />

Minrrapolis. MN 55415<br />

James Walsh. PhD<br />

Sr Luke's Hospital<br />

CÌ¡esærf¡eld. MO 6301?<br />

Gary ãmmit" Pt¡D<br />

Sul-rùe's-Rooscvelt HosPital<br />

New York. l$l 10025


"Review of proposed flighr dury rcSulations"<br />

î," night Oury neguta¡ion Scicntific Sn'rdy Grroup<br />

1. Introduction<br />

s of fatigræ a¡ld sleep dcprivatioa uì fligh! crew,<br />

æ availablc sþntiEc information" both Ùr¿t exlf<br />

scie¡rtif¡c'litcr¡¡¡re rcgarding tÞ origitu of hu-<br />

by rcgularory efforts in other industries and by<br />

ing the n<br />

roþ rn is solution. However, tl¡e Srudy Group. feels<br />

-tÃngty isc of allæated rest dme should no( relreve regulato$<br />

iu*roïiy<br />

tions. lt is our hope rhat mury of the important-ac<br />

oroduced by this efforl where¿s other issr¡cs cle:<br />

base . ttnsè will requirc additional resca¡ch arær<br />

making efforts.<br />

ùat adequae rrme is provided for restction<br />

that. despia is evident hmiuúons. the pronant<br />

and vah¡able progress. Th: Srudy Croup<br />

The goal of providing saferravel 24 hor¡rs a day req.uires optimum crew alen¡ess and performance<br />

at aüïmes. Sltrce hu-man alert¡ress is highly dependent on the complex regulatory system gov-ern-<br />

' riew by summarizing current underst¡nding of tìe<br />

lulness. a¡¡d tþ facon t]rat cont¡ibute to huma¡<br />

to beue¡ address these issues wiù tlr god of op<br />

tl


'i!îiîri'Jüffi ,['å3åo,ilfi ff.""Jö'**<br />

2. Scientific Beckground<br />

2.1. A working dehnidon of fatigue<br />

-SlæPincss. æcording o<br />

pbysrotrgical satl (lilc)<br />

and as bunger a thir:¡ s<br />

(Figure 2'l).<br />

htio¡ of tbc PlYsiolo6ic frctor¡<br />

contributio3 lo bumin frtiSuc la lust¡incd opcretions<br />

osed modific¿tiors to tÌ¡e FAA regulatiors v-aria'<br />

f.*¡U" ttre physioiogrcal condiuon arising .from<br />

árus when wákefulãess is forced during phafs<br />

rplicarion of rhis uså8e is -th¡t tlpsc erms :ut uli'*<br />

,¡", ¡lrey a¡e no[ and confusion of tþ two<br />

Uãis of peifo-.ttce errors and the appropriaa<br />

lef'rniúon:<br />

FrurRu.b'T..¿t¡¡l..Dayu.rrslcrpncssarrclalcru¡csg'i.mPrinciplcsolúProtttceofsleepMedicinc'M.HKfy.<br />

g.r, r Roù, and w.c. úr¡enu Fis lgtg, \,v.B.Saunders: Pbiladelphie. p la-13.<br />

12


"Review of propord flight dury rÊgulatio¡s"<br />

Ttre Flight Oury negulaton Sciêndf¡c Sody G'roup<br />

2.2. Homeost¡tic regulation of sleep<br />

carrees of fatigræ is ¡ dccline in human alermess<br />

e{lærtcc of sleep deprivation. ^Sleep. dcprivarion<br />

r-horocosta¡ic r¡eed for sleep(2), eitÌ¡e¡ over tþ<br />

r gredual sleep deprivation over thc longer term<br />

Tlæ homeosåric mecha¡rism is refþcred in common serls obscrvatioo ¡hat a¡r individual who does<br />

wi[ bc<br />

factors<br />

is t¡pibc<br />

suf-<br />

¡notlrcc 2) TIE cfiectirær¡css of sleep in mainne-<br />

and &clirps i¡ oldc¡ ete (3). This suggests<br />

ut inadoquaæ<br />

5). Two or th¡<br />

following slee¡<br />

2.3. Circadian modulation of sleep' sleepirrcss and performaræ.<br />

The second fæ,w¡ in determining the levels of sleepirrcss is ttæ phasc of-tl¡e ItuT* circadian clæk<br />

(Fieure 2-l). Circadian rhyrhmi-ciry is ¡he arm "s€d to descriþ diumal variations. in.physiologic<br />

ÈunZ,io* rhar derive from-ume-képing sysæms within tÌæ organism. Circadian rhythms a¡e at<br />

d anirnals. and this ubiquiry suggesls tl¡at in¡ernal<br />

rhythms * irì resPect to exæmd dme. In diurnal (''<br />

caãiar¡ clæk is onented so ¡Ìrat alenness' n¡e¡abol<br />

by day ro faciliure rhe physicaj activity and behaviors exhibired at thqse trnes (t). By night,. alertnfus<br />

ít decre¿sed and méubobc æúvities are commensurably reduc€d o facilitate sleep and cons€rve<br />

meråbolic energy. I-aborarory studies of tlre rnfluence of tÌ¡e ci¡c¿dian clock rypically rely on<br />

conr¡nuous body æmperan¡rc r¡cåsuremenLs o rrack tþ clæk's inflwncc on metabolism. Core<br />

body ærnperaruir is rema¡kably_rhythmic in humans wl¡en it is me¿sured in conditiors carefully<br />

designed to ehminate ouside rnfìuences-<br />

have de¡nonstrated clear ci¡cadian rhythms in scve<br />

ariation in sleepincss (¡.¿. minimum in perform-<br />

,n 4 and 6 AM) coincident with minimum body<br />

, data a¡e corsisænt with tþ generally accepted<br />

rformance is a secondary corLsequence of the ci¡-<br />

Further. an exærsive bodY of labo<br />

light-dark va¡¡aúon to orient ci¡ca<br />

ùris effecr on ù¡e rnærsiry of the<br />

onenuúon of an indrvidual's circadian clock- Sruc<br />

13


"Review of proposcd flight d-uty rc.gulations"<br />

l* nignt puty negrrlat'on Scientific Surdy Group<br />

úon and li<br />

esdmares<br />

sut=, on<br />

ancc (l l).<br />

¡þ poin! wþ¡e it is rnw pcsible to malcc rc¿sonablc<br />

l. wirh tlrc conscque¡rr dtcntig* in tight-d¡ft gxpo<br />

tþ dependcnt rtryrfrms in derr¡less and pcrform'<br />

conclr¡sions rcþvant to extended-duty pandi ¡rns<br />

aioos, ¡trir intero¡l ci¡cadian systems raay Þ out<br />

nt (12). Thr¡s thøy may bc in tþir own in¡ernal<br />

rtiodesigning<br />

schcdules ¡lut dlow for tl¡esc cjrcådiarl<br />

I of i¡difür¡¡l v¡riarion in tþ abiliry o ed.ept o<br />

ro this individud variability the abiliry o rdapt o<br />

rcc older cnew memþn a¡e morc likely o experisleep<br />

and waking. Second, the abiliry o adjst to<br />

of transmeridian ravel. In general sbort-term<br />

¡avel arc morc diflicult o rdapt to ¡han egnivalent<br />

4uiv<br />

fiUs<br />

¡iæ zone.<br />

ases of tt¡e<br />

oved is comPlex<br />

nental factor-- tle amount utd timing of exposure<br />

?.4. ¡,r.,s 9¡ rask<br />

TIE ùird facor rhar ca¡r conrribuæ to farigr-c is rlr durarion of tinc spnt working.wiùout signifr-<br />

- idence suggests that a complex rclaÙor¡ship exiss<br />

obabitiry of error. and ume spent working on the<br />

obabiLiry of error begins at a ælatively high level at<br />

). rapidly decltnes to opdmal levels within a few<br />

r of rlr (rypic¿t) eight-hor.u shift ("t¡sk fatigue").<br />

uggest t-he raæ at which performance deæriorates<br />

fris has been an imporunt factor in efforu to limit<br />

7).<br />

Time-on-r^sk effe¡s a¡e the lerst studied and le¿st understood of ¡.lre factors con¡¡ibuting to human<br />

fïrrgue. Forexample, rmlike shep deprivarion which can only þ.reverscd by.s-J.ep. prformance<br />

deråorarion .r*ði.r"¿ with pro[ongäd usk duraúon appears q Þ task peci[c. rcvtrsing with<br />

l;;;tfrom rhe rask. even if rÌ¡e ti¡r¡e-is spent y.ttt ql=t waking activities. But important data<br />

about ¡l,e-nar,rrc of rl¡is cffect, particularly as it might rela-tr to complex tasþ ¡u9h as.tÌ,ose.P9liñ;Jby<br />

flighr crews. Ls nor yèr availablé. It is not clea¡. for example, whetlrer inherentJy variable<br />

tof. .-'rúUae ûr nte at-which performance deteriorates. Further. tlpre a¡e Lm.ponant metho¿orogi.rl<br />

Lssues rhat iuve nor all been addressed in available studies of úme-on-t¡sk effecs. For<br />

io"g År durarions. i.¿. t or more hours. sleep deprivaùon -a¡d ci¡c¿dian phase effecs *ìll r¡ecesiã¡Ïv<br />

vary signifrcanrly over rhe cours€ of rÌ¡e ¡¡sk, confounding inrerpretaúon of prfsnnance<br />

14


'Review of propæcd flight dury rcgulatiotls"<br />

The Ftight p"ry n S,rladon Scþnrific Study Crroup<br />

clranges. Su¡dies sysæmarically varying oo (homeostatic) infhæ¡¡ces to<br />

isotaÉ rþ d¡æ-oo-¡ask eIïectsturæ not<br />

g collætion of such da¡a idc-<br />

alli jpectftc o fligfrr crew þb requircmenll av¡ data none¡heless _raisc signili'<br />

ãit jerrrat conoúns abouísus¡aii¡ed shiñ durations. partrcularly thosc greater than l0 t¡ot¡rs.<br />

¡nof ti¡nc s¡ r¡sk effecs is rask inærsii¡-. Fatigræ<br />

-dcs tl¡an in low intensiry tasks, suggcsting ùat<br />

r, in pracdce,<br />

n ¡¡scd o jr¡son<br />

üe widely<br />

siw aspect of ¡viuion.<br />

2.5. Incrætions<br />

¡nd ¡hc probabifiry of error, eæb of thc physiolothers<br />

to potenti"t¡ ¡dverse effecs. Thnq the errodr¡ccd<br />

by moderaæ sleep depriv¿ion is geaær e<br />

rich time-on-t¡sk cffects on perform¡¡nce accumu-<br />

o\¡er a numbcr of successive nighs results in ch¡onic sleep deprivation as a consoqrææ of i¡¡pairÊd<br />

¡t¡l¡¡y to slecp drring ¡lr day. Ths sbcp &privarion c¡n ¡hca potcntiaa Ûr prfmnancc<br />

impairrrrnt on l¡ær night shift-r<br />

Tt¡€se inærætions traræ madc it diffrcult to irclaæ tÞ physiologic contributors o faúgræ in ttp<br />

deprieffecible.<br />

2.6. Shift-work<br />

The focus of rhis effon on the rheduling of fligfrt crews occurs in the conext of gerrnl cor¡cern<br />

abour exrended d uty. night work. and conseque nt sleep deprivaúon in a large numbe r of æcupaúonswi¡h<br />

public safery implications (lt). A growing number of US. workers a¡e calþd uPon to<br />

routinely work other tlran rcguJar daylight hours. It is esúmated ¡hat some rwelve million pople in<br />

rhe Uru¡¿d Sra¡es now fit this broad dehniúon of shifrworker (19). A number of stratcgies have<br />

evolved o provide for extended duty and nighnime coyerage of tÌrc growing variety of scrvice and<br />

ma¡ufærr.¡ring scrtings ¡lut require continrrcu staffing. The mæt common of tlæ is tlÉ<br />

"rourrng" shift scl¡edule in which crews of workcn work successive shi[s for one or mqt weeks<br />

ar a úme. Tþ shifs rypically are days (8 AÀ,1 o 4 PM). evenrngs (4 PM to midnight) and nigùts<br />

(midnighr o t Al'{). While routing shifs of this kind. varying slightly -with regard to suarting time<br />

and di¡ecuon of rotaúon, probably the most oommon irnplementation for continuous coye¡ìIge. a<br />

number of ot.h¡er approaches have been used as well. As<br />

impæt of a given shift schedulc. or even specifrc shift<br />

ness, or o¡.tre¡ huma¡r factors af€ not aJways ava.¡iable. It<br />

úon from resc¿¡ch resuls rcgarding a specific rtrcdule to dl shift work is rarely jusúfìed-<br />

¡¡ ¡ ¡çcoprized that night-wort can be delete¡iors to workers' safe¡y and.produc_tivity in Pú þ:<br />

cause of -¡he increasel ñsk of performance errors during the early morning hours (betnæen 4 a¡d 6<br />

AI,f). V/hiþ various shift work rhedules may be capable of modulatint this risk to e treâter or<br />

lesser degrec. recent work on rhe importance of sunlight to human circ¿dian funcúon (see above)<br />

has esrebislrcd rhar rhis nighuime vulr¡erabiliry o error persists even in shiftworken with years of<br />

re.aiizÊ that a¡ individual working nighs is at risk for signs:<br />

Frrst work during the early morning hours (beruæen 4<br />

usly-derribed circadian ir¡cre¿se in sleepiness urd sleepiness<br />

mediared performa¡rce errors. In addiúon, an individual working successive nighs is forced<br />

lS


"Review of proposcd flight dury rcgulariorrs-<br />

The Ftight Duty ncgulaúon Scþntific Snrdy Crroup<br />

o obain slcç during thc daylight hours u ¡ ù<br />

miniro¡t (20). As mentioncd. sleep under thesc<br />

archi¡ccu,¡¡e is disorted and ùe rcstoradve n¡ru¡¡l<br />

2.7. Farigrr and safety in flight operatioos<br />

rivatim-<br />

as a rnaærial contributing fæ,tor in morc than one<br />

æ ùnr fatigrr is a signilìcant safety issue in the<br />

;rcgarding timiurions on flight-dury schedules are<br />

tlrc idenrifica¡ion of ou¡corne meåsunes to be used<br />

Whiþ ¡vaihbls meåsutËs t¡aw adequaæly docuappe¿r<br />

to be inadeqr¡ac for tlre t¡sk of _assessing<br />

rely following irnplementation of new flight-dury<br />

:ns studred by the I'{TSB makes this me.asure too<br />

ly be expecred o æcur in respotts€ to small Proacin<br />

maxrmum duty timc for example At thc same<br />

ume. ùle pocnu<br />

Group fecls suo<br />

and validaúon o<br />

of rhis and fu¡r¡re rev¡sions wi¡hout rclying on ca<br />

ent meåsure.<br />

3. Summary of proposed guidelines<br />

for Dury ard Rest<br />

tion of ù¡e I.¡PRM<br />

tiors and úÉ ftnd<br />

ess dury perid, flight. Ùrnc, and rest requiremens.<br />

Secondarily.rley discuss reserve periods as well as cumulaÙve duty priods for a week and a<br />

month.<br />

rroposed guidelines. TÞ fi¡st it tt<br />

16<br />

predication of<br />

lighr üme. Specilrc regulaúons of duty du¡ations<br />

wirlrout an intervening penod of rest) and for otrl<br />

second imporranr ger¡enl change is tl¡e corsolidarrauors<br />

covered by Pan l2l (covering domestic.<br />

rinaúon of differencqs þrween relevant pans of the<br />

ons (covering commuer and on-demand flighs).<br />

ed corsLstency in fìight reguJat-iors.


"Rcrriew of proposcd flighr d^ury rc.qula-úors"<br />

The night Oury neguhton Scicntiñc Sudy G'roup<br />

Tr¡t s 3-l: SunnA¡Y oF Pronoseo Rscuurnoxs<br />

t. FllSbt dutY drretloo<br />

Crcr ¡l¡c<br />

2. Ml¡lmum nd dur¡tlo¡ Crcr ¡l¡e<br />

3. Fligbt timc li¡nits Timc frrmc<br />

tV'th facilities lor sleeptn2 n lltght<br />

I<br />

2<br />

3<br />

3t<br />

4r<br />

PEr e'tct<br />

Pe¡ ooth<br />

Fcr<br />

3. l. Rerised Flight'Dury Duratiors<br />

Under tlæ proposed regulations. ùe base duraÚ<br />

hours. This wõuld include l0 hours of flight um<br />

iry of on-fìight sleeping quaners. urd operationa<br />

time and 20 hours of flight tinlc- [ncre¿smg cn<br />

availabiliry of sleep oppornrnity o I t hours. ar<br />

hmirs can'be increä\e¿by 2 hours for unplanned ope¡ationd delay.<br />

3.2. Rest Period<br />

The basic unit of resr, associared with the basic I<br />

hou rs.<br />

I<br />

2<br />

3<br />

3'<br />

1l<br />

DcrcnFoa<br />

M¡¡.d¡r¡tlon<br />

(d uty/ftlglt)<br />

l,üt<br />

l¡l/t0<br />

t6t72<br />

IMó<br />

Ml¡" drr¡3lo¡<br />

(lo¡rr)<br />

t0<br />

l0<br />

¡1<br />

It<br />

,1<br />

M¡¡. fligbl<br />

tlmc (Lour¡)<br />

tt<br />

læ<br />

lÐ<br />

.lt't:- '''<br />

n


"Rerriew of pmposcd flight duty ægulalions"<br />

The Flight Dury Regulation Scþntific Snrdy Crcup<br />

3.3. Stand-ByAssignmens<br />

Reserve time in this proposal is ¡ period of ti¡æ wlre¡ ¡ flight c¡Ew membcr is not on dury but<br />

nonetleless must be ablc to repon upo,n noticc (i.c. gezs ò¡n a¡c hor¡¡), for a dury period. TÞ<br />

guidel.irrcs explicitly rcjcct relating arnor¡nt of time of micc to ti¡ne of day. Ratlcr, it rclaæs arnount<br />

of timc of advance notification to ùe maxiru¡¡¡o duratioo of the subsequent duty period. With less<br />

than 4 hours of noúce. only a 6 hor¡rs dury period is ¡Ilouæd- As Dotific¿¡ion period goes !o ten or<br />

morc hours, ¡ full duty period, up !o 26 hor¡rs depending oa cim¡msl¡ures, is allowable. fu¡ al¡ernaúve<br />

to this slandby scheduþ i5 ¡¡¡ai ¡t^ining a corist¡nt 6 bour protccted time (by requesÐ for eæh<br />

24 hor¡rs of rcserve tirDc. During this ürnc, ¡tÉ ccrtific¡æ bolder E¡ry Dot conurct tþ crew nrembcr<br />

to pLæ tþm on duty. This 6 þ* por{ must.þ ¡ssigrÊd before t}r c¡ew.Ten}ber begirrs.rhc<br />

reserye time assignmenL TÞ duty perid must bc comp¡e¡ed iD lt hours wiùin tlp reserræ riræ<br />

and mr¡st bc in æcordance with üre gencral guidelhes<br />

3.4. Cumuluiræ Limis<br />

Tþ cumulatiræ limis fc flight hor¡rs are set u 32 hours for any 7 üy period, and 100 hours for<br />

any calendar month. The ¡æarly period is set by multiplying tÞ monthly requiremenr by 12 (i.e.<br />

l20O hours).<br />

4. Ev¡luation of proposed regulations<br />

It is important to rciterate and emphasize ¡Ìrc, Study Grurp's position ùat ¡þ proposed reguladons<br />

as def-rned in tÌ¡e current NPRM on tÌ¡e whole r€present an imponant advance over exisúng fligùrrdury<br />

rcgulations. The principat improvement lies in tlrc æw dependence of ¡lp rcgulatiors on ror¡¡l<br />

duty time, ratÌ¡er than just flight time, in seaing limis on roÐdÍoum work duration. As rcvienrd<br />

above. thls is a mrch more physiologically rcund appmæh rcflecting tlr imponance rhar aII work<br />

dme has in the generation of fatigrrc.<br />

oposed regularions rlur<br />

inæntion "...to incorpo<br />

physiology inro regulashould<br />

address each of<br />

¡Ìr rssr¡es identifred below.<br />

In comparing tlrc proposed regulaúons to the s¡ated goals outJined in the inr¡odr¡ction ro rl¡e }.IpRM<br />

and to availabb data rn tþ scientilìc li¡crarurc. tlre Study Group identified two imponurr gerrral<br />

rssues.<br />

4. l. Excessive dury duration<br />

While regulaúon of tÌrc maximum duration of total duty time (ratlrer than jrst flight time) represena<br />

an imponant rmprovement from the perspective of tÌ¡e limits of human physiology, rhe acrrul dr¡aúon<br />

of the proposed work pcriøs subs¡antially excecds what can reasonably bc jusúfred by scientific<br />

data on human performancc and fau<br />

duraúons in exccss of 12 hou¡s ¡¡re assæ<br />

man crrú independent of circadian phasÊ<br />

scientific justification forbaseline work duntions of l4 hours, þ aloræ tlre greater durarions permiucd<br />

under opcrational dcley conditions. Ttrc specific duty ard tirne limitaúors a¡e tlre same ¡¡s<br />

those specifred in tlrc NASA recornmendatiors (22), although tlrere arc potcnti¡lly imponanr difÏerences<br />

between ùe NASA rrcommendations and<br />

tìe NASA document rcçsgnizes thc importancc c<br />

4), it provides no evidence in suppon of the staæ<br />

ficient limitation (Section 2.2-3), nor was the Sn<br />

these shift dunúors might be æceptable in the u<br />

tånt to note û¡a¡ these dury perids are signifrcant<br />

work senings where regulatory arænùon has be<br />

forma¡ce de¡remens. including most other uansponåuon s€ctors.<br />

/t


"Revicw of proposcd flight dury regulatioos"<br />

The Flight Dury Rcgulation Scicntific Sudy Crroup<br />

Absent research data to thc conrary. tÞ only rclermt findings sugScst that performa¡rcc deterio<br />

rares signifrcantly for shift dr¡rarions greatcr than 12 hours, and tþ rccqnmended Limis for dury<br />

tirnc in the NPRM arc not consisænt wiù tlÉ impticaoons of ùosc findings. As ot¡¡lined above, it<br />

is not clear wlrtl¡e¡ tlrc variabiliry of task inherent in ôe flight{ury assigrunent, i.c. shorær durations<br />

of flighr ùDc wirhin tle conæxt of ¡Ìrc longer ôry rhedule, might mitigaæ tlp deteriontion<br />

in performa¡rcc assæiated wiû strifs of cq_uivdent dr¡rarion in othe¡ work settings, however sciendfrc<br />

endorsement of tlæ safe¡y of ttrcsc shift duratioas urust await ernpirical confirmarion of sr¡ch an<br />

effect-<br />

Similarly, tþ ex¡rærdinary duty duraúors r¡ndc¡ circumstarccs wtere crcw nu¡nþr is augrnented<br />

and/or arrangemcris for sÞcp during flight rre provided are in@nately jr¡stifrcd by available scienrific<br />

dat^ It is ccriainly r¡ot clca¡. bascd on ¡ rcvLw of tlp st¡¡dies publisÌrcd by NASA or any<br />

u¡tr i¡ a magial irrcrease in olera¡rcc for sleep<br />

û¡ntion of tþ specificd magniurdc. Othe¡ con-<br />

:arraten¡ens for slccp for argmenred crews in<br />

very coocerned about thc adequacy of sleeping arrangemenLs<br />

tl¡at will bc providcd in tlEse situations so thet crcw members can obtain some sleep<br />

while relieved by tt¡e extra c¡ew. To or¡¡ rtúew, provision of such fæiliúcs addresscs only one of<br />

several imporunt concerns about tlr impæt of exæ¡ded dury arrangemenb. It remains to be deærmired<br />

wtætlær adeqrnte sleep can ar¡d will þ obhined under operational conditions. While<br />

available dat¡ on cockpit napping haræ demonsrraæd that brief naps have a clearly ber¡eficial effqct<br />

over rhe shon ærm on cnew dermess (24), publis!¡ed srudiqs have not yet shown that ùis improræment<br />

is suff¡cient in magnirudc and dr¡rarion o allow a signifrcurtly slec¡deprived crcw<br />

me¡nber !o return to duty. The sccond half of this cqrem is thil serænl studies in ottpr conrexls<br />

haræ demonsmad thar simply providing tþ oppor¡¡¡rity for sleep in tþ extended-dury sening<br />

dæs not guarantee that such sleep will æl¡¿lly Þ ohained. t#ithout express stipularion abour tþ<br />

¿unount and scheduling of rest/slecp to be obtaincd by cæw members. it is our coricern that tÌrc ævised<br />

regulaûons sa¡rction exraordir¡a¡ily long exter¡ded duty arrangements without providing any<br />

rcasonable likclihood that adcquate slccp wiü þ obt¿ired.<br />

Finally. tlc provsions for rcst do not appcår artegr¡¿æ to compensaæ for tÌrc clearly treroic demands<br />

of dury- durations of up to 26 hourv- Rest dlc*arìc€s are adjrsæd for ¡he rest periods following<br />

exænded duty, not for ûrc rest period preccdrng it- Thus for cre*rruembers moving ¡ìmong<br />

assignmens of varying duration, it is possible to be called upon to work very long shift dunúoni<br />

of 21- 26 hor¡rs afær limiæd (as few ¡s t hor¡¡s: "rEdLEed resd'), with no stipulation rÌ¡ar rhis ti¡ne<br />

be provided at a circadian phasc conducive to sbep.<br />

ln summary of this f-rrst conccrn. thc Sudy Group dæs not feel therc is edegua scientif¡c j,xtilica¡ion<br />

for dury dr¡r¡tions glc¡tcr ùan 12 bor¡rs. Nor is the Study Group conlìdent thar compensatory<br />

¡urangerrìenls of exra cnew. sleeping quariers in flight. and ex¡ended rest provide ade4uaæ<br />

proccúon frun the exrerne fatigr assæiaæd with wry long work schedules permitted under tl¡e<br />

proposed rcgulaúons.<br />

4.2. No adjrstment for "bæk side of thc clæk"<br />

Ou'second maþr concern is that thc proposed regulaùors maþ no effort to adjust prescribed limis<br />

on work duraúon or nest dr¡raúon bascd on tlre tinr of day u which those acúvities a¡e schedulcd.<br />

This is tlr most disappointing omission. a¡¡d particularly difficult o urderst¡¡¡d in light of rtrc<br />

express predicarion of the reviscd regulaúms on tlp NASA-Ames database, a body of resea¡ch that<br />

has done mæh o ct¡aracterize tÞ dependcnce of sleep and performance in tte aviation sening on<br />

human circadi¡n ptrasc. Bascd botì orr tÌtc NASA srudies and the larger body of scientif¡c evidence<br />

developed in ¡his area, tlse can bc no doubt about tþ imponance a¡d relevance of ci¡cadian<br />

physiology o tlre modulation of human performance a¡d the ændency o human error, a¡d ro the<br />

abiliry to obtain sleep and thereby reversc performurce decrements arising as a cons€quence of<br />

sleep deprivaLion.<br />

t9


"Rcview of proposcd flight d-ury req¡¡l¡jioos"<br />

î* night Oury n"g,rl"too Scþntifrc Sudy Crroup<br />

4.3. Inærætiors<br />

bly producc.<br />

caiors of thc<br />

as rcvþuæd<br />

and no comwell<br />

ouside<br />

hout adjrsunens of rest period duration for cir'<br />

le to have a routiræ 14 hou¡ night shifc followd<br />

) PM. r.c. preclscly coirridcnt with tþ circadi¡n<br />

orbidden zone"), followed by a 26 hour shifi<br />

n of in-flight tirne for slecp can not þ assr¡med ro<br />

riens ¡hat ma¡athon dury of this kind will i¡evit*<br />

ion stems from the abser¡ce of any adjrstment of<br />

s cor¡ld demorsrrae th¡ a succcssion of 14 hour<br />

rablc performance limis. it is very unlikely tlrat a<br />

ly validaæd. Unless maximum shifi duraúons a¡t<br />

kepr well within humrnaerforrnance hmirs. d.¿. less tl¡an-llhor¡rs'. som€ adjustment for tlæ compounding<br />

effccs of time-of'day necds to þ includednarios<br />

¿ue not likely to bc rcprescntative of tpicd<br />

on of tìe Study Group th¡t no reliable Protec¡,ioo<br />

:heduling cur be had withor¡t express adjusmens<br />

circadian clock. urd signifrcant reductions in thc<br />

4.4. Reserve Trme<br />

The Srudy Group has sepante but rclared co<br />

gttg+p n:'<br />

seße Timc. As reviewed above. two dlstir¡ct e within ¡t¡e<br />

th of a dury<br />

perid.TÌ¡e window is the s¿me during each successive day on rcs€rve.<br />

The Study Group is conccrræd that ûrc v¡riabte r¡otice aÍangelncnt is bascd on-tþ unproved sup<br />

pÑú* tiJ.turp deprivaúon resrlung from a short-noticc call c¿¡r be adcqnately compensrted for<br />

. Twclvc bo|xs is fclt o bc tbc ma¡i.stusr safe shift du¡arioo in many shifiwork s€tun8s. e.g. nursing. However,<br />

rb€rÊ -'e rrar¡ d¿¡¡6¡1çs1¡ng an irrrr:sc r¡ perforr¡a¡rcc crrrs bctwecn t a¡¡d 12 bc¡¡¡s of shift d,u¡ariq¡, suggcsting to<br />

sorre rh-r tbc appoprarc merimun shifr d¡,¡r¿rioo in safcry-scnsiúve shifrwrk rttrngs sbou¡d be t boun (17).<br />

/r0


'lcview of proposcd flight d-uty rcguLr-tiols"<br />

nr nignt fiury ncgr¡leton Scientific Snrdy Crroup<br />

5. Recommend¡tions<br />

5. L Recommended ævisions to thc proposed regulatiors:<br />

5. l. l.<br />

dcprintio d this kiDd-<br />

ts.<br />

in ttæ curreot NPRM reserve ¡Íangemens is ütc<br />

rns abo¡¡<br />

adequatc<br />

occumnS<br />

me¿<br />

Light-duty rcgulations represcnt ur important.ad-<br />

¡d l¡mis rt¡at-minimÞe faúgræ and optimÞe flight<br />

of thc specific regularions rcúewed above arl nd<br />

¡$ quo. irs¡c¡d. rhe Srudy Group urges exPedienl<br />

tþ following modifications:<br />

slcepincss(4-6AM)-<br />

5.1.2. Minimr¡m rest periods st¡ot¡ld be ¡djgs_ç{ upward for sleep perids t}¡t ir¡clude Û¡e<br />

tirrrc of pc¡k cñ¡dian ¡lcrurcss (4 - 6 PM)'<br />

5. 1.3. Thc provision allowing cxtcnsion of duty maximums. up .to 24. houn (26 yith oper.donal<br />

&Otl in augnreãrcd crews and in "signn¡cns that include facilities for in-flight<br />

sfeep sftóuiá nor Ë i-pt .e¡ted until scieñúfrc evidence is available demonstnting<br />

r¡ar'in flighr ¡urangerrlcns prescr.æ alertness at æccprable levels, i.c. at levels equiEbnt<br />

to thãr on ¡he routi¡æ shifi durarions'<br />

5.1.4. Reserræ tirrc arrurgerurs strould be adju¡cd so ttrar protected windows dultng ül:<br />

time of-peak circ¡di-an ¡lcrr¡rss are excrúcd þ cqrip€¡lså¡c for dccreased cffrcierry of<br />

sleeP during that tinrc-<br />

5.2. Recommendatiors for futr¡¡e rcvisions:<br />

Scræral of rlrese issr¡es illusrraæ thc Ed for addiúornl daq and even with adjrstmens rccoroi<br />

minimum rtst duration will represent quantiurivt<br />

;urrently only qu"litarit''e scientilic suPPorL Tlnre'<br />

of recommendãtions be viewed as tþ first sap in<br />

5.2.1. NASA,in iS capaciry as independent scien-tifrc resource. should be commissioned O<br />

gather addiúonal data on this lssue wirh rþ follorvrng pnoriùes;<br />

/ll


"Review of proposcd flight d-ury rc-qulaúons"<br />

ni nignt puty negubñon Scientific Srudy G'roup<br />

5. 2. l. l.<br />

and furr¡re rcgulaorY adjustmens'<br />

5.2.1.2. De¡erminarion of rtæ impæt of duty perid d¡¡¡ation o^q nerfo¡mance. inde-<br />

tttd;r;a slép dcpriüation a¡rd-circadian ptrasc qfffç Tlre impact of<br />

r.tytt t<br />

scsscd.<br />

percendges bf night tiroe wi¡hin r duty perid should dso be as-<br />

5.2.1.3. Dercrmination of rlr impa of vzrying *ortload. on pg{orma¡æ, with<br />

p.¡tutr auenüon o ¡hc-rolc of lurdings ¡¡¡d s¡¡stai¡rcd fligbr<br />

s.2.1.4. 8r,il:<br />

ly ex-<br />

tended.<br />

5.2.2. An indepcndenr scientific parc-l strould rcview tþ dan collected by NASA on a regular<br />

basis wirh tlrc inænr of proøAing a compreþnsiræ and detailed set of recommended<br />

revisions o rlre rcgulaúo'ns within ttree yizn from thc úme at which tl¡ese recommendaúons<br />

arc ultima¡elY imPhrnented<br />

t12


"Rcview of propccd flight dury rcgulaúors"<br />

The Flight Duty Regulation Scientifrc Study Crroup<br />

6. R,cfcrenccs<br />

l. US Gorn Fedent Aviation Adminisuation Flight Crcwroembcr Dury Period Limiutions,<br />

Flight Time limitetiors ar¡d Rcst Rcquireruens. Notitæ of proposed rulemaking (NPRM).<br />

Fe ù ral Re gisu r 1995;û(2U) :6595 I {O.<br />

2. Borbely AA Beumann F, Brarideis D, Strer.rch l. I chrn¡¡rn D, Sleep deprivaúon: efrect<br />

on slæp st¡tÊs.nd EEG pouærdersity i¡ man fuctocnccplulogrqhy & Clinical<br />

N e urophysiob gy I 9t I ;5 I (5):483-95.<br />

3. Carskadon It{A Brown ED, DernentWC, Steep fraþcnarion in the elderl¡c relaúonship<br />

to da¡ime slccp ændetrcy. Ncurotioloçy of Aging 19t23(a):321-7.<br />

4. C¡rskadon llÀDement lVC, Effecs of otal sleep loss oo sbep ændency. Pucepul &.<br />

M o ø r St¡r¿r Vl 9 :atQ):495-5O6.<br />

5. Rosenth¡l L Merloai L Ræhrs TÀ Roth T, Enforced 2+bour necoyery following sleep<br />

deprivation Sbcp I 99 I : I a{5):44t-53.<br />

6. Borbely Al{. Bddercr G, Tract¡sel L Tobler I, Efræt of mi.l'"olam and sleç deprivation<br />

on day-tinre slecp proper¡sily. Arovimine l- Forschung 1985 35( I I ) : I 69G9.<br />

7 . Moorc-Edc MC, Czeisler CÀ Rict¡ardson GS, Circadian ti¡oekeeping in health and disease.<br />

JV. hgL J. Med 1983:3ú:469-76 & 530-6.<br />

t. Richa¡dson GS, Ca¡skadon MA Orav EI, Denrent WC, Ci¡cedian va¡iation of sleep tendency<br />

in elderly and young adult subþts Sleep l9t2;5(Suppl.2):t2-94.<br />

9. Czeisler CÀ Johr¡son MP, Kronauer RE, Exposre to<br />

bright light and dark¡pss to nighr work [sce commens[<br />

New EnglotúJournal of M<br />

10. Czeisler CÀ Allan JS, Strogau SH. et al., Bright light resets tlrc human circadian pacemaker<br />

indcpeadent of tþ timing of tbe sleepwake c¡cle Sciace l9tó;233(a7&4):fÉ7-<br />

7t.<br />

I l. Czcisler CÀ tkon¡uer RE, Allen JS. et d., Bright light indrrction of st¡ong (rnc 0) rcseaing<br />

of tlrc humut circadiar¡ pacernaker. Science l9t9;24(4910):132t-33.<br />

12. NASA, Pibtluígue and circdian ùsynchronosrs. . 1980. Arnes Resc¡rch Cenæn Moffeu<br />

Field. C,t<br />

13. Folkard S, Effccs on performancc cffrciency. In: Colquhoun P. Costa, Fotk¡¡d S,Knauth<br />

R. eds.Sår¡porb Theory and Prac¡ic¿. Frankfun am MainJtær L:.ng, 1995:in pre{is.<br />

14. Daan S. Bccrsrna DG, Borbely A,A. lming of human slecp: recovery process gated by a<br />

ci¡caöar¡ pæmalcr. Anurican Jounal of Physiobgy 19t/'24l2 R 2):Rl6l-t3.<br />

15. Walsh JK. Schweitzer PK. A¡rch All. Muehlbach MJ. Jenkirs NA. Dicki¡s QS, Sleepiness/alen¡rcss<br />

on a simulated night shift following sleep at home with t¡iazolant Sleep<br />

l99l;14(2):14,Gó.<br />

16. Eastman CL Boulos Z. Terman M, Campbell SS. Dijk DJ, I.ewy AJ, Light trear¡nent for<br />

sleep disordcrs: consensus report- Vt- Shift worlc Jownal of Biobgical Rhythms<br />

1995; l0(2):157-óa.<br />

11. Rosa RR.Bor¡riet MH. Performa¡rcc and alertness on t h and 12 h rotating shifs at a natural<br />

gas utility. Ergonomics 1993;3ó( 10): l 1 77 -93.<br />

I t. U.S. Congress Offlce of Technology Asscssrnenl. Biological Rhythms: Implicatiow for<br />

the Workr,. 1991. U.S.Government Prinúng Office.<br />

n3


"Revicw of propæcd flight dury rcgulatkns<br />

The Flight Dury Regulatio¡r Scientific Su¡dy Group<br />

19. Mellor EF. Shift wort ar¡d flexirime: How prevalent ¡ue they? Monthly Labr Rcview<br />

I986(Nov/t6):pp I4-2 l'<br />

20. Akersredr T, Sleepiness as a coreequence of shift work Slcep l9tt;l l(l):17-34.<br />

21. Rosebnd MR, Gandcr PFL Milþr DL, et aL. Fatigue in ope raúonal setongs: examples<br />

from thc aviation cnvi¡onmenL Hunun Fæørs ß9A36Q):327'3t-<br />

22.<br />

23.<br />

24.<br />

Rosekind M. Wegnann H, Dingcs D, Graebcr R. Sa¡oel A. Principles utd Cuidelines for<br />

Dury and Rcsr Scheduling in Commercial Aúation /VAS/{ Teclnical Menorandunt<br />

1995;in press.<br />

Sanquist TF, Raby M, Lce ID. United Søtes Cæst Gurd Al¿rytes¡ ond Fatigue Re'<br />

sea¡èh Progrant- n Hunst Facon on Bæ¡ù Thc lrrfoence ol rlv Man-Machiru Interfacc<br />

on Safcry of Navigarion. 1995. B¡Emen, Germany.<br />

Rosekind M, Gracbcr R, Dingcs D, et al., Crew Facors in Flight Opentiors D


' u x-ézE Þ'úFU>


Remarks by Dr. William Dement to the ARAC Working Group Pilot<br />

Representatives on December 1, 1998 at ALPA HQ, Washington, D.C.<br />

I'm aery pleased to present Dr. William Dement of Stanford Uniaersity who's here to<br />

anstDer some of our questions regarding sleep science. Dr. Dement is considered the<br />

fnther of modern sleep medicine. He earned his M.D. and Ph.D. from the Uniaersity of<br />

Chicago where he first began to study sleep. ln L963 he became the director of Stnnford<br />

Uniuersity's Sleep Research and Clinical Programs and continues in that post today. He<br />

was Chairmnn of the National Commission on Sleep Disorders Research from 7990 -<br />

7992; a Commission chartered by Congress. He is the author of a definitipe textbook on<br />

the diagnosis and treatment of sleep disordqs and has written or co-authored more than<br />

500 scientific publications. Dr. Dement, welcome and thankyou for your time and being<br />

here today.<br />

Thank you. For many years, the people who were interested in circadian<br />

rhythms and the people who were interested in sleep were fairly separate. Now<br />

there's actually a scientific meeting going on ¡n Bethesda hosted by the National<br />

lnstitute of Health and the National Science Foundation in which circadian rhythm<br />

issues and sleep issues are considered to be complementary parts of one<br />

scientific discipline. This has been happening over the past 10-15 years.<br />

One of the things that I'm trying to deal with is the fact that the study of sleep,<br />

the scientific study, and the applications / operational situations coincided later<br />

than some of the other disciplines. To get really into the mainstream of the<br />

scientific knowledge and the applications, ...this has been what I've been most<br />

interested in trying to help accomplish during the past 20 years,... andlbe first<br />

effort was to try to create a federal agency that would really be responsible for<br />

sleep and circadian issues, research, applications and education. Our efforts to<br />

do this led to the response of Congress to create a Commission, not to create an<br />

agency but to create a commission.<br />

It turned out to be really a good thing because many of us had been in the ivory<br />

tower and this Commission really put us out in the field, hearing stories from<br />

people who have been involved in accidents, hearing what life is like in the<br />

trenches so to speak. That certainly made an enormous difference to me in<br />

appreciating, in a much more human way, the difficulties and the problems. We<br />

presented recommendations to Congress and it kind of coincided with the budget<br />

crisis, and dare I say, the Republican revolution so that only one key<br />

recommendation was passed. But there is now a federal agency - The National<br />

Center on Sleep Disorders Research -<br />

which, small, although it may be, is<br />

certainly a great start, and has on its plate some of the concerns that affect you.<br />

It also has the legislative mandate to interact with the Department of<br />

transportation and other agencies that are involved in these issues. I just wish it<br />

was much. much larqer, and we're still workinq in that direction.


I wanted to say three or four things about sleep. First of all, I'll preface this by<br />

saying last year when we changed to daylight savings time, there was a National<br />

Sleep Awareness Week sponsored by the National Sleep Foundation, which by<br />

the way, is a major resource in the education and is based in Washington, DC. lt<br />

created a sleep lQ test for the American public. The American public did more<br />

poorly than chance on this test. Not only then is there a pervasive lack of<br />

awareness by the general public, but there's also the presence of certain<br />

mythologies which then lead you to pick wrong answers rr¡ore frequently than by<br />

chance alone. A lot of those mythologies are still in the transportation industry. I<br />

think there is no question about that.<br />

The first thing that most people should be aware of is very simple: what is sleep?<br />

The fundamental difference between wake and sleep (and there's some very<br />

elegant research being presented about what actually goes on in the brain at that<br />

momentary transition) is that first, the transition is very rapid and can take place<br />

in less than a second. One moment you are awake and conscious of the outer<br />

world and then next moment you are asleep and unconscious of the outer world.<br />

When you're very fatigued, you can go to sleep instantly, and at that moment you<br />

don't see anything or hear anything. That's what makes falling asleep so very<br />

dangerous because you will not respond to a signal. The only thing that a<br />

stewardess could do is to wake you up. Often in a fatigued person, the<br />

awakening stimulus must be very, very intense.<br />

So, anyone who thinks that moving towards sleep is in the least little bit safe is<br />

completely wrong if you want a human being to function at any level at all. The<br />

transition is very, very rapid<br />

Then there's the period of fatigue that I like to call "fatal fatigue" which is<br />

approaching the moment of sleep and depending on the degree of fatigue, can<br />

be fairly rapid. But that's a period of great impairment where you miss signals,<br />

you misjudge, your memory is impaired, your reaction time is elevated, etc. You<br />

are now very close to the threshold of unconsciousness....the moment of sleep.<br />

There's a very dramatic study that I'd like to tell you about because it should stick<br />

in your memory. You have someone lying on a table with the eyelids taped open<br />

and a 50,000 power strobe light 6" from the nose. When that thing flashes, the<br />

table almost wiggles. He is supposed to press a little switch when it flashes, and<br />

you'll be making it flash and suddenly the person will not press the switch,<br />

apparently wide-awake. You ask him, "Why didn't you press the switch?" "Well,<br />

the light didn't flash." And if you look at the brain wave recording you'll see that<br />

there's a micro sleep right at the moment the light flashed. So that's how<br />

powedul that is. There's been a recent study in heavy trucks with brain wave<br />

recording in the cab as the drivers are driving, and yes indeed there are lots of<br />

micro sleeps there. They really do occur.<br />

¿


The second thing is that all sleep researchers now accept the concept of "sleep<br />

debt." Each individual needs a certain amount of sleep each day on the average<br />

to avoid accumulating a sleep debt. That sleep debt can accumulate over a long<br />

period of time. lt can accumulate in relatively small amounts so it's kind of<br />

insidious, or of course it can accumulate very rapidly. You find frequently that<br />

many people have been partially sleep deprived for long periods of time. They<br />

aren't aware of this as fully as they ought to be you would think.<br />

There's lots of evidence showing that you can get rid of that debt and how much<br />

extra sleep you have to have to get rid of it. The best type of research that<br />

demonstrates that is to show the increase in the tendency to fall asleep -- the<br />

power of the tendency to fall asleep - as you add hours to the sleep debt.<br />

Eventually, the person will finally fall asleep, no matter what. They can be<br />

walking and fall asleep. But if you put someone in an ad-lib situation, just take<br />

any one of you, and say, "Now you're in a situation where you have to sleep."<br />

You're going to be in a bedroom with no lights. All you can do is sleep. Then<br />

you will see all this extra sleep will take place. That's the debt....the amount of<br />

sleep that you should have received on a daily basis. That's usually astoundingly<br />

large.<br />

ln studies of this sort, you can show that a person thinks they're pedectly normal<br />

in terms of the way they feel. However, if they reduce the sleep debt, their<br />

pedormance will improve. The question is how much debt is anyone carrying at<br />

any parlicular time. The main thing is don't do anything that might increase it.<br />

That's my fundamental principle.<br />

Finally, the circadian rn¡n ñîfit that everyone has known that there is a<br />

biological clock. Since 1971, the location has been known in the brain, there<br />

have been a lot of electrodes and genetic studies, etc. Exactly how the clock<br />

functions to create a circadian rhythm of sleep and wakefulness has been<br />

understood relatively recently. This has been learned through the study of<br />

experimental animals. The best results are obtained with primates. So if you<br />

eliminate the primate biological clock, what's the result? They fall asleep all the<br />

time. They'll falt asleep, stay asleep, wake up, fall asleep, wake up, etc. The<br />

circadian rhythm of sleep is completely eliminated and you lose periods of<br />

sustained wakefulness. So that the concept today is that the clock participates in<br />

the daily regulation of sleep and wakefulness by alefting the brain at certain<br />

times. And you know those as, in other words, the forbidden zone for sleep,...<br />

the second wind that a lot of people get at the end of the day. But the clock does<br />

not put you to sleep. When the clock turns off in effect, when this aleñing<br />

influence ends, a person is left with this gigantic sleep debt. That's what I've<br />

heard you refer to as 'WOCL." That's the period where you find the least alerling<br />

of the activity clock, the most unopposed manifestation to the effects of<br />

accumulated sleep debt. and the greatest likelihood of falling asleep.


So those are the three main things. These are established facts. I don't think the<br />

scientific evidence is conclusive and those are the things we take into<br />

consideration when we try to apply the knowledge to the practical or operational<br />

situation. Any questions on that?<br />

People say, "Can you accumulate a debt for a year?" We don't know because<br />

those studies haven't been done. But there's no evidence whatsoever that says<br />

"No, it levels off," or "No, it changes." All the evidence says that you keep<br />

accumulating a debt as long as you keep losing sleep below your specific daily<br />

requirement. There's no evidence that you can change this. I suppose you<br />

could ski or play basketball as opposed to just sit in a hot room and that would<br />

make a little difference but that doesn't change your sleep requirement.<br />

Anybody got any questions?<br />

I've got a question. Napping: does that in any way alleviate the sleep debt?<br />

Let's say you have a 4O-hour sleep debt and you have a ten-minute nap. So now<br />

your sleep debt might be 39 hours and 50 minutes. lt wouldn't rnake any<br />

difference there. A lot of the napping is done after lunch. Most people, and<br />

especially younger people - and I don't know what the average age is in this<br />

group -<br />

but younger people have strong clock-dependent alerting late in the day.<br />

So you have sort of an illusion. You happen to take a nap just before the clock<br />

turns on. ls the alerting partly a result of the nap or not? Mostly not, but I would<br />

say until proven othenryise that a nap, if it is good sleep (which it usually isn't) is<br />

minute per_minute doing what sleep would do, but it's usually nowhere near the<br />

total añ'õffifttrat you require.<br />

Dr. Dement, I haae a list of questions tlnt pertain to our task of helpit:g to define flight<br />

time and duty time regulations and i.f I could just talce the liberty of asking these<br />

particular questions and open up the -floor.for nny otlrcr rentaining qurltons thnt other<br />

people may lut,e. One of the most basic tnsls is for us to ngree on n retLlntnrcndntion for ct<br />

sleeys opportunity,. . .. to afford euery reser?e pilot the opportunity of a ,-'rotected time<br />

period so that he or she is absolutely insulated from contact from ¡þs ¡"'7'=tator. Hott'<br />

many hours do yort recommend for a ntinimum fired sleeys opportunitv?<br />

I will start out by assuming that we would take 8 hours of sleep as the most<br />

common requirement. Then you need to add to that in order to be able to get the<br />

proper amount of sleep. ln your situation, I would think it would be a little larger<br />

than it might be for someone who really wasn't doing anything. Sc I'd add a<br />

couple of hours to get the proper amount of sleep.<br />

Are there anu.findings as far as the nntount o.f sleep /oss or the nhilitu :-' :leep during le:s<br />

tlrntt desirable times of the dnv nnd u'lt¡t n p¿rson coul,l erLtect?


Well, there's an ideal time to sleep and then everything else is less than ideal.<br />

Sometimes it's devastatingly less than ideal.<br />

WeII, how much so? If you had an opportwtity to sleep during the dny and you were<br />

giuen an 9-hour sleep opportunity, could you expect to get I hours of sleep during that<br />

opportunity?<br />

No, I'd say absolutely not. lf that happened, it would be an incredible exception.<br />

There's a ton of evidence on that also.<br />

Hoza about if you were getting a L0 hour sleep opportunity?<br />

No, I don't think so. There have been a lot of studies on sleep reversal. You<br />

simply reverse the sleep period and this is now a model of insomnia. lf you have<br />

to sleep in the daytime, you have insomnia in effect. The ideal time to sleep if<br />

you have a stable circadian rhythm is to stay near the circadian rhythm.<br />

The t hours of ideal sleep, is it possible from your studies Vou can nail down any specific<br />

9-hour period or is it aariable for indittiduals?<br />

Well, it may vary a little bit. Within a very narrow range I wouldn't say....l would<br />

say for most people, it's from 1 1 - 12 PM to 7 - 8 AM. For the vast majority,<br />

that's the ideal sleep period. People will ask why they are the exception, but<br />

you're not dealing with exceptions here.<br />

- When you're forced to haae to slerp if you're flying at night and you're sleeping in the<br />

day, I guess what you're really saying is that the chances are you're going to become<br />

somewhat sleep depriaed oaer time.<br />

That's right.<br />

And so the only zoay you correct that, no mntter hozu much time you are getting to sleep,<br />

Vou're still going to be somsu,hat sleep deprioed. So the only zaay you're going to break<br />

tlnt cucle is periodicnlly if yott haoe a certain amount o-f tinte o-ff and you sleep during<br />

zuhnt núght be considered your nornnl sleep period to restore that.<br />

Well, at the present time that really is the only effective way. I think that we take<br />

the position that there's never an adjustment to that type of schedule. You<br />

refened to night duty...and you would think that if a person did it all the time they<br />

ought to adjust, ..but all the studies always show impairment in sleep loss.<br />

Dr. Dettrct7t, . . . ,L,e're really at the point nozt, ultere ue're goirtg lta¡ond the ¡:ltilosophy<br />

nnd it'e're tn¡ing to pttt our finger on rutmeric -aalues. Our pos;!ion nt lenst _front tlrc<br />

¡tilots' stañ¡toittt , is tlnt lL'e see tl:r need for n l}-hour sleqt oprlort unity hntt,ing thnt<br />

tlrc o¡t¡:ctrttmitq nmr¡ not nltt,nvs be nt tlrc best time of tlrc ,1.u¡. I\-e're.fncing nt intlustnr<br />

¡tositiott thnt is lookirtg.for I hours its tlrc mininnnn. Our positiort is ¡tredicntetJ on tlrc


fact that t hours may be adequate if it oaeilaps the WKL. But since we don't know for<br />

sure when íue're goittg to haae that opportunity, zue beliroe that, or u,e think thnt hauing<br />

that extra 2 hours is going to gi-oe us a little more of a bu.ffer, especially u,hen it comes<br />

dttring the daytime. Would you consider that to be a conseroatiae and a justified<br />

position?<br />

Absolutely. I don't think you could possibly assurne someone is going to fall<br />

asleep instantly and then sleep continuously for I hours, not even under the most<br />

ideal circumstances. Maybe it should be longer.<br />

By the same tolcen, say that same indiuidual who was supposed to sleE had the perfect<br />

time during the day and u,as supposed to sleep during tlrc day, hadn't slept the preaious<br />

night and he had normal sleeping hours because he was not disturbed for any duty<br />

assignment. What effect does thnt haae on his subsequent rest period?<br />

ln the ideal situation if someone sleeps the normal amount at night, they can't<br />

sleep at all during the day. We are pretty much a sleep-deprived nat¡on so that<br />

we do have this mid day dip in alertness. Most people say they get drowsy after<br />

lunch. That's sleep deprivation. lf you were not dealing with someone who is<br />

enremely sleep deprived, then I would say sleeping a normal amount at night<br />

becomes very difficult, or it should become very difficult to sleep in the daytime.<br />

That is a fact if the carryover sleep debt isn't large, it's definitely more sensitive to<br />

stimuli, etc. and you're fighting the biological clock for much of the day.<br />

Have you ever conducted these tests when they're wearing a uniform?<br />

[Laughter] Well, we did some testing but I think they took them off when they<br />

went to bed.<br />

I ,flv nt night nll the time and onh¡ get rest during the lnt¡. I heard that if you sleep<br />

tlurinq the o¡ttimtrm time of day, vou renlly need to lu¡'e about n 7}-hour ¡seriod in u,hiclt<br />

' to getvotrTlzorSlnurso.f slee1t. Ifyottdonoteaerlaaetheopporttmitytosleepfor 7<br />

- 70 dnvs in a rous, Vou are nerer able to sleep dttring the optinntm time. I heard yolt sav<br />

tlnt vou nhtat¡s need ntore thnn 70lrcttrs to get el)en reasonable sleep eaen though yott<br />

probal.lv neoer will nchiet,e ndet\nte slee¡t. Can Vou Liut any kind of a nunùer on the<br />

trosS r?¡nor tnt of time uou could lnt,e atnilnble.for sleq' ttpt¡tortunity to tryl to restore<br />

sle4t7<br />

The problem is that there becomes inefficiency, You don't want to spend 16<br />

hours in bed to get I hours of sleep. There just isn't a good solution to be<br />

per{ectly honest. The main thing you need to know then is first, at what period of<br />

the day in your clock (God knows where your clock is) there is some period when<br />

it's the most ditficult to sleep. Hopefully you knor','that about yourself . Obviously<br />

you avoid that. lf you can schedule more than 10 hours, not at that time, then<br />

you yourself will need to determine if you can do ri in a minimum of 10 hours, or<br />

does it take 13. That would be a horrible life,. to spend all that time in bed.<br />

6


I'm typicallv so sleep depriaed that [can't understand rest of statement.]<br />

Years ago. just to make a dramatic point, we were approached before we knew<br />

about sleep debt, before we could measure sleepiness. lt was in the 60s we<br />

were approached by a company that had a billion-dollar bed (ceramic bead bed -<br />

billions of little beads. They use them now for burn patients. lt's supposed to be<br />

the most comfoñable su¡Jace ever. So we got a group of students. We had a<br />

regular bed, the cold concrete floor condition and the beaded bed. To our utter<br />

amazement, sleep was the same in all three conditions. The students who were<br />

doing this were on spring break, they probably had a 10O-hour sleep debt, they<br />

could probably sleep anywhere, and that to me is a symptom of grave concem.<br />

lf you could sleep an¡rwhere.. anytime you are very sleep deprived....that's not<br />

good. That's another mythology. People get so macho. Saying that they can<br />

sleep anywhere is like saying they were drunk or they could drive when they're<br />

drunk. People misunderstand that. That's a symptom of severe sleep<br />

deprivation.<br />

I haae a couple questions. First of ølI, if we consider u)e are dealing with an indiaidual<br />

who had no accrued sleep debt and that indiaidual azuoke in the morning, what does the<br />

science say about the amount of time awalce that indiaidual would haoe before, or is tltoe<br />

ant¡ kind o.f . ...<br />

Well, probably if he's getting up in the daytime, that person could not possibly<br />

sleep in the daytime.<br />

I'm not talking about sleeping. How long could he be awake beþre he.....<br />

Oh, well, maybe 16 hours would be the usual time he's awake. One of the things<br />

that we -- at least I and I think most of my colleagues -- agree on is that all<br />

wakefulness is sleep deprivation. ln the model of sleep regulation, you need that<br />

accumulated sleep debt of 16 hours to, in a sense, power the sleep of the night.<br />

I.f t¡ott didn't haae a sleep debt, hou many hours would you haae to be awalce beþre you<br />

could be nbi¿ to tnke a nap? ls there any mensurentent that has been done?<br />

First of all. it's so difficult to get a human being in a state of no sleep debt. I'm<br />

not sure that it has ever happened. The closest we've come are in the study I<br />

briefly alluded to where the people had to spend 14 hours in bed in the dark<br />

every night for 5 weeks. At the end of those last few weeks, we think they were<br />

getting up with 0 sleep debt. lt would take them 2 hours to fall asleep and they<br />

had terrible sleep because they tried to do it in 14 hours. lf you have a minimum<br />

sleep debt. then lwould say I don't think you could fall asleep....it would be the<br />

whole day I would think before you could really confidently fall asleep. One of<br />

the things lm not 100% sure is how much monotony and sensory isolation can<br />

7<br />

+-


you tolerate before you have a micro sleep? Two or three hours? Under<br />

ordinary circumstances, daytime sleep is difficult.<br />

ls there anything definitiue that *ys which of these two situations would be more<br />

fatigttirtg: an indiaidual who hns to stay up until 3:00 a.m. or an indiuidual who is forced<br />

to wnke up at 3:00 a.m.?<br />

That's a good question. I would think both would be fatigued and it's so the<br />

pattem might be a little different, but it would depend on how much sleep they<br />

had prior to that. I would think though that going into action at 3:00 a.m. for most<br />

people you'd be extremely impaired. On the other hand, some people, as you<br />

get after midnight, become extremely impaired also. I don't think they've ever<br />

been compared head to head, but those are the kinds that would impair<br />

performance. Period. There's a thought that people somehow get enough<br />

adrenaline. Certainly students in exam week somehow get so stressed and so<br />

anxious that they seem to be able to go a little longer. lt's obvious that they're<br />

paying a price when you look at them afterwards. That's not something to rely<br />

on. To me, it's only when you're trying to rescue people or something that you<br />

would want to do that sort of thing.<br />

Dr. Dement, after our reserre pilots receiue their sleep opportunity, they become aaailable<br />

for duty. We call the aaailability period the "resert-,e aaailability period" and that's<br />

basically the time they are aaailable for work, for flyirg. After the sleep opportunity,<br />

u,hnt zt,ould you consider to be a x.fe limit of time since atualce for a craunember?<br />

For the 1O-hour period?<br />

Yes.<br />

Fourteen hours. And I wouldn't say that's 100% safe but if you have a number,<br />

that adds up to the 24-hour day. lt ought to be reasonably safe.<br />

Where do you get your number from?<br />

Well, it comes mainly in my head from circadian type 24-hour studies to see the<br />

pattern of the manifestation of the drive to sleep versus the awakening effect of<br />

the biological clock. lf you're getting outside the 24-hour cycle, then you're going<br />

to have periods of greater risk. I realize that operationally that's probably difficult,<br />

but....<br />

Tltnt nssutnes tlnt the mdiuidunl:t'nkes up cts sootl as his protected time ¡s*iod is ooer.<br />

So in other words, you see n cott+tlintentary factor: 9 ltours of rest sltoultl Jictate a 75-<br />

l rcl t t r n t nil nb ili t y p erio d ?<br />

Yeah. I think most people u'ould agree that rr'ould be the ideal.<br />

-


Coing beyond that, what is probably the most greatæt points of contention right now -<br />

the debate between tlrc pilots and the industry opaators - Ls the _fact that the operators<br />

would like to extend this resense aaailability period in excess of ulut you say is 74 or 15<br />

or 76 hours, whatn,er the case may be, to a larger increment, ertending that resen,e<br />

auailability period based upon an adoance notice o_f n nap opportunity. In other r.uords, a<br />

pilot comes on call at 8:00 a.m. He is then told at 9:00 a.nt. that he is to report for duty 5<br />

hours later. The industry's position is that the notice constitutes an opporttmity for<br />

additional rest which then would be utilized to add more restoratioe energy, or analogous<br />

to ptttting more charge into a battery, to carry that pilot into more of an extended duty<br />

period with an additional amount of time.... up to in certain casæ 24 hours of duty.<br />

What is your feeling on that type of scenario?<br />

To me, that's a recipe for disaster because if you have a resporìsible, professional<br />

pilot -- who has a reasonable schedule, I guess - who is not horribly sleep<br />

deprived, and who has a fairly stable circadian rhythm, then the likelihood that<br />

he can get adequate sleep by trying to nap I think is relatively small. I would not<br />

depend on it at all. I would think also to have to do it sort of unexpectedly like<br />

this....Oh! Take a nap....Orly people who are very sleep deprived....<br />

Cnn I ask that question a different way?<br />

Sure.<br />

Let's say I haue a TLhour slerp opportunity: 10 p.m. to 8 n.m. Tlat means I'm apdilnble<br />

Could I not get a cnll<br />

for 14 hours unless thrV fly nte into the next 10 p.nt. SlqL lgnight.<br />

say nt noon and say instead of you being off toniflîîl\TT'/.m., -LL.e want you to work<br />

until seaen tomorrow monting but you aren't going to go to tuork wttil 10:00 that night.<br />

So they caII me at noon, they giae a l}-hour notice that I'nt not going to haae to go to<br />

u'ork until 10 hours from noon, so at 2200 I report.for u:ork, and they want me to fly<br />

until 0800. So thnt u,ould be a total of 24 hours<br />

-front<br />

the t inte I theoretically zttoke up and<br />

l'',e had a T}Jtour notice that I was going to be flving this .fntigttirtg schedule. Wotild<br />

that be safe?<br />

l'Vell, I wouldn't be on your plane. No. I think that's almost insanity in the sense<br />

of saving that is safe. First of all, naps can't be depended on - even under ideal<br />

circumstances - to get you through this period n'hen the biological clock alerting<br />

is gone, when you're alone with your sleep debt so to speak, during the WOCL.<br />

There's no way that isn't going to be dangeroLLs. Yes, there mav be exceptions,<br />

but it's alrvavs going to be dangerous. The likelihood is not good that you would<br />

be able to have some kind of good luck that vou did sleep a lot, and that has<br />

.{otten vou through. First of all, you would not be at r-our peak performance.<br />

There is just no r1-ay. You cannot achieve peak performance during that period<br />

of time. N,favbe for 10 minutes. The notion.that vou can depend on getting<br />

adequate sleep I think is just wrong. You can go into a laboraton'and you can


do some studies and you can demonstrate that occasionally someone will<br />

perform prettv well, but that's not 1009â ever. It's never getting back to peak<br />

performance and it's under the luxurious circumstances of no interruptions, no<br />

noise, etc. I n'ouldn't ever think that napping could make it safe going through<br />

the night.<br />

How about that the flight is going to happen. There is going to be asery day in ,4tnerica,<br />

pilots that report to work at 2300 or whateaer and fly until0800 the next morning.<br />

Nout, what's different about the man who kttows a week, a month in adoance that this is<br />

going to be his schedule and the reserre pilot who finds out at noon after haaing wolcen<br />

up at 8 a.m.? Whnt wouldbe the difference?<br />

You know that the time you do all of the things you can to move toward a better<br />

situation....You can never get to perfection, but the more practice, the more<br />

warning, the better you'll be able to handle it. Some people leam that there is a<br />

time when it's quiet and if I do this, I can preffy much depend that I will fall<br />

asleep. It's not 100% but you kind of learn that or you practice or whatever. But<br />

if it's without warning, all bets are off.<br />

Dr. Dement, you'lse kind of led the discussion into another area of this nilemaking that<br />

has to do with an alternatiae method. Assuming that the pilots in this protected time<br />

period method uere depleted, the carriers then want to giue pilots aduance notice to coiter<br />

anv nússion or Rny assignment. They are looking at 70 hottrs as the criteria. l\'¿ don't<br />

belieae that to be adequate based upott. . ..<br />

Are you talking ro-nouiffigz -<br />

Ten-hour uanting, yes. To do anything.<br />

That would be 100% wrong.<br />

why?<br />

Well, because the 10 hours could fall sort of toward the beginning of what we call<br />

"clock dependent learning." There's no wa)'you could sleep. And then vou go<br />

into vour dufi-period at the h'orse possible time t'ou could have that situation.<br />

Whnt sort o.f tinte would you tltink zuoultT be ndequnte to giae a gry enough timt to get nn<br />

o¡tportwtity to rest so tlmt he would be snfer tltnn T0ltours?<br />

Twenty-four hours. At least a day before. Wouldn't you think? I don't see horv<br />

I'ou can get notified as the dav is beginning and feel you could depend on being<br />

able to take a nap. If it happened everv dav or somehou'vou knou'that vou<br />

10


could certainly get the probability up, but it's not something that you could ever<br />

really control. Again, there ought to be a better way.<br />

That's the problem: a better way. Understnndably, that's not desirable but tlæ question<br />

is: how do you best prepare for that?<br />

You're saying if the notice is given with the 10-hou¡ window?<br />

Management would like a L0-hour notice.<br />

It would seem to me that a better approach would be to have a 24-hour window<br />

or some longer period. Say you get notified the day before. I suppose there are<br />

emergencies and so on, and you would be called for those exceptions... and a<br />

pilot would have so many exceptions over such and such portions of time<br />

depending on the emergencies and whatever constraints....<br />

Some types of operations operate without a schedule.<br />

That's the lvorst.<br />

I haae 2 qttestions, doctor. First, a person that hns adequate sleep wakes up non- sleep<br />

deprit,ed nt 8:00 a.m. Fourteen hours later it's 2200 and he's driaing home from dinner<br />

ztitlt his uife. Is he impaired?<br />

I have '¡gr¡itSlepends on his age probablv. The impairment is starting<br />

probably. You don't go straight down; you go down with an accelerating level of<br />

impairment. Most of the studies in the laboratory say depending upon where<br />

your mid day dip is, your performance will start decreasing in the late evening.<br />

We're not fantilinr zuith the mid-day dip. The late etening is .,..?<br />

I'm thinking 10:00.<br />

I_f n person u'ns to fly so as to stop flttittg nt 8:00 n.m. and he zttas to fly throughout the<br />

0200 - 0600 time ftame, zthat tinte shoultl he be ztnkitlg ttp in order to be best prepnred<br />

.for tlnt .fligltt thnt lands at 8:00 a.m.?<br />

I knou'you said he's flying. He's waking up?<br />

No. Wen slnuld he zt,ake up to be best prepnre;l.for n.fligltt tlnt zuotùd include lnnding<br />

nt 8:00 n.m.? I.f he stnrts nt núdnighf. Hcrit' do uou get prepnred for thnt a,en if (I'm not<br />

fnlking nbout reser-le or atn¡tltirtg)...lNlnt should n ¡tilot do, hoit, sltould lrc plnn lis dar¡<br />

tù ,L'nke u¡s t! tlrc rigltt tinte tobe nrcst slert at E:00 a.m.?<br />

11


æ"-<br />

First of all, why does he have to wake up at 8:00?<br />

No, no. He's flying at 8:00. He's flving from midnight to 8:00.<br />

Oh, okay. But basically what should he do the day before if it's a midnight<br />

flight? I assume sleep as late as possible.<br />

On his norm.al sleep cycle like you frst said?<br />

Yeah.<br />

And then u:hat?<br />

And he's free all day?<br />

Yeah. He doesn't hnae to do anything....<br />

If he knows that he has this post prandial period of diminished alertness , I<br />

would try to take a nap at that point in time.<br />

Iate afternoon?<br />

Yeah.<br />

I don't know what postprandial. . . .<br />

It means after lunch. Parenthetically, I've been working with students and I've<br />

been finding þecause I've been working with very small groups) that if they<br />

start by learning how much sleep they need as an individual, when is their time<br />

of peak learning, when is their circadian nadir, thev are able to make some<br />

choices in preparation for exams, etc. that are a great improvement over their<br />

previous situation where they didn't know these things. What you're trying to<br />

do is to get.your sleep debt as lorv as possible and utilize what you know about<br />

vourself to accomplish that. Part of it would be, as a responsible pilot, you<br />

n-ould do that as kind of a lifesh-le. Mavbe the lifeshle is changins a little bit but<br />

vou're alr+'avs trying to keep your sleep debt lorv so you never har-e to do<br />

something like when you are already really dangerous because your sleep debt<br />

may be -10 or 50 hours imperceptibly accumulated. Then again I'd tell vou the<br />

best preparation is to get as much sleep the night before. The pilots in this NASA<br />

lavover studv seem to be prettv good at taking naps. Not perfect, t'ut prettv<br />

good. lVe decided the reason for that is they lvere sleep deprived. Thev coulci<br />

take a nap. So there's that sort of tradeoff. Then the issue is whether or not the<br />

sleep closer to the duty period is necessarily better. I don't think it matters.<br />

\\;hen vou start that period, n'hat is vour sleep debt u'hen \-ou're going to go into<br />

12


that WOCL, if you will. Whether it's low because you naPPed or low because<br />

you got lots of sleep the night before doesn't matter. Both would be the best.<br />

Should you stay up until 3:00 a.m. so you can sleep l::er in the afternoon?<br />

Not necessarily, no.<br />

Should you stick with normal sleeping and then try to get a nap before you go to work?<br />

Yeah, I would say as much sleep as possible. But here again you need to know<br />

yourself a little bit. But that's not what rulemaking is all about. Rulemaking is<br />

what fits everybody. Because of the uncertainty of being able to take a nap, I<br />

mean it's uncertain for me and I think it's uncertain for pilots. Although again,<br />

since pilots are generally more sleep deprived, they are more able to nap. If you<br />

felt able to take a nap with absolute certainty, then you should take a nap. But<br />

also get your needed amount of sleep the night before.<br />

We're shooting around the subject. I hate to break anu of this up, but this question hns<br />

been plaguing this committee. The industry l


Along the same lines, hou much is the psttchological aspect of this preparation that we're<br />

talking about in the same situation that we're cunantly discussing play. In other words,<br />

the line holder as we know it, gets notice o-f his schedule a rteek, a month in adaance and<br />

cnn some'(Dhnt physically prepare himself. He knozts that three nights from now,l'ae got<br />

to fly this God-au:ful aII nighter trip so what yott said, he sleeps as late as he can (1-0:00,<br />

1.1:00 if he caù. The resmse on the other hnnd is ntentally unable to preTt:re himself. I<br />

know that I'ue got to go through this with<br />

But he knows that day.<br />

No. He might know a week or a month in adaance so he's had ... that's trlut I'm getting<br />

at.<br />

The reserve pilot or the regular pilot?<br />

I'm talking about the resmse now. On the other hand, he gets a caII at 8:00 a.m. or 9:00<br />

a.m. and they say, "Guess what, lohnT You'ae lost the lottery. You get to go fly<br />

tonight." lt's always, "Oh my God!" Now I'm tlrc unlucky one. He can only minimally<br />

physically prepare but how much psychologically does it affect him that lu's now<br />

ntrprised of the fact that he's got to go do this flight? Does this haae much to do with his<br />

ability to clear himself and be ready to go and fly this thing?<br />

No, I don't think it'd be negligible. I'm not quite sure. He could either be<br />

depressed, I suppose or angry. But I think that we don't feel that rerwing<br />

vourself up or being determine or anything else can really oppose a period of<br />

circadian nadir and....<br />

So, it would be a minimalfactor....<br />

Yeah, I r+'ould think so. Usually these are verv short lasting things. For example,<br />

I've been interested in when Stanford University gets a lot of Nobel Prizes and<br />

the call tends to come in the middle of the night because it's fiom Srveden. And<br />

it's interesting to me n'ho falls asleep immediately afterwards and rvho doesn't.<br />

Again, they tend to fall asleep rvith this incredible, exciting news t'ecause it's at<br />

that WOCL time. We have to tell them thev shouldn't call during the WOCL.<br />

One tlúng '(L1e LL)ere talking about . . . .Let's snt/ zLte nre in n cirumtstance ztl:ere we're in<br />

tltis situation ztlrcre ue're going to ha-c,e to denl zt,itlt this. You got notice Ltollre going tct<br />

hat,e to fIA the bnck side of tlrc clock, this tinte tlmt ¿tte don't zuant. ls it fa:, to say that<br />

based on the studies thnt limitittg the lengtlt o.f tlnt tinte, the slnrter the Ingth of time<br />

tlnt Vott opernte tlrc safer vou are, nnd the longer tloíre exposed to being -.n dutr¡ the<br />

u'orse off it is?<br />

Oh sure. Absolutelv.<br />


It seems lilce common sense. Fairly obz'ious. One other quick question.lt seems to be the<br />

waV yott rL,ere going is that hozu much notice you're giaen is not as important as when<br />

the notice falls. ln other words, uthen the opporttmity to rest based on this notice of<br />

assignment, is that a fair assumption?<br />

Well, the two aren't exactly the same. I don't mean to imply that when. ...I mean,<br />

the longer you have, the better. I guess I don't understand your question.<br />

Well, that's kind of what I'm getting at. I guess it is . . . .<br />

I mean, generally you don't get the notice in the middle of the night, do you?<br />

WeIl, it would kind of depend....u)e're denling with round-the-clock operations so we may<br />

haae situations where an indiaidual's protected time period this time he's supposed to be<br />

sleeping actually starts at 7:00 a.m. and goes to 3:00 in the afternoon. So he might get<br />

notice in the middle of the night for an øssignment that comes subsequent to that later on.<br />

So we're dealing with round-the-clock operations and no guarantees.....<br />

I would think notice in the middle of the night is useless. First of all, you disturb<br />

the sleep and secondly it doesn't really help you with the next day any more than<br />

notice at 8:00.<br />

Taking for a moment that you're not asleep, I menn that it's not your normal sleep time.<br />

I guess what yo{re saying is that 74 hours notice or 72 u,ould be better tly4nJ0 most<br />

Iikely . ...<br />

Yeah. All other things being equal.<br />

Did yott eaer.fly the midnight flights7<br />

No, not anymore.<br />

Especialh¡ after today, right?<br />

Doctor, I'd like to think zre'd be nble tc¡ negotiate sometlúng like r¡ott said: n '1}-hour rest<br />

period and a 74-hour maximum reserre aonilability period, but unfortunately, that's a<br />

rcnt high erpectntiort. WImt we uill b¿.fncing is longer periods of reserue aoailability.<br />

Bnsed on the fnct tlnt zue will be fncing potentially onerous, Iottg periods of tinte since<br />

nzt,nke, Iong resert,e aoailability ¡seriod:. do yott think that being ffirded a grenter<br />

antotmt of slee¡t opportunity tuill git,e :s ntore of a protectiott ngainst tlnt lotrger duty?<br />

Is tlrcre n r¿Intionsli¡: as fnr as tlrc antlintt of restoratiae sleep as prrparntion .for longtr<br />

¡serit'tt| of dutV?<br />

15


Yes. The less sleep you have the harder it is. period.<br />

so, in other words, if we zuere forced to accept by the rulemaking offæ these longn<br />

periods of duty in excess of 1.6 hours or 74 hours, then ¡t woull bîhooue the agency to<br />

Iook at p_roaiding pilots with as much rest as possible to prepare themseltes ¡oi tt "i typ,<br />

of duty?<br />

Absolutely- When you've been in this business as long as I have, to think that<br />

anyone could even think of the opposite is ....<br />

l'm-assuming that it's.mythology that if a person can't sleep, thnt the person tries to sleep<br />

and just lies thne and does nothing and stares at the ceiling and count sheep or<br />

whateaer, does thnt haae any type of restoratioe abilities?<br />

There's no evidence that anything but sleep has any restorative value. years and<br />

years ago people thought physical rest was important. But in a kind of normal<br />

range of human activities, only sleep is. Obviously you can get muscle strain and<br />

run 50 miles you're going to be in the hospital, bui iest is useless in terms of<br />

substituting for sleep.<br />

Dr. Dement, there's one area that touched ttpon at this point and I<br />

don't want to miss.. Tlæse are que he maintenance of circadian stabitity.<br />

In your opinion, why is maintaini lity so important?<br />

Well because usually... and by that you mean ygu¿Sþep opportunities and your<br />

lvake<br />

opportunities are in a period of stability,-then youhavè the best sleep ánd<br />

the best wake. If you get out of that cycle, then both-sleep and wake will be<br />

impaired.<br />

Well, u'hen I think about that in the context of uthnt we're trying to insttre in ottr<br />

reconmtettdations,.. T.þe're trying to insure that the protected titie period, the rest period,<br />

stayed the same from day to day, assuming the resei:nse<br />

that ntatter when he is called, he goes baci into his cyct<br />

hint bnck to as close to that original cucle and, mnintàin<br />

day ' NASA has findings on tlut. Their recomntendation zoas to maintnin that circarlin,<br />

stabilitr¡ ¡slus or minus 3 hours. Do vou agree or clisagree?<br />

i absolutely agree that's better than no stability. Obr-iously the smaller that<br />

number, the better. I think practicallv it couldn't be zero,but I think we tend to<br />

feel there's kind of a dailv flexibilitlv u'ithin that range, like 0 to 3 hours ,0 to 2<br />

To<br />

lrours go outside of that is, again, inviting u .or,äition of sleep deprivation.<br />

So deliberately creating a bad situation.<br />

Whnt lrap¡tens to the body as yott clunge n person's ct¡ck?<br />

16


All sorts of things happen, but the major thi.g of course is that you are now<br />

trying to sleep r+'hen the body wants to be awake and you're trying to be awake<br />

when the bodv n'ants to be asleep because you left the circadian stability that<br />

you talked about.<br />

[Question cannot be heard]<br />

No, I think in summary, ....science is really clariþing these issues that people<br />

have been struggling with for many years, and there is always a resistance to<br />

change. But I think one of the things that we confronted in our Congressional<br />

commission is that a lot of the bad effects of sleep loss and impaired performance<br />

are frequently not obvious because there has not been a history of really looking<br />

for them. One of the studies that impressed me the most in that regard was an<br />

anonymous survey of hospital house staff. I don't remember the exact question,<br />

but it was that 42"/' in this anonymous survey had killed a patient as a result of a<br />

fatigued-based error. Well, who knows that? IAIho wants to know it? If we had<br />

the power to really take a look at the price of fatigue, it would be enormous. I<br />

think these things are just beginning to emerge and they seem to threaten<br />

management, th¡eaten economic realities, but I think once there's this move<br />

toward help and peak performance and utilizing all this scientific knowledge<br />

that everyone rvill benefit. There will be ways to deal with these things and it<br />

will get better and better and the benefits will be recognized more and more. I<br />

think one of the problems in the trucking industry is the same kind of thing:<br />

what's the cause of all the crashes? Frequently, these causes aren't really<br />

assessed, and the pubüõe-sntî.".ognir" tné taUitity, but it's coming. i'* ,.rr"<br />

at some point it's better to be safe than to be sorry. Because sorry is lawsuits and<br />

lost lives, tremendous damage to property. Those things are going to be equated<br />

sooner or later.<br />

END TAPE<br />

17


X-ÕZtrJFú¡U.Þ


Fatigue, Alcohol and Perforrnance Impairment<br />

Nature, Volume 388, July-August 1997<br />

Reduced opportunity for sleep and reduced sleep quality are frequently<br />

related to accidents involving shift-workersr-s. Poor-quality sleep and<br />

inadequate recovery leads to increased fatigue, decreased alertness and<br />

impaired performance in a variety of cognitive psychomotor testsa. However,<br />

the risks associated with fatigue are not well quantified. Here we equate the<br />

performance impairment caused by faügue with that due to alcohol<br />

intoxication, and show that moderate levels of fatigue produce higher levels of<br />

impairment than tJee proscribed level of alcohol intoxication.<br />

Forty subjects participated in two counterbalanced experiments. In one<br />

tJrey were kept awake for 28 hours (from 8:O0 until l2:OO the following day),<br />

and in the other they were asked to consume lO-l5g alcohol at 3O-min<br />

intervals from 8:OO until their mean blood alcohol concentration reached<br />

0.100/0. We measured cognitive psychomotor perforrna.nce at half-hourly<br />

inten'als using a computer-administered test of hand-eye coordination (an<br />

unpredictable tracking task). Results ¿rre expressed as a percentage of<br />

performance at the start of the session.<br />

Performance decreased significantly in both conditions. Between the<br />

tenlh and twenty-sixth hours of wakefulness, mean relative performance on the<br />

tracking task decreased by O.74o/o per hour. Regression analysis in the<br />

sustained wakefulness condition revealed a linear correlation between mean<br />

relative performance and hours of wakeful¡ress that accounted for roughly 9Oo/o<br />

of the variance (Fig. f a).<br />

Regression analysis in the alcohol condition indicated a signÍficant linea¡<br />

correlation between subject's mean blood alcohol concentration and mean<br />

relative performance that accounted for roughly 7Oo/o of the variance (Fig. fb).<br />

For each O.OLo/o increase in blood alcohol, performance decreased by I.160/o.<br />

Thus, at a mean blood alcohol concentration of O.100/0, mean relative<br />

performance on tl.e t¡acking task decreased, on average by Ll.60/o.<br />

Equating the two rates at which performance declined (percentage<br />

decline per hour of wakefulness and percentage decline with change in blood<br />

alcohol concentration), we calculated that the perforrnance decrement for each<br />

hour of wakefuhress between lO and 26 hours was equivalent to the<br />

performance decrement observed with a O.OO4o/o rise in blood alcohol<br />

concentration. Therefore, after l7 hours of sustained wakeful¡ress (3:00)<br />

cognitive psychomotor perfonnance decreased to a level equivalent to the<br />

performance impairment observed at a blood alcohol concentration of 0.05%.<br />

This is the proscribed level of alcohol intoxication in many western<br />

industrialized countries. After 24 hours of sustained wakefulness (8:00)


cognitive psychomotor perforrnance decreased to a level equivalent to the<br />

performance deficit observed at a blood alcohol concent¡ation of roughly<br />

O.lOolo.<br />

Plotting mean relative performance and blood alcohol concentration<br />

'equivalent' against hours of wakefulness (Fig. 2), it is clear that the effects of<br />

moderate sleep loss on performance are similar to moderate alcohol<br />

intoxication. As about 5Oo/o of shift-workers do not sleep on the day before the<br />

first night-shifts, and levels of fatigue on subsequent night-shifts can be even<br />

higher6, our data indicate that the performance impairment associated \Ã/'ith<br />

shift-work could be even greater than reported here.<br />

Our results underscore the fact that relatively moderate levels of fatigue<br />

impair performance to an extent equivalent to or greater than is currently<br />

acceptable for alcohol intoxication. By expressing fatigue-related impairment<br />

as a'blood-alcohol equivalent', we can provide policy-makers and the<br />

community with an easily grasped index of the relative impairment associated<br />

'ü/'ith fatigue.<br />

lNote: Retyped. Endnotes and Figures I artd 2 are illegible and have been<br />

omitted.l<br />

Drer,v Dawson<br />

The Centre for Sleep Resea¡ch<br />

The Queen Elizabeth Hospital<br />

Kathryn Reid<br />

DeparLment of Obstetrics and Gr¡recologr<br />

The Queen Elizabeth Hospital. :<br />

woodville, 50l I South Aust¡alia woodville, 50t I South Australia<br />

e-mail: ddawson@tqeh. smtp. tgeh. sa. gov. au<br />

2


taj X-VZFJ¡ÉFúÞ


stlultlARY<br />

The prcsent study systcmatically comparcd the effects of srxiarr¡¿'J ç¡keñ¡lnes anri alcohol<br />

inæxication on a ra¡Ee of netuobehavior¡al tasks. By doing so, it xzs possib,le to quanti4v ùe<br />

performance irapairment associaæd r¡ith sustained wakeñilness anC express it as a L,lood alcohol<br />

impairment eqúvalenr Twenty-twohcalthy subjects, aged 19to 26 years, panicipated in threc<br />

corurærbelanced condi¡ions. tn th€ s¡staincd waliefuincss conditioo, subjects werc kept au'ake<br />

for rweaty-cight hours. In rhe dcohol and placebo conditions, subjecs consum:d eirher an<br />

alcoholic or non-alcoholic beverage at 30 minute intervals. until their blood alcohol conccntralion<br />

re¿ched O.Wo. In each session, performance was measu¡cd at hou--þ intervals using four rasks<br />

Ëom a standardised computer-baseC tel baner,v. .{r:al;-si: indicaæd ¡trat the placeto bverage<br />

did not signl6cailÌ.v effect mer¡ relative perfomrance. In contrast. as blood alcohol<br />

concentration incrcÀted performancc on ail the ta-.ks, exrrpt fo: coe, signilìca"rtJv decr'^.ed<br />

Simila¡Þ, as hours of *akelulness i¡¡crea;ed pe:'formance levels ior :-.r¡ of th: s¡< Þararne:ers<br />

significantly decreased. More impcrantll'. equaring the perlonr-.ce imprirnenì in rhe tuio<br />

conditions ¡¡Cicated that. depending on tbe task meas.:¡ed- apprc\-:ne(ely 20 to 25 ncurs of<br />

'*'aliefulness produc:d perfoirnancc decrernenls eq'-¡valcnl to thos: ,'rs;n':J at a BAC of 0.10c,í'<br />

Ovcrall, thes: results suggest thar moderate lev¿l-r oisusratned wak:¡uLress produce pertbrmance<br />

equivalelr to or gteBier than tlose obsen'ed at Ìeveis of alcobol in'.cxcation deemed unacc:¡:able<br />

whcn driving, *orking and,'or oPeraung dangerous equipmenr.<br />

KEY \+'ORDS sustaincd r+'al¡eñ.rlnsss, alcohol r nloxicatjon. ¡erformance impai rment


TNTRODUCTION<br />

The rcgative ::-pa:i of sleep loss and fatigue on neurcttìlavioural pelformancc j5 *ell<br />

documentc¡l(G.:ltrerg et ol.. 1994: Vulla¡rey et a|..1983; Til.e,v and Wilkinson, 198¿). Studies<br />

have cieæly sho*rì rhar susrained waketulness signifìcantlç imPai¡s several ccnlponenrs of<br />

performance, iæluding responsc latency and variabllitv. speed and accurac) ' hand-eye<br />

coordrnatron, decisiæ-¡'nakurg ald mernory (Babkoff et ol., 1988; Lir¡de and Bergsuor+ 1992;<br />

Fiorica el af., l96t). Nevefheless, understa¡ding of the relalive perl'ormance decrernents<br />

produced by slecp loss a¡d fatigue ¿rmong policy-makers, and rvithin the community. is poor.<br />

By contrasl, rhe rmpairing etTecs of alcohol inioxication arc gencrdly well acceptcd by the<br />

commr.rnity urJ policy rnakes. rezulting in suong enfc.=ernent of lar¡'s mandating that<br />

individuals r¡.hos< btood alcchoi conoenuation exceeds a 33fain level be resuicted norn driving.<br />

u,orking anüc: ,aæral¡:tÈ Cangcr..us equipnenl Consequently, scveral studtes havc uscd alcohol<br />

as a standari b¡ which !o :c,:1;are impairnreni in ps.vcllcrcc:or perfcrmance caused by cther<br />

subsra¡:ses (Haùm"q et a!.,1989;Diclt e ¡ a/. 1984: Thapar :: ci..1995'.t. By rsing alcohoì as a<br />

refercnce po:;'- strh sruclics ruie provided lr¡ole eas:I1' grasp'ed :esults reguding the<br />

per forma-nce mpa-rrnent as sc c i ar e d urtb such subst¿nce s.<br />

ln an anempt :o Trovide poli:¡ m,¡ùters ar.d rhc comm':oitv with an easily understood i¡dcr of<br />

rhe rclative risb asso.-la¡çd with sleep ìoss and larrgu:. )eason a¡:d Reid (1997) equated the<br />

performance inpairm:nt of tatiguc and alcohol in:¡xicauoi: .sing a computer-basccl unpre:icrabte<br />

u-acking As¿ 31' dcing so, d:e authors den:onsua¡cd tnat one ntght of sìcep deprivatron<br />

produces perfr.:1]iance impairnenr greater than is currcntl)- acccptable for alcohe'¡l intoxicaticn.


Wlule ¡his ir¡rial stud;- cl:arly est¡blished that faugræ a¡d alcoirol inrcxie::n have<br />

quandrativell' simil¿r cffccts, it should bc noad that pet'orrrancc ùn ori¡' c:'.: :sk u'as<br />

rnvesdgated. Tbrs, it is u¡rclea¡ at present wtrethe¡ these results a¡e rÈstricled tc :ra,rci-eve<br />

coordir¿tioru or clraracte¡istic of the g=ncral cognitive effe;Ls of fatþræ. Wlile it :: gcnerally<br />

accepted trat sleep loss anC faúgue are a$ociatcd r¡'ith impured ncurobchsrioual pcbnnance,<br />

recent rescarch suggsts that tasks may diffcr substantially in thci¡ sensitiv¡tv to s,lcep loss.<br />

Studics addressi-og this issue luve suggesed that usks wtrich are cornplex, high ir rorkload,<br />

relativeiy mooctonous and *hich require conti¡ucus anendon a¡B toost rul¡erabþ to sleep<br />

depnv ation ( J oh¡son. I 9 t 2;'J/ilkrnscn, I 964).<br />

As conditions thst causc deterioration in one partrcula¡ fr.¡nc¡ion of perforrrance n¡¿ìy leavs s¡þs¡5<br />

ru¡aflicted, it is ur¡¡e¿sonable to assume that one :culd precrct all the eÎïècts of sleep lcss from a<br />

sl'rgìe perfonna¡ce lest. Tnus. the curent studl' soug!:: to :eplicate ar¡d exte¡:c' :--.: iniial<br />

f:ncrn5 of Da,¡'son a¡i Re;d 1199?ì'r¡' s¡s:era:icalì; ccnpariag rf,e eÏ#-ffi<br />

deprir-a:ion a¡¡d alcohol :rrioxication on a:ange cf :crforman:: tasks


}IETHOD<br />

Subjccts<br />

Tweuty-two participaats. aged I 9 to 26 years, were rccrui¡ed for rhe stuc¡' rsing advertisemenrs<br />

placed a¡ound læal univenuies. Volunteers were rcqu:red to complete a gøeral health<br />

qrælionnaire aad sleepwake diar¡' prior to the study. Subjccs wbc had a curenr hedrh<br />

problcrn, and/or a history of psychiaric or sleep disorde¡s weæ cxcluded- Subjecs who sn¡oked<br />

cigarenes or n'ho were taking medic¡¡ion knowu to inreract with alcobot were ajso excluded-<br />

Parlicipants rvc¡e social dri¡rken u/bo did not rcgululy coru¡¡rrn3 more tba¡ six sundard drinks<br />

pcr weck.<br />

Perform¡ncc Bettcry<br />

\euobehavioural performa¡ce Eas measr¡ed using a s¡andardised co:np'Jter based tes¡ 'oa¡ter)'.<br />

-l-te apparalus for rhe banery consisls of an IBI\{ compatib,e computel. micrcprccessor urur,<br />

:espolrss boxes a¡¡d computer mcn:ior. Bascd oo a3Éf,ñ"ãffiÀüce prcccssing model<br />

flVickens, l9te¡, the bane¡y sought to provide a broad sanpling of '.ar:ous cornponenrs cf<br />

neuobehav;oural pcrforn:a¡ce. Fot¡ of rwelve possible perfor=urce tests ìÀ'ere useC. such ihat<br />

¡þs lsvel cf cognitive cornplexrry ranged Ëom simplc tc morc complcx as listel 'relou). S¡¡re<br />

speed and acùurac)' scorÊs can bc cffecæd differentll' b¡ sleep deprivEtion (.{rrgus and<br />

HesìeEave, I9t5. rvVebb ald Lcv-v, l9t2), usks ùat assess:d both we¡e invcstigarcd.


The simpie scnsory cornparison task requircd panicipants to îbci-r on an arrentjo:r fuing spot<br />

displayed on the ¡nonitor for 750o¡s. Folio*ing this, a line of sr¡mulus charecrers, djriCed inro<br />

ùree block of eithcr rutmbers, leners ot a mixtr¡re ì*,as dispia¡cd Participants *erc then<br />

required 1o respond to ¡ visr.¡al cue, *'hich agpeared in rbc posiuon cf onc of the nimulus blocks-<br />

be naning tbc block uùich bad bccn theæ. Verbal resporu¡s were scored ¿rs conecl, parrrall¡-<br />

corlcct or inconec¡.<br />

The rxrpredictable uacking rask (tbree-miuute tials) was perfomec :sing a joystick tc control<br />

thc position of a tracking cutsot by ccnring i on a consranily moring rarÈet. Perccntage of rime<br />

on target was rhe performance measurc.<br />

Tne vigilance task (th¡ee and a balf minute trials) rcluLe¡i subjecrs io press cr.e of sü black<br />

br¡tlons or a single rcd button. depending on which ligJ:t rvas illun:ralci If a suæle -rgll rvas<br />

;ll'¿rninated, ubjccS rrere rê{uæËtæñ- conespondi:rg c.:ck buncn w¡icrn:a:h iL tf<br />

bowever, nlo ligha rvtre illurnnated simulta¡reousl.v, s':bjects ue.': reqiiired ro Frtss ¡he red<br />

brrtton. For th¡s report. ¡wo vigilarcc mcasrucs rverc cvaluaÞi I) tlre nr¡:lÞr c: conecr<br />

responses iaccuracl'), a;C 2) r.rcreases in the dura:ion of respons:s rr3sponse larcoc¡').<br />

The grarnmatical rcasoning task requrred zubjects to indicate rie:her a logical s'atcmen¡-<br />

ùspla¡-.ed on the nooitor. \ùas -Jr.¡e or falsc Su'u;:cts were presenied r¡'rth 32 sa:ements pcr<br />

trial, and instructcd to concenl¡ate o¡r ac€Luacy. rather than speed Both accr¡¡acy (p3rcentagc o¡<br />

conect responses) and response iaten:¡- were evaluated rn this r:p..n


Druing test sessions, subjects were seated in front of the workslation i¡ a¡¡ isolate,j roon¡ frcc of<br />

disrraction, and nære i¡srr¡cted o eomplete e¿ch t¡sk once (rasks rvete F¡esented in a randorn<br />

ordcr 1o Prevent order effects). Each tes¡ session lasterl approximately l5 rninutcs. Sub¡ects<br />

receiræd no fccdback drnng the study. in order ro avoid knowlodge of results affectin8<br />

pcrformnce levels.<br />

Proccdure<br />

Subjeas panicipsted in a ra¡domised cross-over design rnvorving ttuee cx¡rerimenral conditions:<br />

I ) an aJcohol intoxicarioo condiûon, 2) a placcbo condirion- and 3) a susùained wakefulncss<br />

condition. During the *'eek prior to corr¡mencement of the experimental cooditions, all<br />

participants were ind:r'iCuaily trained on the pcrformance 5anery'. ¡ familiarise themselves r¡-ith<br />

the tæks and to minimis: irnprovements il performance resulring ñcm ieuning. Subjecs *ve<br />

require'i to repeat cach tesr until their performance reacbed a plareau.<br />

The subjects reFìc'fld to the labo¡ator) at t:00pm on the nighr pncr ro each condition Pnc¡ ro<br />

rcriring ar I l:00pm. subjccts were rer¡uir:d to complete addiúonal pracrrce t¡ials on qach tasks.<br />

SubjecS wcrc wokEn a'. ?.CÉam. follo*ing a nigbr of sleep, and allcued ro breakfasr and shcrre¡<br />

prior to a bas¿line tesling sssion, u'hich surted ar 8:00a.m.<br />

Alc oløl I nl ox ic g I tln C onùt i on<br />

Subiects completed a performance testing se=-sion horuly. Follou:ng tie 9.00am testing sessjorr<br />

each subject *as rcquired 1o consume an ai;oholic bcvera¡le, consistrng of ¿0 percent vodka a¡rd a


non'caffcinÂted softdrinl mlxer, at half hourly intcrvals. T'*'eng minures a.fter ¡hc consumpr:cn<br />

of eacb Crir¡)t. blood alcohol concenlrations (BAC) were csdrnared using a srandard calib:-.::d<br />

breathal¡"scr (Lion Alcohnetc¡ S-D2. Wales), acq.ûzue to 0.005% B.{C. \\,hen a B.AC of O.I tr ô<br />

was æached no fr-rther alcobol was given. Subjecs were Dor informed of thei¡ BAC at anyrir:e<br />

dwing tbe expcrimental period.<br />

Placebo Cotdition<br />

The proceCuue fot the placcbo condition ç?s essentialìy idcotical to the aJcohol condition.<br />

Subjccts ¡n tÌæ placebo condition had ùÊ rin of thcir glass dipped in ethanoj ro give rhc<br />

impression tba¡ it conl¿ined alcohol To e¡uurc that subjects rcmained blind to the 1¡earmcnr<br />

condition to *l¡icb they h¡d bcen aliocated, approximatcly equal numþrs of subjecS rc¡eiied<br />

alcohol or placebo iu aay givcn laboruory rsion<br />

Sus t ditu d fl o kefu I ne s s C ondt non<br />

--+- êcts \Àere deprived of slecp for one rigbr D-uing úris rime, ù:1' complereC a pe.rbrnar-ce<br />

lestìng session cveru hour. In bctu'ecn their tes'-rng sessions, subjeos ccuid rcad, urìle. wuch<br />

televtsron or coovers€ with other subjects, but rr:re not allowed to aercise, shower or bal¡.<br />

Food and drinks çe¡t^ini¡g caffeine were prohibited :Ì:e nigbr before and Jruing rhe experimcnral<br />

conditions.<br />

St¡ti¡ticel A¡alysi¡<br />

To conuol for ioter-indiridual variability on neu¡obehavior¡¡al pcrtbrnoncc, test scores for 3cå<br />

sub-:cct were expressed relæive lo the average tÊst scores they otrtained 3u.'ing the bæclue


(t:00em¡:esing sesslcn of each condicion. Relarire scores uji::n e¡ch inrcrval (boru of<br />

wakefulness or 0.C5?¡ BeC rntcrv'als) werc lhen averageC ro obtaj¡ the mearr ¡çjs¡jyg<br />

pcrformancc âcross s.rb.¡ccts. Na.uobehavioual perfoma¡:ce dau in tbe s,¡raine,c walcefulness<br />

and alcohol in¡oxica¡ioa conditioru were ùen coilap-d i¡ro two-hou br--:s ar¡d O.oztó BAc<br />

iaterva-ls, rcspecrively.<br />

Evaluation of sysæ-'ric cbanges Ín cach performance parameær across tioe (ho'rs of<br />

wakeñrlncss) or blood ¡lcohol coaccnt¡ation were asscsssd separatcty þ repeated-meåsures<br />

analysis oft'a¡'isncc (À\ovA)' wid: signirìcance tevels correcrcd for sphericir.v b). Greenho¡rse-<br />

Geisser epsilon.<br />

Lir¡ear rcgrcssion anal¡-sis r¡ns used ro determine rhe rclatjcnshrp bcnveen test perfonna¡rcc,<br />

hou¡s of uakefi¡lness ar.d alcohci il¡toxicaricr. Thc :etarionslup betìÀ.een ner¡obehaviou¡al<br />

performa:''cc 8nd boü bou¡s of *akefuh.ess a¡rd BAC are erpressed as a pcrcc¡tage Jrop rn<br />

pc'rforna:icc tbr each bcru of rraltefulaess or each Ferc3r:age rncreasc in B.qC, rcspectiyel¡,. For<br />

each perfanr¡i¿rre Pa¡-êrneler, the ç'ercen:age drop i¡ tcst per¡brrnance r¡r each of the tw.o<br />

condiijons was also egr:atcd, a¡rd tbc eflÞcs of su,s:arned wakcñ¡l¡ess on perforunnce expresseil<br />

qs a BAC aluiva.ler::


RESLLTS<br />

Alcohol Intoxic¡tion Cooditioa<br />

Table I displays the results of tùe .¡u\OVAs n¡r on each pcrforr:ance variablc as a t'u¡crion of<br />

BAC Five of the sixpcttbrmæce paranreters sig¡ifrcantlv (p - 0.0008-0.00C1) decrcased as<br />

BAC inc¡eascd, u'ith poorcst pcrformance resulring at a BAC of 0.10 or grearer.<br />

Thc liæa¡ relationship between increasing BAC a¡d perforurancc impairment u'as anal,vscJ b¡.'<br />

rcgessir€ mean relativc pcrformaacc agains BAC for eæh 0.027ô intcrval. As is er*lent in<br />

Table 2, tlere was a sgrificant (p - 0.0132-0.0001) liræa¡ con=letion bet\'æen BAC ¡¡id rnean<br />

rclctiye performance for all of the variables except one. It was found ¡hat for eacb O.0l%<br />

increase in B.{C, thc dccreasc ia performance relanve o bascline rar¡ge.d frorn 0.29 to 2.689'0.<br />

Pl¡cebo Condirion<br />

'fo ensue that differe¡rces in prlcmance reflccteC onl¡, rhe :ffects of aaual alc¿iol i¡i.rxicarion - +<br />

a placebo couditlon u'as incorporated into the stu


P€rformance pruErneter \Àas associated \+ith pooresr perfornrance r€s¡hing añer 25 to 27 hou¡s<br />

of r¡zkefulness<br />

Sincc rhere is a strong non-linca¡ component to the performa:rce data, u.h,rch Emai¡ed at a fairly<br />

srable level throughout the pcnod rvhich conodes uirh tbeu r:oro¡l uaking da¡,, the<br />

pcrfonnancc dccrement per hor.u of wakcfulness, was calculated usng a linear regressioo between<br />

the seventcenth (equivalenr to I l:00pm) and tn'cnty-seven¡h hor¡ of r¡,aksfulness.<br />

As indicated in Table 2, regression analyscs re¡¿ealed a signit-rcanr linea¡ sonctation (p - 0.001l-<br />

0.æ01) bctwcen mean relalive performance ærd hours of wakefulness fo¡ foru of tbe slx<br />

perfom:ance variables. Betwecn the sevcutcenth a¡rct lwenrv-sevenrh hor¡s of u'akefulness. the<br />

d"-cre¿se in performancc relative to baseline ranged fron 0.6i tc 3.35% pc: how C¡able 2).<br />

Surt¡ined \t¡kefulness ¡nd Atcohol lnto¡icrtion<br />

Tle ;i:::a-1' airrr 9f the cresent study was lo cxpress ùie effect-q of S\¡,;;ffi; oí#<br />

reurobehaviouri perfor:nani¿ l¡Lsks as a blood aicohol equivalent Figr^res l-6 iliusüare:hc<br />

cornparaire cffects of alcohol intoxtcal¡on and sustarneJ ç'akeñ¡l¡ess on the six performancc<br />

Pararneters<br />

\\t¡en comparcd ro ùr impzurment of performance cased by alcohol at a BAC of<br />

0 100/á, thc sarne degree aí impainnenl was produced after 20.3 (grarnmar:cal r:asoning responsc<br />

:atency),22.31r'igilancc accuacy) 2a.9 (vigilançc response latency) or 25.1 rtackint aucwac¡-)<br />

hci¡rs. Even aflc¡ 28 hotus of sustai¡red wakefulness, nei:he¡ of tlc rcrnaining two per.lonnance<br />

va¡iables (gran::rrdcal reasoning ùrcurac\ aod sirnple s3nsory corrparison) l:crc".ed to a lewl<br />

equivalent to the impairn¡enr ot'serred at a BAC oi0.l0%.


Dtscussror<br />

In the prescrl study moderalc let'els of alcohol intoxic¡uon had ¿ cl¿a.¡lv measuable effect on<br />

neu"rcbcturiowal pcrformance. \\re observed thar as blood alcohc. concentration inc¡e¡scd<br />

pcrforman;e on all tbe tasL-s, cxcept for one, significa-rtly decreasc.i. A simila¡ effec¡ was<br />

obsened i¡ the sustai¡ed watefulness condition. As hours of wakefulness i¡creas:.J<br />

pcrformanæ levels for for¡ of the six pa¡ameters signifuurrly dccreased- Comparison of tbe ¡wo<br />

effecls indicE::d tbu modcrarc level5 e¡ootsirrd wakefr¡lness produc: performance decresìents<br />

comparable o üose ob'served ar moderare levcls of alcotpl intoúcation L:i social drinkers.<br />

As previous resca¡ch has found th¡t sme individu"l< tend ro pcrfonrr in a nan¡er that is<br />

consisænt with the cxpectation th"¡ they :ue in¡oxicated due ro alcohol consump,jon<br />

(Brcchenridgea¡¡dDodd" l99l), aplacebo condiúon *'as rnclu.leti br this srudy. We found ¡har<br />

rhe placcbo beverage did nor slgnrficantiy eflècr mea¡. rulative perÍorrnancc. Tlrus, ir r¡.as<br />

assumed that ¡erformance decrements e''oserr':d drrnng rle alcohol co¡i:jcn u'e¡c causeC sclelv<br />

bi'incrcas:r3bloodalcoholconcenüa¡ion.\loreo'cr-Ño"lffirlepiaceuo<br />

ccndirion in nis study gcnereì-¡' dii not crcatc dìe perception ci ar:ohol consumprion.<br />

Furthermcre. lheu participants Ì:ad alread¡ o


irnpaircd by apprcx:raarely 6 87ó and l1.T/o Grún¡ner¡cal rcasoning Eccr¡ñL-w onc rcspcnse<br />

latcacy, respcctiveh | 2.-7% and 20 57o (vigilancr accuç¡ct and response latener.. respccrryelv)<br />

ot 2l.tyo (rækingi Overall. the decli¡e i¡ mcar: reìative pcrfornancc ra¡gcd from<br />

aPproximalely 0.29%to 2.68% p:r 0.01o,ó 8.4,C. These resuhs a¡e consisæ¡¡ ç'irh previors<br />

findings that suggel that alcohol produces a Cose-dependcor decrcasc in aeuobehariou¡al<br />

pet'ormancc @illings a al.,l99l).<br />

In contrasl, næan rclaive pcrformance in tbe susta¡De¡l *¡keñ¡lness cond.iúoo showed th¡ee<br />

distinct phases. Ncr¡robehavior.ual pcrformance rcrnained ar a reladvel¡r stable lcvel during thc<br />

period uhich coi¡cidcd with the nonn¡l *nking day (0 to 17 hous). ln rhe second phase.<br />

performance dccrcascd hnearly, with poorest pcrfornra¡cc geærally æcgrring aie¡ 25 ¡o 2?<br />

hours of wakefulncss h q'as obscrred that mea¡r rclative perfomrancc i¡creasei agarn añcr 26 ro<br />

28 hou¡s of wakeñ¡h.ess presumably ref,:.-ting eiù¡:r the well reporte¿ gi¡cqJran va¡iation i¡<br />

neruobehaviour¿l p3rforma¡ce (Folk¡¡d a¡d Tonersdcll. 1993) or an enti of tesOag scssion effea.<br />

The linear decrease n performanc¿ cbecrved for fou¡ of the melsu¡es rn this s:uCy is consifent<br />

-<br />

r+ith previo¡rs studics docu.arc¡ri.g ner.ÃoÞhsvior:nl perrbnnance decrea_ses tbr pencds oi<br />

sustaincd ç'akeñ¡Jnes< ¡etween l2EDd E6 bou¡s Oiodc er al. 1992, Sro¡er sr ai.l9t9; Ficrrca e;<br />

a/. 1968). Bet*een tbc seventeentb a¡d lwentv-seventh horrrs of wakfuln€ss, mcE¡l rclar¡r,e<br />

performancc sigrrificurtiy decreased EL a rale of approúmetcll' 2.61.,'o (gt-a¡'.roancål rcasoning<br />

response latcnc)'), 0 6l and l.9t% (vigi¡aæc accuracy anC respoose laæncy, respcctivel¡-) ol<br />

3.36% (uacking) per horu.


't¡/lule thc resul¿s rn each of tbc experi¡¡entai coadirions a¡e rnteredog in themseþes. a¡¡ have<br />

been prerìousl¡" Þcn esablished,, thc primar-v a¡m of the prese;: study u'a.s ro conpa:e the<br />

effects of alcohcl inloxjcanon ud susrained u¡skefulness- Equaing rhe effects of rÌ¡e two<br />

conditioos i¡dica¡cd tha¡ l7 ¡o 27 bo¡¡s of sustained wakefulness (;om ?:00pm ro l0:(Oaat) urd<br />

uoderat3 dcohoÌ consumptron hsve quannbtively similar cûbc¡s on neu¡obehavbrual<br />

performance. Indccd, rhc findilgs of this study suggcst ùrar aftcr only 20 hows of sr¡stained<br />

wakeñ¡lness pcnbrmance impairment n¡¡y be oquivalenr to thar obscrvcd æ a BAC of 0.10%.<br />

Th,is study has conñ.rmed tbe suggcsrion madc b¡'Da*'son aDd Rcid (1997) rhar modcratc levels<br />

of sustained wakeñ¡l¡ess produce performancc decrerner¡ts equiralot to or g¡ca¡er tha¡ those<br />

obscn'ed at levels of alcohol intoxication d€cecd unâcceDrabl3 ¡:en d¡iving, rryorki¡g a¡d,o¡<br />

operating dangercus cqulpment. More r.rrportantly, horlever. rÌ.:s slu{v '*'as designed to<br />

determi¡e s'he'.her tbc :csu.!ts of Dawso¡ ¿-rJ Reid (1997) 'rcr. an isolate.d fir.,Jr.g, or<br />

,+-..,- -...ë.--cha¡actcris'¡c<br />

o:- the gencrai cogniove effccs of sJeep de¡rivgccn. Using ûre dcg:e oÍ<br />

impairmee: caL¡sed by alcohol û:al produceC a BAC crf 0l0h as a sljndard. th;s sruciv<br />

systcmaticall¡' ccmpared the effeos of susra:ræd r¡alietulness c: a r¿ng:Ë of neuobeharrou-al<br />

rasks. R.esulrs rndicaæ tha: r*hilc, in gcncral, susta¡ned r¡,alefuln:ts had a derimental c¡Tcct on<br />

psycbomotor perforroance, the specific conponeûts of p:rfonnaæ diñìãed in theu dcE-e cf<br />

sensitiviç' to sleep deprivarion-<br />

The obsened diffc¡coccs bclween the performa-rrce tasks with respcct ro lhe nrlncra$liry ro<br />

sleep depiivation can be explaincd by their relative degreas of cor-:iexiry Tbat is to sar-. the


-+-.r<br />

more complex neurobcbsvior¡ral Parameters measwed i¡l rhe :-se::: srud¡. \À,3rc morc scnsitire<br />

to sleep deprivation thaa u'erc thc srmpler perlbrmance pe:-¿¡;erers. ñhile ".nl). 20.3 hor¡s of<br />

sustained r¡'akefulness was neccssaD'to Froduce a pcrformaru: decre'r¡cr¡r on :he most complcx<br />

rack(granllllaticat rcasoning) cguivalcnt ro thc impairment ohser-cc.l at a BAC of 0.109,e, it r+.as<br />

añer 22.3 a¡d 24.9 hours of susra¡ned wakefi:lness ¡ha: a smilar rÉ:ulr w.as seen in a ress<br />

complex task (vrgilancc æc¡¡tæy and response laæncy. reçccriveiy) Funhermorc, on Ìhe<br />

uapredictable tracking task, a slightly lcss complcx rask rhan rrg,lance, a decre'¡enr ul<br />

perforrnance cquivalontto that obscn'ed at a B.Ac of 0 10o,'o was producec añer 25.1 hor¡¡s of<br />

wakefi¡lness.<br />

It u'as obserr¡ed tbat, despire a sli¡ûrr downw.ard tend, pefc:uance o;: rhe sirnplest çf the fou<br />

usls did not significandy decrease, even folìowing twenr) -eigL: hcqrs of susra:ned r¡,aket-ulness.<br />

In contrasq perfomnnce on this t¿sk was significantl¡' irnpa:ed a-ñe¡ e dose .rf alcohol that<br />

produced a BAc of 0 l0% l'or 8-ater) These results ere i¡r h¡: rvrtb üe suggestion :hat slrrple<br />

Gsffileds ìensir¡r'¿ to sieep .lcpnvadon (Jobnson, 1982). iDdeåt ue bcljerc ir tilel¡. rhar<br />

impairmcnt of pcrformaucc on this rask may have occu¡red L- *e baC exendcJ rhe period oi<br />

sus¡uned wakefulness. Il is ¡nte¡Êsting o note tbat several stui::s (e ; Dinges et al., lggt) har,:<br />

reponcd that tasks similarly læking in complexity, such as sinpl: reacÞo¡ tinnc ìLc¡is. a.rr<br />

affcctcd carly aad proforudly by slccp ioss, thus srrongly- suggesting rhar rnonobny may<br />

increase sensitivitv to su5a¡ned wakeñ¡lness. Indeed. ¡hc facl drat ¡his :¡sk rras nor wlne¡abie<br />

!o sust¿r:'ned rvakefirlness may possibl¡' b,c explained by the :ntercsting a.nc :hall:nging :ropenres<br />

gf ¡ls t¡rk


It is also note'lonhy that, uhile we obsen'ccl a decreâsc in accwac.,r/ on rhe gram:naúcal<br />

reasoniugtask,imparrrrentof th:sperformurce parameter was not ccnparable to thar p;oducod<br />

by a BAC of 0.107â' \ltile this nray a¡ first cont¡adict u\e suggesrion thar in rhis srudv<br />

vulnerability to sustained wakefulncss was, [o E lârge degree, dercrmi¡:cd by rask compiexity. rr<br />

should bc notcd th¡t pa¡ticipa¡fs rr'ete insuucted to concentatc on a;curacy rather rhan speed<br />

when completing the grarnmalcal reasoning task. Thus, our partrcula¡ insrnrcdons ro<br />

puticipants may uplaiu- at least in pan rhis irrcgu.¡ariry. Alremadvely, rhis finding is in lir¡c<br />

with the suggesúon of a narnral 'speed-accuracy tade-off. Sirnil¡¡ resulLr have been obscrred in<br />

5sveral studies, ç'hich repoÍ a cecline i¡ speed of performance, but nor accurac)', when s,leep-<br />

deprived subjects arerequired to pcrform a logical-reasorung task (Ângus and Hcstegrave, 1985;<br />

Webb and Lcvy, 1982).<br />

lnreresunrl¡', this was not the c¡se '¡'ith the vigiJarce task. In rhis ies:rnc:, despite ir--\:ructtcn<br />

to cooccntrate pnmanll'on acct[acy, this componcnr \as shEhtly nore w.nerelle to sleep<br />

deprivation than r¡'as resp.ersc latency The absence of a tade-off on this rask na1, bc eçlaincd<br />

by the diffcrent propenies of the vigilancc and grammatical rcasorung tasks. In accordance u.:lh<br />

the distinction raiscd þ Broadbent (1953). :he laner oirhesc rasks cs be defìncd as arr u¡pêccd<br />

lask, in which the subject cetermi¡es thÈ ral.e Of stjmuli presenurlion In contras(, tbe rigjlsnsç<br />

task can be defined as a paced task, in which stunuli are presenteC a'. a spced controlled by the<br />

experineilcr. ln linc rrith this distrnction, our 6nClng. ar: consisteot r¡'irh thosc of B¡oaJbent<br />

(1953) who observed ùur while a paccd task raprdly detericrateC durin3 ùe exp:rimen'.al pcriod,<br />

in tcr¡ns of spccd, an unpaccd ve¡sio:: of t.re same t-k dr,l, nor


A rurth:r expla:ration for thc dtffe¡ences obscrved b:tweer L-.:sc :\vo tasks, may' ¡elatc ro the<br />

extremelv mono¡onous riErur€ of the vrgi.:rrcc usk. InCeei ue believe rr likely thar subjects<br />

\f,'e¡e rnore mouvatcd to perform wcll on tlre grarnmatical reascrung task. u.hich rvas senenllv<br />

considered more interesting and challenging. Hence degræ of motivarion rnay explain wh¡'<br />

rneasures of boù speed and accumcy decreascd on ¡hc vigildlcc usk, while on the t-orm ¡ask,<br />

accttacy remai¡eC relatively stable. This suggestion is in line r*'irh previous str.¡dies u.Ìich lrave<br />

for¡nd thz¡ mot¡vaüon ca¡L þ e degree, coru¡tcracl tbc effects cf slecp loss (Home and Pcrrirr,<br />

r e 85).<br />

Takcn togethei, ¡he resultsùom tbis study support tìe s-rggefl:e..r tàar eren ¡nodera¡e lo,eh o:<br />

sustaiæd u'akefulness produce performancc decrennents grealer :han is curre.:itly' acceg,able for<br />

alcohol intoxicat¡on. Furthennore. our îrrdings sugg:sl '-::: u'hile sleec Cepirva¡ion has a<br />

ger¡enJl;l detrimcnul cfi:ct ot neruobchaviou.al ç'erfonrance. spec:,fìc cùmpon3¡ìrs of<br />

performance difÈr in thei¡ sensrlivit¡ to su-


\\ìic lhe currenr siudy supForts thc idea rhat susrained wakefi,¡lness æa.v carr¡. a risk<br />

cocparable with moderate alcobol intoxicaùc:i. i: is difficult lo Lrou' ro u'ìra: degrec these<br />

rccrlts ca¡¡ be generaliæd to 'lc¿l-life" scttings Indeed, labcruori. measurËs a¡rd e¡r.ironm:nrs<br />

rrsully bear little ¡esemblance to acluai tasks and scttings. Fr¡rthrrmore. niule our study uscd a<br />

bt¡lery of ¡csts to evair¡atc Ùrc cffects of sr¡st¿i¡ed wakefi¡lness on performance, thei¡ is no<br />

F¡araalce that all the functions involved in .lcal-tife t¿sks", such as .Cnvrng, r¡ere utrlised and<br />

ase¡sed. An alternative approach '*'ould bc to si¡nutate rhe acrual rask, as accgrately as<br />

pocsit'le Givcn that, for practical and ctÞ.¡cal reasons, i¡ is difl¡cui¡ to experimenall¡. study the<br />

rclarionship b:rwccn susta¡ned',+'akcfi¡lness a¡ü actr¡al drrvrng, s;nularcrs of var,ring realiscr<br />

iure b:en used. Thus, protocols rsing simularors could be uscd ro model "rcal-Uli'. selings and<br />

es¡abllsh a more acculìBte cfirnåte of the BAC equivalence for Èrc perr'urr:rancc ,Jecremenr<br />

rss.r:iaæd *ith sleep loss and fatigue<br />

+-


REFERE]{CES<br />

Angus, R.G. and Heslegnlc, R.J.<br />

com¡nand and control siarrl¡tio¡.<br />

19t5, l?:55-67.<br />

Broadb,er.t. D E Noise, pa.-cd performancc.<br />

1953, 4a:195-303.<br />

Effects c:- sleep anci sutained cogn:rire performance dring a<br />

Behatiowal Research ]tlethodr !4siruments and Computers.<br />

Babkoff, H., Mikuiinccr, !t.. Casp.v. T., Kcrnpinski, D. and Sr-,e, H Tt¡e ropolog¡- of<br />

pcrformance culYcs ùlf:rìgn horrs of sl=ep loss: A memor.v and ;ea¡ch task. Iåe eørterl¡,<br />

Jownal of Experimento|Ps¡t\ologt . I98B, 3.24:73i-756.<br />

Brcchcnndge, R. a¡¡d Dod4 M. Locus of connol and alcohol placebo eiects on perfo:manc¡ i¡ a<br />

dri"iq8 simulator. Percef,¡ui and lvlotor Sb/Js, l99l, 72: ?Sl-756.<br />

a¡¡d vigila¡rcr. t¡sks 3¡:r-.å Jot,ncl of Ps;.claì,.-g,.<br />

Dalscn, D. u:d Reid, K Far:gue, alcohol aod pcrfornurce r.:rpairm e:;- |¡iøtw¿,1992, ltt: 235.<br />

Dick, RB., Serzcr, j.V , B'air, R.. Hayden, N{.8., Tavlor, B.J , Tolos. B. and puu-Ànderso:. v<br />

Effecs of acule exPosur" to toluerrc urC n:thyl elhyl ketone on pst cbomobr perforrnar:cc<br />

Archives of Occu¡ntiotuti qnl Environmcnlal Health, 1984, 5a: 9l -: 09


Drnges, D.F . Wlritehouse, W.G . Orne, E.C urd O-rc. il.T ltc benefis of a nap c.--;g<br />

prolonged r¡'ork and *akefulness. tlorkandSness,l96S.2; l3g-: j-?<br />

Fiorics' v.. Hisginsl E 4., Ianpieúo, P.F , hrcgota lrl.T. anc Daris, .q,.w physic.lcgia<br />

Íesponsesofmandruingslccpdeprivaaon,Joyrtulof.lppliedphynolog,,,lg6g,24(2): l69-j?5<br />

Folkud" S- Toncrdcll, P., MiDors, D. aod Vateri:ouse, J. Dissecung circadian perfom.an:c<br />

rh¡hms: Implications tbr shiftwork. Ergonomics, l99j- 36(1-3): ltj-t<br />

Gillberg, M', KcckJr¡nd, G. a¡d ¡'ke¡stedt, T. Rela¡iors bctr¡reo pcdormancc and subjær,;vc<br />

ra¡ings of sleepiness during a nighr arralæ. Sleep, 1994, I 7(3) : 236-t L<br />

Heishmar¡" S.-l , Slrser, trl L. and Bigelou', G.E. Alcchol an3 ;naril:an-a Comparative dose eiecr<br />

protìlcs in ht¡mans. Pharm¿colop, Eiuchemisrry and Behattour.'.çsg 3I :649-65s.<br />

Horne, J.A. and Penrn, A N Hi-eh i¡ceotive ciTects on ¡gilr,ce pcícrnance dru:ng 72 hor¡-. e:<br />

rotal sleep dcprivation. ,lcto ps¡'chologica, i 98S. 5t, l 23 I 3 9<br />

Johnson, L.C. Sleep


Mullaney, D.J., Kripkc, D.F., Flec&, P.q. and Joh¡rson, L.C. srecp loss urd nap effecls.rn<br />

strsta¡ned continuous pcrformaocc . Pslvhophy.siolop, 1983, 20: 643-ó51<br />

Storer. J.. Floyd. H., GilL W., Giusti, C. And Ginsberg, H. Effects of steep dçrivanon cn<br />

cognitrve ability and s¡ci[s of pacdiauic rcsidcnrs- Academic Lledicine,l989.64: Zg-32.<br />

Thapar. P.,7acny, J.P.. Thompson, W. and Apfelbaum, J.L. LÌsing alcohol as a sta¡rdarC ro<br />

assess the dcg¡ec of impairrnent induced by sedative and analges;c drugs used rn ambula¡orv<br />

su¡ger.v .1¡usthesiolog', 1993. E2(l): 53-59<br />

Tilley, A J. and $'ilkins¡, R.T. The effects of a iest¡ictcC sleep rcgrme cn th: con:posi:ion cf<br />

sieep arÉ on performancc Psychophysiolop, t9ti. 2l : a06412.<br />

WèltÙ:WlÏnd Levy, C. .+¡e. 3tëëfq'mùticn and p€rr-ornarlcc Pst:hophysiolog-v. t9SJ,<br />

19(3):7-¡2-2t6.<br />

Wickens C. Engnæering o:¡'cholop and lutman ¡xrformaôce. C.E. Ife;ill, Colr.¡¡nbræ. 19t4.<br />

Wtlk,nscn, R.T. Effects of up to 60 hows sleep deprivation on differeût Þ pes of '*orli.<br />

Ergonomte


.-


TABLE I Summary of li¡ea¡ rgession ar.aiysis of ne.,¡obchaviotu¿. performance r.¡-iables<br />

Petformance Psr¡meler DF F R2 9/oDecrcnse<br />

SW Condiúon<br />

GRG RespoDsc Latency<br />

GRG Accuracy<br />

VIO Response LatencY<br />

VIG Accuracy<br />

Unprcdicøble Tracking<br />

Simple Sensory<br />

Aìcohol Conditior<br />

GRG Response Latenc¡'b<br />

GRG.{ccruacv<br />

VIG Response I-atency<br />

VIG Accuracy I<br />

UnpreCrctable Trackrng'<br />

Simptc Scnsor¡<br />

1,4<br />

l14<br />

1.4<br />

1,4<br />

1,4<br />

1,4<br />

70.61<br />

3.64<br />

98.54<br />

8! 79<br />

?0.93<br />

4.71<br />

74.30<br />

31.07<br />

t2 ê5<br />

2t2.37<br />

238.52<br />

s.37<br />

0.00t 1<br />

NS<br />

ù 00c6<br />

0 0008<br />

0.i,1l<br />

NS<br />

001i2<br />

0 Crl-< l<br />

0.ccù2<br />

0.00r)7<br />

c.æcó<br />

'Baseci on daa from 0.02?i-0.1truô BRC: b Bascd Lrn dat¿ ûom 0 C4?;.0 ltrzó B.¡rC<br />

NS<br />

0.95<br />

c96<br />

0.95<br />

0.95<br />

0.9?<br />

c89<br />

09E<br />

J.99<br />

0.99<br />

(pcr bour)<br />

7.69<br />

l.9t<br />

0.61<br />

3.36<br />

1¡ler0 0l% B.{C)<br />

)?1<br />

068<br />

205<br />

c.?9<br />

268


¡0 -<br />

5-<br />

3<br />

¡o<br />

Ê<br />

ë.r<br />

t)<br />

i'ror<br />

; -ts-.1<br />

3l<br />

_ -20 I<br />

at<br />

ut<br />

-30<br />

.15<br />

0 0 ) ü25 û.5 .0ó5 .085 .r0<br />

Blood .4lcohol Ccnccnùrtion (%)<br />

¡: t: ¡9 2!<br />

Houn -.f tÀ'akefulness<br />

FIG. l. V:rn :r.rtive prrfornranc: lcrels'.-o¡:lc respo:s: .arctc)' aou'¡pçne:: ;it-c s-amn¿lio¡l -asonin¿<br />

t¡sk ln'.hc rlcchol ¡ntox¡c¡¡JoD (leflr end cust¡incd *arcL¡lness':¡ndi¡ion The eçivaleo; pc:fonnanc:<br />

dçcre¡¡clrr ¿l ¿ 8AC of C 05?å ar!l.le\ ¿¡e indrcated c: Èc rigl'.r ha:o ¡x's E¡ro¡ be.- inCìc¿te: or3 s,e.n<br />

a'<br />

o<br />

c IêG<br />

)<br />

t<br />

\.<br />

a\<br />

+


e<br />

;U<br />

tr<br />

E.2<br />

I<br />

6<br />

o<br />

8.6<br />

¡u<br />

l<br />

z-¿<br />

-1<br />

i 0a .03J .045 .065 CE5 -tc+<br />

Bìacd Ahohol Ccncentr¿ticn (%)<br />

FlG. 2- ltlcs¡: rulrrive perforr:ancc levcls for rhc accw¡c),comh*îcr.: cf the ¿ra,r-esc¡l trsc¡rng tr!\ rn<br />

'àe alc¡..ùl r¡:cxtcation (le:) utd sust¡u:d x¡kefulness cofidr:Ìon ñe cq¡rra,:n: perienr.a-.- dccrc¡n:nr<br />

ata BÀ3 of t 05?z¡anC 0.10ú16 ¡n tnd¡cdcd ur thc right.r.urd r¡i: E¡rot ba¡s ¡.rdrcùtc 3 on€ ;.s m.<br />

-+--<br />

0¡0<br />

e<br />

c-<br />

c<br />

o<br />

ç<br />

(:<br />

l:<br />

¡<br />

s


5l<br />

e 0l<br />

9l<br />

el<br />

lf<br />

ã -5 I<br />

al õl<br />

g-l0l<br />

e.¡<br />

Ðl<br />

y.r:l<br />

!l<br />

- -20 J,<br />

-25<br />

I<br />

I<br />

c oo 0?5 045 .065 .O¡f l0+<br />

Btood Alcohcl Concent¡aion (%)<br />

ftG.J. VcurclUiv:pcrfc:nan;cle,rl¡forÜ:responsclatc:rc¡'aornpcn3:.:ofthevrtrlsnc:¡askinthc<br />

¡lcchol i¡1,¡xication ;l.fi) ¡J'l3 su3r!,nsJ wakefulness colüirio¡ Tþ cquivi::t pelona.lræ d:crcnen! lt<br />

! B.r\C of 0.05',ä ¡¡,,1 0 l0% a.'e rndrc¡tc: cn Úr: nght h¡nd axis !:o; ba¡s :-:dic¡tc ? o;1c: a m.<br />


t)<br />

2<br />

a<br />

E<br />

e<br />

ê.<br />

1)<br />

G<br />

C ()<br />

'l I<br />

1<br />

-¡ -,<br />

I<br />

1<br />

.rJ<br />

1<br />

-5 -<br />

0 O0 üzj :r5 0ó! ,0t! .10+<br />

Blcod Aìcoìrol C.rncentr¡tion (%)<br />

FIC ¿. Mc¡n rclS:rre p:rformance level¡ fo¡ ihe accuracy corE:poieût of tàe rìgiìur:e trsk in the<br />

alcohoì r¡roricarion i.:ftt ¡lr: sust¡:ncd waêc<br />

oro I<br />

e<br />

D


0)<br />

I<br />

É<br />

Ê<br />

E<br />

È<br />

L<br />

I<br />

e.<br />

l)<br />

I<br />

t)<br />

/ =I<br />

E<br />

20-<br />

l<br />

'o I<br />

.J<br />

_10 -<br />

I<br />

¡ 00 015 .o4t .055 .tl' l0+<br />

Blood Alcohol Conccritra¡ion (%)<br />

' lt :5 l; 31 7i<br />

Hours of Sakeñ¡lness<br />

FlG. l. Mecl rtl¡tive perfgrm¡ncc lcvel¡ for ürc rrnprcdi;trble kukiag ¡¿¡k ¡n the aisohol<br />

'-toricotior (tçñ) ¡¡ìé srs:¡bed w¡kcfulners cor.dnioo, Tbc equrralcot pc:'fo:trrn:c dccæb.-rt rt a<br />

BACof0.05%¿nd0lf/slrernd¡c¡redonÛrcrightLa¡rd¡ris. Eno¡b¡¡r;nCrEsis+ones-cln.<br />

+<br />

F<br />

+c<br />

e<br />

G<br />

t<br />

c<br />

s


I<br />

I<br />

äãË<br />

's.8 ¡<br />

Zã¿ .-<br />

, ¡r â'B<br />

I q:l><br />

I ""-<br />

áÊ<br />

I ëp t<br />

Ixgi<br />

= &3<br />

äÊH<br />

òoÕ<br />

ø¿-,s73<br />

rÍ,:<br />

'l ar O<br />

üú5-<br />

z*t<br />

rã:<br />

8,- I<br />

etË<br />

ó'f ø<br />

îtE<br />

nBo<br />

- l!¡<br />

,t- i;<br />

c9<br />

tL<br />

et<br />

3lI<br />

E oÉ<br />

ßl<br />

u'l<br />

o<br />

4,<br />

çc 2'<br />

ôI<br />

5 ô8<br />

;-<br />

b g,<br />

ãå<br />

oú<br />

't<br />

-¡-l<br />

- ,<br />

,l<br />

Mealt Rcle¡ivs Pcrformancc<br />

åti"êÞ:ù<br />

l- -¡--L-r L---I-¡ J-¡--t-r-l<br />

t'.{<br />

-Ct<br />

o<br />

(9å) utx¡c¡¡ucruolt loqottv Puotq<br />

I<br />

I<br />

I<br />

I<br />

I


O X-éZlaJFÉFú>


Crev. tattgue tactors m a\nauon acçlot'lìr<br />

crew fatigue factors in the Guantanamo Bay aviation accident<br />

Mark R. Rosekind, PhD'<br />

NASA Ames Resea¡ch Center<br />

Kevin B. GregorY, Donna L' lvfiller<br />

Sterling Softwa¡e<br />

Elizabeth L. Co<br />

San Jose State Universþ Foundation<br />

J. Vrctor Lebacqa PttD'<br />

NASA A¡res Research Center<br />

Malcolm Brenn€r<br />

National Transportation Safety Board<br />

. time, a military contract flight crashe'd while<br />

on, Guantanamo BâY, Cuba- The aþlane, a<br />

il States government, conducted an official<br />

:cident and to make recornmendations to<br />

e NTSB, the NASA Ames Fatigue<br />

r fatigue factors to examine their potential<br />

role in the accident. Three principal sources of information were made available from the<br />

NTSB accident investigatión to NASA Ames for analysis: 1) Human Performance<br />

lnvestigator's Factual R"Pott'<br />

2) Opeiations Crroup Chairman's Factual Report, and 3) Flight 808 Crew Statements'<br />

Based on scientific data related to sleep and circadian rh¡hms, the NA-SA Ames Fatigue<br />

Countermeasures program identiñed ttr"" core physiological factors 1s s¡emine wheB<br />

rt oiaccident. These factors have subsequentþ<br />

a factor exnmined but not previously reported'<br />

ntlaccident investigations are: l) acute sleep<br />

urs of wakefulness, 3) time of day/circadian<br />

effects, and 4) pressnce of sleep disorder. These factors were examined and the<br />

sleep/wake histìries for the flight crew prior to the accident are presented in Figr[e l'<br />

hnp ://olias. afc.nasa. gov/publicationvrosekind/GB/GB.<br />

Abstraa -html<br />

1A27198


Cre\' laugue lactors ln avlatron acc¡uçIìl<br />

Cæt<br />

F/O<br />

FlE<br />

IIII<br />

tllllltl<br />

Figure I. Crevv Sleep/Wakc Histories<br />

The crew had been offduty up to 2 days pnor to the accident trip and then flora'n<br />

overnight cargo schedules for the two nights prior to the accident, and had been assigned<br />

the accident trip unexpectedly on the morning of August 18, shortly after b€ing released<br />

from duty. The e ctra trip involved segments from Atlanta to Norfolh VA to Guantanamo<br />

Bay back to Atlanta, approximately 12 hrs of flight time in 24 hrs of duty. The figrre<br />

provides information on the fatigue factors: l) the individual crelv members had an acute<br />

sleep loss (i.e., 5,6,8 hrs of daytrme sleep),2) were continuously awake 19,21, and 23.5<br />

hrs prior to the accident, and 3) the accident occu¡red just prior to 5 pm local time during<br />

the afternoonvindow of sleepiness (this did not represent a trme zone change for this US<br />

East coast crew). Upoo inquiry, there were no reported synptoms or signs of a sleep<br />

disorder. Therefore, all three of the rnitial fatigue factors rvere operating in this accident.<br />

Thsre were two principal sources of data available on flight crew performance in the<br />

accidsnt: cocþit voice recorder (CVR) and Captain's testimony at the NTSB public<br />

hearing. There e/sre four performance effects related to fatigue that significantly<br />

contrr-buted to the accident: I ) degraded decision-making, 2) visuaVcognitive fixation, 3)<br />

poor corlrmunication/coordi.tation, and 4) slowed reaction time.<br />

A complete description of flight operations, fatigue factors, performance effects, and<br />

accident investigation findings are available in the frrll NTSB accident report (1). Based on<br />

the findings, the NTSB determined that the probable cause of this accident included the<br />

impaired judgment, decision-making, and flying abilities of the caPtain and flightcrew due<br />

to the effects of fatigue. This was the first time in a major U.S. aviation accident that the<br />

NTSB cited fatigue in the probable cause. As a result of this investigation, the NTSB<br />

recogrmsnded that the Federal Aviation Administration (FAA) expedite the review and<br />

upgrade of Ftight/Duty Time Limitations of the Federal Aviation Regulations to ensure<br />

that they incorporate the results of the latest research on fatigue and sleep issues. The<br />

NTSB reiterated a recommendation to require U.S. air ca¡riers to include, as part of pilot<br />

training, a progrâm to educate pilots about the detrimental effects of fatigue and strategies<br />

trrp ://olias. arc. nasa. gov/publicationVrosekind/GB/GB. Abstract. html r2t27t98


Cre'., fattgue tactors tn auarlon acctoent<br />

for avoiding fatigue and countering its effects. This hfTSB investigation and the NASA<br />

guidelines to examine fatigue factors, provides a model for investigating and documenting<br />

the role of fatigue in operational incidents and accideng.<br />

(l) National Transportation Safety Board. Aircraft accident report: uncontrolled collision with tenain,<br />

e¡¡grir.tt International Airways Fhght 80E, Douglas DC-8-61, N8l4CK U.S. Naval Air Statioq<br />

Guantanano Bay, Cub4 Augr¡st 1E, 1993. WashingtorU DC: National Transportation Safety Boa¡d,<br />

1994; NTSB/AAR-%/04<br />

hnp ://otias. afc. nasa gov/pubb cationVrosekind/GB/GB. Abstraa. html t2127/98


AIR LINE PILOTS<br />

535 HERNDON PAtrKWA.Y tr<br />

ASSOCIATION,<br />

P.O. EIOX 1'1 69 tr<br />

TO: Captain Rich Rubin, ApA<br />

Captain Robert Landa, SWAPA<br />

Captain Don Kingery, IACP<br />

Captain Dave We11s, FpA<br />

Ms. Lauri Esposito, IpA<br />

Mr. Don Treichler. IBT<br />

¡NTERNATIONAL<br />

HERNDON, VtRGtNtA ?O17?_1 159 tr 7C3-689-2270<br />

FAX7O3-481 _?478<br />

February 19, 1999<br />

For your records, r enclose a copy of the Reserve Duty/Rest<br />

Requirements working Group <strong>submission</strong> regardingr reserve rest.<br />

The ARÀc working Group pilot Members Submission contarns the<br />

f inal Lamond/Dar^/son report which was produced as Àppendix F.<br />

You should discard che copy of the <strong>submission</strong> thac was mailed to<br />

you on or about Januarv 9.<br />

. ã\tr<br />

Enc losure<br />

Qi n¡ora'l rt<br />

v¿¿¡vv! v¿-Y ,<br />

Legal Department


AIR CARRIER OPERATIONS ISSUES GROUP<br />

FAA AVIATION RULEMAKING ADVISORY<br />

COMMITTEE (ARAC)<br />

RESERVE DUTY/REST REQUIREMENTS<br />

WORKING GROUP<br />

Donald E. Hudson,l!I.D., Labor Co.Chairman<br />

H. Clayton Foushee, Ph.D.,<br />

I nd ustry/lVlanagement Co-Chai rman<br />

Phil Harter. Moderator


LETTER FROM BILL EDMUNDS TO THOMAS MCSWEENEY. FEB. 'g.Iggg


L<br />

AIR LINE PILOTS<br />

535 HEFìNDON PAFII


y the FAA a¡ individual airlin:s for individual operations. The indusrn/labor represenrarives<br />

prefer a more stn¡ctured approa;h.<br />

After severalpublic meetings::¿o basic scheduling schemes were proposed for providin_e resene<br />

pilots the opportuniry for rest u-r limiting the duty day based upon the amounr of advance norice<br />

of flight assigrnænt:<br />

o d scheduled protected drne period for all reserve pilots with the use of advance<br />

notification to either ca¡cel a scheduled protected time period or ro utilize a reserve on a<br />

sliding scale where the length of the duty day would be dependenr on the amounr of<br />

advance notifrca¡ion. a¡d<br />

o Limiting the duty da1' based upon the arnount of advance notificarion for a flight<br />

assignnrenr.<br />

Consensus<br />

ARAC proposals are based on developing consensus within the working group. The services of<br />

Mr. Haner were used to assist in this regard. After a great deal of discussion and give-and-take<br />

on the part of all concerned, tbe working group realized that consensus r+'ould nor be possible. Ar<br />

that point, the labor and managen¡ent representatives were asked to derelop proposals that woutd<br />

address their individual concerns and issues.<br />

These proposals a¡e presented to provide the F.{'{ the various industrl concerns and the rationale<br />

for their respective positions.<br />

Industrv Prooosals<br />

The industrv/manasement reprrsentatives fìnal proposal for Pan l]l scheduled operarions<br />

proridesaminimumeighthou:::stperiodor l0hoursof adrrncenoril-;;¡rion.undermosr<br />

circumstances. pnor to a fltgh: .-rsignment.<br />

Industlv/manf,gerËnt represen'.tives (Helicopter .\ssocirtion lntern¡rir-nel ) propose e scheme ior<br />

Pan 135 on-dem¡nd airchaner -.perations *hich include scheduled res3f\È.¡nd ertended rÈser\e.<br />

u ith provisions for operation3i ¡ela-vs.<br />

Industry/managernent represen',:tives (Nationel Åir Transpon .{ssocirriurn and \ational Business<br />

Aircraft <strong>Association</strong>) also address such reserre-related issues as res[. oppùnunirl'time. duty, and<br />

standby in Pan 135 unscheduled operations.<br />

Industry/labor representatives propose a minimum prospecti!e protected rime penod of l0 hours<br />

during a 24


Economic Impact<br />

Industr.v/management represehtatives compiled economic data penaining to the cosr of their<br />

proposal for Pan l2l scheduled operations. They estimate there u'ould be approximately Sl00<br />

million in incremental costs to the ma1or operators that provided economic data. primarily Air<br />

Transport Assoc iation member airlines.<br />

No econo¡:nic data were provided by smaller Part l2l or Part 135 operators.<br />

The w'orking group was unable to provide additional economic analyses comparing the various<br />

proposals.<br />

Summary<br />

A great deal of honest effort and serious consideration ,*ent into developing these proposals. The<br />

working group engaged in an intense n¡eeting schedule. essentially monthly, and much work was<br />

performed preparing for meetings. The working group is to be commended for this dedicadon.<br />

Special thanks a¡e due to Dr. Foushee and Dr. Hudson for thei¡ dedication and sincere efforts on<br />

behalf of bringing this task to fruition.<br />

While the casual observer may see great differences among these proposals, it is essential to<br />

concentrate on the common elements The¡'can serve as a basis for ac¡ion by the F,{{ in the<br />

rulemakrng arena.<br />

Thank ¡ou for the opportunity to be of serrrce.<br />

Enclosure<br />

S incer:lr .<br />

uJ \o¿_'^ q) Îa* *o<br />

\\'illirm \\'. Edmunds. Jr.. Chrirma n<br />

,\R.{,C.\ir Camer Operetions Issues Group<br />

'Y


E<br />

Í|l<br />

i<br />

:'<br />

3-<br />

¡.<br />

aù<br />

-J<br />

¡t<br />

¡,<br />

-<br />

-<br />

tl<br />

MEMO FROM DR. HUDSON. FEB. I.Iggg


Daæ: Februarl' l, 1999<br />

To: Air Ca¡rier Operauons Group<br />

From: Donald E. Hudson, M.D.<br />

Labor Co-Chairman ARAC Resen'c Dur,v Working Group<br />

It was my privilege to again serve as Co-Chairrnan of anothcr ARAC V[orking<br />

Group, this tirne dealing with reserve rest issues for professional pilots. It u'as also<br />

rewading to again work with Dr. Clay Foushee, with whom I sha¡ed office space at<br />

NASA Ames Research Cenær in the mid-1980's. In addition, Phil Harrer did an<br />

adrnirable job moderating this sometimes contentious gathering.<br />

Tt¡e diversity of today's aviation environment was reflected in the representatives of<br />

the group and it was clear frorn the outs€t that there were a gfeat variety of<br />

operational schernes in use for schcduling resewe pilots. Most of the meeting rirne<br />

was sPent in anempting to reach agreernent on a general scheme for Part l2l<br />

Schcduled Operators, it being felt that consensus was more probable in that arena.<br />

However, I was disappointed and dismayed thaq once again, a general conssnsrs in<br />

the AR {C bctwecn labor and managcment representatives proved elusive deqpite<br />

good faith effons by rnury talentcd people on both sides of these issues.<br />

At ftc first mcenng, it was decidcd not to do a comprehcnsive review of the scientific<br />

li:crature on fatigue, despite the specific direction to do so in the Federal Regrsrer.<br />

The ntlonale at the time being that a deailed revieu' of üe sciendfic literarure was<br />

unneccssary and, indeed, might be an ac:ual impediment to reaching consensus<br />

recommendanons. It was felt by both Dr. Foushee and myselt thar the rwo sides were<br />

no: thar far apart and a discussron of the opcrational fatiguc research, especially that<br />

co¡ducted over the last l5 ycars, would lead to drsagreements over relarively mlnor<br />

Ports. In retrospect, thal was a senous eilor. As the discussions continued into the<br />

fall of I998, it became clear there werefwda¡nental misunderstandings and<br />

differences of opinion about thc resea¡ch data and it's applicabiliry to flight hrne/dury<br />

time regularions for pilots. Th¡s led þ assertions that thc scicnrific literarure can be<br />

inte¡preted in a variety of cqually plausible ,ways and rvas thus not vcry useful in<br />

providing guidance for drafting practicd regulations. That conclusion is nor shared<br />

by a¡:y of the reputable scicntlsts who bave conducted the operarional research and it<br />

is no: the vieu' of the labor representatives nor the Battelle Group ln their recent<br />

recom¡nendations to FAA.


To thcir crcdit, thc management group did acknowledge thc nccd to provrde an<br />

oppornniry for a pilot to obtain 8 hours of slccp in a24 fou penod but had great<br />

difïiculry coming to terms with the physiological fact tlnt where that opportuniry<br />

occurs in the circadian cyclc is as viøl a parameter as the number of hours available.<br />

The research data indicates tbat humans show sigruficant decrements in performance<br />

after prolonged penods of *akefulncss. .As wc all know, corrmercial aviation can be<br />

a vçry unforgiving atvironment and this pus a hcav¡'burden on FAA regulators who<br />

must try to eusure that safery is not unduly compromised.<br />

The labor submíssion to ARAC is bascd on the ava¡lable scientific data and research<br />

in this ficld - which continues in counties arou¡d the world. It is designed to make<br />

every effort to ensurc that, as rnuch as possible, only crcnmembers with opportuniry<br />

to reccive adcquate rest arc available for dury. It is also designed to prohibit<br />

operations that have the real potenhal to push the human operators to fly when<br />

physiologically impaired. Thc scientific basis for thæe reconmendarrons is<br />

referenced and includcd in the proposal. I would sugge$ the rnanagement side<br />

challengc themselves to similarly measure their proposal by the yardstick of rhe<br />

scientiñc da¡a as well.<br />

Any new regulanons w¡inen to add¡ess the pressing issue of pilot fatigue must be<br />

based on our knowledge of the deleterious effects of farrgue on human physiology.<br />

The only const¿nt in this discussion is the physiology of thc human operator - the<br />

pilot. All othe¡ considerations, including economics and eflclency are important but<br />

not decisive.<br />

It rs discouraging to note that it is now 5 years to the day since rhe last ARA.C Fatigue<br />

Working Group subrruned it's proposals to FAA - and we srill do not have a final<br />

rule on Flight Time Dury Time. New regulations dealing wirr Reserve Rest are a<br />

vital pan of any new rulemaking process urd I urge FAA to urcnsider the vanous<br />

proposals and the avallable scientiñc data - a¡d act swiftly ro add¡ess this pressing<br />

problem.<br />

,4-^ -tt P // /<br />

/^,/Or1 6,1¿4. r- foAkt-<br />

I -"* '<br />

Donald E. Hudson, M.D.<br />

ARAC RDWG Labor Co-Charrna:r<br />

y* To-àL FÊûE.ø3 ¡.+


ARAC WORKING GROUP PILOT MEMBERS SUBMISSION, JAN.8, 1999


VIA OVERNIGHT DELIVERY<br />

Dr. Donald E. Hudson<br />

Aviation Medicine Advisory Group<br />

14701 East 2nd Avenue<br />

Suire 200<br />

Aurora. CO 8001I<br />

Gentlemen:<br />

ARAC WORKING GROUP<br />

PILOT MEMBERS SUBMISSION<br />

The 78,000 airline pilots who were represented at the ARAC Working Group welcome<br />

the opportunity to provide their unified position regarding a reserve rest re_sulation. We are<br />

pleased that the Working Group was able to reach a consensus that pilots who are assigned<br />

reserve duty should have a protected rest period during every 24 hours. However, we are very<br />

disappointed that we were unable to reach a consensus as to the "scheme" that would best<br />

provide the required rest.<br />

We believe that the efforts of the Working Group will prove helpful to rhe FAA in<br />

formulating a final regulation. The differing positions of the parties have been narrowed and<br />

clearly identified. It is now up to the FAA to timely promulgate a hnal regulation.<br />

Captain Rich Rubin<br />

Allied <strong>Pilots</strong> <strong>Association</strong> (APA)<br />

Captain Robert Landa<br />

Southwest <strong>Pilots</strong> <strong>Association</strong> (SWAPA)<br />

(,UIL<br />

,--\ t<br />

Captain Dave Wells<br />

Fedex <strong>Pilots</strong> <strong>Association</strong> (FPA)<br />

W>lL<br />

Don Treichler<br />

International Brotherhood of Teamsters (IBT)<br />

Respectfu I ly submitted,<br />

Dr. CIay Foushee<br />

Northwest Airlines<br />

901 l5th Street, N.W.<br />

Suite 310<br />

Washington, DC 20005<br />

Captain Frank Williamson<br />

Air Line <strong>Pilots</strong> <strong>Association</strong> (ALPA)<br />

Captain Don Kingery<br />

<strong>Independent</strong> <strong>Association</strong> of Continental <strong>Pilots</strong> (IACP)<br />

Lauri Esposito<br />

<strong>Independent</strong> <strong>Pilots</strong> <strong>Association</strong> (lPA)


Airline<br />

Air Wisconsin<br />

Alaska<br />

Allegheny<br />

AIoha<br />

Aloha Island Air<br />

America West<br />

American<br />

American Eagle<br />

Atlantic Coast<br />

Atlantic Southeast<br />

Business Express<br />

Carnival<br />

CCAir<br />

Comair<br />

Continental<br />

Continental Express<br />

Delta<br />

DHL<br />

Emery Worldwide<br />

Express<br />

Federal Express<br />

Hawaiian<br />

IBT<br />

Aviation Rulemaking Advisory Committee<br />

Reserve Rest Working Group<br />

Proposal of 77 ,955 Airline Pilors<br />

January 8, 1999<br />

<strong>Pilots</strong> Airline<br />

240<br />

I 153<br />

354<br />

r92<br />

&<br />

r532<br />

9508<br />

2055<br />

694<br />

763<br />

372<br />

2t9<br />

172<br />

l 000<br />

4769<br />

1010<br />

9188<br />

395<br />

451<br />

329<br />

361 r<br />

285<br />

6000<br />

Mesa<br />

Mesaba<br />

Midway<br />

Midwest Express<br />

Northwest<br />

Piedmont<br />

Polar Air Cargo<br />

PSA<br />

Reeve<br />

Reno<br />

Ross<br />

Ryan lnternational<br />

Skyway<br />

Southwest<br />

Spirit<br />

Sun Country<br />

Tou'er Air<br />

Trans States<br />

TWA<br />

United<br />

UPS<br />

USAirways<br />

USAirways Shunle<br />

<strong>Pilots</strong><br />

1095<br />

804<br />

174<br />

262<br />

6103<br />

368<br />

186<br />

254<br />

33<br />

302<br />

l9<br />

257<br />

I _ì2<br />

1735<br />

t 5-1<br />

2l -j<br />

206<br />

806<br />

25 r6<br />

962t<br />

2 r00<br />

5092<br />

t67


TABLE OF CONTENTS<br />

Preamble .............. l.<br />

Part I: Proposed Regulatory language ................... 5<br />

Part II: <strong>Pilots</strong>' Proposal with Intent, Examples. and Rationale........... -....--- j<br />

Scþntific Support ................ 16<br />

Principles and Guidelines for Duty and Rest Scheduling in Commercial Aviation,<br />

NASA Technical Mernorandum I10404 (May 1996) Appendix A<br />

An Overview of the Scientific Literature Concerning Fatigue, SleeP, and the<br />

Circadian Cycle, Battelle Mernorial Institute (January 1998) ....Appendix B<br />

A Scientific Review of hoposed Regulations Regarding Flight Crewrrpmber<br />

Dury Period Limitations, Docket #28081, The Flight Duty Regulation<br />

Scientif¡c Study Group ..........Appendix C<br />

Remarks by Dr. William Dement to the ARAC Working Group Pilot Representatives,<br />

December l, 1998 Appendix D<br />

Farigue, Alcohol and Performance Impairment, Nature,<br />

Vol. 338. July-August 1997 ..Appendix E<br />

Quantifying the Performance Impairment associated with<br />

Sustained Wakefulness. Nicole l^amond and Drew Dawson. The Centre for<br />

Sleep Research, The Queen Elizabeth Hospital, South Australia Appendix F<br />

Crew fatigue factors in the Guantanamo Bay aviation accident. NASA abstract......... Appendix G


AVIATION RULEMAKING ADVISORY CONÍMITTEE<br />

RLSERVE REST WORKING GROT.JP<br />

PROFOSAL OF 77,955 AIRLINE PILOTS<br />

Januar-r t, 1999<br />

PREAMBLE<br />

This document is submitted on behalf of approximately 78,000 commercial airline<br />

pilots. The proposal thar follows contains our necouunendations for Federal Aviation<br />

Regulations concerning rest requirements and duty limitations for reserve pilots. It is<br />

applicable to all Donpstic and International Part l2l oPerations under FAR Subparts Q,<br />

R, and S. Pa¡t 135 regulations should be revised to provide a þvel of safety equivalent to<br />

this proposal.<br />

Our proposal is presented in two parts. Part I is the proposed regulatory language.<br />

Part tr provides our intent, examples, and rationale. The scientific supPort for our<br />

proposal is included in the endnotes.<br />

We are pleased that both pilots and air ca¡riers were able to agree on the<br />

following elements of a proposed reserve rest rule:<br />

l. A pilot should be scheduled by the operator to receive a protected time period<br />

as an opportunity to sleep for every day of reserve duty. The op€rator lr¡ay not<br />

contact the pilot during this period-<br />

2. An operator should limit the rnovernent of a pilot's protected time period<br />

during consecutive days of res€rve duty to ensure circadian stability.<br />

3. A reserve pilor's availability for duty should be limited to Prevent pilot fatigue<br />

as a result of lengthy periods of time-since-awake.


4. Sufficient advance notice of a flight assignment can provide a reserve pilot<br />

with a sleep opportunity.<br />

We believe that it is incumbent upon the Federal Aviation Administration (FAA)<br />

to include time-of-day as a factor in designing duty and rest limitations. A substantial<br />

body of research and pilot reports shows that a decrease in performance frequently occurs<br />

during "back-side-of-the-clock" operations due to circadian factors. To address this<br />

issue, our proposal provides for a reduction in the reserve availability period when<br />

scheduled duty touches the 0200 -<br />

'lindow of circadian low."<br />

0600 time period, or what the scþntists rcfer to as the<br />

Our <strong>submission</strong> refers to several documents that have provided us with a<br />

foundation of scientific support. Prominent among them is NASA Technical<br />

Memorandum I l0t04, Principles and Guidelines for Duty and Rest Scheduling in<br />

Commercial Aviation, (May 1996)- This document, herein referred to as NASA TM.<br />

offers NASA's specific recorrrmendations on duty and rest limitations based on more than<br />

20 years of extensive research into the cause and prevention of pilot fatigue. It is<br />

anached hereto as Appendix.A.<br />

Another reference is An Overtiew of the Scientific Literature Concerning<br />

Fatigue, Sleep, and the Circadian Cycle, Battelle Memorial Institute Srudy (January<br />

1998). This study, herein referred to as the Battelle Study, commissioned by the FAA's<br />

Offìce of the Chief Scientific and Technical Advisor for Human Factors, provides an in-<br />

depth review of scientific research concerning sleep and fatigue. Drawing upon 165<br />

scientific references, the Banelle Report identifies major trends in the scientific literature,<br />

and has provided valuable information and conclusions. This study is attached as<br />

Appendix B.


Another reference is A Sci¿n¡ific Review'of Proposed Regulations Regarding<br />

Flight Crewmember Dur¡* Period Limitations, Docket #28081, The Flight Duty<br />

Regulation scientific Study Group. This study was sponsored by the <strong>Independent</strong> <strong>Pilots</strong><br />

<strong>Association</strong> to provide a scientific review of NPRM 95- 18. It is referred to as the<br />

Scientific Study Group and is attached as Appendix C.<br />

The pilots net with sleep expert, Dr. William Dement, Director of Sleep Research<br />

and Clinical Programs at Stanford University. The transcript of that rneeting appears in<br />

Appendix D.<br />

We have attached an article titled Fatigue, Alcohol, and Perfomance Impairment<br />

that summarizes a study conducted by The Centre for Sleep Research at the Queen<br />

Elizabeth Hospital in South Australia in Appendix E. This study quantifies the<br />

performance impairment associated with sustained wakefulness in terms of equivalent<br />

p€rcent blood alcohol impairment. A subsequent study, titled Quntifiing the<br />

Perfonnance Impairment associated *'ith Sustained Wakefulness, by l:mond and<br />

Dawson replicates rhis study and extends the initial f,rndings. It is attached as Appendix<br />

F.<br />

The NTSB requested that the FA.A. conduct an expedited review of the FARs after<br />

pilot fatigue and continuous hours of wakefulness were found to be key frndings in the<br />

crash of a DC-8 u Guantanamo Bay, Cuba in 1993. A NASA/NTSB report titled Cr¿w<br />

fatigue factors in the Guantanamo Bav aviation accident is anached as Appendix G.<br />

Several airlines have switched to reserve pilot schernes very similar to the one we<br />

propose. These ca¡riers include Continental Airlines, UPS, Anrrica West, Alaska<br />

Airlines, and British Airways. The reserve pilots at these airlines have protected time<br />

periods of 8 to I2 hours with reserve availability periods of l4 to l8 hours.


\['e owe a debr of gratitude to rhe rnâny pilots who provided us with rePorts of their<br />

encounrers with pilot fatigue. These reporrs reveal that pilot fatigue typically occurs during<br />

back-side-of-the-clock operations and after long periods of time-since-awake'<br />

The pilors would like ro thank the FAA for providing this forum and the air<br />

carriers for conrributing to ttre debate. We hope that this ARAC has demonstrated to all<br />

interested parties how unregulated scheduling can lead to dangerously high levels of pilot<br />

fatigue for reserve pilots. 'We urge the FAA to quickly remedy this very serious safety<br />

problern<br />

4


l2l.xxx Reserve Rest<br />

PART I: PROPOSED REGULATORY LANGUAGE<br />

(a) Except as provided in paragraphs (b) and (d), no cenificate holder may schedule<br />

any flight crewmember and no flight crewrnember may:ìccept an assignment to<br />

reserye stafts unless a minimum prospective Protected Tirne Period (PTP) of l0<br />

hours during a 24-consecutive hour period is scheduled. The Protected Time<br />

Period must begin at the sanË time during any scheduled period of consecutive<br />

days of reserve status and the flight crewnpmber must be given no less than 24<br />

hours notice of the Protected Time Period.<br />

(b)<br />

(c)<br />

A certificue holder may reschedule a specific Protected Tirne Period during any<br />

scheduled period of consccutive days of reserve by the following:<br />

( I ) Rescheduling the beginning of a Protected Time Period a maximum of<br />

th¡ee hours later r*'ithout prior notification.<br />

(2) Rescheduling the beginning of a Protected Time Period a maximum of<br />

three hours earlier if the flight crewrnember is provided 6 hours notice<br />

prior to the beginning of the originally scheduled Protected Time Period.<br />

(3) Rescheduling the Protected Time Period by more than 3 hours once durin-s<br />

any 7 consecutive days by providing the flight crewrnember l0 hours<br />

notrce.<br />

A certificate holder may assign a flight crewrnember and a flight crewmember<br />

may accept an assignment for flight time in scheduled air transportation or other<br />

commercial flying if such assignment is permitted by this subpart;<br />

(l) If the assignrnent is scheduled to be completed wi¡hin l6 hours after the end<br />

of the preceding Protected Time Period; however.<br />

(2) If the flight crewrrrcmber is given a flight assignnrent for any part of the<br />

period of 020O to 0ó0O hours, any such flight assignment must be scheduled<br />

to be completed within l4 hours after the end of the preceding Protected<br />

Time Period. The operaror with the concurrence of the administrator and<br />

the pilot group rrny designate any 4-hour period for all operations between<br />

0000-0600 hours in place of 0200-0600 hours.<br />

These limitations rnay be extended up to 2 hours for operational delays.


(d) When there a¡e no other reserve pilots who have sufFrcient res€rve availability<br />

periods to complete an assignment, the cenificate holder may schedule a flight<br />

crew member for an assignrnent for flight tinp in scheduled air transportation or<br />

other flying permitted by this subpart, providcd that the crew Inember is given a<br />

minimum of 14 hours of advance notice and s released to protected time at the<br />

time of the notice.<br />

(e) Each certificate holder shall prospectively rclþve each flight crewrrpmber<br />

assigned to reserve for at least 24 consecuti\E hours during any 7 consecutive<br />

days.<br />

(Ð For augrrrnted International operations, a cettificate holder may assign a flight<br />

crewnpmber and a flight crewrrpmber may æept an assignrnent for flight time<br />

in scheduled air transportation or other comrærcial flyrng as follows:<br />

( I ) For single augmentation, the assignnrnt must be scheduled to be completed<br />

within 18 hours after the end of the preceding Protected Tirne Period; or<br />

(2) For double augmentation. the assignnrnt must be scheduled to be<br />

conpleted within 22 hours after the end of the preceding Protected Time<br />

Period.<br />

These limitations rrny be extended up to 2 hours for operational delays.<br />

DEFTNITIONS<br />

Operationd Delay - Any delay that would cause tÌrc Reserve Crewmember to be<br />

exrended beyond the applicable duty limit for up to rwo hours: except a delay caused by<br />

changing the Reserve's original flight assignment.<br />

Protected Time Period (PTP) - Sarne as l2l.47l(bX6), NPRM 95-18. except "has no<br />

responsibility for work" replaced by "has no responsibility for duty."<br />

Reserve Availability Period (RAP) - The period of time from the end of the PTP to the<br />

tirne that the reserve crewrrpmber must complete flight duty.<br />

Reserve Time - Sarne as l2l.47lOX7), NPRM 9t18, except "two hours" for report<br />

time versus "one hour."<br />

Standby Duty - Sarrp as 121.47(bX9), NPRM 9t18, except "less than two hours" to<br />

repon versus "one hour."<br />

6


Part II: <strong>Pilots</strong>' Proposal with IntenÇ Examples, and Rationale<br />

I2l.xxx R¿sene Rest<br />

(a) Ercept as provided in paragraphs (b) and (d), no certifuate houer may<br />

schcdule any flight crewmember and no flight crewmember may accept an<br />

assignment to reserye status unless a minimum prospective Protected Time<br />

P¿riod (nÐ of I0 houtt during a 2hconsecutive hour period is scheduled.<br />

The Protected Time Period must begin at the sane time during any scheduled<br />

pøiod of consecutive days of resert'e stotus and the tlight crewmember must be<br />

giæn no less than 24 houn notbe of the Protectcd Time Period-<br />

lntent: To ensure that all reserve pilots are sctpduled for and receive a Prosp€ctive, and<br />

predictable. lO-hour opportunity every reserve day to obtain 8 hours of sleep and to<br />

maintain cncadian stability.<br />

Example:<br />

Pilot - PTP 2OOO06OO<br />

10 hr PTP<br />

Rationale: The human body requires an avera-ee of 8 hours of unintemrpted, restorative<br />

sleep in a 2.4 hour period *'hen sleeping during normal sleeping hours. When attempting<br />

to sleep ourside of normal sleeping hours, 8 hours of sleep is still required. Ho*'ever,<br />

scienrific data indicates additional time is needed to obtain the required 8 hours of sleep.<br />

The l0 hour Prorected Time Period ([rfP) would. therefore, include an opportunity to<br />

prepare for and actually receive 8 hours of restorative sleep in all circumstances.<br />

Addnionally, a lO-hour PTP was selected with the assunption that the minimum required<br />

resr for all pilots would be l0 hours (See NPRM 95- l8). A lO-hour PTP would maintain<br />

consisrencv of rest for all pilots. Starting consecutive PTPs atthe same time is<br />

imperarire to maintaining circadian stability. The desired method of assigning PTP<br />

would be when the crewmember is assigned reserve. A minimum of 24 hours<br />

norifrcarion of a Protected Time Period will provide an opportunity to prepare for<br />

impendine reserve days. I


(b) A certificate holder may reschedulc a Prutccted Time Period during any<br />

scheduled period of consecutive fuys of resene by the following:<br />

Intent: To provide the reserve pilot with a predictable, prospective rest period and also<br />

give the operator scheduling flexibility to accom͡odate unforeseen circumstances.<br />

Rescheduling a PTP +/- 3 hours is only applicable to thar PTP. Remaining res€rve days in<br />

a block would begin ar ttrc original start tinr. Shifting of a PTP does not extend a<br />

Reserve Availability Period (RAP).<br />

(t) Reschedaling lhe beginning of a Protected Time Period a<br />

naximum of tfuee houtt laer vithout prbr notifrcøtbn.<br />

Example:<br />

(In this example, under no circumstances ruy a PTP strt tirne be later than 2300)<br />

Day I<br />

PTP 2000 to 060O (original PTP)<br />

2mo<br />

2200<br />

Day 2<br />

PTP 2300 to 0900<br />

Ilay 3<br />

PTP 2000 to 060O<br />

Rationale: Delaying<br />

to circadian stability.<br />

l0 hr PTP<br />

a sleep opportunity, up to th¡ee hours, is not excessively disruptive<br />

In this c¿LSe, no prior notification is required.


(2) Rescheduling the beginning of a Prolected Time Period a marimum of<br />

3 hoan earlier if the flight crewmemba is provided 6 hours notice prior<br />

to the beginning of the originally scheduled Protected Time Period.<br />

Example:<br />

(In this example, under no circumstances may a PTP sõt time be ea¡lier than 1700)<br />

Day I<br />

PTP 2000 to 0600 (original PTP)<br />

Day 2<br />

PTP 1700 to 0300<br />

Da1'3<br />

PTP 2000 to 0600<br />

'I 0 hr PTP<br />

Rationaþ: Moving-a sleep oppornrnity earlier, up to three hours, is disruptive to<br />

circadian stabiliry. To accommodate and prepare for this rescheduled sleep opportunity<br />

additional notice is required.


(3) Rescheduling the Protected Time Period by more than 3 hours once<br />

during any 7 consecutive days by províding thetlight crewmember l0<br />

hourc notbe.<br />

Rationale: Changing a sleep oppomrnity more than +/- 3 hours is very disruptive to<br />

circadian stability. For extrene circumstances beyond tlre control of the operator (i.e.,<br />

inclement weather, closed airports, etc.) an op€ra¡or has the ability to reschedule a PTP<br />

npre than 3 hours from the original sta¡t time. A minimum of l0 hours prior notification<br />

of the new PTP is required to allow the pilot a period of tirne to adjust for the rescheduled<br />

sleep opportunity. This provision is restricted to once in every 7 days because it is so<br />

deuinrental to circadian stability. This restriction also would preclude the operator from<br />

arbitrarily utilizing this provision and yet allows tlre certificate holder the flexibility to<br />

operate under extrenÊ circumstances.'<br />

l0


(c) A certiftcate holder may assign aflight crevmember and atlight<br />

crewmember ma! accept an assignmenrforflight timc in scheduled air<br />

transporTotion or other commercbltlying if such assigwnent is<br />

permitted by thís subpart;<br />

(l) If the assignment is scheduled to be compl-eted within 16 houn<br />

after the end of the preceding Prolcctcd Time Period;<br />

Inænt: To establish a "Reserve Availability Period" (RAP).3<br />

Example:<br />

22ú 2.00 oaoo<br />

lt


Examples:<br />

(2) If the flight crewmember is given a tlight assignment for any part of the<br />

períod of 0200 to 06ü) houtt, any suchtlight assignment must be<br />

scheduled to be complcted xithin 14 houn after the end of the preceding<br />

Protected Time Period- The operator with the concurtznce of the<br />

administrator and the píIot gmup may desígnate any hhour periodfor<br />

all operations between 0000-(M00 hoan in place of 0200-0600 hourc.<br />

2lr<br />

rlan¡ron<br />

14 hr RAP<br />

t0 hr PTP lf Duty Occurs Between 0200 - 0600<br />

t6 hr RAP<br />

l0 hr PTP ll Duly Occurs Outside 0200 - 0600<br />

These limitations may be extended up to 2 hours for operæional delays.<br />

Rationale: Time-since-awake contributes to fatigue. This section acknowledges timesince-awake<br />

by limiting the RAP to l6 hours if the pilot is afforded the opportunity to<br />

sleep during a normal sleep period. The soence further indicates fati_rue occurs sooner<br />

when given a sleep opponunit)- at a time othe r than normal sleeping hours. This section<br />

addresses that fact by reducing the R{P to l-l hours should duty occur during this normal<br />

sleep period.r<br />

t2


(d) When therc ore no olher resene pitoß who have sufftcient Ìesetlte availability<br />

periods to complete an assignment, the certiftcale holder may schedule aflight<br />

-crcw mcmberfor an assignmentforllight time in scheduled air transportation<br />

or otherflying permitted by this subpañ, provided that the crew member is given<br />

a minimum of 14 houts of advance notice and is released to protected time at<br />

the time of the notbe.<br />

Intent: All pilots are originally scheduled in a PTP systern Circadian stability is<br />

ensu¡ed by all pilots having a definitive, prospective sleep opportunity. When all such<br />

pilos havè been utilized, 14 hours notice rnay be used by the oPerator to assign a pilot to<br />

ä Rigttr. Once notified of a flight assignment a crewrrrmber is released from further<br />

responsibility until he reports for duty. TWhiþ this method of assigning reserve is less<br />

than desirable, it enables the certificate holder to continue oPerations as necessary.<br />

Rationale: While advance notice can pres€nt a sleep opportunity, scientific research is<br />

very clear that circadian factors make it very difflrcult and sometimes impossible to take<br />

advantage of it. For example, consider a pilot who fmishes his PTP at 0800 and is then<br />

contacted by the ca¡rier for an assignment thât rePorts aÎ2200. This would be an<br />

application of l4 hours advance notice. Circadian factors make it very difficult, if not<br />

impossible, for the pilot to sleep again until later, typically during the afternoon circadian<br />

low poinr (150O - 1800) or earlier if possible. However, by receiving the notice early, he<br />

can schedule his nnrning activity accordingly to best PrePare himself for the afternoon<br />

sleep opportunity (like a line-holder does). Typically, he would go to bed around l50O -<br />

l60O and ser the alarm clock for l gOO - 2000 to provide enough time to shower, dress,<br />

eat. and report for duty. Even with l4 hoursof advance notice. this pilot could only<br />

exp€cr to sleep 4 - 5 hours prior to reporting for a back-side-of-the-clock assignment that<br />

last until l20O the following day. It should be apparent that less than l4 hours<br />

"oul¿<br />

norice could result in less than 4- 5 hours of sleep and raise the probability of serious<br />

pilot fatigue during the assignment-<br />

The above example was discussed during the Denver ARAC meeting. At one<br />

point,.Dr. Don Hudson was asked for his expert opinion re-earding what should be<br />

iequired for a minimum arnount of advance notice. Dr. Hudson's response was l3 to l4<br />

hours.t<br />

l3


(e) Each ceftiftcate holder shall prospcctively relicve cach tlight crewmember<br />

assigned to reserte for at least 24 consccutive houn during any 7 consecutive<br />

days.<br />

Intent: All reserve pilots must receive a prospective 24 hour period free from duty<br />

during ny 7 consecutive daYs.<br />

Rationale: <strong>Pilots</strong> assigned to reserve status must be continually prepared for any flight<br />

duty. These pilots should be relieved from this obligæion fo¡ 24 hours during any 7<br />

consecutive days. The pilot must be notificd prior to the beginning of that offduty<br />

period.<br />

l4


A<br />

Example:<br />

Example:<br />

For augmented International operotions, a certificate hoWer may assign a<br />

flight crewmember and aflight crewmember may accept an assignmentfor<br />

flight time in scheduled air transporlation or other commercialflying as<br />

follows:<br />

(l) For single augmentotion, the assignment must be scheduled to be<br />

completed within 18 houn after the end of the preceding Protected Time<br />

Period; or<br />

(2) For double augmentatioq the assignment must be scheduled to be<br />

completed within 22 houn after the end of the preceding Protected Time<br />

Period<br />

10 hr PTP<br />

These limitations may be extended up to 2 hours for operational delays.<br />

lntent: To establish a Reserve Availability Period (RAP) for long-haul international<br />

reserve pilots.<br />

Rationale: L,ong-haul international flights necessarily involve back-side-of-the-clock<br />

flyin_e. Therefore. for a single pilot augnentation, we added 4 hours to the l4-hour backside-of-the-clock<br />

duty period and 8 hours for doubìe augmentation. This is in accord<br />

with the NASA TM. ó<br />

l5


I l2l.xxr Reserte Rest<br />

Scientific SuppoÉ<br />

(a) Except as provided in paragraphs (b) and (d), no cenificafe holder may<br />

schedule any tlight crewmember and no flight crewmember may æcept an<br />

assignment to reserte stotus unlcss a minimum prospective Protecled Time<br />

Period (nÐ of 10 houn dwing a 2Aconsecutive hour period ß scheduled-<br />

The Protected Time Period must begin at the same time during any schedul¿d<br />

period of consecutive days of reserte sbtus and the flight crewmember must bc<br />

given no bss tløn 24 houn notbe of the Protected Time Perbd<br />

Ssis¡tiñc zupport:<br />

(a) l0 hour Protected Time Period to provide an opportunity to obtain 8 hours of sleep.<br />

Each individual has a basic sleep requirement that provides for optimal levels of<br />

performance and physiological alertness during wakefulness. On average, this is<br />

8 hours of sleep in a 24-hour period, with a range of sleep needs greatet than and<br />

less than this amounr. Losing as little as 2 hours of sleep will result in acute sleep<br />

Ioss, which will induce fatigue and degrade subsequent waking performance and<br />

alertness.<br />

NASA TM, Í1. l.l, p.2.<br />

Off-duty period (acute sleep and awake-time-ofr requirements) - Therefore.<br />

the off-duty period should be a minimum of l0 hours unintemrpted within any<br />

24-hour period. to include an 8-hour sleep opportunity[.]<br />

NASA TM, t2.1.2. p. 5<br />

Standard Sleep Requirements and Off-Duty Period - Resea¡ch by Drs. Carskadon<br />

& Dement, l982and Weh¡ et al., 1993 support a minimum of 8 hours of sleep<br />

based upon a.range of studies that use several approaches includin-s:<br />

o Historical levels of sleep<br />

o Measures of daytime alenness<br />

. Sleep levels achieved when given the oppomrnity to sleep as long as<br />

desired<br />

Battelle Report, p. 15.<br />

. . . There appears to be substantial evidence that a minimum of eight hours of<br />

sleep is required for most people to achieve effective levels of alertness and<br />

performance.<br />

Battelle Report, p. 21.<br />

l6


. . . It is importanr to realize that an individual working nights is at risk for<br />

signifrcanr sleepiness for two distinct reasons: . . . an individual working<br />

successive nighrs is forced to obtain sleep during the daylight hours at a time<br />

when rhe circadian pre-disposition to sleep is minimal. . . . As mentioned, sleep<br />

under these circumstances is r¡rpically fragrnented, sleep state architecture is<br />

distorted, and the restorative nature of sleep - . . is reduced.<br />

A Scientific Revie*'of Proposed Regulations Regarding Flight Crewmember Dunn period<br />

Limitarions. The Flight Duty Regulation Scientific Study Group,12.6,p.5-6.<br />

Minimum rest periods should be adþsted upward for sleep periods that include<br />

tbe tin¡e of peak circadian alertness (4 - 6 PM.)-<br />

efFrcienc-v of sleep during that time. (Errphasis added.)<br />

Scientif,rc Study Group, tI 5.1 .2, 5.1-4, P- I l.<br />

Remarks of Dr. Dement:<br />

e: . - . One of the rmst basic tasks is for us to agree on a recolnrnendation for a sleep<br />

opportunity . . . to afford every reserve pilot the opportunity of a protected tirne<br />

period so that he or she is absolutely insulated from contact from the operuor.<br />

How many hours do you recomrnend for a minimum fixed sleep opportunity?<br />

A: I will start our by assuming that we would take 8 hours of sleep as the rnost<br />

corffnon requiremenr. Then you need to add to that in order to be able to get the<br />

proper arnounr of sleep. In y.our situation, I would think it w'ould be a little lar-ger<br />

rhan ir might be for sorneone who really wasn't doing anything. So. I'd add a<br />

couple of hours to -qet the proper alîount of sleep.<br />

Appendix D.p.4.<br />

Q: Dr. Derr¡ent, . . . we're really at the point now where we're going beyond the<br />

philosophy and we're trying to put our finger on nurneric values. Our position at<br />

least from the pilots' standpoint, is that we see the need for a lGhour sleep<br />

opportunity knowing that ttle opportunity may not always be at the best time of<br />

the day. We're facing an industry position that is Iooking for 8 hours as the<br />

minimurn Our position is predicated on ttre fact that 8 hours may be adequate if it<br />

overlaps the WOCL. But since we don't know for sure when we're going to have<br />

that opportunity. we believe that, or we think that having that extra 2 hours is<br />

going to give us a little more of a buffer, especially when it cornes during the<br />

daytime. Would you consider that to be a conservative and a justified position?<br />

A: Absolutely. I don't think you could possibly assulne solneone is going to fall<br />

asleep instantly and then sleep continuously for 8 hours, not even under the most<br />

ideal circumstances. Maybe it should be longer.<br />

Appendix D, pp. 5-6.<br />

t7


Scientific support:<br />

(a) Scheduling the Protected Time Period for the salr¡e time each day<br />

Time-of-day / Circadian Physiology Afiects Sleep and \{aking Performancr -<br />

. . . Tinre-of-day or circadian effects are important considerations in addressing 24<br />

hour operational requirements because circadian rhythms do not adjust rapidly to<br />

change.<br />

. . . Thus, circadian disruption can lead to acute sleep deficits, cumulative sleep<br />

loss, decreases in performance and alertness, and va¡ious health problems . . .<br />

Therefore, circadian stability is another consideration in duty and rest scheduling.<br />

NASA Feconunends a sleep opportunity that is predictable (24 hours notice<br />

re,coÍ[nended), does not vary rnore than 3 hours on subsequent days to ensure circadian<br />

srability, and is protected from intem¡ption. @mphasis added-)<br />

NASA TM, Il .3, p. 34;12.6.2, p. 8.<br />

Conclusion -<br />

hour cycle.<br />

Banelle Report, p.28.<br />

Remarks of Dr. Dement<br />

Reserve assignments should anernpt to maintain a consistent 24<br />

Q: Dr. Dernent, there's one area that we really haven't touched upon at this point and<br />

I don't want to miss. These are questions re_sarding the maintenance of cr¡cadian<br />

stability. [n your opinion, why is maintaining circadian stability so important?<br />

A: Well because usuall.""... and b¡' that you mean your sleep opportunities and vour<br />

wake oppomrnities Íue in that period of stability, then you have the best sleep and<br />

the best walie. If you get out of that cycle, then both sleep and wake will be<br />

impaired.<br />

Q: What happens to the body as you change a person's cycle?<br />

A: All sorts of things happen, but the major thing of course is that you are now trving<br />

to sleep when the body wants to be awake and you're trying to be awake when the<br />

body wants to be asleep because you left the circadian stability that you talked<br />

about.<br />

Appendix D,pp. líl7.<br />

t8


t (3) Rescheduling the Protected Time Period by more than 3 houn once<br />

during any 7 consecutive days by providing the flight ctev'member I0<br />

houn notice.<br />

Scientific supoort:<br />

(b) Limiting rhe rnovement of the Protected Time Period to Plus or Minus 3 hours<br />

. . . the 8-hour sleep opportunity should not vary by nnre than 3 hours on<br />

subsequent days to erlsure circadian stability. . . .<br />

NASA TM,12.6.2, p. 8.<br />

Remarks of Dr. I)errent<br />

Q: . . . we're trying to insrre that the protected tirne period, the rest period, stayed the<br />

same from day to day, assuming the reserye crewmember is not called. Or for<br />

that maner when he is called, he goes back into his cycle. We're anenpting to try<br />

ro snap him back to as close to that original cycle and maintain that same rh¡hm<br />

from day ro day. NASA has findings on that. Their reconunendation wÍrs to<br />

maintain that circadian stability plus or minus 3 hours. Do you agree or disagree?<br />

A: I absolurely agree that's better than no stability. Obviously the smaller that<br />

number, the bener. I thlnk practically it couldn't be zero, but I think we tend to<br />

feel there's kind of a daily flexibility within that range, like 0 to 3 hours, 0 to 2<br />

hours. To go outside of that is, again. inviting a condition of sleep deprivation.<br />

So deliberately creatin-e a bad situation.<br />

Appe ndix D, pp. líl7.<br />

t9


' (c) A certiftcau holder may assign aflight crewmember and aflight<br />

crewmemba may accept an assignmenlfortlight time in scheduled air<br />

transportotion or other commetcialtlying if such assignment k<br />

permitted fo this subpan;<br />

(l) If úc øssignnent is scheduled to be compl¿ted within 16 houn<br />

afta the end of the preceding Protected Time Period;<br />

Scientific support:<br />

(c) l6 hour Reserve Availability Period Limitation<br />

Continuous Hor¡¡s of Wakefulness/Iluty Ca¡ Afiect AleÉness rnd<br />

Perforurance - Encnded wakefulness and prolonged perbds of continuous<br />

performance or vigilance will engender sleepiness and fatigue.<br />

Extended flight dutv period -<br />

An extended flight duty perircd should be limited<br />

to l2 hours within a 24-hour period to be accompanied by additional restrictions<br />

and compensatory off-dur¡* periods. This limit is based on scientific findings<br />

from a variety of sources, including data from aviation, that dermnstrate a<br />

significant incre¡ccd vr¡lnerability to performance-impairing fatigue af¡er 12<br />

hours. It is readill'æknowþdged that in current practice, flight duty periods<br />

extend to l4 hours m regular operations. However, the available scientific data<br />

support a guidelim different from current operational practice. The data indicate<br />

that performance-impairing fatigue does increase beyond the l2-hour limit and<br />

could reduce the sr-ety margin.<br />

NASA TM,ll 1.4,2.3.1. ¡p 4. 6<br />

NASA does not provide a saeciflc recorrrmendation for the duration of a Reserve<br />

Availability Period. Houerer, it follows that NASA'S recomrnended maximum duty limit<br />

of l2 hours plus 2 hours t'oroperarional delays (total - l4 hours)obviouslyrequires a<br />

pilot to be awake æ least rhet much time. By adding report tinp to NASA's<br />

recofiunended maximum 'ùrty limit, it is apparent that NASA's duty lim¡t is<br />

cornrnensurate with our proposed l6-hour reserve availability period lim¡t for unaugrnented<br />

flying.<br />

The results of an \TSB analysis of dornestic air ca¡rier accidents occurring from<br />

1978 to 1990 suggst that time since awake (TSA) was the dominant fatiguerelated<br />

factor rn tlrse accidents (NTSB, 1994). Perforrnance decrements of high<br />

time-since-awake crews tended to result from ineffective decision-making rather<br />

than deterioration oi ai¡craft handling skills. . . . There did appear to be two peaks<br />

in accidents: in ¡he morning when time since awake is low and the crew has been<br />

on duty for about tbree to four hours, and when time-since-awake was high, above<br />

l3 hours. Simila¡ æcident peaks in other modes of transportuion and industry<br />

have also been reported (Folkar4 1997). Akerstedt & Kecklund (1989) studied<br />

prior time awake tfour to l2 hours) and found a strong conelation of accidents<br />

20


with tirne since awake for all times of the day' Belenky et al' ( 1994) founð ihat<br />

flight time hours (workload) grearly increase and add to the linear decline in<br />

perforrnance associated with time since awake.<br />

Banelle Report, P. 13.<br />

Sorrp symptorns of fatigue are similar to other physiological conditions. For<br />

example, with fuigue one's ability to anend to auxiliary tasks becornes more<br />

narrow, very much analogous to the effects of alcohol (Huntley et al., 1973;<br />

Moskowitz, lg73), hypoxia (McFarland 1953), and heat stress (Bursill, 1958).<br />

Banelle Report, p.5.<br />

Australian researclrers Drew Dawson and Karhryn Reid (1997) evaluated performance<br />

after l7 hours of wakefulness and found performance degraded to a level equal to that<br />

caused by a blood abohol concentration (BAC) of 0.05 Percent. At24 hours,<br />

performance decrerrpnts were equivalent to that of a 0.10 BAC. After ten hours of<br />

ileeplessness, the decline in performance averaged .74 percent per hour. Their study<br />

titled Fatiguc, Alcohot and Perfonrurnce Impairment appeared in Nature, Vol- 338, July-<br />

August lgg7. Gee Appendix E). These fîndings were replicated and extended by<br />

Nichoþ I-anrond and Drew Dawson in 1998- (See Appendix Ð'<br />

If an individual has þen awake for l6 to l8 hours, decrernents in alertness and<br />

performance are intensified. If time a'*'ake is extended to 20 to 24 hours. alertness<br />

can drop more than 40 percent (WRAIR, 1997: Morgan et al.. 1974: Weh¡, 1996).<br />

Battelle Report. P.25.<br />

The ¡{TSB cited pilot fatigue as the probable cause of the crash of a DC-8 at Guantanamo<br />

Bay in 1993. The individual crer¡'members \À'ere continuously awake for 19. 21. and 23-5<br />

hours prior to the accident.<br />

Mark R. Rosekind, et al., Crew,fatigue factors in the Guantanamo Bav av'iation accident.<br />

(See Appendix G).<br />

Rernarls of Dr. Dement<br />

e: Dr. Den¡ent, after our reserve pilots receive their sleep opportunily. they become<br />

available for duty. We call the availability period the "reserve availability period"<br />

and that's basically the tirne they are available for work, for flying. After the<br />

sleep opportunity, what n'ould you consider to b€ a safe limit of tirne since awake<br />

for a crewmember?<br />

For the lGhour (sleep oPPortunity) period?<br />

Yes.<br />

A- Fourteen hours. And I *ouldn't say that's IAOVo safe but if you have a number,<br />

that adds up ro rhe 24-hour day. It ought to be reasonably safe.<br />

ll


a<br />

A<br />

a<br />

A<br />

a<br />

A<br />

a<br />

Wt¡ere do you get your numþr from?<br />

Well, it conrcs mainly in my head from circadian rype 24-hour studþs to see the<br />

panern of the manifestation of the drive to sleep versus the awakening effect of<br />

the biological clock. If you're gening outside the 24-hour cycle, then you're<br />

going to have periods of greater risk. . . .<br />

That assurnes that the individual wakes up as soon as his protected tirne period is<br />

over. So in other words, you see a conplirrentary factor: t hours of rest should<br />

dictate a l5-hour availability period?<br />

Yes. I think nnst people would ag¡ee that would be the ideal.<br />

Going beyond that, what is probably the r¡pst geatest points of contention right<br />

is tÌte fact that<br />

now - the debate between the pilots and the industry operators -<br />

the operuors would like to extend this reserve availability period in excess of<br />

what you say is 14 or 15 or 16 hours, whatever the case may be, to a larger<br />

incrernent, extending that reserve availability period based upon an advarrce<br />

notice of a nap oppoftunity. In other words, a pilot corrìes on call al 8:00 am. He<br />

is then told at 9:0O a-rn that he is to report for duty 5 hours later. The industry's<br />

position is thu the notice constitutes an opportunity for additional rest which then<br />

would be utilized to add more restorative energy or analogous to Puning rnore<br />

charge into a banery, and then carry that pilot into more of an extended duty<br />

period with an additional arr¡ount of time-... up to in certain cas€s 24 hours of<br />

duty. What i-s your feeling on that t¡pe of scenario?<br />

To rne. that's a recipe for disaster because if you have a responsible. professional<br />

pilot - who has a reasonable schedule. - who is not horribly sleep deprived, and<br />

who has a fairly stable circadian rhythm, then the likelihood that he can get<br />

adequate sleep by trying to nap I think is relatively small. I would not depend on<br />

it at all. I would think also to have to do it sort of unexpectedly like this....Oh!<br />

Take a nap..-.Only people who are very sleep deprived....<br />

[-et's say I have a lO-hour shep opportunity: l0 p.rn to 8 am. That rneans I'm<br />

available for l4 hours unless they fly rne into the next l0 p.rn slot tonight. Could<br />

I not get a call say at noon and say instead of you being off tonight at l0 p.rn, we<br />

want you to work until seven torþrrow rrnrning but you aren'l going to go to<br />

work until I0:00 that night. So they call rne at noon, they give a lGhour notice<br />

that I'm not going to have to go to work until l0 hours from noon, so at 2200 I<br />

report for work, and they want rr¡e to fly until 0800. So that would be a total of 24<br />

hours from the time I theoretically woke up and I've had a l0-hour notice that I<br />

was going to be flying this fatiguing schedule. Would that be safe?<br />

A: Well, I wouldn't be on your plane. No. I think that's alrnost insanity in the<br />

sense of saying that is safe. First of all, naps can't be depended on - even under<br />

ideal circumstances - to get you through this period when the biological clock<br />

22


alerting is gone. when you're alone with your sleep debt so to speak. during the<br />

WOCL. There's no way that isn't going to be dangerous. . . .<br />

Appendix D, pp. 8-9.<br />

23


'<br />

(2) If the tlight crewmember is given a flight assignment for any pan of the<br />

period of 0200 to 0600 hours, any suchflight assignment must be<br />

scheduled to be completed within 14 houn afier the end of the preceding<br />

Protected Time Perbd- The operator wilh the concunence of the<br />

a-dminßtrator and the pilot group may designale any $hour periodfor<br />

all operutions betveen 0000-06M houn in place of 0200-06(X) houn.<br />

Scientific zupport:<br />

(c ) Reducing the Rescrve Availability Period by two hours during Back-Side-Of-The-<br />

Clock Operations (0200 - 0600)<br />

Offduty perid (folbwing standard füght duty periods during window of<br />

circadian low) - Extensive scientific research, including aviation dat4<br />

dernonstrue that rnaintaining wakefulness during the window of circadian low is<br />

associated with higher levels of performance-impairing fatigue than during<br />

daytime wakefulness. . . .<br />

Ileñnition: "vvindow of circadian low" - The window of circadian lon' is best<br />

estimated by the hours between 020O and 06OO for individuals adapted to a usual<br />

day-wake/night-sleep schedule. This estimate of the widow is calculated from<br />

scientifrc data on the circadian low of performance, alenness, subjectiye repon<br />

(i.e. peak fatigue), and body temperan¡re. . . .<br />

NASA TM,1I2.1.4.2.3.2. PP. 5-6.<br />

The ingredient of day versus night long-haul flights ralses a second concern. the<br />

time-of-da,v departure. Because sleepiness and fatigue are strongly related to<br />

circadian rhythmicity, they should not be controlled by regulations. which ignore<br />

time-of-day in favor of elapsed time. . . . For the sake of efficiency and safety. it is<br />

incumbent upon regulatory authorities to include time-of-day as a factor in<br />

designing flight crew duty and rest hlrutattons.<br />

R. Curtis Graeber, et al., Aircrew'Sleep and Fatigue in l-ong-Haul Flight Operarions,<br />

. Tokyo. Japan (Octoþr 2G29,1987), P. 13.<br />

Back of the.Clock Operations, Circadian Rhythm and Performancc<br />

There is a substantial body of research that shows decreased performance during<br />

night shifts ¿Ls comp¿ìred with day shifts. The reasons for this decreased<br />

performance include:<br />

o Circadian pressure to sleep when the individual is attempting to work.<br />

. Circadian pressure to be awake when the individual is attempting to sleep.<br />

o Time since awake may be substantial if the individual is up all day before<br />

reporting for the night shift.<br />

o Cumulative sleep debt increase throughout the shift.<br />

Research conducted by Monk et al. ( 1989) indicates that subjective alertness is<br />

under the control of the endogenous circadian pacemaker and one's sleep-wake<br />

cycle (time since awake). r#hen tirne since awake is long and coincides with the<br />

24


circadian low there is a very sharp drop in alertness, a strong tendency to sleep<br />

and a significant drop in performance (Perelli, 1980). Alertness is relatively high<br />

when the circadian rh¡hm is near the acrophase and time since awake is small.<br />

Monk ( 1996) argues that this c¡'cle is consistent with the NTSB ( 1994) finding of<br />

a peak accident rate occulTing in the evening. . . .<br />

Battelle Report, P.23.<br />

Microsleeps have been shown to be a useful approach to asscssing the effects of<br />

tin¡e of day on sleepiness levels. EEG brain wave changes confirm that pilots<br />

experience greater sleepiness and decreased alertness betwecn 2:0O to 4:0O a-m-<br />

(Gundel, 1995). .. .<br />

Banelle Report, p. 9.<br />

. . .In determining maximum limits for extended duty periods, consideration also<br />

needs to be given to other fatigue-related factors that could contribute to excessive<br />

fatigue levels during extended duty periods, irrcluding number of legs, whethe¡<br />

low time si<br />

awake. @mphasis added.)<br />

Banelle Report, P. 14.<br />

Night operations are physiologically different than day oPerations due to circadian<br />

trough and sleep loss. This carrþs a higher physiological cost and imposes<br />

grearer risks of accidents. One of the most established safety issues is working in<br />

the circadian trough between 020O and 0600. During this period workers<br />

experience considerable sleepiness. slower response times. increased errors and<br />

accidenrs (Mitler, 1991;Pack. 1994). Many recent accidents f¡om various<br />

rransporrarion modes have been associated with this circadian trough (l-auber &<br />

Kayten, 1988). Lyman and Orlady (l93l), in their analysis of the Aviation Safety<br />

Reporting System researcher stare that 3l percent of incidents occurring þtween<br />

2400 to 0ó00 hours were fatigue related.<br />

In Japan, 82.4 percent of drowsiness-related near accidents in electric rnotor<br />

locomotive drivers (Kogi & Ohta 1975) occur at night. Other landmark studies<br />

over the past several decades have docurnented the increase in accidents and error<br />

making. Klein et al. ( 1970) argue that their resea¡ch with simulators proves that<br />

night flights are a greater risk than day flights. Their resea¡ch found 75- to l0Opercenr<br />

mean performance efficiency decrernents in simulator flights during the<br />

early morning hours, regardless of external factor such as da¡kness or increasing<br />

night trafFrc or possible weather conditions.<br />

. . . A snrdy of naval watch keepers found that between M00 to 0600, resPons€<br />

rates drop 33 percent, false reports rates 3l percent, and response speed eight<br />

percenr, compared with rates between 2000 to 220O hours (Smiley, 1996).<br />

Sameler al. (199ó) determined that many pilots begin night flights already having<br />

þen awake more than l5 hours. The study conltrms the occurrence of rls many<br />

as five micro-sleeps per hour per pilot after five hours into a night flight. . . . The<br />

aurhors concluded that 'During day time, fatigue-dependent vigilance decreases<br />

25


with task duration, and fatigue becornes critical after 12 hours of constant work.<br />

During night hours fatigue increases faster with ongoing duty. This led [o the<br />

conclusion that l0 hours of work should be the maximum for night flying-"<br />

[Note Sanpl's conclusion - Reduce the duty period from l2 to l0 hours']<br />

Gander er al. ( l99l ) found in an air carrier setting that at least I I percent of pilots<br />

' srudied fell asleep for an average of 46 minutes. Similarly, Luna et al. ( 1997)<br />

found that U.S. Air Force air traffic controller [sic] fell asleep an average of 55<br />

minutes on night shift. A possible explanation for these sleep occurrences, in<br />

addition to circadian nadir, is the fmding of Samel et al. that many pilots begin<br />

tlreir night flights after being awake for as long as 15 hours.<br />

Battelle Report, PP.<br />

24'?5 -<br />

reduced. @nPhasis added-)<br />

Banelle Report, P.28-<br />

. . . flight duty regulations that adequately account for circadian nrodulation in<br />

the capacity of sleep and in human performance have been used in the United<br />

Kingdãm for 6 years . . . and by account appea¡ to be working well. The Study<br />

Group is aware of no qualitative reason why adjustments such as those<br />

incorporared in rhe UK regulations could not be used in the US as well-<br />

Scientific Study GrouP, t4.2, P- l0-<br />

Flight duty periods during window of circadian low'<br />

. . . Therefore, it is recorrrmended that in a 7-day period. there be no extended<br />

flight duty period rhar encroaches on any portion of the window of circadian low.<br />

[Note: a standard flighr duty period should not exceed l0 hours within a 24-hour period-]<br />

NASA TM, lI 2.3.5.8.:2-3-3.<br />

26


t (d) When lhere are no other resert'e pilots vho have sufftcient resen'e<br />

availability periods to complete an øssignmenl, the certificate holder may<br />

schedule aflight crew membertor an assignmentfortlight time in schedutcd<br />

air transportation or otherflying permined by this subpart, provided that the<br />

crew member is givcn a minimum of 14 houn of advance notice and is relcased<br />

to protectd time u the time of the notbe.<br />

Scientific zuppori:<br />

(d ) Minimum of 14 Hours Advance notice<br />

Considerable resea¡ch into other arenas has taught us that individuals are betrer<br />

abþ to cope with unusual or extended duty scheùrles when they can plan for them<br />

in advance. This forewarning allows them to dcrrclop time-linked performarrce<br />

goals and to schedule their rest and activity optimelly before reporting for dury.<br />

R. Curtis Graeber, et al., Aircrew Sleep and Fatigue in Long-Haul Flight Operatioru.<br />

Tokyo, Japan (October 2Ç29,1987), P.12.<br />

.. . [n other words. simply being off duty was not a sufficient condition for crew<br />

rnembers to be able to fall asleep. . . .<br />

Philippa N. Gander, et al., Crew Factors in Flight Operations: WII. Factors Influencing<br />

Sleep Timing and Subjecrive Sleep Quality in Commercial l-ong-Haul Flíght Crew's<br />

(December l99l), p.29.<br />

. . . In the limited time remaining, he attempts to sleep irrespective of his<br />

phl,siolo,eical readiness to sleep (circadian phase) and the local time, both of<br />

* hich may compromise the quality and quantitv of sleep he is able to obtain.<br />

Philippa N. Gander, et al.. Crew,Factors in Flight Operations: VIII. Factors Influencing<br />

Steep Timing anl Subjecrive Sleep Qualin' in Commercial l-ong-Haul Flight Crev's<br />

(December l99l ), p. 3 I .<br />

This reiriforces the importance of ensuring that adequare time is available for sleep.<br />

Conclusions -.<br />

. . Flight and duty time regulations can be interpreted as a rËans<br />

of ensuring that reåsonable minimum rest periods are respected. However. the<br />

p€rspective highlighted by this study is that the time available for sleep is less<br />

than the scheduled time off duty. . . .<br />

Philippa N. Gander, et al., Crew Factors in Flight Operations: WII. Factors Influencing<br />

Sleep Timing and Subjecrive Sleep Quali* in Commercial Long-Haul Flight Creus<br />

(December l99l ), p. 33.<br />

27


Remarks of Dr. Dement<br />

e: How about that the flight is going to happen. There is going to be every day in<br />

America, pilots that report to work at 2300 or *'hatever and fly until0800 the next<br />

nnrning. Now, what's different about the man who knows a week, a n¡onth in<br />

advance thar this is going to be his schedule and the reserve pilot who finds out at<br />

noon after having woken up aI 8 a.m.? WhU would be the difference?<br />

A: You know that the time you do all of the things you can to move toward a bener<br />

situation . . . You can never get to perfection, but the more practice, the rnore<br />

warning, the þtter you'll þ able to handle it. Sone people learn that there is a<br />

tirne when it's quiet and if I do this, I can pretty much depend that I will fall<br />

asleep. It's not læ% btrt you kind of lsam th,r or you practice or whatever' But<br />

if it's without warning, all bets are off.<br />

e: Dr. Denpnt, you've kind of led the discussion into another area of this<br />

rulemaking that has to do with an alternative npthod. Assuming that the pilrots in<br />

this protected time period method were depleted, the carriers then want to give<br />

pilots advance notice to cover any mission or ¡rny assignment. They are looking<br />

at l0 hours as the criteria. We don't believe that to be adequate bas€d uPon . . .<br />

Are you talking lGhour warning?<br />

Ten-hour warning. yes. To do anything.<br />

A: That *'ould be 10O7c wrong.<br />

Q: tÃhy.)<br />

A: Well. because rhe l0 hours could fall sort of toward the beginning of what we call<br />

"clock depe ndent learning." There's no way you could sleep. And then you go<br />

into your duty period at the worse possible tirre you could have in that situation.<br />

Q:<br />

What sort of tirne would you think would be adequate to give a guy enough time<br />

ro ger an opportunity to rest so that he would be safer than l0 hours?<br />

A: Twenty-four hours. At least a day before. rJy'ouldn't you think? I don't see how<br />

you can ger norified as the day is beginning and feel you could depend on being<br />

able to take a nap. If it happened every day or sornehow you know that you could<br />

cerrainly ger rhe probability up, but it's not sonnthing that you could ever really<br />

control. Again, there ought to be a better way.<br />

Appendix D,pp. lGl l.<br />

28


Q: We're shooting a¡ound the subject. I hate to break any of this up. but this<br />

quesrion has been plaguing this committee. The industry keeps harping on the<br />

fact that there should be no difference between the schedule holder who knows<br />

he's got to fly from midnight to 8:00 a.m. If he can do it safely. why can't a<br />

reserve rhat wakes up al the same time in the morning (8:00 a.m. or 6:00 a.m.).<br />

Why is it not safe for this reserve pilot who does it with notice?<br />

A: I don't think it's safe for either pilot. Maybe a little less dangerous in the sense of<br />

performance, etc. But I think at least he has preparation, warning, etc. and knows<br />

his own strcngths and weaknesses whereas the other pilot I think is always<br />

without warning a¡rd has really no chance to prepare. I don't think the two groups<br />

a¡e the sa[re.<br />

Q: Are you implying that the preparation should actually start the previous night?<br />

A: Yes. If I was going to drive all night, I wouldn't want sonìeone to tell me that<br />

day.<br />

Q: They're really killing us for making that sarne argurnent. I rrean we make that<br />

¿ìrgurrrnt across the tabþ and we get smiles and nods of the head and shrugs of<br />

the shoulders from the other side. They say it's not a valid ¿ugulrrnt. That's<br />

always what they come up with.<br />

A: They say it's not a valid ¿ugurrnt? It is a supremely valid argument. I mean<br />

that's just like saying down is up.<br />

Appendix D, p. 13.<br />

29


0<br />

For augmented International operations, a certiftcate holder may assígn<br />

attight crewmember ønd aflight crewmember may accept an<br />

time in scheduled air transportotbn or other<br />

assignment forllight<br />

c o mm ercial Ílying as follow<br />

Ø<br />

s :<br />

For singlc ougmcntdtion" the assignment must be scheduled to be<br />

complcted within IE houn after the end of the preceding<br />

hotected Time Perid; or<br />

(2) For double augmentation, the assígnment must be scheduled to<br />

be compbted vithirt 22 houn øftcr the end of tlu prcceding<br />

Prctected Time Perid-<br />

Thcse himítations may be extendcd up to 2 houn for operutional delays.<br />

Scientific zuoPort:<br />

(f) ( I ) and (2) augrnented crews<br />

Extended flight duty period: additiond flight cnew - Additional flight crew<br />

afford the opportunity for each flight crew nember to reduce the time at the<br />

conrrols and provide for sleep during a flight duty period. Consequently, with<br />

additional flight crew and an opporn¡nity for sleep, it would be expected that<br />

fatigue would accumulate more slowly. In such circumstances, flight duty<br />

periods can be increased beyond the recommended limit of l2 hours within each<br />

24-hour period. For each additional flight crew member who rotates into the<br />

flight deck positions, the flight duty period can be extended b-v- -l hours as long as<br />

the following requirements are met: l) each flight crew member be provided one<br />

or rnore on-duty sleep opportunities; and 2) when the extended flight duty period<br />

is l4 hours or longer, adequate sleep facilities (supine position) are provided that<br />

are separated and screened from the flight deck and passengers. Controlled rest<br />

on the flight deck is not a substitute for the sleep opportunities or facilities<br />

required for additional flight crew nrcmbers.<br />

NASA TM, I 2.3.6, P.7.<br />

30


a<br />

o<br />

a


NASA Technical Memorandum l1O4O4<br />

Principles and Guidelines for<br />

Duty and Rest Schedul¡ng in<br />

Comrnercial Aviat¡on<br />

David F. Dinges, University of Pennsy'vania Medical School, Philadelphia, Penr¡sytvanh<br />

R. Curtis Grâeber, Boeing Commerciai Airplane Group, Seattle, Washington<br />

Mark R. Rosekind, Arnes Research center, tvlotlett Field, calilomia<br />

Alexânder Samel, and Hans M. Wegmann, DLR'lnstiMe of Aerospace Medicine,<br />

Cologne, GermanY<br />

May 1996<br />

Nat'Kmal Aeroneullcs ano<br />

Space Adm¡n¡st¡atixt<br />

Ames Rcsearclr Cenþr<br />

Motlett Freld. Callornia 94ù3$1@0


Teblc of Contents<br />

1.0 -'i.iéi;;,t;¿i Gcncrat PrinciPles<br />

T'g3'Ofi, ütã Rcco"cry are Primary Corsidcrations-----.......-.-<br />

l.l.t SlccP<br />

t.l2 Arrfc dpc off ....-<br />

lute Solution<br />

ZO Spcciñc Prirriples Guidclines, rnd Rccom¡ær¡datioos """"""<br />

Zf -Ofi-DtY PGriod<br />

Z l. I Defiaition:'offdur¡f '.... -' ------<br />

:---..-::-.::-.:-.:-:::*:::..-::-..:::....:.:<br />

lccp ¡nd Wrtin¡ Føfcoucc<br />

fFect Alcnness urd Fcrforma.e<br />

Ftigh¡ Ocw¡-....-.<br />

Ll 2 Otr 4¡¡ry pcfid (¡cr¡æ slecp and awatc-tiæotr rcquiræas) .. -........ -.<br />

' Ll.3 Ofid¡ty Pcriod<br />

(recovcry rcquirerænt).--""'<br />

zl.,t ofidury p.¡"¿ irouoøig såndltd flight dury pcnods duing wiodow of circedirn low)......<br />

2-2 Dury PÉriods<br />

22.I Dcfinition: "dut¡f<br />

22 2 úÃttion: "dutY Period'<br />

2-23 Dt¡tY Pcrid<br />

23 Ftight Dt¡ry Periods<br />

2.3. I Dcfiûiti


PREFACE<br />

This documcnr is inrcndcd o povide scienrific inpur ro rhc issr¡c of dury ¡¡¡d rcst schcduting of flight crEws<br />

in commcrcial ¡viation. I¡ is r'railable ro ury inrcrestcd party thu is addressiog ùesc complex issr¡cs<br />

Scientific worting G<br />

rclevrnt 6 flitht sefcty.<br />

rrüÉr" oo sir¡ri6G d.r.<br />

To add¡css this<br />

dcryelop prirrþhs<br />

cd r¡e¡s of scieotific tnowlcd¡c<br />

d¡¡ wtre ¡vril¡He rnd dso ut¡s<br />

cat riæ¡iÉc bovldSBgæltPriDdflÉ q*tüy<br />

úËSd. Wilt ùc ¡æit FiDdPb¡ ¡ r b¡i¡<br />

r rpecific rcco@Dd¡tbß TÞgury nccdttl<br />

rc¿ Uy ùe 2+boú dcost¿s of ûs ryi¡ti¡<br />

pstc¿ o cæpleænt ùc drry ¡¡d resr shcanling<br />

cd Êoo iDdividuâls with cxtcasivc opcrationel<br />

scientific B¡ds for principlæ end Guldctines. Tbc scicotifæ worki¡8 srooP wls cÚPoscd of<br />

scientiss ætircfY i¡voþed i¡ ex<br />

dæ.wns bascd on their c/ûtconsideratior¡.s,<br />

a¡d to providc scicntific input o this r<br />

will providc óc Pccific scicntifrc rcfc¡c¡ccs that stp¡<br />

sccor¿ dær¡ænt cdll bc looger ard u/iU fæus on ttp<br />

planncd ¡Ìrar a¡ inidat draft of rhis sccord docusrnr \¡/itl bc ava¡llabþ wiù¡¡ app'roxiroaËty 12 EDottths<br />

In atpbabcdcal ordcr, rhc scicntifrc workiog gouP<br />

}f¡tt R Rosckind,PhD, Atcx¡¡rdcrsaæl,Pb'D,<br />

this dær¡æot to the scientiEc working gottP, pleasc<br />

Y<br />

atioo of these principles and guidelines oay<br />

rs i¡¡cludc ccor¡omic, bgal, cost/bcnefiL and o¡hcr<br />

king got? þ rdd¡Êss ü¡csc isss, and thcy ¡¡e left<br />

: dcübcratioor<br />

ofr<br />

t sc thcc<br />

II¡DS M. Wegmann, Ìv{-D.<br />

DlRlnsd¡r¡æ of Acroepacc Mdiciræ<br />

LindcrIIæhÊ<br />

Þ51147 KæI¡<br />

Crcrmany<br />

19 2]f¡3 æl I cxr 3667 (Officc)<br />

49 XN3 696372 (Fax)<br />

It'D'<br />

ü


- Ch¡.lleugç to Human Pbysiologr<br />

,INTRODUCTION<br />

Principles and Guidelines for<br />

Duty and Rest Scheduling in Commercial Aviation<br />

David F. Dinges, R,. C\¡nis Gracbeç Mark R' Rosckind,<br />

Alex¡r¡dcr SatJ' ¡¡d llans ]tl" Y/cgmana<br />

(¡¡oþlùcùtPl orb)<br />

Trclty-four Hour Requipænts of thc AYt¡t¡on Indgstry<br />

Tbe rvir¡io industry rcquires 24-horr ætivit¡ca þ æe¡ qcnnoo¡l dcod. CræTnü in Èbat boS'<br />

heut rcgion¡L ovcmigbt car3o, rnd<br />

rurDèóc'cbck requireænts Flith to<br />

æa Ëcse ind¡stry dcoa¡rds Boô dætic ¡d hæn¡ational avi¡ir¡n ca¡ dso rcqúE crcsing multiple<br />

riæ zmes Tbcrcfore, shift wcrlq ni$t uroút, ine$l¡r wo,rt rchcdr¡þs, unpredictrHc ulct schcdulcs,<br />

a¡d d'.- zæ c¡anges will continrrc o Þ moplacc componcas of ùc sviatioo iDd¡rstry. These<br />

t<br />

çøatioos. Utilizatiæ of s¡ch scicotific infcrmtiæ cen hclp ProtDote crcw perforææ and alcdness<br />

during flighr operations and ôcÍeby Esintain ud impro're üe safery EargfoL<br />

Tlu'or¡d¡g¡¡¡ Er¡iation histay, opcratio'ñal capatiliths and tcchrrcfog baræ etolved ùanoaticålly, uàib<br />

þurnan ph¡,siological capabilitics have mc Flight opcradors can engendcr fatigUe slecp losS and<br />

ci¡cadia¡r aisrrrytioo a¡¡d rbesc pbysiological faacrrs can rcsult in dccreascd pcrfcmaæ and rcdæcd<br />

¡lertncss d¡ring opcratioos Or¡er ùe pes a0 tlã:, scienrifrc klowlcdge rbout slecp, circEdia¡<br />

È)6iobg/,<br />

sleepincs$ahnncss, ud ùc pcrfcrmaæ decremcas assia¡ed with thcsc facus has<br />

igcas.d sig¡iñcanüy. Scieotifrc rcscarcù has ereadcd is exa.minadon of úcsc fæ¡os o opcratiooal<br />

covirænts inclr¡ding 6eË a¡rd sirmrlator stldies Thsc studics have coofi¡rrtd ùep'rcscrrcc in<br />

¡viarcrs of pcrfømancc-;mpai¡int fatigue rashing Êoo the slecP loss, cirdian disuptioo, and<br />

c¡orkload ørgendered þ current flight and duty practiccs-<br />

fl,nnans a¡e ccntral to aviation opcrations a¡rd continue o pcrform criticel functiors Þ Ecct tbc<br />

2Á-horr requiremcns of the industry. Tlrrcfqq humrn pbysiological capabilities, a¡rd limi¡¡¡ie¡5,<br />

rEoain cn¡cial factcrs in Eaintaining safety Ed Foô¡ctivity in aviatiæ-<br />

Principles Based on Scientific Knowledgc<br />

Tbor¡gù ræcarcb on fatigue slcc,p and circad¡¡ pb¡tiology, a¡ld shiñ wort schedr¡lcs has gcncratcd<br />

an cxrcrisive body of scicntific howlcdge, thc rp'plbation of this information to tbc requircæns of<br />

cpcrarional scaings is relatively Dcur. V/hile æknowlcdgment of this scieotifc information is<br />

increasing, is tra¡sfer to opcrations (c.9., scbcduling, rcgulatory considcrations, pcrsonal sracgics,<br />

çgr¡nrcrDeåsures) ofren rhe greatest potential fcr is beileñr C\¡rrent fefuzd rcguluions and indusry<br />

scbeduling ¡racticcs rarely act¡owledge cr iDcorpfetc such knowledga The primary purposc of this


dær¡æ¡¡ is to outline scienrific¿Ily-bascd priæiples tlu¡ car¡ be epplied to Ûre dury and rcs scheduling<br />

rcquircæns of thc aviation indusuy.<br />

Shared ResPonsibilitY<br />

Tbcrc is no onc absoluæ orpcrfcct solutioo ro rbc dcm¡¡¡ds of duty and rcs¡ scheduling in aviatiott- It<br />

ryonsibiliry rmng rll üe indusryPútäP¡Dts<br />

N¡Dincd fc nænucs o incrporaæ sciead6'<br />

u will Eâximizc pcrfcoance ¡¡ld rløæ duing<br />

ling PrefücÊs, Pcrsorl¡t strategies' ud æchrnlogl<br />

ouH bc st¡bis o s¡cb ¡n cx¡mi¡¡b-<br />

'S¡fcl c¡n be Difficult to Qu¡ntifY<br />

oiquc chrllcages This dæræu i¡ foæod oo<br />

y rnd rcst scùcduling llowwe¡, it is Èorylcdgod<br />

srch æ leg¡L æooob, a¡d e¡rrerprcricc- It is<br />

troüioo bc coosllcrcd h ùc reg¡¡brydmd!"<br />

fcraft accidcns arc sr¡cü ralr; Gufierþæ rh¡t ¡!¡sJt<br />

a s¡fe qcrldoos. Thc aviatim i¡tdus¡ry ¡od ftyins<br />

rcy. Amng Eodcs of mryøafua óc ¡vi¡tio<br />

urany scgænts of ü¡e industry i¡creasc tbeir<br />

s ovcrall growttr cootinues, tlr challeags will bc o<br />

m¡inrain, a¡d wherc possiblc, improve Ûr<br />

prirciples<br />

czìn crea¡e a for dcc¡cmcns in<br />

mrgin'<br />

"r¡lnenbiüry<br />

Guidcfiocs designed ro spcciñcally addrcss tbcsc fac<br />

Objectives<br />

r.O GENERAL PRINCIPLES<br />

,empirically dcrivcd principles ard RútJcfines for<br />

he first scctiorl scicn¡ifically'bascd piæiplcs<br />

a¡e or¡tlincd I¡r tl¡e sccond scctiæ' ¡bc<br />

'dusry<br />

schcduling in commcrcial aviation, wiù qpccifics<br />

rd scction, a brief ovcwiew of otherpccntid<br />

d-<br />

1.1 steep, Awake Time off, and Recovery ¡re Primary considerations<br />

L Slecp is neccssary to maintain alerocss and<br />

urd well-bcing. Each idividuat has r hsic shcp<br />

prformance and ph¡rsiological alert¡ess during<br />

,p in a 24-bor¡¡ Pcrid, with a range of slcep needs<br />

s little as 2 hor¡rs of slecp will result in aan6 slecP<br />

scquent waking pcrformance and alcrhcss- Ovcr<br />

d,-u/in accrue in¡o a cumulativc slccp dcbc Tbe<br />

can only bc rcvcrstrd by stecp.An i¡¡dividual who


¡s ob¡ai¡rcd required sle+ *ill bc bcncr prepared to perform after long hou¡s awakc d ùãEd<br />

u¡ork schcdules th¡r¡ onc wbo is opcrating wirb r slccp deficir<br />

t.Ll Awake time off- FuigUe-rclatcd prføoance dccrcmcns arc uaditionally deñoed by<br />

dccli¡6 in pcrformencc ts r funcdon of tir- sPÊnt on e given ttd( Brcaks froo contin¡¡oss<br />

¡o maintain consistc¡t rd<br />

¡oó¡cod here o dcsc¡ibc tioc<br />

a¡c nccded to errsurroÉm¡E<br />

lstæbof pcrfanæ.<br />

Ll3 Recovcr¡- nccovcry Êom a¡¡ acutc dccp deñcit, cumulative decp debt, proloogcd<br />

pcûmæ ¡cqufot"t"El'<br />

osi¡lcr¡¡kn Opcttoo¡t<br />

rsr/Gry pcriod trtridÊ æ çpøtuniry<br />

pcrtæætd llcíDcsr.<br />

l2 Frcqueat RccoverT Pcriods arc Imporlent<br />

30 rcqu of<br />

troætÊ<br />

perfcnarrcc rnd alett¡ess Tbcse¡e<br />

¡cdpcriods of wkeful¡css Ge, dr¡ty) ar¡d dn¡dia¡<br />

covcry is impcnant þ rcducc c¡¡muluivr cficds<br />

rforoancc a¡d ale¡mcss<br />

l¡16e Êeqgear recor¡ç¡y pcrbds rcdr¡ce ç¡¡6'l¡tivç htigllc rrrone etrcctiwly than less Êequcatæ.<br />

Fc exaryle, wee<br />

mothly rÊcovcny<br />

critical fcr rninirniziqg cu6¡¡tstive fadg6 cfferfs o<br />

lJ Time-of.Zftfe¡ñadia¡ Physiologl Affects Sleep and W¡king Performance<br />

Tbcre is a clæk in rhe human brain, as in otlcr crganisos that regulates 24-horu Pancrns of bdy<br />

ñrytigos This clæk cærrols æt only slecp and e¡alefulncss alternaring in panllel with thÊ<br />

cavi¡onmcnal ligh/dark cytle, but also the oscillaory na¡lre of æs phpiological, ps¡ahologba[<br />

and bchvio¡al ñ¡nctions Tbc wide rangc of body ñ¡¡rctions conuolled by the 2¿l-hot¡r clæk includes<br />

body tsrñpcra¡Íe, bcæne scc¡Êtion, digestio+ physicat and mcnal pcrfommce' mo4 udmany<br />

dbcrs Oo a 24-trq¡r bosis, ôcsc ñ¡nctions flr¡c¡¡atc in a regular pattcro witb a hi$ lsvc¡ I æ tiæ<br />

ddey a¡d a low lcvrl u ambcr dmc. Thc ci¡cadian (circa = a¡rjun4 diu = day) pancr¡ of<br />

crakcñ¡krcss and slccp is progammca for wakefi¡loess during thc day a.od slecp at nitbl Tbc<br />

ci¡cedian clæk rcpcåls üris pancrn m a daily basis Ccnain horrs of ¡hc 2¿l-horr cydq ùat is (2ffi o<br />

Oúm, arc idcntified as a riæ when tlrc body is trog¿rrmcd to slecp and during which pcrfønancc<br />

is dcgredc¿ Trmc-ofday q circadian cfrecs æe imponan¡ consideradcns in addressing ?+hr<br />

requireæos bccausc circadian rhytìns do no¡ adjut rapidly to change.<br />

çcrational<br />

Fcr cxarryþ, ùr irdiviô¡al opcrating during the night is maintaining wakeñrlness in dirccr opcitim<br />

o pbysiological progranniDt Þ bc aslecp. Physiological, ps¡æhol,ogical, ar¡d bchavioral ñ¡mi


slccp loss, decrcascs in pcrforrrance-urd alertncss, ¡¡¡d va¡ious l¡calth problems (e'g'' gastroinæsdnal<br />

æøplainsl. nrcreiae,'"ir""di- srabiliry is urorher consideration in dury a¡rd rcst schcduling'<br />

1.4 continuor¡s Hours of wakefulnessr'Duty can AfTcct Alertness and Perfors¡ance<br />

ontinr¡ou<br />

usk will<br />

ods ttresc<br />

(he<br />

trccS is O<br />

ærs hor¡n<br />

¡n þ aeesscd ùrougb drily li¡nit'tions while<br />

¡iutions TbcrÊ is mt scicatific d¡¡¡ av¡llrHe o<br />

æ¡u¡tario of fr¡ig¡c cficcts<br />

l5 lluman Physiotogicat cepabtllties Extend to FllSbt crew¡<br />

1.6 Flight Crews are Made Up of I¡dividuals<br />

Thcre arc conside¡able individuål difierer¡ces in ü<br />

ph¡,siological alcrtness" a¡rd subjective rçors of<br />

¡""p toss, nigbt \¡/6lq and coosider¿tions of reqt<br />

t¿iviau¿ difi.t nccs carì Yary as a furrtioo of a¡<br />

other factcrs. Individuals can also Yary in their pa<br />

during a subecqucnt dury Pcrid (e'g'' commuun¡<br />

a 4ury pcriod).<br />

rfama¡ræ dc6cis reflect ùcsc physiolo'giãt lirni¡a<br />

roo that of o¡þ þrrm¡n


spcciñc prirriptes and guidclincs elso ¡pply 1ry6s .ll n^yutg dury of flight crew ocobcç rcquhd o<br />

ptfor-Þ"n gt o¡ t"tilitary Oighr opøations bcforc a ¡ftcr schcduled commercial opcratioos<br />

In qdcr o provide spcciñc guidclincs, i¡ i5 ¡çccssary þ dcfuc thc tcros used in thesc guidcli"'s<br />

Alrering thcsc definitiors may invalidaæ rhe principles Öa¡ follow'<br />

2.1 Off.Duty Period<br />

LLI lÞfi¡itiou: .off-duty'- A conrinuors pcriod of unintcrn¡pted tiæ duing whicb l crew<br />

ocobcr is Êec of ¡¡l duties-<br />

LIJ Oflduty pcriod (rcr¡tc dcep ¡¡d ¡çrte-tÍme-olf rcquircmutsÞ Tþ ofduty<br />

s pcfroancc of rcquirod ¡ses Thc úird<br />

ing ro ofiduty pcriod- Tbcsc othcr æssrry<br />

r h¡ora accmodatisrs bæl cbcck iq/ú, Gt¡s'<br />

showcr, and pcrsooal hygieac. Thcrcforc, rhe otröy Pcriod sho¡¡ld þ ¡ rninimrrrn ef l0 bû¡rs<br />

r¡nintcrn¡Pt i *itio aoY Z+<br />

and tiæ for othcr ncccssarY<br />

2.3-s.)<br />

2.lS Off-duty per¡d (recovery requiremeatÞ Tbe gencral principlcs outline ¡hc<br />

impøtancc of<br />

consccutive ni<br />

ury period fcr rccovc¡y sbold bc<br />

nighs of rccovery slecp, siËi¡ r<br />

74zy pcrid<br />

2.t.4 Off-duty period (fotlowing standard fiight duty periods during wÍndor of<br />

circadi¡¡ low'þ Extensive scientific rÊscå¡rch, incMing aviation da¡a, dcoonstraæ th-âl<br />

rnain¡¿i¡þg wakefulness druing ùc<br />

pcrforoancc-iropairin g fatiguc tban<br />

@ur drring tbc window of circediur low bave<br />

trEu¡ for recovcС. Jr is rccoærdcd tha¡ if two or tDore füght dury pcrio& wiüin t?drry Pcdod<br />

encroach on all ø ariy pation of üe window of ci¡cedia¡ low, tben rlre sa¡da¡d otr-dutypctiod (¡e<br />

continuous hor¡¡s u/ithin 7 days) be extended to 4t bours rccovery.<br />

2.2 Duty. Periods<br />

2.2.L Definition: 'duty'- Any rask a crçs, mbct is required by ¡hc oPcr¿tq to pcrføn,<br />

including füghr ri.Ee, a¿lministrative wort, tnining dcadheading, and airpct stardby rescrve.<br />

2.22 Definition: sduty period'- A continuors perioa of tims during which tasks a¡e<br />

pcrford fø rhc opc¡Írroç dercrmined from rcpcrt tiræ r¡ntil free from all rcquired tasls.<br />

' For dcfrni¡ic¡¡ of 'wir¡dæ of circ¡dien br.- se¿ scûiqt 23¿<br />

5<br />

off'


225 Duty period- To rcduce vr¡t¡rcrabiliry to performar¡ce-impai¡int fatigue froo ex¡ended<br />

hor¡rs of conrinuous wakefulncss u¡d polonged pcrids d condnuous performancc requireænts,<br />

cr¡mut-dve dury pcr 24 hotrs should b limirc¿ h is ræomæ¡rded rhat this limi¡ nor c¡cccd<br />

14 hq¡rs wirhú . Z+tro- perid (In ôc casc of additional flight cnew, scc scction 2-3-6-)<br />

2J Flight DutY Periods<br />

23.r Dcfinition: .lligh3 duty perbd'- Thc pcfiod of tiæ rhat bcgins wbcn a crew æmbcf<br />

isrcqufuçdütbÊblæk-i¡<br />

dæof ôc<br />

-0iÉtsivitics<br />

æd ffigÞt tirrç.<br />

2l,2 Dcllnitíon: .tvindoç of drcrd¡u lon'- The wiodow of circ¡dir¡ bw is bcst<br />

fc individrús ¡rpæ¿ o a r¡s¡l da¡wrkcrh[ttälcul¡¡Êd<br />

Êrm s¡eatific dan o úc ci¡crdro bw of<br />

¡eú fatig¡E), ¡Ddbody tcuPcrlnrL Frf,iÈtduty<br />

odow of circadi¡n low is csÉt"'t¿d to bc@O o<br />

lury pcriods ôr¡ c¡æ 4 q oac tirç zcncg tbc wi¡ôs<br />

dcirc ôa¡ lw is estimaÞd þ be O2m o 060 home-bascldooicilc tioc fa ùc firs ¿ft bours only.<br />

Aftcr r crÊw mbcr reolins mrtrç rhan ¿+t hor¡rs away froo boc-basddodicila thc wi¡dow of<br />

circadir¡ tw is cstinarcd to bc @0 o 06ü) rÊfefrEd o lqt tiæ u tbc point of dcprura<br />

233 StsDderd flight duty period- To redr¡cc vr¡l¡rerabiliry o pcrformancc-inpairing fuigttc<br />

Êom exænded ho,¡rs of conti¡r¡or¡s vakefulness and prolongcd pcnods of continuos pøforoancc<br />

or¡rs should bc limirc{ It is ¡ecomncnded üu fc<br />

psriod not exæcd l0 hor¡rs wi¡hin a 24bot¡¡<br />

ght scgæns a¡rd daY or night flYiDg'<br />

23.4 Extended flight duty period- An extendç4t çrrrnsl¡tivc flight dury pcriod should bc<br />

lirnitcd to 12 hor¡rs *irfrin e Z+tnro pcriod ro bc accompatricd by additional rcs¡rktims dld<br />

scd on scicntific 6ndings frm a variety of sourccs'<br />

r significanrly increascd rdncrability fr<br />

t is readÍly æl¡owledged that in cr¡r¡e¡rt Practicc'<br />

r opcrations. Howevcr, the available scþntific daa<br />

donal practicc. Thc data indidc ürat pcrfcrmancefpu'lirnit<br />

and coutd redr¡cc ütc sfcty roagiD-<br />

Z3S Extended flight duty period: restrictions and compensatory off'duty periods-<br />

If rbe cr¡mularive nigñr dury pcnod is cxandcd o 12 hor¡rs ú¡ea tbe fotlowing rcsriaioos and<br />

cornperìsatory offdury pcrrods should bc applied'<br />

A. Cwü.Idtíve fiec's: ¡tøin)n ct¿tulaíve hows of øeæion. Ovcr timc, cxænded flight duty<br />

gue. To suPPorn opcrational flexibility and sill<br />

it is rccommendcd th"t cxtcnded flight d¡¡Ìy Pcriods<br />

or¡n within t 7 4zy Pcrio¿ Fcr example, Ûlcre could<br />

be two 2-hor¡r exrensions of rhe s¡anda¡d lGhotr¡ flight dury period (2 x2 = 4 br) or for¡¡ l-hou¡<br />

extensions(4xl=4hr)-<br />

B. Flight dtuy periods dwing window of circadian bw.As describcd in Secdon 2.1.4, thc<br />

window of ci¡äoan low (asdcfined in Section2.3.2) is assæiated wirh highø levels of<br />

6


pcrformancc-impairing fatig.ß Tlpreforc, i¡ is recomrrçnded the¡ in e ?{ay Pefiod, there bc æ<br />

enqoæhes on eny ponbn d üre window of ci¡crdian !cw.<br />

exrc.dcd flighr dury frioa-tr.,<br />

C. Resrict¿d wtùr $ taúngs during winfuw of circúion low. ff an extcr¡dcd flight duty<br />

grcatcr the¡ l0 hours thet<br />

it is ¡ecooær¡dcd tlrat Oigbtcrew<br />

fotlowiry ôe fütùt<br />

23.6 Extendcd R¡glt duty pcrioû ¡dditl<br />

Prwtc<br />

llcor/crY 6o6 funre fuigtr<br />

t¿Atiot ofrö¡tY ti* is rældcd' Thc<br />

tuld bc c¡ødcd by tþ tb drntitn dúÊ ñitb<br />

d f,itL ery Pc¡iod of ll5 bs wtld b?<br />

bcing cxæodcd to I 15 hilL<br />

c¡ew r¡d u opcurnitY fu dccPt<br />

. In s¡cü cùærc' flídt¡ ô¡ry<br />

dcd lir"it ú l2h¡rs wiü¡ eacù 2åhñ Pcrbd.<br />

aes ino ùc ftight dcck pcitiæs tbc fiight fuy<br />

; folloving rcquircæats ¡" tc l) crå a¡ilr<br />

,es reguired fr additional flightc¡lw ætr¡bcrl<br />

is i¡rcreascd accordi¡g o ùc above requiræÈr the ExiE¡E<br />

If an extendcd flight dury rrirrd<br />

ntg!, dury pcriod-finir sric''adc ùc l+hot¡f dury pcriod lirrri¡ (5¡ç[oo 12¡<br />

23.7 Flight duty period (cr¡mulativeÞ A 24-hor¡r cr¡nulative fligbr dury period limi¡' r<br />

minimuaoffdury p""i.a rlaz4tlo'rs a¡¡d ¡<br />

ffiå"ìy.ffiffiät*d3<br />

fæ¡¡s<br />

uce cxccssivç accunululn æ¡ols bngcrPcrilds<br />

rs ã! ¡Þcotr¡rrEfidcd- Tbcæ is æt srfficþat<br />

ris e¡ea- Howwc¡, the gcucnl piæiples +Pry' f'a<br />

2-weck limil sbû¡td atso b sct Also, thcsc<br />

adiustcd doqmc¡trd ec¡oss tbc longø tittp<br />

q¡mulatiræ fligbt duty pc¡iod timia¡isn to<br />

arrþunt shot¡Id bc dccrcascd I Ptræn4ge frm<br />

duty pcriod tí",iadon shor¡ld Uc ¿ccreascd r pcrccrirate frcm tbc 30day sDunL This wiu ñtrttE<br />

rçdu; thc porcntial for long-ærm acç¡gulaliot of fuigl¡c fætqs<br />

2.4 Exceptions Due to Unforeseen Operational Circumstances<br />

Exccp<br />

of the<br />

Tbcsc<br />

Srt<br />

spond to unfcresccn circumstariccs bcyond tbc control<br />

They are nor intended for r¡sc in rcgular PßcticÊ.


2.4.1Reduced off-duty period (exceptionÞ To suPPon opcrational flexibiliry' it is<br />

recognizld that dræ to circuEsranc6 bcyond the control of tl¡e oPcr¿lq' it may be ncccssary o<br />

rcd,r ur offdury pcriod ro 9 horrs This reduaion would occt¡r only in EsPoosc to r¡<br />

unforcsccn operadonal rcquircnrenr In this siruadoo, ü¡e s¡bsequent offduty Pcriod should bc<br />

cxaodcd to ll bot¡¡s<br />

2.12 Ertended fligbt duty period (erceptionÞ To suPPon opcrarional flcxibiliry' ra<br />

o,.rn¿.¿ Oight ôtt-p..i"d on'u" incrcascd by r¡p þ a EüiEu"' of 2 hor¡¡s drp o r¡nfcescen<br />

circu'stl'ccs ùr"rå rhc coouol of rbÊ opcnrr. nc subccqræot required otrdrrty Pcriod shot¡td<br />

b" t".*"r.d by rú dæ by which tÞ ltiûr ô¡ryFiod b iseescd.<br />

2.5 Timc Differeocc¡<br />

In ScDGraL 6c boger ¡ r1ìEhr c¡ps æobcr is<br />

d-".y tiæ is nccdcd fc readþænt back<br />

rccom;o¿ø thar frfligttt ù¡ty Pcriods that<br />

Eße away Êoo thÊ h@c-basc/domiciþ tiæ zorx<br />

rçhrrD to boæ bascÁdmiciþ tiæ.<br />

2.6 Reserve Statu<br />

eleæo¡ o opaatiooel f,cxibility ¡Dd b<br />

6¿¡ fiight crew æulbcrs 6 rËscr$e sn¡¡s<br />

2.6.1 Definition: ..airport standby r6erve'- A rescrve flight cflw membc¡ requi¡ed to bc<br />

available (on stardby) aì an airPon fcr assigrrmcor to a Oight dury pcriod-<br />

An airpon standby rcscrye flight crew mcmbcr should bc condrfged on duty ar¡d thc previous dury<br />

pcriod guidcl.ines applY.<br />

2.6.2 Def¡nition: .on-cau reserye"- A rcscrve flight crtw rDember requircd to be availablc<br />

þ an opsrator (away from the airpon) fcr assignænt to a fligh¡ duty pcriod<br />

On{a]] rescrve $an¡s should not bc considcr"l dury. Houævet, it is imponam ù¡¡ üc flight ctew<br />

æobcr h¡s an oppon'nitv .o obtain 'roP P"H# ilffii*å$$ffiäffi,<br />

c'indica¡æ Ûn¡ thc füght srçE' rrÉ'Íìhcr shq¡H bave<br />

Ddcd) as o wl¡cn tbc 8-hor¡¡ slecp oporruniry can bc<br />

n The &bor¡r slccp oppomrnity sbould oot vzry by<br />

ffie tl'ri 3 horrs on subsequent days o cr¡sure circadian sability- "A protccrcd t-horr slccp<br />

opportuniry-,-ñá u" pro,ir,ø from inrerrupdon by assignmcnt to a fli-tht drry pcrio¿ Aoy<br />

aiiroao rir.¡ *s thcþuireæns of thesc rwo principles could bc utilizcd.


2.? Summary Overview: Guidelines ¡nd Rccommendetions<br />

Frgure f prwidcs a sum¡Da¡y wcrvicw of rhe guidclines ar¡d rccooæodations discusscd in<br />

this docuæn¡-<br />

Þ -9tÞo()<br />

U)<br />

E I=<br />

l¡ oEC)<br />

tn<br />

G<br />

Ofl-DutY Perlod Duty Perlod Fllght DUU Perlod<br />

ht Èr<br />

t-Dt tr Dr brût<br />

*ar jrl¡l r-<br />

I¡Ûri. laå d ¡n¡¡f<br />

fmgf FA<br />

r)Ar bd<br />

36 corÍÞ<br />

tg¡ lu¡r,<br />

þHrd.2<br />

coo¡ãilvl<br />

rúCrt d<br />

1ÞYtfï<br />

d¡+, ht7dglt¡rrÉ-<br />

2r.t<br />

corìt¡nuouf<br />

ls¡¡s h ¡ 7qr¡a¿<br />

(lobritg<br />

lECil dttly<br />

prbd h<br />

úcadi¡n<br />

br).<br />

ü Èt<br />

H<br />

,j<br />

¡lt cartÞ<br />

tna ls¡t<br />

rFllù!!n<br />

tÐ<br />

loHt<br />

Ëüt<br />

FU<br />

æIEE<br />

rñ*¡<br />

tir¡<br />

!ül¡l<br />

ta ¡n lO tr3 ll:r b rü<br />

3rrfñcbnt<br />

¡cbntfrc<br />

12 hlr<br />

(r.Siú<br />

rÉË.d<br />

¡¡tøllgr<br />

rngirrfa<br />

cr¡mul¡¡þ¡<br />

hour¡.<br />

comp¡nserl<br />

oñ{¡Jry úrr.}<br />

For.dt<br />

¡deinJ<br />

fEgll crcr<br />

nrnùcr, lIt'tl<br />

dúy tim. ãì<br />

b. lgc¡sd<br />

Þy a hr3<br />

(r.qrtrË<br />

sleep oggclurùy<br />

lor.d<br />

ctor mafrü.<br />

¡rú br FDP¡<br />

> la lut, ¡<br />

bur* tæftt)r<br />

Extend.d<br />

FDP an b<br />

irucased by<br />

¡.pþ 2 tu¡<br />

(srÈaeqwnl<br />

oll{uty<br />

pctird<br />

irsoas.d by<br />

an equC<br />

amount).<br />

Figwe l. smnuy aecníæ of guidelincs and recorutuúariors.<br />

9<br />

dlrb<br />

tË.<br />

tg.dft<br />

$rf¡ro h<br />

ül¡ rr¡q<br />

lHotr.<br />

cr¡nr¡hþr<br />

lþtr tft<br />

priod<br />

lmäf.i¡rc<br />

dutb.<br />

r$Ãt.d<br />

ônnrrú<br />

oüÍ<br />

iurasi4<br />

t¡n h¡rlroû.<br />

iÍ.å<br />

CD<br />

D t<br />

CL<br />

D<br />

a<br />

m<br />

x<br />

(D<br />

=o.<br />

(D<br />

CL<br />

G<br />

3<br />

9m .dX<br />

ã8<br />

=9<br />

sg<br />

et It<br />

ãs<br />

fra o


3.ü ÐTHER INDUSTRY STRATEGIES<br />

sbarÞd rÊsPonsibi¡ity, scver¿l otlrcr indutry<br />

bcd- Thcsc a¡e intendcd to cooPleocnt ùe<br />

e infuæd ¡bout tbc cxansive loowledge rcw<br />

æ it rcliares o pcrfcoaæ ¡nd rviuit¡o<br />

''dobg/ rd inÞ daily oecranons Tbc infcm¡dm ce¡ be<br />

crsúd sm¡cgies to E¡¡nage pcrfamance etrd<br />

g mdules to urect this rlecd ac arr¿ílable ¡¡d<br />

rsùy.<br />

uty t scñrl in guidbg ra¡iooal ard ph¡tsiologiåIyx<br />

a¡d multidcrermined præs Hor¡cvcr, it is<br />

hr¡ma¡r physiotogy as a factq for considc¡atioo'<br />

rst/be¡cfit considerations are aitical Therc a¡e<br />

rrmation on fatigue into schedule constn¡ction'<br />

33 Controlled Rest on tbe Flight Deck<br />

scieatific dera obrd!Ëd drring flight opcr¿rions t¡ave clearty demonstratcd ürc efrecdveness of a<br />

t a¡d alenncss in nonaugncotcd long-haul flight<br />

trarery and is not an arlswer ro all fatiguc<br />

rt inanded as a subsdn¡æ fcr addirional flight crcw'<br />

d dury. All possible srategics rlnt main¡ain c<br />

pcrations should be examined urd utilizc


REPORT DOCUMENTATION PAGE<br />

Fotn 49a6<br />

OMB No 07t OtU<br />

À¡ [FaDút Èry"aaâ E al, Ês¡cÞqì C nãñ¡¡IIì a armalé Þ aYa.a¡a l-lût F. [tagìaa, fËÉìc !l tL lq r¡.¡r.¡ ñGÉ¡gl. ra.Eññe Þ:- ¡ aârE¡.<br />

¡¡¡¡rd ¡g åãaæ a¡ aü¡ |t.,(¡.. arú csrqìg ytt ,rna-! ¡r c¡Er I rrc.ttf¡¡ût ¡aÚ cúítÛ n?¡ttl! t! Él<br />

-rra¡<br />

! rt -ì.<br />

ãcãrar-t,¡sr-É|a¡ ¡JgEr¡rtìarr .tErãT ll3àtÜt E Ìltì.!E Ã.aJe¿"tt LrÚ.3uGtü t9 æ=r--ìarril trt tFl,<br />

È- ,tÊry. ¡¡¡ reO¡. r¡¡iør.-úe ,'Aeir¿,tIL r¡¡ ¡ ¡¡ q¡o I u.¡¡F.!rìl .tú ù.ó9r. t!.rut ¡¡¡rær ttetã OÈatla¡. Wrtü|¡ã\ æ õ-<br />

t. lGEraCY USE OflLY tL..v. Dt.âI) 2. iEPORT OATE I. iEPORI IYPC XO OAÍES C(<br />

H I tt<br />

¡¡r:<br />

May l9'9ó<br />

Tcchnical Memora¡ö¡n<br />

a. TtrLE Axo sulrlll-.c,<br />

XUIAERT<br />

hinciples a¡rd Guidelines for Duty and Rcst Schcduling in Commercid<br />

Avi¡rioo<br />

a. Ault{OR(S)<br />

t.<br />

Dryi.l F. Dinges R- Curtis Græbcc lvlart R- Rocckind,<br />

Atre¡andcr Saræ|. æd Hans!{-Wep444tEifoirlllo<br />

oncll.¡z^l¡ox tl^rE{3l Atl D ADOn€S S{E¡'<br />

ArË Rcsc¡¡cb Centct<br />

Moffcn Frcl4 CÂglO3Sl@O<br />

ço¡sor¡¡rarroi¡fon'lc ¡¡o€llcY x^rE(E) ArD ADDRESS{EII<br />

Natiooåt Aeronautics and Spacc Administation<br />

Wastringron" DC 20546ff1<br />

5ûL-Ár-(1<br />

tæoillÈo oiolE^Tþ¡<br />

FOtlXUrlEi<br />

A-%t*U<br />

I 0. ttrollsoRltlorIorulolf O<br />

AC€¡'CY REPOFÎ N'IICÎ<br />

t{AsA TM-It0404<br />

rr. tu?PtErEXlAeY rolEs<br />

Point of Contacc Mark R. Rosckin4 A¡æs Resc¡rch Ccnær, MS 2624, Moffeu FÊld, CA 9403tt(re,<br />

(4t5) &392t<br />

t2a DISTRIBUTIOTUA Y ILA StLITY STAIEIET'1<br />

Uoclassified - Unlirni¡cd<br />

Subirt Catcgory 5l<br />

t¡- ABSTA gT (l¡ttisua 2æ aotét)<br />

r2Þ. ælRtBUftox coo€<br />

Tlrc aviaúon industry reguires 2¿f-hor¡¡ activities to moet opcntiond demands. Cúowttr in global long-haul,<br />

t.. SUBJECT TERUS<br />

Fatigue, Circadian rhythrns, Duty and Resc Scheduling<br />

rr. sEcunrTY cL ssrFrcaTlox<br />

OF iEPORI<br />

Unclassiñed<br />

I¡. SECURTTY CI-ASS¡F|CATIqX<br />

oF 1t{rs P^GE<br />

Unclassified<br />

l l. sEcuñrTY cLAsstFrcaTx¡t<br />

o; gf<br />

^BsTñ<br />

T¡. IIUIBES OF P^GE3<br />

t5<br />

13. PFTCE COOC<br />

A03<br />

20. urff^Tto0{ of ^8sTR^Ct<br />

NSN 754æ1-?AO-55æ Srerìóaró Fofm 29E f R¿y 2-89ì<br />

!6---=s.r: S: -gF.:


a<br />

e<br />

a


I)teralure R¿r ¡e x<br />

An Ovcrvtew of tbc Schot6c Lltcr¡u¡re<br />

C-ooccrning Fetlguc, $*p, ¡¡d thc Circ¡dh¡ Cyclc<br />

Prepared for the Ofllce of tbe Chief Scieotific<br />

rnd Technlcd Advlso¡ fe¡ f,¡¡m¡n F¡ctors<br />

Fedenl Avl¡tloo Ad nl nlct¡¡tioo<br />

By<br />

Battelle Memorial lnstirute<br />

JIL lnforma tion SY:tems<br />

January l99t<br />

Page I


lntroductioo<br />

An Overt'iew of the Sc¡entif-¡c Literatr¡¡e<br />

Concerning Fatiguc. SleeP, ¡nd the Circadian C.r cle<br />

This docunrnr providcs a bricf rcvicw o{ tbc scicntific rcra¡ch rclating to issucs of piJa fatiguc<br />

arising from crew scbcduling practiccs. A oassivc ¡únounl of rcsca¡ch has bccn coodr¡cæd on<br />

c¡ch issrs ¡s thc covironræntd cooditions tbar cootribuæ to thc occtureocc of fatiguc. rq¡te and<br />

chrooic slccp dcbx and tbci¡ cffcctç oo pcrforrnancc, a¡rd tltc inflr¡cncc of thc ci¡cadiao cycle on<br />

rtcrbes. This papcr ancepts to idcotify nþr treods in this üæratr¡¡e that might bc of vd¡¡c i¡<br />

ddressing scbcduling re¡uluory issls'<br />

Tbc<br />

proy<br />

cons<br />

sectioos. Tbc ñrst scaioo. -\Vhu is Fatigræ," attcmpts o<br />

f¿igræ ùa scrves to dcf¡¡c tbc scopc of issr.rcs thu nced to bc<br />

a¡ contributc to the occr,¡¡rencc of fatigrrc and nrcthodologies for<br />

asrssing the impact of fuiguc on huma¡ functionrng'<br />

Scctioo two, "Indicatioos and Etrccrs of Farigr.rc," bricfly revicws the hurnar¡ pcrformancc and<br />

pbysiologic¡l i¡dicaros of fuiguc. Tbc inaot is to idcntiÛ Possible de¡rccns in pcrfonrnncc<br />

that cor¡td bave a efe¡y irnpect. This scctioo also bricfly add¡esscs thc complexitics involved in<br />

rrrcasuring farigue levels. As this scctioo cxplains, fuigue is a complex cooc€P{ that does not<br />

aJuays produce erpected me¿surable dc¡rcrnenLs in pcrformancc<br />

Secrion tbrÊ€. 'lFauguc and tbc Aviatioo Envuonment." add¡esscs tbc issue of faugrr slthrn the<br />

avrarion enr.úonrr¡ent. Beforc changes a¡e madc to existrng rcgu,laltcrns. ùc qr.rcstioa of *hcthcr<br />

rherc rs a problem that ne¿ds to bc rcsolved should bc addrcsscd. Ata:lable rcsearcb on the exlent<br />

oI farrgue urth-tn the aviation envi¡oonrnt Ls rcvicr ed In addrtron. fa.-tors ùar compbcate the<br />

asscssrîenr of rhe extent of thc fatiguc problem in an operatlonal en\úonmcnt a¡e aJso descnbcd<br />

A pilor's lcr.el of alermess ar any tirrr dcpcnds upoo a complcx interactton be t*6¿¡ a numbcr of<br />

variables. For¡¡ va¡iablcs. i¡ particular, nccdtobc considcred: tinrc on task. ti¡nc sincc a*'ake. any<br />

existing slecp dcbt a¡d tbe pilot's own ci¡cadian cycle. Scclion'for¡¡. "St¿ndard Dury Period,"<br />

dcscnbes the resc¿rcb rends pcrrairung to EtrE on tâsk and Ùnrc sLnce a'*alie *hile scction fir'e.<br />

"sranda¡d Slccp Rcquirerænts," sddræscs ¡rcutc and ch¡onic slecp dcbt, including<br />

recorur¡endations for stccp delx recovcry. Scction si¡, "The Cúcadiar¡ C¡cle and Farigue," r¡'hich<br />

looks at thc rcsca¡ch on ci¡cadia¡ cycles a¡d thci¡ implications for back-of-thc-clock and<br />

ransmcridian fìying. Finally, scction scye¡. "Augmented Crc*'s." looks at the limited data on the<br />

usc of augmented cnews to extcnd duty pcriods.<br />

Lite rature Reyiex<br />

Page 2


\t'h¡t ls Fatigue<br />

The ob¡ccti'e of ¡hc rcgularions proposed in the NPR\Í is ro idcntr[ scheduling constraints that<br />

will mini¡ruzc thc impact of pilot farigue rhar a¡iscs from duq'únr and slcep debt due to c¡er¡<br />

schcdulcs. Thc rcnn "fariguc." has ya to bc dcñncd in ¡ concææ fashlon (Malrcr &, McPbcc,<br />

l99a); Ilendclson. Richa¡dson & Roth. 1996). Fatigrrc. æ addresscd in the human pcrforrnance<br />

tiæra¡r¡¡e. refcrs ro "dc¡erioruion in hurna¡¡ pcrformancc, uising as a conscqucncc of scveral<br />

potcntiel f¡cto¡l including slccpincss"<br />

dcfinitirn: -Slccpincss, æcordint to a.n<br />

cli¡icizr¡, is ¡ brsic physiotogical strc (like) hr dGtP<br />

i¡cre¡scs slccpirc r¡d rs hungcr or thirsr is revc¡siblc by ceting c drinking, nÊspcctively, slccp<br />

r'ycnecs shcpirc- G,oah ct r¡., t9t9, citcd by Mcnddson, Ricb¡¡dsoo ¿1, Roth. 1996, 9.2).<br />

tn kccping'with cunea3 thinlcing on tbc cooccf,t of fuigræ, M¡bcr aod McPhcc's ¡PPno¡ch ¡s t¡scd<br />

bcre:<br />

.Tariguc" must continue to bave tbc status of a hypolretic¿l constn¡ct, ar¡ eotiry<br />

uhosc existcncc and di¡ncnsions a¡e inferrcd from antcccdcot ar¡d conscqucnt<br />

evens or variablcs" (P. 34).<br />

This ræ¿ns rhar farigræ is trea¡ed as a coocc¡ that occurs in æsponsc to predcfincd conditioos<br />

a¡d bas physiological a¡¡d pcrformancc cons€gtrcnc¿s. Tbc antecedcot conditions of inærest bcre<br />

rncludc:<br />

o Trrrr on task. rncludlog flight ti¡r¡c and dury pnod dr¡¡a¡oo<br />

¡ Trmc sincc a*ale wbcn þgrno.ng the dury pcnd<br />

o Acute a¡d ch¡onic slccP debt<br />

. Cr¡cadia¡ drsruptron. multiple timc zooes. -¿ 5¡¡¡ * -'rrk<br />

The obje.-tit.esof this docurrrnt arc to rcr'iew the sctentlfic reseårs-h rn ordcr to:<br />

o Idcnrify thc impacr of thesc a¡ltc¡cdent va¡iable; on hum¡n pcrformance<br />

o Rclare ùcsc variables ro appropriate pbysiologicd rneasu¡es that have bccn derr¡onsrarcd<br />

to þ æcomPantd by dccrcrrrnts in huma¡ prformance<br />

Identify. to ¡hc ertent possiblc. limirarions and requirenËnts cooccrning dury* Pcrid durations.<br />

mirumum slecp re4uirenËnrs. etc. thar should bc rcfìecad in the regulatioos.<br />

I)teroture Revi¿v<br />

Page 3


lndicatioru and EfTects of Frtigue<br />

Thc massire literarure on fatigue has idcntif¡cd a numbcr of symptorns that indicate thc prescncc<br />

of farigue. includlng: incrcased anriet¡. dccre¡ccd shon ærrn r¡crþr¡. slowcd reaction tinrc.<br />

dccrcascd wort cfficiency. rcduccd nprivational drive. dccrcascd vigilancc. irrcrcascd variabiliry<br />

in work pcrformancc, increascd err


Sccrcury Ron Brown funher illustrares rhc rypc of inaction Dprcd of fatigue (Ne*man. 1996).<br />

.lJrhougir the pilots dcrccred an crror on apprcach a full m¡nute bcfore the crash. they rnadc no<br />

artcmpiro .o,'ç"r the enor-a coffur¡on cha¡actcristic of fatigue. This is due to a rcduccd lcvel of<br />

adhcrcnce to onc's normal s¡andard and a rcduced abiliry to cognttivcl¡ make a connecÙon<br />

bcrr¡ecn causc and efrccr. One rnay recognize a problcm but not tra¡rslaæ its effcct dr¡c to lack of<br />

full'comprchcnsion of thc siruation or simple failr¡¡e to initiatc en actioû-<br />

Relacd cvidcncc e¡ig,s rbrt f.tit¡¡cd worter: ¡¡e s¡ti¡ñcd with lower pcrforrnancc ¡¡¿ thrr<br />

n fu rbility of ôc worker to Pcrqe¡ve rod<br />

r un¡bþ to shifr qui


EfTecs of Fatigue and Sleep Loss on the Br¡in<br />

¡asks can bc determincd'<br />

nction. Horoc ( 199 I ) stålcs that thrs rcstoration ts<br />

tcr of tlre bra¡n. This is consisænt with thc<br />

tinrc since ¡*'ake signifrcantly increascd the<br />

9tl) for¡nd tha dominant EEG Êequcncics in<br />

gressive dÊclinc. with cach shifr bcgrnnint in ¡hc<br />

ihift croplo¡'ccs ¡hou¡ed EEG rc'di¡gs of l2-30<br />

duty during rhc oiSbt sbin' 2ó Il¿ Gcvens e¡ rl.<br />

bcrerrEß ere præcdcd by obocrnbþ EEG brain<br />

lcû¡ioorl fær¡s. Tbcsc EEG cåeo¡es rrc<br />

¡ncc dcc¡e¡mte ælu. Howia a d. (l9t)<br />

for¡nd th¡r undc¡ high wortload sin¡uions thc<br />

rf thoec disPlaYcd bY fresh Piloc-<br />

ecp is bnin glucosc levcls. All tissrc of thc body.<br />

: brain. worts clectrochcmic-lly, r¡d conforms to<br />

I uscd. Tbus. by æasuring glucoec utilization,<br />

n, üìe¡ls whicb ¡¡Ê very active duing va¡ior-s<br />

Tbornas et al ( l gg3). usr.ng posiuon effussron topography (PET) scan has providcd sÙong<br />

ph¡srological etidcnce uUat stccp loss is<br />

ft *"t ¡¡s5¡ i¡r'ol1'sd wcrÊ thc prcfro<br />

b'ile<br />

r^ ^- t!<br />

^t-;*<br />

- --^-. /-*<br />

r.n tbe a¡eas of higheiorder ¡hrnkrng declines ranged from l0 to l? pcrccnt (Tboro¡s' 199?)'<br />

.{Jr}.:ugh ther rclu.-rions scem relatirel¡- mrnor oYer a {t bour Pcnd' Gold ( 1995) rcccntl}'<br />

:<br />

fou¡J rhar com<br />

changes could significantJ;- erùancc cognirtr e<br />

hcaJthy yount adurs. erdcrry, and r'erc sr¡res of<br />

performance rn<br />

parhology such<br />

n"u"t tlop depnvation' t¡t orerall br<br />

ndronr Paticnu'<br />

pET scans of rccoveû slccp. aken sequenrially through thc nighr and synchronizcd with EEG<br />

changes. show that slow wave slecp apPears<br />

Uu Tbon¡as et al (1993. 1997) showed werc<br />

indicaæs rhat a¡eas of thc bnin i¡volved in der<br />

fncfh)ry. drive a¡d initiative. problem solving, complcr reasoning, and decision making a¡e tbe<br />

g".",.ri bcneñciarics of dccp sleep ([^a'mbcrg' 1996)'<br />

since rhc fronr brain is rcsponsiblc for analysis of information. judgnrnt, planning' dccision<br />

ma\r'g. and rhc rniriation àf actions. it is not surprising thu NTSB found dccision making<br />

abilruis suffered with high time since a*'akc'<br />

Litetllure Rer lcx<br />

rsm'<br />

s<br />

Page 6


The orderly planning and sequencing of complex bcharrors. the abrltry to at¡end to<br />

rveral .o¡1ion.n,s simultaneousty. and then flexibl¡ altcr üre focus of<br />

conccnrrarion. rhe capac¡r) for grasping the contcxt a¡d est of a complex<br />

sirua¡ion. rcsis¡ancc ¡o drstraction and in¡crfcrcncc, the al'rlrry to follow multi'step<br />

instructions, tÞ inhib¡rion of im¡nediatc but inappropriarc rcsponsc ændcncies,<br />

and ¡hc ability ro sustain bchaviord outpt¡t... may eacb bccorrrc roarkedly<br />

disrupcd (Rcs¡t lgtt)-<br />

M¡ny of tbc ñ¡octions ¿os¡ibcd by Rcsak arc tbc sarnc functims æcssar! to e pilot's abiliry rc<br />

cornpctenttY flY r¡ rfucr¿ñ-<br />

Mcesurlry Fltþæ<br />

Alrlro'gh thc studics jus lisæd do show pcrforrnance decrenros ô.r to fatigue. othcr srudies<br />

have shov¿n no effeci(e.g.. Roscnrhal. 1993). particularly *hcn slccp loss þvels up to 24 hours,<br />

or small ch¡onic perria¡ slccp loss lcvels of only o¡ìc or two hor.¡¡s pcr day arc r¡scd. Tbe lack of<br />

dcñnitive resuls in parriat slccp dcprivation srudies rnay bc dtrc to difrcrcnccs in æsting<br />

proccd'res. Roscntb¡l tcsted on fou¡ scparate æcasions. where¿s oùc¡s tcsæd only oncc Pcr da)<br />

in.,o* scverc stccp deprivation srudy. Thornc (1983) madc t-bc rcsting i¡stn¡rncot tlte p.i-arl<br />

task. *.hich lastcd 30 rninutcs of each hou¡. As slecp loss bcc¿¡r ncreasingly trÊ¿¡c¡, subþts<br />

bccame slower. Thercforc. the drr¡c to complete thc sclf-paced t¿sk urcreascd about 70 pcrccnt.<br />

and at timcs doubled.<br />

frans er al (1991). in a rcvier*' of faugl.re rn comba( cTearty;st¿¡C ¡hat gr.¡dics ustng embcdded<br />

resrrng. such as Thorne (19t3). Angus and Heslegrave (1985). æd \fullancy et al. (l9tl).<br />

;cn:rsrenrlr sho* grcarer ettfecLs ol farrgue and slecp loss pcrfom¿rce dccrements tha¡ shon<br />

durarron isolared inrn¡srre resLs Belenky et d (1986) noles that --i:tlnuous emttcdded tcsting<br />

rereals targer pcrformance decremenls soonertha¡ dces interm:e¡t test¡Dt. Ln Angus and<br />

Hcslcgrare (19t5), ana.l¡srs oi rcsulrs found a ?t* de .-remcnt r:. :--'Ñrng,/dècoding performan;c<br />

anda43%decrerncnrinlogical rcåsorungafter2{hoursar*'ake H¡'sl¡m(19t2).usingnon'<br />

embcdded rcsdng. found no de¡rerncns and 29%. rcspectivel¡.<br />

Thc grearer scnsitiviry of cmbcdded asting is nor surprising gireo rla ùey rEasure pcrformance<br />

for a morc prolonged pnod. Brief. incnrsive psychomctric tesLs. In contrasl. a¡e novel and act as a<br />

rcst brc¿k, iistraaion. and remporary srimutus, thcrcby increasi-og shon ærm mobiliz^tion of<br />

effon rhus boosting pcrformance. Thc usc of such an inswrncn¡ * cxlld funcÙon similar to the<br />

effecr Chambcrs rrør) found in an indusrrial output study rrher o{rtPut remains highcr when a<br />

worker was switched to differcnt jobs pcriodically than to sta)' a¡ ooc jó'<br />

.\¡otherexplanation for the varling effects of prformance due t.', fati8ue is that pcrformance is.<br />

Lilerature Reyi¿r'<br />

Page i


in part. depcndent upon thc crrcad.ian physiology of the sub¡cct' subjects expcricncing cucadian<br />

dysrhythrru. o, op.äiing aunng thcu ciicadian trough ¿ue r¡!ìre lrkely to yrcld substandard<br />

pcrformancc.<br />

funcrion.<br />

ìf icrælee Ps<br />

uionship bc¡wcco fuigrre and perfonmncc'<br />

ìavc a targc imPæt oo ¡esuls' particulrrly rn the<br />

:ffccts are frequcntly most aPParcot æ¿r thc cnd<br />

orgiræls fo.lr¡d) but dso m¡y æcolü for thc<br />

5 sf slccp l6s" (BoDnGt' ¡9{' p' 50)'<br />

rs coosidcred ¡o iocre¡sc seositivity il æstiog for<br />

nctr¡dc cood¡r¡d¡t pcrfornaoca Proloogcd<br />

3 þ 3!6wa to wort i¡ dccre¡mt ôæonc¡is<br />

¡avc bccn rcportcd to bc lcss efrectêd by slccp<br />

ioo & Nritob. ln4). F¡tinp efræs nd to bc<br />

'roorivuint. and fccdback is givea' Oo thc uhcr<br />

nd ancndoo. the use of ncwly acquired skills' and<br />

,rt têrln rrrcrpry- This is bccausc wort-paccd tasks<br />

ereby dccreasing tbc rtscrre capacity of brai¡<br />

ecrive tesing and the If SLT as good nrcesu¡es of<br />

y. McFarland (1953) considcred thc dccnoration<br />

)c srudy of farigrrc. Thls has rcccntJy bcco<br />

(lggl) rì¡ot¡gb tbc r¡sc of ftrgbt date rsordcrs for<br />

proccdure rDay bc thc bcst avenue ya for cruJy<br />

riond sening<br />

sscssing rÌ¡c.effects of fariguc urd slct¡relued<br />

rch. Microstccps *'erc fin¡ recognir:d by BiUs<br />

inrcnrcning yea¡s they bavc also bcco callcd<br />

ps." Tlc physiological drive to slccp can resul¡ in<br />

,itcs. Tbc lancr tcrminology is rlrc rcsult of EEG<br />

r forrnati on processi n g. subjecs monr nraril y s li p<br />

n a¡rd usually without ¡he blowledgc of thc<br />

:s (1929)- Bonnct and Moorc (1982) for¡nd that<br />

rnsciously a$'are of fdling aslecp, tbcy had bcen<br />

aps€s i n' "-n:lï ï:'.'ï1,*, jj"Ji: ot<br />

leadingtoeÍorsofomissiooduetomlssc4¡nlorroarion.Inrriajtasksthatarcwortpaced.<br />

Literature Retiew'<br />

Page E


mlcrosleeps can also lead to enor of commission and. if frcquent enough or long enough. can lc¿d'<br />

to loss of situationd ar¡'a¡cness.<br />

llcrosleeps have bccn shown to bc a uscful approach to asscsslng the effccts of tinrc of day on<br />

slecpirrcss tevels. EEG bnin wauc changes confirm that pilos cxpcnence gre.atcr slccpincss and<br />

decrcascd alertncss bcrwccn 2:0O to 4:00 a.m. (Gundcl. 1995). Alplu \Èaves in EEC¡s indica¡e<br />

micro cvcnts or micro slccps and have bccn for¡nd to bc th¡ec tinrcs grcacr during night than<br />

thc pbnirtogicd occr¡¡rcocc of microslccp ia cr<br />

narure of fatiguc in sucocssive nigbt opcratioos'<br />

The bcneficial effects of raking brÊåks havc dso bccn demonst¡ated by rrrasr.rriag microslccp.<br />

\f,'orkers pcrforming continuous tasks wi¡.hor¡t brÊels (Bills, l93l; Broadbcnt l95t) or suffcnag<br />

from stccp loss began ro dcmonst¡a¡e signs of micm slccps much soooet tha¡¡ thosc witb rest<br />

brcats or tcning adcquae rcsL resPectively (KlUbcrg. 1977b).<br />

Tbc rcsca¡ch ci¡ed in this scction sug,gesls that fuigr.rc rnay bc a factor i¡ thc aviation envi¡onnrnt<br />

duc ro dr¡ect performance decrcnrns a¡d. rndirectJ¡, th¡ou-eh m:;r.'slccps tba disrupt pilor<br />

funcrronrng The next secuon looks at data rclaung to the occurtence of fatiguc i¡ thc aviation<br />

eDVUoflf0cBt-<br />

Fatigue and The Aviation Enrìronment<br />

Tbc unrque cha¡actcristlcs.of the ariation envtroafirnt ma!'make p...rrs panicularl¡ susccptible rc<br />

farrguc Enrironrr¡e¡ral f¿ç¡s6 su\--h ¿Ls mo\enËnt restriction. Poor 3ú flou'. lo* lrght lcvels.<br />

frtiguer\fohicr. 196ó). Ioaddition.tìe<br />

backgroundnoisc.andvibrarionar€k¡o*¡caus.sof<br />

inuoduction of advanced automation into tlrc cockprt has changcd thc nan¡¡e of thc job for mur¡'<br />

pilos. Ha¡ds-on flying has bccn rcplaccd by grcatcr demands on tlìc crew to pcrform vigilant<br />

moruroring of thcsc systems, a rask which poplc ¡cod ¡o find trnng rf pcrforrocd for long Pcrids<br />

of ri¡r¡c. For example, Colquhoun ( t 97ó) found that monotonous t'igilancc tåsks could dccre¿sc<br />

alertncss by 80 percenr in one hor¡¡. which is conelated with increascd EEG theta activity or<br />

slccp-like stare. Si¡cc physical acuvity and.intcrest in thc task can hclp to minimizc thc dccline in<br />

pcrformancc due ro continuous r*'ork and slccp loss (Wilkinson. 1965: LiUe. 1979).lutomal¡on<br />

may conrribu¡e to incrcascd drowsiness in pilos srffcring from fatrgr.rc or slecp loss. Also, æ witl<br />

bc sho*.n be tou'. rhesc cognitire-based acuviticsrnåyþ susceptible to the effecs of fatiguc.<br />

IJIera:ure Reuiex'<br />

Poge 9


AJrhough these envi¡onrnentd cha¡actcristics a¡e sugtest¡\'e. thc acrud extent to'*hicb fatigruc is<br />

a safer¡,issue nccds to be asscsscd. A srudy of ASRS incident reportçsuggcsted rhar ll% of<br />

incrdenu rrere fatigue-related This figurc was challcnged b¡ Baker(199ó). whopornrcd our ¡har<br />

rhe daubase is a biased systcm dr¡c to sclf reponing, and the data werc fi¡¡tàcr biascd by thc<br />

rcsca¡chcrs' inrcrprctation of thc rcporu, Kirsch (1996) argues that thc actual ASRS esrima6 is<br />

for¡¡ to scven pcrc€nt. Græbc¡ (1985) clarifics ¡hc siruation as follows:<br />

An inirial analysis of NASA's Aviation Safety Reponing Sysæm (ASRS) iD l9t0<br />

rcvcaled th't 3.t petæot (77) of tbc 2006 rir trensport crcw lærnbcr errq rcporrr<br />

rcccivcd sincc 1976 rç¡e dircaly associa¡cd with faigræ (Lyo¡n ¿ì, Orl¡dy,<br />

l9t0). This rney sccrn lilc ¡ n¡hc¡ smrll poportioo. br¡t ¡s öc ¡uthort cqhasize,<br />

faiguc is Êcqæotly r pcrsonel e¡pcrftæ. Tb¡¡g whilc oæ ctts æEbcr rD¡y<br />

¡nribuæ an qlor to htittæ, r¡dcr mey rttributc it to . rærc ôrccdy pcrceircd<br />

czll¡sc such as inatæotioo or a miscommr¡nicetion. Wlren atl rtpori¡ which<br />

mcntior¡ed fætors directly or indirectly relaæd to fatigr.rc a¡e i¡cluded, thc<br />

pcrcentage incrcascs to 2l.l pcrccnt (426). Tlrcsc incidcns teodcd to occur rrþrc<br />

oftcn bcrwecn 0O:00 a¡d 06:0O flocal tirncJ and during thc desceol, approach or<br />

landing phases of fligbt- Fr¡¡tberr¡ore. e large rnajoriry of thc tcports corrld bc<br />

classificd "r s¡þ5t¡ntive, potcotially unsafe cnofs and not jr.rst mioor cno¡s.<br />

Ln a srudy of fligbtcrcw-involved rnajor accidcnts of donpstic ai¡ canicr: during thc 1970 rhroqgh<br />

1990 pcriod (NTSB. 1994). ooc conclusion pcrraincd directly to thc issr¡c of fatiguc: "Half the<br />

captains for *'hom data wcrc av ailablc had becn awake for morc than ll hours prior to thcir<br />

a.-cidenLs Half the first offic¡¡s bad þcn ar*'ake more üra¡ I I hor¡rs. Crtws comprising capraias<br />

a¡¡d frnr off¡cers rrhosc ti¡rr sr.ncc awalening was above tbc n¡cdia¡ for tåci¡ crcw positioo roadc<br />

¡¡¡gre errors overall. and sigmfrcantJy morc proccdr.rral and tacocal dccision errors" (p. 75). This<br />

fLnding suggesLs that fatigrrc rnay bc an imponant factor in the .-arrier accidens. Becausc tbe<br />

srudr rnrolred onJy donrcsDc c¿mer accidens. l( remå¡ns uncle¿r as to '¡hetherothcr fatiguerciared<br />

facrors. such as long fì.rght tirrrs and cr¡cadiaa drsruption due to multiple tr¡rr zones<br />

,¡ould aJso appcar as causative factors. On the basis of this srud¡. thc \-TSB recom¡rrnded tlrar<br />

¡hc F.{{ addrcss thê rssues of flight duty tinrcs and rest penods<br />

AJrlrough the rcsults of this study are suggestive. the acrual impact of fuigue has ya ro be<br />

dercrmi¡cd. Sincc no reel cfrort bas bcen madc to idcntrfy the effe¡s of fatigue in accidcnt and<br />

incidencc investigation, it is difñcult ¡o tsscss thc magnirude of thc problcm. ln addition. it is<br />

possible ¡hat sclf-rcponint syten$, such as ASRS, nray bc affectcd by the inabiliry of peoplc ro<br />

accuraæly ass€ss thei¡ own fatiguc levels (Sasaki et al.. 19861 Richa¡dsoo ct al.. l9t2; Dinges,<br />

1989). Subjcctive evaluatioos of slecpiness have not bccn found to bc rcliablc exc€pt in exuenrc<br />

slcepincss. Rosckind and Scbwa¡u (198t) notcd thar the scientific litenrure gcncrally<br />

demonst¡ates a discrcpancy bctwecn subjective rcporls and psychophysiological rpasu¡es, thc<br />

rcsult bcing underestimations of one's levcl of slccpincss (cf. Dement & C¿rskadon. l98l ).<br />

Derncnt et al. (197t) and Ruh et d. (1994) rcporred that some subjects.¡udged thcmsclves alerL<br />

Lite rature Ret iev Page l0


\Ahcn in fact thcy r¡'erc in t5c process of falling slecp'<br />

rhcir e¡'es and try to slccp This<br />

subjeccive alcnness in relaoon ¡<br />

can bc rccordcd i¡ the sa-E cn\<br />

¡trre effons t'et*een Europcan. Japanesc. and<br />

r haul at¡cre'* s. rePoncd that sub¡ectlre<br />

uc narure of thc psychophysiologicd staæ of<br />

cParate srudies by Derrrnt ct al' (t9tó) and<br />

found that subjccts subþctivcly fclt tlnt tltcy<br />

cn paired *'ith ar¡otbc¡ subþct' when io tcdiry it<br />

¡. Rosckind d al. (tgg¿) fou¡rd pilos un¡blc to<br />

ræ to ¡ shorr inftight nep. Alrhough pilots did<br />

ttrcy could not subjcctively ooticc ¡ dific¡eocc'<br />

pychophysiology cbanges ia higbcr ordcr<br />

r loss, thcsc changcs automarically precmpt oocs<br />

rccunrelY.<br />

c prescncc of ccrtai¡ fætors masks slccpiæss and<br />

. Envi¡onrncot¿l factors that have a maskjlg afÏe.,-:<br />

ne,lhi¡st, bungcr' e¡ciænpn¡. rrlking ¡bout<br />

tet al. (1978) fo{¡od tbet slccp dcprived pilots in<br />

occ ftigbt prcpalatioos werc undcr way rnd fligbt<br />

escarch that r¡scd tbc multiple slecp laæocy tcs<br />

:lnd et al.' 1994: RotÌ¡ er d.. 1994)' I¡ conr¡ast to<br />

cncy tcst asks subjects to quietJy lie do*n. closc<br />

rnasking factors' *hcreås<br />

e þrær corrclarioo bcca'¡¡sc bot'h<br />

' tl9t9) rcponcd thu slblecute<br />

slecprness rcsponses ro r-bc Sa¡rford Sleeprness<br />

cd sigrriñcance $ hen subjects<br />

,*ere entennt suge I slec; Tlus rt n¡ay tlc that rrhen EEG aJpha a.lld tìeta 3;t:\rry appcars therc<br />

rs trul) a fecLing of sleeP:


p€nÑ Srx factors that ma! nced to bc cons¡dcred are<br />

o<br />

a<br />

a<br />

o<br />

o<br />

a<br />

Trmc on task<br />

Time sincc aw'ake<br />

Task typc<br />

Duty period extension<br />

Cumutative duty tirrrs<br />

E¡vi¡onræntal factors.<br />

F¡ch of thcse factors is dirrsscd bclow.<br />

Tlne-On-Tlsk<br />

Ttrre appcårs to bc so¡nc conscnsus that thc efrecs of tirnc'on-task on pcrforrnancc a¡e diff¡cult<br />

ro asscss (c.g.. Maher & McPtrcc, 1994) a¡d a¡c ¡ffectcd by a nurnbcr of va¡iablcs, including tinrc<br />

of day. thc narurc of the task. ¡he subjcct's nrotivational lcvel. and if fatiguc or slccp loss a¡e<br />

already prescnt (Dingcs ll Kribbs, 199 I : Mahcr ll, McPhcc. 1994: Mendelson, Richa¡dsoo &<br />

Roú. 1996). Ln spiæ of this. pcrformancc on rnaoy labontorr- task follows a simila¡ cr¡rve<br />

(Vrþs{riever lÞ Meijnran. l9t?): relativcly low starting pcrformancc. followed by optinel<br />

pcrformance. whicb ¡lrcn dcclines drrc. prcsumably. to fatigue. Thc poins at which o¡inl<br />

pcrformance begins and then starls to ccgndrc varics with the task For sonrc cogniúve r¿sk.<br />

optirnal pcrformance is achreved afrcr about ñve bot¡¡s. thcn dechnes to its lo*'cst levels afier ll<br />

ro ló hor.¡¡s on t¡sk (Sçrnccr. 1987: Nicholson. l9t?l Sonrc t¿sks. such as moni¡orint ¡esks tha¡<br />

requrre high lerels of vigiJance. shorv pcrformance dc¡rcrncns aier shoner du¡atioru. Coþuhoun<br />

I l9?6lfound rhar mono(onous vigilance tasks co


shift uorken (Colligan & Tepas. l9tó). nrght sfuft *orkcn (Rosa á! Collrgan. 1987). ra *atch<br />

r¡orkers lColquhoun. 1985). and truck dnvers (Hanrlin. l9t7). The laner srudv also found an<br />

lncre¡Lr tn the numbcr of accidents that a'cur *hen I l'hour shifts arc uscd-<br />

This increascd likelihood of accidcnt risk duc to long duty pcnods has bccn found in othcr<br />

s¡udics. Thc relarive risk of an accidcnt. ¡¡¡ l4 hot¡¡s of dury riscs to 2.5 tirnes tha of ütc lowest<br />

pornr in ¡lc f'rst eighr hor¡rs of duty. Askertedt (1995) rePons accidcot risks to bc th¡ecfold a¡ 16<br />

-hou¡5<br />

of dury. whiþ Harris and M¡ckie ( 1972) fo¡nd r ¡hrecfold nsk in jut over l0 bor¡rs of<br />

driving. TÌrcsc þvels of rist are simil¡r to ¡bat æsociarcd with b¡vi¡¡ oercolepsy or slccp rpæ¡<br />

(L¡vþ et 1., l9t2), or I blood dcoùol level of 0.10 pcrccnt Wegrnann et al. (19t5), i¡ ¡ study of<br />

ai¡ carrie¡ pilots, rrgr¡cd for a duty pc¡iod of t0 bot¡¡s with t.5 bor¡r¡ or þss of f,ight ûry pc¡iod.<br />

Ti¡oc Sincc Aw¡ke<br />

The rcsults of an NTSB analysis of donrstic ai¡ ca¡rier accidcnts æo¡¡rint from l97t to 1990<br />

suggesr thar tirnc sincc arlale (TSA) was tlæ dominant fatiguc-rclaæd factor in ¡hcsc accidents<br />

(NTSB. 1p!4). Pcrforrna¡cc dccrerncns of high tiræ-siocc-awake crewr æodcd to result from<br />

ineffectivc dccision-m¡Þing ratlrcr tha¡¡ detcrior¡rion of ai¡crafr bandling skills. Tbcsc dccrcnæas<br />

werc nor felr ro be rcla¡cd to tinp zone crossings si¡rcc all ¡ccidcns i¡volved sbort bad flighs<br />

with a n¡a¡imum of two tinp zoncs crosscd. Thcre did appcar to bc rwo Pcåks in accidcos: in thc<br />

moming whcn rin¡c since awake is low a¡ld the crcw has bccn on duty for abor¡t th¡ec to four<br />

hou¡s. ¡"rd uhen tirnc-sincc-a*ale *as high. abore l3 hor¡¡s. Simila¡ accidcnt pcals in othcr<br />

modes of transp'onatron and indust-q hare also bccn rcponcd Gotkerd. 1997). Alerstedt &<br />

Keck1und (l9t9l srudied pnor trræ a*ale (fr-'ru¡to l2 hou¡s) and found astr-ong c_orrelation of<br />

accrden,.s urrh rrnr srnce a\Àake for all orrrs of tàe da¡ Bclenþ er al. (19ç¿l found that fìrghr<br />

trrne hours i,* L.r'idoad t greatlv tnr-reas€ a¡d ad'l to the linea¡ dccline rn performa¡ce associated<br />

r¡rth t¡lr st-nce ar¡al


emprricallr ascenalned. Ho*ever. it is clcar thar tlrcr activitics would ccnt¡ibute to fati¡ue in the<br />

lorm of turr since ag.ake. Consequcntl¡,. it ma¡ tr appropriate to limit tþsc activitics in e¡thcr of<br />

t \^ o \¡'a\ i<br />

o r,\'irh rcspccr to whcn tlrcy occur rclativc ro flight ti¡nc so s5 ¡e ¡rcid pilots achieving high<br />

tinr-since'awakc levcls during flight lin: pcriods'<br />

. hor.idc maximum lcvels for ¡lrçsc activitbs comparablc to duty PÊrid tirrr lcvels-<br />

othcr duç'Pcriod ætivi<br />

s¡ggcts iù p-pot"ft<br />

úrã sincc awake, wind<br />

ahcr bo¡r hþæ frcrors (c'g',<br />

duty pcrioû)Eey bc appropriare.<br />

The rclaiooship bctwecn task rype and fatigræ buildup i.o ùc avia¡ion dæain rcmains to be<br />

derermined. The demands plæcd on long-haut pilos are clcarly difrcæu Éom thosc of tbc<br />

:lþrdriven airplaæ wiù limitcd autoroation.<br />

Þ lcg of si¡ or rpre bq¡r Thc rnain task-rclaæd<br />

¡itive fatigrrc dr¡e to vigfúcc. Thc regiooal pilot.<br />

lr¡c to thc high wortload ilvolvcd in pcrforming<br />

sir or roore akeoffs and landings. For this ¡eason. it may prove nec€ssåry to develop scparatc<br />

re-Eulations that a¡e appropnare for each major tlPc of oPcra¡ion'<br />

DurY Period Extemions<br />

The re;:¡::h cired on dun FnùJ durarron sugtesls th¡l dut' pcnods a: -xabove ll houn a¡e<br />

assocraæJ *lrh a highcr nsk of eror This factor. together r¡lth thc tunc-s¡occ'a',r'a]


Environmentel Factots<br />

The phrsic¡l enrironrncnr of thc ccr'[ptr is a source of othcr factors tà¡ ca¡ contnbute to f¡tieue<br />

r\f ohler. l9óó). Fac¡on such es vibrar¡on. poor ventilation. ooir. a¡rd rhc availability of l¡rruad<br />

autornarion can con¡¡ibute ¡o rhc buildup of fatigue or accclentc its oort *'hcn coupled *ith tirnc<br />

sincc atr.ake. numbcr of tegs. and whethcr the flight involvcs thc WGI-. This may hare<br />

implications for rcgional c¿rrÈr pilots who fìy propcllcr{'riven ai¡cr¿fi'<br />

Concl¡¡sloos<br />

Tbc ¡esca¡ch circd suggests ¡¡ incrc¿sc io tttc liketihood of c¡ror as Óry Pcrids arc ertcodcd<br />

Þyood ¡2 hor¡rs. Thb ñndiry is espccirtly critical forcxæodcd dtrty Pcridl xtùich erc litcly to<br />

*.* under conditioos (c.g.. *car.bcr) tbat in and of tbcnsclvcs, rrt¡y incre¿sc tbc probtilþ of<br />

crew error.<br />

The interactions bctween multiple fariguc-rclued fætots mtl.st dso bc considered. Scpanrcly-,<br />

dury pcriod dr¡¡aúon. únp sr¡cc arvake. oumþr of hgs, and cnvi¡oom¡al factors contribuc to<br />

fatiguc buildup- Whcn any ooc of thesc factors reacbcs a high lcvel. coosideratioo sbould bc<br />

giv-n to reducing tþ rnarimum allowable lcvcls on tbcsc othcr faaas. Ti¡æ si¡cc awalc dso<br />

has obr.ious implications for rescñ'e assignnrens and for pilos who cmmutc.<br />

Standa rd Sletp Requirements<br />

Standard Stecp n*J,r.rn.nts ¡nd Ofr'Duty Period<br />

There is a generally,consisænr bod¡ of rese¿¡ch *hicb demonstratcs tà¡ nost people rcqulJ" an<br />

3\erase of t hours of slecp pr nrght to achieve normal levels of aleræss tfuou-shout dayrr-n<br />

hours r¡.ìrhour drowsiness a¡rd ro ar oid tÌrc buildup of slccp dcbt (C¿nt¡don & Demcnt. 1931.<br />

\\'eh¡ er al.. 1993). This frgre rs bascd upon a range of sR¡dies that used scveral approachcs.<br />

rncluding:<br />

o Historicd lcvels of slccp<br />

o }leasures of da¡iræ dertness<br />

. Slc€p tcvels achicvcd when givcn the oppornrniry to slecp as long as desi¡ed.<br />

Webb and Agne*' ( t9?5) reported ¡hat habirual sleep around the rr¡ro of ¡le cenrury r*'æ about<br />

nine hours. A l960 srudy of more than t00'000 Anrericans found tha l3 Frcrcent of nrcn a¡ú l5<br />

p€rcenr of *omen, ages 35ó5. slept less the scven hours wi¡h 48 PercÊnt of both obuininE less<br />

rhan eight hours of sleeppcrnighr ftl'oke IJp Americ¿. 1993). B¡ l9?7. onc incight Anrr':;ans<br />

Lileralure Rer ier*<br />

Page I5


eponed gen,ng si¡ or fewcr hours of stccp p'cr nighr (Schoenborn & Durchtk. l9t0) Br 198-1.<br />

,¡ust six "ian la¡.r. rhar numbcr had jumped ¡o one rn four (Schocnborn & Cohen. 198ól<br />

Thc ar.crage distriburion of habitual slcep rarìges bct*ccn 5.5 and 9.5 hor'fs pcr night. anJ<br />

includcs 95 pcrcenr of ttrc adult poputatio<br />

tt)' Ilost<br />

rcsca¡chers sccm to atrcc with this figurc<br />

l99l' Dinges<br />

et al.. 1996: Bonnet & A¡and. 1995). However.<br />

ir¡ditrdual<br />

differenccs in habirual stccp in e samplc of more ¡ha¡r 30,000 individt¡ds from I I ind¡rs¡nd<br />

countrics. t¡ this s¡udy rwo pcfc€nt wetË rcportcd ro slcep þss than frve bor¡¡s pcr nigbt rhile<br />

fivc perccor rcpo6cd ileeping rrlorc th¡¡n l0 hou¡s. Thcsc rvcrages bavc bcco llPoncd i¡ ¡imila¡<br />

frndings ænost varior¡s populerion g¡ol¡pc.<br />

Moa rcscrrcbcr¡ .divo€te t¡r ¡vefatÊ rlccp rcquireffEd for aduls aÍ7 s to t.0 bours pcr d¡y<br />

ff."¡"t<br />

er rl.. lgtt: Carskedon, ¿1, Roù" t99l; Dingcs et d., 1996). Altbottgh e¡¡ly o. Derrcat<br />

àr d. (1986) indicaæd rha¡ t hours wts Écssary for oPdrnat dcrtness thrrughout tbc dey, Hornc<br />

considcred 6 hor¡¡s -cotË sleep" sufFrcicnt- Although Hor¡c's advocacy of 6 hor¡¡s core slccp has<br />

derracæd soræuåat from wha¡ nrost slccp rcsc¿¡chcn now fecl to be o¡imal slccp, it bas oot<br />

dislodged thc weigbt of evidcncc-<br />

Cenkadoo (l99l) r€po,ís the¡ t7 pcrcent of collcgc studcns babitually slccping scveo to 75<br />

hours per night had difñculty sraying awake in ¡hc efteroæo with 60 Pcrccnt rcponing roally<br />

falting aslccl. \*'hen compared with Hornc's advocaùng only 6 hot¡¡s of -corc slecp.- tbesc<br />

responscs scrm ro suBgesr rhar. although rhc subjccs spccrff a habirud arnount of slccp a.bove<br />

Horne's p.:uuve 'corc.' their slccp is rnsuffrcient The si¡-hou¡ core arnount does Do( s..{D to<br />

apply ro fr¡any. bascd upoo thc sclf-pcrceired adcquacy of slccp.<br />

Roel.r¡s er al tlgtg,sho'*ed that when short or long slecpers *ere requrrcd to stay in bcd ior ten<br />

houn. all ;ut'.¡ecr-i ;icpr abour an hour longer tlra¡ usual. Tbe result rastbal all sub,pcs i-rprored<br />

¡n rhelr alenncss. r i-grla¡ce. and rcacuon trme nccded for dnving or moruton¡g modcro coouol<br />

pancls. Dlr rded anentron performancc showed signrfrcant ur¡pro\ er¡cnt. and cent¡al task<br />

pcrformance sho*cd.somc*'har bcner improrerr¡cnl than pcnpheral task prformance Da.rt¡me<br />

slecpiness dccrcascd for both groups. bur ro a gratter ertcnt for thc indiv¡dualS *'ho prcriouslv<br />

reporred suffering from stecpiness. Sublccs s'þe *crÊ usuaLly slccpy trere more alcn. a¡d thosc<br />

.^housuallr functionedatahigblevelbecamccrcnsharpcr(Ca¡skadonetal.. l9?9).<br />

AJlo* ing jusr one hou¡ extra sleep pcr night over fou nigbt rcsulted in a progrcssit'e reduction in<br />

da¡,rimc sleepiness of nearly 30 pcrce nt w'hen mcasr¡¡ed by ttrc Multiple Slecp l^atency Tcst<br />

(MSLT). .{llo*.ing slecpcrs who q'picdly slept 7.5 hor¡ Pcr day to slccp ad libitum, otùrc'¡<br />

rcsearchers found rhat slecp tinre increascd 28 pcrccnt from 7.5 to 9.6 boun. 1Taub. l9tl: \\'ebb<br />

& Agncr*.. 1975). Taub ( l9?6) srudied thc magnirudc of differcnces bcr*ecn rcgular (? to 8<br />

hours) slccpcrs and long (9.5 to 10.5 hours) slecpcrs whcn thei¡ slccp ræ Phasc shiñcd threc<br />

hours for,*.ard or backwa¡d. Tbey also cramined changcs when both groups had slecp pcriods<br />

Literature R¿ricx'<br />

Page l6


ex¡cnded or reduced. Although resulti shtrsed degrecs of impairmcn¡ from the acutc dterations in<br />

slecp panern b¡ borh slcep groups. the l-t..-t hour sleepc¡s consistently showed grcater<br />

imperrrrrnr CarskadonandDcnrcnr(lgtl.l9tllfound¡hate¡¡endrntthctotalt¡npinbedfrom<br />

crght hours ro rcn in l8 ro 20yeu old sub.¡ccs allo*ed thcm to incre¡sc thci¡tual slccptiræon<br />

more than onc hou¡. This resulrcd rn a significant irnProvcnrnt in da¡inr alcrùcs<br />

"".og" whrch only appcared afær tlrc sccond nigbt of extended slccP. suggcsing a repayiog of slccp dcbt.<br />

Thc rcsca¡chcrs fclt that ¡his improvcrrcnt supporrcd suggcstions thf cight horn of bcd tiræ roay<br />

rcpnescnr a ch¡onic slccp dcprivarioo condition in young adults. Scorcs on ¡Icrocss sho*çd r<br />

sair-step rcsponsc with tlrc lcogth of slccp per night as uæll ls witb tþ numbcr of nights. Thts<br />

scones for ¡lcrtncss wc¡e bcttcr for æo bo¡rs of slccp tbaa for e[!Ç eight weæ bcAcr tb¡¡ ñvc,<br />

r¡rd two nigbs with ñve bourl *cre baær thra scrca nights vith 6vt hou¡s wh¡cb scre bcacr<br />

than scores witt no slccP.<br />

In a stighrly difÏercnt rescarcb dcsigû.T/ehr (1993) for¡nd in e for¡¡-rek tcst thrt youog ¡ô¡lt¡<br />

allowj to slccp as long .s tbcy dcsircd. slcpt in exoess of l0 bor¡r¡ e day ôuing tbc ñrst threc<br />

days- This was followcd by thrcc days of abor¡t 9 bo{¡rs. Thc rernai¡dcr of tbc 2t days þveled ofr<br />

ar an averagc of t.5 hours pcr night. Thcu habirual basc-linc slccp vrc7.2 bq¡rs. Tbc initially<br />

higtrcr levcl of slecp is inærpreted as rcpayrænt of chrooic slccp dcbL A similar slæp<br />

requirernent figure of t.4 hours was reporcd iDt¡¡.im<br />

repon. Tbus both slecp eræosion srudics and<br />

rcquirement aPPcars to bc be¡wcco t to 9 bor¡¡s<br />

considcrabll hrgher than habirual slecP ñgures.<br />

Thc bcncf ¡u of slecp are prerotl¡ considcrcd ro bc logarithmic in naru¡e. *ìth tbe initial boun<br />

sho,* ing signifìcantJy trcåter bcr¡cfrts riu diminish as ooc approacbcs his or hcr opcimal shep<br />

lcr.el This accounls for bow rna¡) can slccp less aod appç¿¡'to still fu¡ction nornrally Ho*erer<br />

rhe t-r nd rn _:- i o I Roh¡e ( 1989) urd Taub, and Bc rgcr t 197ó) indicate t-hat during tåc frrst si¡ houn<br />

of sleep. pr-,ormance is resrorcd tc a selrsi3s-tora lerel under normal conditions. although<br />

ajenness and vigor ma¡ suU bt drm¡nrshe3 In llc hr-rurs bc¡'ond sü houn of slccpthc rcstoration<br />

. pru-ess funher resrorcs alcrtncss aod vigor and the brarn's capaciry'to handle siruarions abovc<br />

that of normal and for longer priods<br />

An erample of rhis is besr iltr.rsr¡arcd b¡ Sarrrcl etd. (1997) wherc tlrc sccondof twonightflighs<br />

sho,*cd a considcrablc rcducuon rn toleran.'c ilìd an increasc in fatrgrr aftcr only threc hou¡: of<br />

flight *,hcreas on rhe ñnt nigbr fatigr.rc did oot sct r¡ unúl afrcr t bq¡rs. Tbr¡s. thc additioî¡¡<br />

hou¡s scrved :Ls a rescrì'e capacity agains *orkload (Howin et al., l97t) or hours of dury (Sanæl<br />

et al-. 1997. Gundcl et al-, 199?)<br />

Lit¿rdture Ret ¡ex<br />

Page I7


Other Variables<br />

Individu¡l Differences ln Sleep Requiremen6. Many of thc srudics described above shoued<br />

rhar thcrc appears to bc a considcrable variability in individud slccp nceds. Thus. thc cighr-hou<br />

stccp rcquirenrnr rcprcsens thc averagc of slccp nccds. but dæs not take into account of thc<br />

nccds of thosc individuals who require additional slccp utd who rcprescnt a fai¡ pcrccnt of rhc<br />

populatioo.<br />

Age-Rehtcd Cleryes tn Shcp Rcqulrencats With ryc thcre is e si¡aiñcrat dccli¡c i¡ hsin¡at<br />

nigbrty slccp dræ to increascd nthttiræ ewelenirys (Devis-Shrns, l9t9; Wcbb e Cerapbeü<br />

l9t0; Ca¡skadoo ct ¡1., l9t2; Mitcs ¿l Dcræa¡, l9t0: C¿rsk¡doo ct tl.. l9t0). ln oldcr<br />

individuals. habirud nigbniræ slccp is æoqenict by increascd daytiÍE fetigræ, slecpircq<br />

dosing, rnd napping. This increasc in thc nunrbcr of slccp Pcrids approxirnatcs normal slccp<br />

qgandry and appcars to indicaa that slccp rcquirenrnts æmain thc sa¡æ oyer a pcrsoo's tdult<br />

Liferi¡nc Miles lÈ Denrcnt, l9t0; I{ahc-Gabr. l99l). Thcsc srudi{x e¡ttest that older crcw<br />

nrmbcrs may have particular difñcultics in æhþving nrfrrcieot slecp as part of a norrnal dury<br />

rhedule (cf. Ca¡skadon, Browa lÈ Denrcnt' l9t2).<br />

Logisticål Issues. A numbcr of srudies bave i¡vestigated the isnæ of thc a¡nount of slecp rhar is<br />

acrually achrered as a function of thc lcngrh of the off-dury pcrid. Tbcsc studics demonsuae<br />

r-bar off dury pcriods úrat appcar to pro\ ide an acccptablc slccp oppomrniry nray not. iD rcaliq . bc<br />

sufficrenr In onc srudy. reductions in slccp of ¡n'o to tb¡cc hours pcr 2¡f hou¡s occurrcd wbeo tbc<br />

rrrrr bcr*ecn sfufts or rrork '*as rcduccd to only ninc hours (K¡rauth. l9t3). I¡ the NASA sn¡dies<br />

of sh..n.haul pics (Ga¡der et d.. l99J: Cander & Graeber. 1994), pilos rcponed a¡¡ average of<br />

ll -5 hou.s off-duq t¡nr bct*ctn duty pcnods, but onJ¡ obtai¡cd ó l boun rcst<br />

Obsenauons of nurscs on ll hou¡ shifu workirg ll5 hou¡s uith ll 5 hours off bct*ecn shrfts<br />

obrarned a¡ a\eÉge of ó t houn slecp tllills et d.. ¡9t3). A¡rother srudy of long-haul and shon<br />

haul-rruck dnrers 1t*R{IR,. 199?15þs*'ed that shon-haul drivcts r¡'lt}¡ simjla¡rest pcnods<br />

bct*'e¡n shrfu obrained cvcn fewer slccp durarions.<br />

Com¡ncrcial rn¡ck driven' (FlfWA. 1996: Mitlc¡ e¡ d.. 1997) slecy'off duty schedulcs a¡c sbor¡n<br />

in Table l. tå/ben wckcrs (Cl-10) had 10.7 hor.¡rs off duty bct*'ecn l0 hour day shifts. slccp<br />

du¡arions of onJy 5.4 hours wcre achieved. On a I 3-hour day shift (C1- 13) with t.9 hours off<br />

ber*e¿n dut¡' pcriods. slecp du¡ations averaged 5.1 houn. On l0-hon¡ routing shifu (C2-10) u irh<br />

8.7 houn off dur¡ . thc sleep tirnc '*'as 4.8 hours a¡¡d aficr a l3-hour night shift (C3- 13) with t.ó<br />

hours off. the rcsulting slecp diminished to only 3.8 hours. In quick changcovcrs *'ith t hor.¡n off<br />

ber,¡een shifu. Toncrdcll (19901 found that r*'orkem only acquued 5.1{ hours sleep. Kurumatan¡<br />

( 199{) found a ccnelauon (¡=.95) bctwecn thc hours bct*een shift and slecpduration. The¡'<br />

Literalure Rer t¿x Poge I E


conclu,Jed rhar at lcast l6 hor¡n off duty tinr *ere ncedcd bc¡*ecn shifu to ensure ì'S hou¡<br />

,rc.p r conclusion reitcrated i¡ a recent review (KecUund &. Nrerstcdt. 1995).<br />

Table I . Truck drivers shift tl Pe and off dut¡* hou¡s in rclauon to time sPcnt itr bed and<br />

slccP 6¡6' (1996)<br />

R,educed Rest<br />

ilecp bctwecn quick shi-ft cbangeovcls may bc tbe<br />

orsrall a¡d Akerstdt (198t) sho*ed that ships'<br />

tecreascd qualiry of slecp *tucb tlr¡ annbuted<br />

sicians i¡ smallcr bospirals and appars to bc<br />

)-*rng day (Alenredt & GiUbcrg. ¡990)'<br />

hler:d ls due to rle other a'-tir ities ùat must bc<br />

on ia¡o\ers, these acúr rties ¡,n;ludÈ tcnlng to<br />

Thesc actir ities ;learly t¡ke au ar from the unrc<br />

Rese¿¡ch on rhe efrects of slccp reduction on physiological and rask pcrformance has failed to<br />

o,* much sleap ma¡'bc rcduccd bcfore a signifrcant impact on<br />

c rÊasons for this uerc dcscribcd previously in the scction cntitled<br />

n and Dcment (1981) rcduccd subjecS'slecp to onl¡'Írre hours<br />

dngina60pcrccnrincrcascinslccptcndcncy.Bascdonthis<br />

j Rorh (199i) conclude rhat as linle as two hor¡¡s of slccp loss ca¡l<br />

errÉnrs and reducrions in alertness. Wilki¡son ( l9ó8) r'aricd slecp<br />

..L:^L.^ -l--^ Qianifi¡ant ¿{¿¡rp¡c¡t in<br />

quanlir).by allowing subjecs0. 1.2.3.5. or ?'5 hours in *'hich to slecp' Sigruficanr dccreascs in<br />

I)leralure Reyi¿t+'<br />

Cl-10 deY<br />

Hours off'dutY<br />

= , " ' poiZii


.igilance pcrformance $ere found the follo,¡ing d.ry uhen sleep rras rcduced bclo*'th¡ec hours<br />

for one night or fener than f¡r'e hours for tuo con-tutive nl-shLs. C¿¡sk¡don. Harvey and Den¡cnt<br />

(l98l)found rncre¡sed daltrnr sleepiness. f,s nrriured bythe IfSLT. afreronc night of slecp<br />

reduced ro four hours in a group oÍ l2-yeu-olds. dthough pcrformancc decrcnrnLs r¡'ere Do(<br />

found.<br />

Rcstriction of slecp in young adults to just 5 hor¡rs increascs slecpiness on the MSLT thc rrc¡t dar<br />

by 25 pcrccnr and by 6O pcrccnt tlrc scvcnth day rCankadoo &, Dcr¡cnt. l9tl). l¡/ha slccp was<br />

rcdr¡ccd to ñve hor¡¡s or lcss. performara ¡¡rd dcnncss sr¡frercd aad slccpiæss significently<br />

irrcrcascd (V/ilkinsoo e¡ rl.. t96ó; Jotrasoo, l9t2: C¡¡skadoo ll Roth, l99l: Giübery ll. Atcrstedr.<br />

l9g{; Taub lÞ Bcrger, lÍl3',C¡rskadoo ll Deræo¡. l9tl). A ¡ecent srudy of Ar¡sualiü tnrtcrs<br />

fou¡d th¡ 20 Frccnt of driver: stcep 6 hor¡rs o¡ lcss üd æcor¡nt for ¡lO Pcrceot of tbc b¡zå¡dons<br />

evenrs ¡çporrÊd (Arootd d rl.. 1997). During Opcratioo Descrt Storu. ùÊ PiloG of tbe lfilitrry<br />

Airlift Com¡na¡¡d flighs obtrining only I I bours slccp in ¡tt honrs wcre for¡¡d to bc in denger of<br />

expcriencing difficulries in concentrari¡g urd sul ing awake (NevilÞ el d.. 1992). Furtber pilot<br />

obscrvarions indicared ¡hat ro prevent fatigrrc in ¡besc <strong>Pilots</strong>. a¡ lcast l7 bours of slccP iD 4t hours<br />

(?.5 hou¡V 24 hours) werc required.<br />

Dingcs (199?) showed sigoiñcant cumulative efrecs of slccp dcbt oo waking functioos wbcn<br />

subþs werc rcs¡¡icæd from thei¡ usual 7.¡11 hor¡¡s slccp to only 4.9t bours (sd .57 hrs) of rsual<br />

sleep (67 pcrcenr). Across ¡!¡¿ 5¿ven or eigbt da¡s of slecp rcstrictioo subjecs showed iDcrc¡srnt<br />

lcvcls of subjective slecpincss. fatiguc. confusioo. ænsion. nrntal ex-baustion indicators. sùEss.<br />

and lapscs rn;reasing ih frcquency and duration These eselating cbangcs provide stron8<br />

eviden.-e r}at panial slecp rcstncÚon similar to t-bat cxpericnced b.'" piJos has cumulative cffects<br />

sim¡lar to thosc found rn total or F¡ore exCrcrr Paf¡d rcstnction.<br />

In conuasr. H..'cke)"s r1936) analrsis of plrid sleep Cepnration srudr fin,Jrngs rcrealed minimal<br />

performance;henges bur rherc *ere srgrufi.'¡rrt rcJu;tlons in rteüan;e. efitc¡encv. and incrcased<br />

sub.¡ectirc sleepiness w¡th a¡rd mood detenorauoo<br />

These resulrs suggesr rhat rcducint rcst b¡ an hotu should hare linle impa;t on a pilot's<br />

performan.-e ii rhe pilor is rr.ell rcsted prior to tlrc reduced rcst. lf the pilot rs suffering from slccp<br />

dcbt pnor ro rhe reduced rÊst. thcrc ma¡ Þ ¡rn rmF 3ct on the pilu's pcrforrnancc. If so. a reduced<br />

duq pcnod should follow r}rc reduced rcsr pcnod m order to comPcnsate for thc possibiliry that<br />

the pilot may be more susceptible to Ùnrc-s¡ncc-auake effccs.<br />

Required RecoverY Time<br />

Complcre recovery from a slccp dcbt may Dot oc.-ur afier a single slecp pcriod (Carskadon &<br />

Denrenr. 1979: Roscntha¡ et d.. l99l). Typicall)'. r\r'o nighs of recoverl are required (Carskadon<br />

& Dcmcnt, l9?9: Kalcs er d.. l9?0), although tbe required necover)'Pcriod may depcnd on thc<br />

lcngrh of prior waltefulncss (Ca¡skadon &, Denrot. 1982). For cxamplc. Kales et al. (1970 found<br />

I)terature Rel ier,<br />

Pogc 2,)


that re:tnctrng slecp to 5 hou¡s pcr nighr for 7<br />

f",,.rnt. rcqurred onlv- a singlecrtendcd night<br />

t 199ól foun,J fatigue resultiig from the loss of<br />

. l97l ). Thcsc results s'crc obscn'cd cvcn though<br />

rhe rcsc¡rcb ¡lso sustests tb¡t rtoep *<br />

"u:;ro,tåffi"tljîiffitr Sl*g"<br />

Tbc quantity of slccp Sli¡tcd dcpcods Dlt uPoo<br />

ilÚtcr rhrn Úlc lca$h of pri


Thc oscillarions appcar as saves. and thc tirnc to complcte one full $a\e !-ycle'is callcd a<br />

"p€nd." Thc¡ are dirided rnto tfuce groups b¡ lcngrh of ¡he rh.rrhm. l-ltradian are rh¡rhms of 20<br />

hours or lcss. Crrcadran encompasscs rh¡rhms bc¡seen l0-:S hor¡n. urd lnfndiarì arÊ rhrrhrns<br />

gre¡rcr rhan lt hours. Thc lancr includc rhythms callcd circascptan (7 da¡s, t 3 days).<br />

circadisepan (14 days t 3 days). circavigintan (21 days. :3 days). circauigintan (30 days. t 5<br />

days) and circaannud (onc yea¡. r 3 months). According to Har¡s & Tor¡itor¡ (1994) tbcre is<br />

cvidcnce of 7 day. 30 day and annual rh¡hms in humanr as well as tlr cúcadian and ultradian<br />

rh¡hms.<br />

Ci¡cadia¡r rhythrns b¡ve bcco rccognizcd for dccadcs. Yct tbc biologicel çl6t th¡r regulecs rbe '<br />

z4-bcrrr ptysiologicel eod bcbavioral rhythms wrs not idcotificd r¡otil üc l97os. Tbcsc trc<br />

bitucrally locarcd nræþi crllcd thc supræhircmiç a¡¡cþi (SCI\Ð r¡e læ¿cd ¡bove ùÊ optic<br />

chiasm in thc ütcrior bypotheh¡rr¡s. TbcsÊ nælci r¡e osidc¡cd thc circedirn pcn¡¡|cr1<br />

Destrucrion of tl¡csc nr¡clei producc an arräytbmia and scvere disnt¡io bdu¡cca behavior urd<br />

physiologicd paranrtcrs i¡rcluding the timing of food i¡take and slecp. TÞy appcar Dot ro<br />

regulatc ¡hc anrcunt of eithcr of thcsc bchaviors (Tu¡ek ¿1, Rccrà. 19961.<br />

Signals produccd by ttrc SCN arc botb bormood u¡d ncurd. Gr¿ñcd nr¡clci without ncr¡nl<br />

coûrctioos restorc circadian rbythms of cating and activiry. Melrtoni¡ rcrctions, howeve¡, a¡e<br />

not rcstorcd. $gges¡i¡g ncuron cootrol. Melaronin r€ccptors bave boco for¡od in thc SC.I\I rDd<br />

appcar ro bc parr of a fecdback rncchaoism thal causcs shifu in tþ ci¡cadi¡¡ clock. Tbe SCI.I has<br />

bccn found to posscss is own built-in rh¡hm. Evidencc gatbered thus fa¡ indicarcs rha¡ SC.¡{<br />

receive i¡formation about thc hght-dark cycle viatrlo ncural patbways fromthc optic ner\e. one<br />

from rhe retinohypothala¡nic tract and thc othcr through t-be geruculohypotåalamic trztct. TÞ taner<br />

parh*'ay appcå¡s to pro\ rde rnfo¡mati_on or signals that bclp witb ¡ecorra¡¡¡ænt afrcr a shifi rn tbc<br />

iigl',r-a"rk c¡cle. Bur rccent rc-s¿a¡ch appca¡s to ind¡care tbat othcr phoro re.-eptors ma)' also be<br />

inrol.ed n the ent¡a:nmcnt process lCampbcll & \l,rrph¡. 1993'<br />

Peak leicls of ph¡srolo_eical functroning occur dunng thc Lght phase of ûre lighr/dark c¡'cle This<br />

sy'nchronÍzatron o[ph¡srologicd rh¡'thrns enhances *ork pcrfornrancc dr.urng the da¡irrr urd<br />

suppons slccp at rught b¡ nurunt do* n ¡ìc rrr¡abolrc tlrcrmo;ut The in¡croal synchronizauon of<br />

rhc ra¡¡ablc np¡ebolic p:ìra¡Tìctcrs *'ith the light/dark cyclc are runed for opumal functioning.<br />

Ovcr l0O biological rh¡rhrns are gcnctically gerrcratcd within thc human body, then eouai¡cd or<br />

synchronized to bener *'ork in conccrt 1-Wchr. 199ó:TaÌabasi. 1996). Tlr greatcr the<br />

synchronization bctrrecn hormonc production. nre¡abolic rate. enzyn¡c a¡d ocu¡ot¡ansmicc¡<br />

s¡'nthesis. rlrc higher thc amplirude of the rb¡hm and thc tÌe¿ter thc communicarion bcn¡eco the<br />

body's cclls. Thus, the maintenancc of a stront circadian rhythm c¿rrics *itl it considcrablc<br />

ramifications for good health. *cU-bcing. and functioning Cw-eh¡. 19961.<br />

The suprachiasrruc nuclei. togctìcr w'ith the pineal gland. function as nrubolic and bchauioral<br />

concen conduc¡ors in cue *'ith cnr'ûonmcntal factors such as tight/duk. nral timing. social<br />

interaction. and physical activiry. This syncfuonization of in¡ernal and behaviord r*'irh rhc<br />

Lilerature Reyie¡ Page 22


errernsl en\rronrEnt afound rhe 24 hour day (circa=about: dies-4l¡ t rs cdled ci¡cad¡an rh-rrhm<br />

entrilnfr¡cnt.<br />

AJrhough orhcr inrernal and ertcrnal factors do play a role' thc Itghr'dark cycle is the major<br />

cn¡¡ainnrnr facror for most of ¡hc animal kingdom. For humans. rlrough. thc Light'dark cycle is<br />

felt to Þ a rclarivcly weak synchronizaiion of tlre human circadian rh¡rhm for two ¡easons.<br />

Compared ro orhcr ani^¡t. itr. tigttt scnsitivity th¡eshold as a synchronizing faaor is<br />

-.rri¿.r.uly elcvucd. For comparisoo rhc ti¡ht inænsity rcquired for 91ryt'iut s¡æcbronization<br />

in . t.*"cr is only .5 lr¡¡. u¡bcrcas fq hunrans estimatcs raoge froo l2G256ltu (Reinbcrg ¡l'<br />

srnorcnsry, l9g4):This niscs qwstioos eboü rbc adcquæy of indoor ligbting. sccoo4 ma¡ is<br />

rbc only rþi'' rhat livcs q'¡sidc of tþ daylnigbt cycle.<br />

socia¡ eavfuon¡æot appcå¡s to play e fætìe ir8pofr¡st ¡oþ in e¡tnin¡æ¡u Sæi¡l f¡aors thu crn<br />

n rà¡hms iacludc ùcmpc¡¡¡¡¡¡. flight duty, sress.<br />

el it Wegmann. t9t7). Excrcisc or activity dso<br />

rpion. Ferrer ct d. (1995) ci¡c evidcncc that<br />

pts to shifr work changes rcgardless of is<br />

;icdly fit ¡¡d cxcrcisc rcgularly have highcr<br />

¡ds, and ¡bosc with Ugh ci¡cadian rhythm<br />

rcr et d., lfs). This belps to explain s'hy age'<br />

i to increascd slecp diffrcultics. poor adjustræot tc<br />

night *ork and t¡a¡rsrrrridian flighs in ¡-ho- over 50<br />

- FacF oT the Clock Ope rations Circ¡dian Rh¡ thm and Perforrn¡¡cl<br />

ñere rs a subsr¿¡rtiaJ bod¡ of rcsca¡ch rh¡r sho*s de;reascd p


*<br />

'1989 ) a¡-;ues that. up to 2.1 hours *'ithout slccp. cr¡cad¡a¡ rnfluenccs probabl¡ have greater<br />

circcts th¡¡ trmc since a*'ale.<br />

ln Japan. tl { percen¡ of d¡o*sincss-rclared nea¡accidens rn elccrnc motor locomotire dnrcrs<br />

r Kogi & Obt¡. 1975) occut at night. Orhcr la¡rdrna¡t srudics ovcr tbe past scveral dccadcs<br />

bave documntcd the increasc in accidcns a¡¡d crror making. Kleia er d. (1970) argue rhar thci¡<br />

resca¡ch uitlr simulalors Prov6 that night flighs ¡rE a g¡cåtcr risk tha¡ day flighs. Thcir resca¡ch<br />

fq¡nd 75- to 100-pcrcent rEåtì pcrforrneacc efficþæy dccrcnrcnrs i¡ simula¡or fligbrs dnring thc<br />

cerly nrorning bours, rcierdbss of e¡tc¡¡d fæta sæh as da¡lcncss or i¡cæasing nigbt uafñc-or<br />

poesible sc¿tbcr conditioos.<br />

Task pcrfonnancc in e vuicty of nigbtllùc hes bæo comparcd wi¡h perform¡ace of their d¡niræ<br />

co.¡ntcrparts. rod rcsults coosistcotly sàow dctc¡iorarioa of perfonnane oo tþ night shifr.<br />

Brownc (1949) studicd tclcphooc opcfitotls' rÊspoos€ ti¡æ in urs*rring incoming ç¡n< i¡ ¡elaioo<br />

ro thc bor¡r of thc day and fo¡nd tbc loges rc.spoose ti¡rrs occurred be¡wccn 03æ a¡rd O46p<br />

bours. Bixær et ¡1. ( 1955) erami¡cd tas company horly lcdgcr corlFrtarions of gas prodgccd<br />

æd gas uscd over an lt-year pcrid a¡d for¡nd tba rccording error werc highesr u 03@ bou¡s<br />

sirh a smallcr sccondary pcak at l5OO bor¡¡s. Hildcbrar¡dt e¡ d. (1971). investigating automatic<br />

úain br¿krng and acorstical warai¡g signal alarrm sct-offs, dso for¡¡d rwo peats ¡r O36p ¡¡rd<br />

l5O0 bor¡n in thcsc safety-rclatcd eveDÈ¡. Simila¡ 6nding have bcca rcponcd in tn¡ck accidco¿s<br />

tTlarris, 1977) and in Ai¡ Forcc ai¡crañ æcidcots (R.ibak e¡ d., l9t3). Orbcr accidenr analyscs of<br />

unr of da¡ and hours of wort show thu both ci¡cadian ràyttr¡n a¡d bor.¡¡s of dury ptay I<br />

srgrul-rc¿¡r role rn the ct-currence of accidenrs (Folþ¡d, 1997:L¡noee¡ al.. 1997). tn addirion. the<br />

rncidencc of accrdental lDJury nea¡lv dor¡bles dunog the nrght shrft compared ro morning shjfr-<br />

*blc tbc screnty of in.¡ury i¡crascs 23 pcrccot (Sro¡th ct al.. 1994). .\rghr nu.rses mate ocarly<br />

¡¡ice the pancnt mcdicauon enors as da-r'Du¡ses a.od expcncnce nca¡h ùrec urrrs the auto<br />

¡ccrdenrs,-ornmutins to a¡¡d from *'ork (Gold et al . 19931<br />

\Ìerstedr,l9tElrevie'*ed the effects of slecpincss riom nr_ehr shfr nork and found rha¡ rhe<br />

¡.æntrallr<br />

hazardous srrualron rcsulting from i¡cre¡-çcd slceprness durug rught shift is real a¡¡d<br />

rrnderestrma¡ed. Akerstcdt (l98tl dso rcports rhar faugue rn sh¡fr *orters s h:gtrcr than io day<br />

trorkers. hrghest in night workers. follorred by mornmg workers. OvenJl. stccprncss ¿unont rughr<br />

sorkers is estLmated to bc a¡ound 8O to 9O pcrcent Roth er d. (1991) i¡dicarc tha¡ rates for<br />

r¡orkers falLng aslecp on the job<br />

'rhiJe oo night sluft havc bccn rcponal ro bc as high as 20<br />

Pcrcent.<br />

Sight operarions are physiologicalJy different than day opcraùons due to ci¡cadian trough and<br />

slccp loss. This ca¡rics a higher pbysiologic^l cost and impors grcårcr risks of accidcnts. One of<br />

thc most est¡blished safety issues is working in thc cúcadian ¡roueh bcr*'ecn 0200 and 0600.<br />

h.rring thx priod worken cxpcriencc considerable sleepiness. sloner rcsponsc ti¡nes. increascd<br />

errors a¡¡d accidcnu (Mitler. l99l: Pack. 1994) Ilan¡'recent accidens from va¡ious<br />

uansporution modes hare bccn associa¡ed '*'ith thjs cr¡cadian trough (L¿ubcr & Karren. l98t).<br />

Literature R¿r'i¿x Page 24


L¡m- e¡¡,J orlad) ( lggl). in rher¡ anal-rsis of rhe Aviation Safetl Rc¡'r.rng S¡'stem rese3f\'her<br />

st¡re r--,¡r 3l pcrs-enr of incidenrs occurring bctscen 2{00 ro 0ó00 hr-'rurr uere farigue relared<br />

hor¡rs a-fter bcginning rhc shifi'<br />

pilos erhibi¡cd panrrJ ad,aPtation to nrght uork<br />

Ëy tcmpcrarure. rr irh subþtive fatiguc and<br />

is. pilos stilt experienccd a th¡cc-fold incrcasc in<br />

:rcent) and a 1.2 hour slccp dch per night<br />

7 be dræ to tiræ sincc ôc l¡st slæp- Pokorny a d.<br />

þyear pcrid rnd fot¡Dd th¡. dtbol¡gh tbc ti¡rp of<br />

poísnt færors ia driw¡ æcidc¡ts *rs bow carly<br />

*'oen 05æ4óOO had ¡bcrr si¡ timcs rs muy thc<br />

)- A Peåf in æcidcns also æcr¡¡red two to four<br />

¡rr, dccrcrncnts in alertncss and pcrformance :¡¡Ê<br />

4 hot¡¡s. alcrtness can drop morc tha¡ 4O pcrccnt<br />

)6). A srudy of navd ua¡.-b kccpers for¡od tha¡<br />

crccDt. falsc reports rares 3l Pcrccnt. and responsc<br />

spccd eighr pcrsenr. compared with raæs bct'*cen 20oo to 22æ hours {Smiley' 1996)'<br />

Sarrrl e¡ al. (1996) dctermined tbat many <strong>Pilots</strong> bcgin nighr flights al¡e¿dr haring bccn ar¡ale<br />

morc rhan l5 ho'¡s. Thc srud1'coof-rrrns rìe æcurrencc of as many as fire micro-slceps pcr hour<br />

¡' aJso found thar 62 Pcr'-.ot of dlgilots sn¡died<br />

fli' a¡) longer after tleu ught flight This<br />

ht flights that shoued sr-nficant ph¡stu'lrrs:'-rJ<br />

rase afier fly ing trro rugbl tlights (outboun.j and<br />

. Although fìights rancJ Íom nonh-south and<br />

4.5 days. slecp debt a¡pared similu' East-r¡'est<br />

tlighrs had srgnifìcantly' longer layovcrs but *erc disruptive ¡o circ¡dru rtryrhms' Thc authors<br />

concruded thar.-Durini o.y,*., fariguc-depcndcnr vigirance decreascs \¡irh rask durarion- a¡d<br />

fatigue bccomes cririci aftcr l2 hours of constant work' During nighr barrs fatiguc increats<br />

fastcr r'irh ongoing dury. Th¡s le,d ro rhe conctusion that l0 hours of '¡ori should bc the marimum<br />

for mght flYing'"<br />

Ga¡r,Jcr ct al. ( 199 I ) found in an ai¡ carrier scning ¡hat at least I I perccnt of pilots srudied fell<br />

asretp for an a\.erage of 46 minures. Similarly. Luna er aI. ( 199? ¡ found ùa¡ u.S. Au Force air<br />

t¡afñc conuoller fell astccp anavcrage of 55 minutes on night shift-.{ ¡ossible explanation for<br />

rhe- slecp occr¡rrences. in addirion ro ci¡cadian nadi¡, is thc Frnding of Sanrcl et al. that many<br />

pilour bcgi¡ rheir nigbr flights afier t'eing a*'ake for as long as l5 houn<br />

Litcrolure Rette¡,<br />

Page 25


The effect of unr srnce ¡he last slctp rs c\en grceter ¡f a slccp debr alrc¿d.r e\rsLs. A¡ NTSB<br />

hcavy trucks accident ana.lysis (NTSB. 199ó) clearly shou s that "back of rhe ctock" dnr ing u.irh<br />

a slecp debr caries a very high nsk Of 107 singlc-rehrclc tnrck a.'cidenrs. l- dnrers.r..i.J.d<br />

rhc horlrs of dury. lrinery-two pcrccDt rló) of thcsc had fatrgue-relared acc¡denrs The .¡-TSB<br />

rcpon also shows that 67 pcrccnt of m¡ck drivc¡s with irregular dur¡' or slecp pencrns had farigucrclaed<br />

æcidcnts compared to 3t pcrcent in drivcrs with regular dury or slæp panerns.<br />

trregularity resulted in a dccreasc of 1.6 bor¡¡s on averate in slccp wirh a rotal of onty 6. I hor¡¡s<br />

compared ao7.7 bor¡rs ia regular petlcro drivers. Thc IiTSB report indicacd thar tlrcy could oot<br />

dctcrmiæ wh.lbcr irregular dury/slccp Peltcros pc¡ se lcd to fetigue but rcræ erpcrirænrå¡ da¡a<br />

e¡ppon ùb Dotioo. Tbe 6ndings of fu NTSB oot only fouod shiñod slccp p.r¡crDs but rhis shiñ<br />

*rs couplod witb slccp lc. Tr¡¡b æd B€ger (1974), whiþ rnai¡¡einint s¡ccp leogth, shiftcd<br />

slæp rirrrçs ¡od fqnd thrt pcrfornæ o vigileoc+ cjcr¡t¡tioo r-d¡r, ¡¡d mæd ¡æ¡e<br />

sigÊific¡dy uryr1ea. R¡nhsuaq Nlúolson ct d. (19t3) shonæd thu inegutar slccy'wort<br />

rcsultcd i¡ increasing pcrforrnanca inpdræots wfiich clas ñ¡Íùcr increascd by tinr on task.<br />

cumulative slecp loss. a¡d working througb tbc ci¡cadia¡ nadi¡.<br />

Perforrna¡cc c¿¡ dso bc affedcd b¡'curoulaive fadgue buildup across multiple days. Gundel<br />

( 1995) for¡nd that pilots flying rwo coosccutive nighs wirå 24 hor¡rs bc¡u,cca fligbs stepr abour<br />

rwo and a half bot¡rs þss dr¡ring tÞir deytirrE layovcrs (t.66 hor¡¡s yensus 6.15 bours), and<br />

erperieoccd a signiñcant dcclinc i¡ elcræss oo the sccood night ftight. Alerocss d'ring tþ fi¡st<br />

sü bou¡s i¡ boû flights appeared lo bc thc saæ. Tbc laucr part of thc sccood flighr shoied<br />

increascd dcsylchronizatioo of EEG dpba wave activit-v. indicating lowcr lcvcls of alersress.<br />

Spontancotrs dozing indicared a¡ i¡cre¿scd surc¡ibihq slecp Subjecùvel¡. pilos fclr grearer<br />

fatigue on the sccood night. Tbercfore. wrtb trrrr slnce auake berng the sarnc. slecp qualiq,a¡d<br />

quantir,v duriog tbc da¡irnc layovcr resuJtcd i¡ incre¿scd fa-riguc.<br />

Sarncl et al. (1997) monitorcd I I rusbt fìight rotatrons hom Fra¡rkfon ro.\la}e/Se',chelles<br />

crosslng tì¡ec tiræ zones Pilos slc¡ oo ayerage ergbt hu.rn on b¡scbne rught5 On laror.er.<br />

slecp *as reduccd to ó.3 bours. Prle\s arnved a SFZ aficr ll hor¡rs of Þmg ar¡.ake (crccpr fcr<br />

approxirnatc L5 hou¡ nap prior to dcpernrre;. Fatrgue s*-oîes increased orcr borh outbounà anC<br />

rnbound flighrs with 12..1 micro-slccps pcr pi.lot outbouod au;'d2a.1 on rerurn. hior ro r11c<br />

outbor¡nd FR A'-SU flight t5 pcrccot of pilos felt rcstcd n hereas on reruÍn onJy 30 pcrcenr<br />

rcported fccling so. Tt¡csc str¡dics dæurænt t-hat nighr fì.¡-shs a¡e associarcd * ith reduccd slecc<br />

quantity and qualiry, alrd are accorDpanicd by cumula¡ire sleep debr.<br />

Boro*'sþ and t#all (19t3) found t-ba flight-rclated accidcnts in \avy agcrafr *ere significanrly<br />

higher in flighu originating bct*cca 240O a¡d 0ó00 houn. The higher m,ishap incidencc was feir<br />

to bc the rcsult of ci¡cadia¡l dcsynchrooiz¡ûon and disruprcd slecp-uake c¡-cte. Sharppcll urd<br />

Neri ( 1993) divided the opcrationd day of navy pilos in Desen Shield and Descn Srorm<br />

opcrations i¡ to for¡¡ quartiles bcgrnÃing u 06O I - 1200 uirh 0001 ro 06O0 bcin_e rhe fou¡rh<br />

quartile. Thcy found that therc $as a progrÊssive [¡ç¡ç¿5. in pilou' sublccúr'e need for resr<br />

bctr+een fligbts as flighs originated later a¡d la¡er in rhc dar from quanile I ¡o qua¡ile 4. In<br />

Literature Rer iex<br />

Poe¿ 26


addiúon multiplc missions and cumula¡ive days fl¡ing also in.'reascd thc pilos subjecÙre necd<br />

for addirionar resr u.i"..n rnissions. Tre l¡nir cffcct is rhe .-umurarrre cffe.-r of fatigue As slecp<br />

tirrrincrc"s¿ucrorcaflightrhcsubjccr¡rerestnctdedteforc¡hencrtfìrghtde..rcased<br />

SleeP P¡ttems DudnS Tbc DeY<br />

*ith tbc rapid drop in body EmPcrarure<br />

N<br />

rcst during rbc day ro¡y rlot be sufficicnt ¡o<br />

worters bave bctn sbo*l to slæp oo ¡YeratÊ<br />

¡ht<br />

tcr¡ CUinors & lVrtctùot¡sc, l9t4). Depcoding oo<br />

rs th¡ec bot¡rs slccp dcficit- Czeisle¡ ct d. (t9t0)<br />

p ci¡cadia¡r pbasc. Thrs da¡ilæ slccp wrs<br />

æP.<br />

l*&Tepas.lgtó¡Inqulckcharrgeorers<br />

\À<br />

Tra rsmerid ian OPerations<br />

¡od low during thc day.But thcre is a gradicnt<br />

rsake. sleepincss in coot¡ol s.rbjccs i¡crr¡scd<br />

perccnt (Mi¡or & \\'aterùor¡r. l9t?: Minor et d '<br />

fi.h¡os-horroonal' sccr€lory, tcmPc ra¡ur€-rhat<br />

i*iog rhc day and for rest u night- Tbc cfrcct of<br />

i! thc findings of a slccp dcprivation srudy on<br />

pins out tha¡ dertncss and pcrformancc would<br />

'ake, exccpt u'ben corplcd to the ci¡cadia¡ risc io<br />

vel.'- stabrJe through most of the waking bours' Tbe<br />

'ou¡ hours pnor to normd bcdunr' At bcdtinr<br />

in p


zonc fì¡thcs is thc rimc requrred forrbc body to ad.¡ust to ¡hc ncr¡ tllr¡c zonc Tlepcnod of<br />

adjustrncnrappcarsrodcpcndonttrduectionoft¡arcl AdjustmenlaPFatstobefasteraftcr<br />

o.r,r^ard flighrs than casrward fligbu (Klcin ft t*'egrnann. l9t0). Adjustnrnr follos'ing<br />

wcstç'a¡d flighrs appcars to occur e¡ a rate of about I -( hours pcr da;" rr hile e^st* ard-fÙght<br />

adjustnrcnt occurs at about I hor¡r Ft<br />

day. This ma¡' bc due lo the bod.'-'s i¡thcrcn¡ tcndency to<br />

lcngthen is pcnod bcyond 24 hor¡¡s. which coincidcs sith wcs¡*'ard flighs. Thesc data dso<br />

,rgg.t, rha phasc shifu bclow si¡ bor¡rs can have a signifrcant impact (Ascboff et al.. 19751.<br />

Asidc frorg tb obvior¡s iruplicaioos for ua¡rsræridian ogcraions. tbasc'lrt'¡lso apply to rqssre<br />

pilo(s whosc pfotÊclcd slccp oppornnity nr¡y vafy ss lo its oc¡cu¡reoc/e ælGs essignnrcnts. Evca<br />

if I prorcctca tiræ pcriod is paaicottc, unþst it i¡clr¡dcs thc night boun, it may nor providc rn'<br />

cfrcctive opporg¡¡fy for slæp rod tbt¡s fil¡y Dot lcsscn fatigtæ.<br />

Conch¡sloos<br />

The follo*iog conclusioos ca¡r bc dr¿wn from thc rcsca¡ch cited abot'e:<br />

o A¡ i.odividr¡el's WOCL sbould bc deñDcd on thc basis of the ti¡rr zoæ *herc hc/shc<br />

rcsides, which n¡ey bc difrcrcar from thc horr domicile'<br />

. D,¡ry pcrids conducrcd during WOCL atready carry a fatiguc Pcnalty due to the ci¡cadia¡<br />

cycle. Consc4uently. duty priods involving WOCL should bc reduced.<br />

. The number of dur.v pcrids r¡r'olvin_q WOCL thu must bc pcrfonrr,j **itbout tin¡e off<br />

sbot¡ld bc limitcd.<br />

o Becar.sc tbc ci¡cadian cyck is longer tha¡ l{ hrrlils. each duq Pcnd should sun la¡er<br />

rha¡r tËc prcvious duç- Pcnd.<br />

.. Rese n c assignments should atierìrF( ¡o mainta:n a !-onsisten: l:-hou¡ ;i cle<br />

. Dua-ooo of rotauon for bo¡.h ba.-k-oi-¡hc-cl¡-ii fì¡ing a¡J .j.¡ect¡cn r'f !r3-íìsme ndla¡¡<br />

opcrauons should bc consrdcrcd Grren the boJi'; preferencc forcrtendins thc da,r'.<br />

backr*ard rotatioo should b. uscd *hen possible<br />

o Tra¡snrndran opcrations shor:ld bc scheduled ln accorda¡ce u i¡å c¡tåer of t'*o<br />

approachcs.<br />

. For shon pcriods, it may rnake scnsc to anemPt to kecp t}e piJot on hornc-domicile<br />

È.rrE.<br />

o For longer pcriods, reducing tìe dury perid and providing morc opponunities to slccp<br />

rnay þ the bcst aPProacb<br />

Literature Rn'i¿x<br />

Page 2E


.\ugrnented Crews<br />

Linlc resca¡ch has been pcrforrncd rsr .LSSCSS thc effe..-r¡\eness of managrng irugue through the use<br />

NAS.{ Pro;ec¡'s hatc bccn ¡¡rua¡cd to srudy loog'<br />

1.. l99tl. Thc first project r¡scd a sun'cy to<br />

r slccp rn cre\r qu¿utcrs insrdled on ai¡craft'<br />

analy-s are prcscntly bcing condr¡ocd'<br />

Cooclr¡sion<br />

: *rrr mbcrs from th¡ec ParÙciPating U. S' ai¡l incs'<br />

Itics *cre nolÊd' fligbt cærumbc¡s werc ablc to<br />

rtàiþ re*ing in on-boa¡d h¡ts. Fr¡¡tbcr, tbc<br />

lnDqss rad pcrforrnancc. This srudy elso<br />

rnægics to ôtai.o oPtùnrl dccP'<br />

Dcd ôc qua¡tity and qr¡ztity of slcep obtai¡cd i¡<br />

gbs. Dara were collcctcd tom two ai¡lincs<br />

etions. rnd a corporate oPcfi¡¡or. hel'iminary<br />

6{ qrr¡n¡l¡y and quality of slccp. Additiond<br />

A rcr.ie,*. of rhc scicntific literarurc Dcrtårrung to fatizuc. slecp. and cúc¿diro physiology *'as<br />

tssues tbar nced ro bc considercd ra dcveloping a<br />

pcrforrncd<br />

rc¡rrrlaor;-slecpdcbt.The;..n..lusionsderelcFrdfore¿chtssue<br />

rcflect arc<br />

¡uooal FAA consrderation'<br />

R efe re nces<br />

Àkersredt.T.(I9t9)Arcvie,*ofslecp/xa}icdisrurt'¿InJÈjlnconnectlcnurÛrdrsplaccd'*ork<br />

bours rn fìight op.rat¡ons Srress Reseorch Repons' \c ll3' \ational Ins::rute for Psychologrca')<br />

F".,or, "r, J g.i,l. Dept. Stress Rcsca¡ch. K a¡ol rnska I nst rtute' S r¡ ede n<br />

¡ftgrstedr. T. ( 1995). \r/ork injurics a¡d ¡i¡oc of day-\auonal !¿¡2 proceedings of a consetsus<br />

Developmeru Sy,rrpo,si-r, ent¡íkd "Work Hours. Shepiness and Accidents-' Stockholrn' S'*'edcn'<br />

t_ t0 Sc¡. lgg4:tbo. c¡rc¿ by Rosa R.. R. (lgg5). E.rrcndcd workshifu anJ exccssive faûgue.<br />

Journal of Slecp Rcseorch' 4' 51'5ó'<br />

Alerstedt. T.. Gillbcrg. M (lgg0r Subþcrir.e and objecur'e sleepiness in rbc acúve i¡dividual.<br />

Internarional !ounal of Neurosc:¿nce' 52' 29-37 '<br />

I¿le rature Rei rex<br />

Page 29


.Vrgu:. R. C.. Hc;clgravc. R J r l9t-5) Effects rrf slctp loss on sustarneJ cognitirc performan;c<br />

Junng a comm¡nd and cont¡ol srn¡¡tion Behartor Rcs¿¿rch .lle¡hods. lr-siruntzñts. and<br />

Conrputers. l - -{-i'ó7.<br />

.Vrgus. R. G.. and Hcsclgraue R. J. (19t3). The cffecsof slecp loss and susta¡ncd rrrcnral work<br />

Implrcations for command ll coDuol performance. Sustained Intensite .|tr Operations:<br />

Ph¡siologicalotúPerfonnancc.{spects.AGARDConferencchoceed¡n-eslio.33t. ll.l-ll.2l.<br />

.\rnold, P. K., Harrley, L. R.. CorD.. 4.. et al. ( 19971. Hor¡¡s of work, ead pcrccpioos of f¿igræ<br />

arnong truck drivers. Accidcnt Anal¡"sís atú Prcv'cntior79,171477 -<br />

Aschoff. J.l, Giedke, H., Poppcl. E., &, Wever. R. (?).Tbc i¡fh¡cocc of slccpinæmrpioo urd of<br />

slccp-dcprivatino oo circadian rbythms in hu¡na¡ prformancc.<br />

Balier. T. L. ( 1996. Junc l9). Proposed cþ¡¡to in FAA flight and dr,ry' rcgulatioos: A scicnrific<br />

.-ritique of supponing cvidencc. ln: Convnents Af Thc Air Trawpott <strong>Association</strong> of Ancrico to<br />

F.{-{ .\bric e 95- I E. F.4A Dock¿¡ .\b. 2æE I .<br />

Barth. J., Holdrng. D. H.. & Stamford. B. A. tl976l. R.sk vers¡x effon rn thc asscssmenr of rooror<br />

fuigue Jountal of Motor Bcløttor,t.l89'19{.<br />

Belenky. C . B¡ilijn. T.. Knrcger. G.. Headley. D . SoLrck. R. t 198ó1. Efccts of Coruinuous<br />

Operattons tCO\OPS, on Sc'>ldter ond L'ntr Perfornvnce. Pløse I Rerta* of thc Literature Ft.<br />

Lcarenwonh. K5: US Arml' Cor:,b'rned ,\rms Combal Dereloprrrns .{cuvtry<br />

3:lc:ir.C.P::ct¿r. D \l-. Thu-!TC.D.Popp,K.Leu J.Thc.meS.\l .Srng,H.,Balkin.T.<br />

\\'esensten. \. Redm.rnd. D ilÐJr Tle Eifecu oiSlccp Depnration On Perforrr¡a¡rcc Dunng<br />

Cjnlrnu.-rui C.-mb¿l Of'c:r:.-.nr l: F,,'; C,.,';ie.rir.'-':c Enlt¿nce Pë--.'*¿nce. (199{)\¡ll::._<br />

l.-¡,ie mr hess. tÀ'ashlngton DC Pg l--- l-ì-i<br />

Brlls. { C ,lcìlt Blo.-krng A ne* pnncrple tn nxn¡i latrgr.,e .{rr. -:r'¿¡r Jouma! of<br />

Plr'chologt J-r :30-:J-i<br />

Bjerner.8.. Hol¡ru 4.. S'*ensson..{. (1955). Drurnal ra¡ration r-n rrrnal pcrformance: a srudr of<br />

rh¡ee-shift woikers. Bn¡tsh Joun¿l oj lndustriol Medrcne. l2t2): l0-l- 10.<br />

Bonnet. M. H. ( 1994). Slccp dcprir ation. In Il. H. K4tcr. T. Roth. & \\' C. Demenr (Eds t.<br />

Prtnctples and Proctice of Sleep.)tedicine (2nd Ednionr. Philadelplua S'.8. Sauders.<br />

Bonnet. Nf . H..{-rand. D. L r 1995¡. 1*'e are chronicalJ¡ sleep deprireå S/eep. lt(10):90t.911.<br />

Bonnet. Nf . H & \foore. S E tl93l) The th¡cshold cisleep Percepr;r-n of sleep as a funcrron o[<br />

I)lerdlure Rer rex Paee -ti


unÉ aslecP and auditor)'th¡eshold' Slecp' 5' ló?-17ó<br />

Boro*sk-r.ltl S.. \\'all. R' (19t3)' lraval ariation m:shaps an'J f¡l:-¡ue '{ttoticrn' Spoce' an'd<br />

ll'"ron* nrcl M ¿dic iru' 54: 535-5 3t'<br />

Varga' M'' Baldr¡rn' P'' Sclbie' S"<br />

Braun. A. R.. Balkin. T' J'. Wcscn:tl' li' J'' Ca¡son' R<br />

-E"<br />

Bcrenþ. c.. H.rr.o"ir.i. p. (lgg7). Brood Flos Thror¡ghorr rhc Srccp-Wa\c<br />

1.ei""Jc-rar<br />

õ:ä,Ài,''o PET Sn¡dv' Broi+ 120' I 173- I 197'<br />

gro¿¡tbcnt D. E. (1953)' Netlcct ol ry **dbg in rclatioo to fatiguc dccræts in otrtprt- to<br />

w. F. Floyd & A. i:lrúJ (Eds.)' syrrvDositutr o" rot¡su. Loodoo: t'wis'<br />

Broadbcnt D' E' (t95Sl' Perccption atú Conunvnicadon' Pcrgarm'<br />

Brown. t. D.' Tict¡cr' A' H" &' Simmoos' D' C' (19?O)' Effea of prolonged driving on<br />

l-'.""fi " g c riteria' E r g onomic s' 13' 239'2a2'<br />

Browoc.R.c.(1949)'Ttrcdayandnigbtpcrforrnarrccofælcpri.otcrs*.itcbboardoPcrators.<br />

-Orrupo, io nal P rç cholog' 23(2): I 2 I 5'<br />

Bu¡sitl.A.E.(195t).Tbcrcstnctionofpcnphctalvisioodrrri.ogexPosurctobora¡dhurnid<br />

;ondiuons - Q*'i''"1> tou"''^al of bpen;'tåal Ps¡choloç' 10' I l3'129'<br />

Campbcll.SS.&\lurphy'P.JtlggtrEruaocula¡cucadia.ophototra.rrsducuoornhuma¡s<br />

Science' 279 i5}{9)'<br />

C¡rskadon. \f . A. & Dcme'nt. \\' C tl9:9) Sleep ren'Jenc¡ du::3 errension of nocrun:l slæ¡<br />

SleeP Research't l1-<br />

Carskadon. M., Bro*n' E- D'' & Dcnrou rÀ' C r lgtl r Slccp i:¡-:ment¡tton'i¡<br />

relatronshtPtoda!1'fncslecptcndcncr.\.¿urobtologlo|aging.].-1]1.7.<br />

Úre elderl¡<br />

Ca¡skadon.M.A..&Dcment.\\,c(19?9).Effectsoftot¡]slccplossonslccprcndcnc¡<br />

Þrrrrp,,ol &' MotorSltlb' 48' 495-50ó' 1979'<br />

Carskadon. M. Á... & Demen¡' W C (1981)' Cumulative effccs of slccp rest¡iction on da¡iræ<br />

J..pin.s, . Pstchophysiolog¡-' lt' 107-1I3'<br />

Ca¡skadon M. 4.. & Denrcnt' W' C' (1982)' Nærurnal dccrmina¡t-s of da¡iræ sleepiness ' Slcep'<br />

5. 573-El.<br />

Ca¡skadon \tA. & Roth T' (1991)' Sleep restnction' In T' H' \f on\ tE:d)' Steep' Sleeptness atú<br />

Lilerature Rer i¿x<br />

Poee -11


P c rfo nna nc¿. Chrc bcstcr: WilcY.<br />

C¿-i\adon. \f A. Bro*'n. E.. & Denrnt. \f'. C. (l9t:). Sleep fragment.¡tion tn tlre elderl¡.<br />

R,el¿rronstups to da¡urnc sleep ændcncy. Ncurobtolo$-v" of Agtng' 3. 3: l-317.<br />

C¿rskadon. M.4.. Hanrey, K., &. Denrnt ÎW. C. (1981). Slccp loss in )'oung adolescents. Slecp.<br />

{. :99-3 I 2.<br />

C¡¡skedoo, M. A., va¡ dco Hæd, J.. Der¡æoq, W. C. (19t0). Slecp aod da¡ùæ slccpincss in thc<br />

cldcrly. lounul of &riatric Psychiatry,13' 135'15l'<br />

Gæbcrs, E. A. (19ól). Indr¡si¡l FatigtE. Occuparional Psychobgy,35,+57.<br />

Colligan, M., Tepes. D. (lgtO. Tþ s¡Êss of bot¡¡s of work. Ant¿rican Indus¡rial Hygicru<br />

Aswiat ion t ou nul. 17, 6tffi95.<br />

Colquhoun. P. (19?6). Psychological a.od psycbophysiologicd aspccs of *'ork and fatigue.<br />

Acrr- itos N e n'osd Superior, I't' 257'263'<br />

Coþuhoun. \¡/. P. ( l9t5) Ln S. Fotka¡d & T. H. Monk (Eds.), Hours of Wot*.<br />

Czcisler. C. 4., p¡È D. J., & Dufrf , J F. (1994). EntrainedpPhasc of thc circadian pacemaker<br />

s.ra3s rrr srabrlizc alenness and pcrfonoancc throughout the habirusJ *aking day. In R D. OgrJrre<br />

e.J. R. Ha¡sh iEds ). SIeep Onset: Nom¿latúAbnormal Processes .{rr¡cncan Ps¡'chologicd<br />

.{sscrraÞoo<br />

C¿ersler.C .{.\\'eruman.E D.\loorc-Ede.}l.C.Zrm¡ncrma¡ J C.&K¡auer.R S tl9t0<br />

H-:-.¡.¡l slæp lt d';atron and organrziJton depcnd cn its cucadran pha.c 5c¡¿nce. ll0. l:6¡r:ó'<br />

Darrs-Sha¡ts. J. (19t9). Thc elder a¡rd cntical carc. Sleep and mob'rl¡r\ rssues..\'ururng Clintcs o.í<br />

.\'onh Am¿ nca, 24. 1 55'1 61 .<br />

Dar¡son. D., & Reid. K. (1997). Fatigrrc, dcohol and performance impaurnent .\'ature.3EE. l-15<br />

D.Joy. D. M. The oonaudirory cffecs of noisc: Rer tew and pcrspcctives for rescarch. Joumdl-o.i<br />

Auditory Research.24, 123- 150.<br />

Denrnr. W. C., Ca¡skadon, M. A. (l9tl) An essay on slccpincss. [n Il. BaJdy-Ifoulinier (Ed.).<br />

Acrualires en rr¡edccine expcriræntalc. eo hommage au Profess¿r.¡¡ P. Passor¡a¡t (pp. 47-71).<br />

}if onrpel[ier: Euronrd. From Sleep: A Scientific Perspecttte pp.53-5a.<br />

Lirercture Reyi¿x' Poge 3)


Derrrnr. \\' C.. C¿¡skadon. M A" R'ichardson' G' S' ( l9?tl' Er'-essire da¡rtrrr slccpiness ¡n the<br />

slecp apnca s¡ndronr. C. Guilleminault & \Å'' C' Derrrnt (Eds l' Slccp {pnea S¡ndromcs Neu<br />

York. Ala¡ R. Liss<br />

Dcnrcnr. s'. c.. scidcl. w. F.. Cohcn. s. 4., B[wisc. N. G.. Carskadon. M' A' ( l9t6)' slccp and<br />

wakefulrrss in ai¡crew bcfore and after t¡ansoccanic fìighS' At'iation' Space' an'd Environm¿ntoì<br />

þIedicitu,57. Bl+B2t'<br />

Dingcs. D. F. (19t9). Tbc natu¡e of slecpiocss: ce¡¡-='.:ootcxtA end coascqucoc¡es' In À J'<br />

S*nfard & A. Be;n (Eds), perspcctivå io g.b.vioral Mcdici¡c: Eaing. Slceping, and Sc¡-<br />

Hiüsdelc' NJ : E¡lbaur¡'<br />

Dinges, D. F. (1995). Ferfornra¡ç¿ çfrçcts of fuigræ. Fatiglc s¡-nposirm Proccedings'<br />

l"rîi"S,"o. DC: Natiooal Transportatioo Sefcty Board'<br />

Dinges. D. F., Græþr, R. C.. er 81. (t996)' Principlcs and guidctincs for dury and rcst scbcduling<br />

rn com¡rrrcial aviarion. ¡/ASA Technica! Memorotúum I 10404' Pa¡a l ' l ' l '<br />

Dinges DF and Kribbs ìIB. (1991). Pcrforming whilc:lîpy'cfrecs of experirncntally-induced<br />

;;;** I-o T. H. Moor (Ed.), Sl¿cp,sleepituss atú Pcrfonnancc' Cì'ichesrcr: ll/iley'<br />

DingesDF.PackF.*'rlliarnslcGillenK,A,.Po*'eUrw'or¡GE'etaltl997).Cumulative<br />

sleeprncss, fnood disru¡ba¡¡cc, and psychorlìotor vigilancc pcrformance decrcrncnrs dunng a'*eek<br />

of slcep restncted to ¿t-5 bours pcr night' Slzep' 20' 267-211<br />

-<br />

frans.S\1..\la.-kje,R'R'.'frWylic.c.D.(l99t.n"g*tfart?ueEfectsonhuman<br />

perforn;r.te tn comb¿: A ltterature reviev' uS.trm¡ Rc:c¡r;h Instr:-:c ít-r ùe Behari'-'ral uJ<br />

Social S.-tcnces, ARI Re-a¡ch Noæ 9l-90'<br />

Ferrcr. C F . Brsson. R L.. & Frcnch. J. (t995)- Cucadian rh¡hm des¡nchronosis in nulrtarl<br />

dcployrrrols: a reriê*'of cunent suaregies. Aviarion, space' and Enttronnvntal 'vedicme' 66'<br />

57l -57t<br />

Folka¡d s. (rgg?). Brack ti¡r¡cs: Temporal dcærmina¡rr-s of uanspon safcry. Acctdent Anar¡-sis ar;<br />

P reven¡io* 29 . 4n 4n '<br />

Gander. P. H., Graebcr. R.. C.. conncll, L. J.. & Grcgory. K B' ( l99l I Crcw Factors in Flight<br />

Operations VIII: iacrors infìuenciug slccp timing and sub¡cctirc slecp qualiry tn comrncrcial<br />

long'hauJ flight crcws' NA'91 Teclu.ical Memorondum 103E52'<br />

Gander. P. H., Graebcr. R. c.. Fousbcc, H' C.. Lauber. J' K'' & connell' L' J' ( 1994)' Crc\A<br />

L)Ie ral ure R¿r'i¿x<br />

Pcee -¿ -'


Facron rn Flight Operations II: Psychophysrclogical resPonse> to shon-haul arr.transpon<br />

opcrations .\:{SÁ Technical Memorondum I )i356<br />

Cerrns. A . l-cong. H.. Du. R.. Smith. M. E.. L¡. J.. DuRousse¿u. D . Zhang. J.. Libore. J. t 1995r<br />

Towa¡d rrcåsurÊrrrcnt of brain function in opcrauonal enr'úonrr¡cnts.-Biologrcal Ps¡'chologt',40,<br />

¡69-rt6.<br />

Crold, P. E. ( 1995). Rolc of glucocc in regulatiog the brain and cognition. Anurican lournal of<br />

C li nic a I N utritiollt, 6 I ; Suppl : pgs. S9t7 -5995.<br />

Crræbcr, R. C. (t9t5). hocecdings of tbc Ftigtt Safcty For¡ndation 3trh ln¡cr¡arional Air Sefery<br />

Scmina¡.<br />

C¡ræbcr, R,. C. (tgtt). Air crcw fatigtlc and ci¡cadian rh¡hmiciry. In Hunan Facton in Aviation<br />

(pp. 305-3+¿). Academic hess.<br />

Gracber. R. C., [.aubcr, J. K., Connc[. L. J.. Gandcr. P. H. ( 198ó). Internatiooal aircrcw slcep and<br />

*'akefulness after multiple ¡i¡nc zone flighs: A cooperative srud.r'. Ariation. Spce, and<br />

hvirornt¿ ntal Medicitu, 57, B 3-89.<br />

G't¡ndcl. 4.. Drescbcr. J., Maab, H.. Samel. A-, Vejvoda. M. ( 1995). Slcepiness of civil ai¡lirr<br />

pilos during tw'o coosccutive night flights of erænded dr¡¡ation Biological h¡chology.40. l3ll4l.<br />

FI¡bæ-Gabr.8.. \\'allacc. R. B.. Colsbcr, P. L.. Hulbcn- J. R . t¡'fuæ, L. R. Smrrh. l. \f f l99ll<br />

Slecp paßcros in n¡¡al elders demogrçhic,-bcaith. an,l ps¡cb..behaiioral comlaÈs lourn¿i of<br />

Chnical Epidemiolog. 44. 5-13<br />

Harrrbn. P. (193;t Lorn'Dnrcr's Tunc Habiu ¡,n \\'ork ¡nd Tler¡ lnro¡r.'*nr in Traffic<br />

.{ccidents. Ergonomics, 30. I 3: -1--1-1<br />

Hamilton. P.. r*'ilkrnson. R. T. & Edtrards. R. S (1972). A srud¡ of fourda.isp¿¡1¡.1 t¡..0<br />

dcprivation. ln W. P. Colquhoun tEd l..4specrs of Human Eficrcna (pp. l0l-l l3).<br />

Flarris. tù/. (1977). Fatjgu€. circadian rh¡hrn a¡rd truck accidens. ln Vigitorcc: Theon,<br />

Operational Perfonnance. and Ph¡-siological Correl¿ter. (Ed.) \f ackie. R. R.. 133-147. plenum<br />

Prcss. NY.<br />

Ha¡ris. W., & Mackie, R R.(1912\.A studyotthe relationshtps an'tongJotigue.hoursof senice,<br />

and safet¡' of ope rations of tructs and bus driring. (Repon )io B\fCS-R.D-7t-2.) WashinFon.<br />

DC: United St¿tes Department of Transportation. Federal Tra¡s¡r Ådmjnismuon. Bure¡u of<br />

Motor Ca¡rier Safew.<br />

l)Ieralure Revieu Page 34


H¡¡rison. Y. Horne.J. A. t1997). Slecpdcpntation affccu sPeech' 5/øc¡' J0' S.'l'tl7<br />

tla¡rmarr.B.o.(1971).Ficldsn¡dyofrraasponaircrcr¡r¡orUoadandrcstAcrospace'|l¿,!lctne'<br />

42(t): tt7't2l<br />

ll,aus. E.. & Toui¡or¡. y. (tgg4). principlcs of clinic¿I chronobiolog¡'. [n: Biologic Rh¡tlvns in<br />

Clinical t¿ t^"¡oiàory'Ur¿¡r¡æ, GÀs'rTot¡itot¡' Y'' Haus' E" & Springcr'Vcrlag' G34'<br />

HitdcbfeDdl, G., Rohff=,q w., ¿Þ Rutcafno¿ J. (lg?4). 12 ¿r 24 H rh¡rr'ns i¡ crror heqræocy of<br />

ræomtive drivc¡s aod rhc i¡f,rrcocc of ti¡cdss.Intcnu¡iotør Journar of crwonobiob*.2(2):<br />

175-lto.<br />

and Sons, Ncw Yort'<br />

efrrcicncY æ<br />

L. Kar¡frr¡a¡<br />

Cognitivc Pr<br />

Horoc.J.A.(l9tt).slccptossand-divergent..thirrkingabil¡q..SIeep.ll.5:t.53ó.<br />

HorocJA.(1991).Di.ænsionstoslccfigs.lnT.H.}lool(Ed)'Slecp'Sleepinessaod<br />

Performancc. ChJchcsær: WileY'<br />

t{s,*.in. J S . ÞIay. A. E.. Shergold. G. R.ll Fcrres. H \l' (19?tt \'\'orkload and fati¡rre-l-o-<br />

ll9t'120:'<br />

fLrghtffÇçhangcs.Avtatiott-Space'ond,F¿tv'rorrrn¿nta!'lledt''tnt'{9'<br />

Huntler \l S. & Pem¡e' \l \f" t1973) Abchavioral nn-hantsmoialcobol'rclated accidents<br />

ln M. E Chafetz tFÀ.), Proceedings of tit f trs¡ '\nnud!'\!c"ho!tsm c;':'ference of the '\':ttotwl<br />

lnstitute of Atcoho! Abuse onÅ , lcohiltsm Rese¿rch on \!;'tholtsm Cìtntcal Problen: :ú<br />

Specrcl PoPulationj<br />

Jotrnson.L.c.(l9t]).SlecpDepnr.aúooandPerforma¡cc.[ns..!\\.cbbtü\.Biologrcal<br />

Rhythms. Sleep' oi P'fo"'-ni¿' Ne* l'ork: John rÀ'iler & Sons<br />

Jobnson. L. C., Nairoh, P. (19?4). Tlu opcrational corucquences of ste ep Depnrotton ;rd sleep<br />

Deficit. AGARDograPh No' 193' P la3<br />

Kalcs A, Ta¡ T. KoUar E.t' er al. (19?0). Sleep Panems foUouing 305 hor,¡¡s cf sleep deprivation.<br />

Psychosom Med. 12. I E9-20O'<br />

Kecklund. G.. & Alers¡cdt T' ( t99s)<br />

41 -50<br />

Journal of SteeP Reseorch' 4'<br />

I)Ie ralure R¿r t¿x'<br />

of<br />

iley<br />

Effcct o.f timing of shlfts on sleepiness and sleep durauoa-<br />

Poge 35


Kinch. A D r 199ó. Junc l9t. Repon on thc st¡trst¡cd nrthods emplo¡ed b¡ the U.S. F.\{ ¡n ¡s<br />

cosut'enefir anai¡sis of the proçnscd "Fìight Creumemtrr Dut¡ Penod Limrt¡tions. Fl¡-r-ht Trnr<br />

Lirrurar¡ons and Rest Requrrcments". Dockct \o l30t I ln: Con'-nents Of The Atr Trarspon<br />

<strong>Association</strong> of America to F,4A No¡ic¿ 95-lE. FAÅ Docket No. 2E0EI Appcndu D pp. l-3ó<br />

Kjcllbcrg. A. ( 1977). Slccp dcprivation urd somc aspec¡s of pcrforrnance [I. l:pscs and otàer<br />

¡ncnüonal cffccs. Waking lt Sbcping. l, l'15'l4t<br />

KþUbcrg. A. (1977b). (scc pg aa-20 h Haadbook of Perccpion a¡d Hur¡a¡ Perforrna¡c Vot. 2)<br />

Klci¡. K E., &, tl/egrnann. H. M. (19t0).Sig¡ificåDcc of ci¡cadi¡¡ rtythÍrs io ærospace<br />

operatioos. NATO AGARDogaph Nt¡rDbet2¡t?. Neuilly sur Sciæ, Fraûce: NATO AGARD.<br />

Kogi. K.. &. Obra. T. (1975). Incidcncc of ocar accidco¡¡l drowsing i¡ locor¡otive driviag during<br />

a pcriod of ror¡tioo. Jounul Hwman Ergobg'¡, a(l): 65-7ó-<br />

Kr¡n¡mara¡ri. N.. Koda S.. Nakågiri. S.. ct d. (199{l The effects of bequcntly rotåti.ot shif¡*ork<br />

on slecp and rbc family üfe of bospital ountcs. F¡eonomics, Jun: 37(6):995-1007.<br />

L:.mberg. L. (1996). Knittlog up thc ravclcd slccve of ca¡e: Rolc of slecp and effccs of irs lacl<br />

er¿uru ned- Oct 16, 27 611 5): I 205' I 20?'<br />

l-aubrr fK and Kayren PJ. rl9tt) Slecprness. cúc¿dra¡r dysrhyrlrrua- and fa¡i-2e<br />

slstcm a-.-idcals. Slecp, I l(ó):50.}-5 I l<br />

I ¡r re. P . K¡enrrrrìan. 5 .4 \\'rel. \f ' lgtlt Slecp drsorders a¡d salen at r¡ork<br />

\À Lìrkers {c.'iJ¿nl .{¡r¿lr¡¡s &. Pretennan. l{. -ì I l-3lJ<br />

[-cnnc. \l G . Tnggs. T. J.. & Redma:r. J R r 199'l T¡nr of da¡ ranations in dnrrn_g<br />

performa,n ce 'l.cctdent ,1n¿!t sts and Prc"eniton' l9t{ ' ¡-1 I -¡-l:<br />

tn t-rðiPoflåuon<br />

tn tni-=tn<br />

L-crrne. B . Roeh¡s. T.. Zonck. F.. & Roth. T. (1988). Da¡rirnc sletprness in ¡oung aduls. Sleet.<br />

I l: 39-1ó<br />

LiUe. F.. CbeLiout. F.. Burnod. V., Hazeman. P. (1979). Effects of aging and occupuional activity<br />

on a c t i ve *' ale fu I ne ss. G e r o n t oloS'r'-1 -t. 3 3 7' 3+1<br />

Lisper.H.O.Laurcll.H..&r'anLoon.J (1936¡ Relaúonbet'¡etntimeoffalingaslccpbchind<br />

thc'*hecl on a closed t¡ack a¡rd cha¡-ges in subsidiar¡ reaclion tirrr dunng prolonged dnving on a<br />

motonÀ'a\'. Er e onomics. 29. .+45453<br />

I)terature Ret ieu<br />

Pay -16


Lun¡.T D..French.J.&Mi¡cha.J L rl99lr Åsrudy'of LS.\F¡.:rtr¡ft-rccontrollers!ì¡nuork<br />

Sleep. irtrgue. attt\lt). and mood anellscs '{ rtdtton' Space and En'rr'ttnl¿ntol '\l¿dt;tr'.- ó8t lt<br />

I t-23.<br />

L¡man. E. C . Orlad¡-. H. r*'. ( t9t_1. \f arch 3ll. Fatigue and 'lssociated Performance Decrements<br />

in Air Transpon op)railors. ¡iAsA Arrrs Research ccnrer. Baneilc corumbus Laborarones.<br />

ASRS Off¡ce.<br />

Mebcr, K., & McPhec, B-(1994, April)' Ftigfu crcw dury atú rcst- Sidncy' Ausualia: Wortsafe<br />

Ar¡smlia<br />

McFuland, R. A. ( 1953). Opratiorul Aspccu ol Fuiguc In Hunon Factors in Air<br />

TrarcPonation'<br />

}files.w.(1929).Sleeping*.iththeeycsoPcn.Scieuific,|nurican,l40'4t9{92.<br />

lvfilcs. L.. & Denrnl \f,'- C. ( l98O)' Sleep and aging' Sleep' 3' l'll0'<br />

\fi's. M. E.. Amotd.8.. \\'ood. C. M. (19t3). Core-12: A ConuoUcd Srudy of ¡be Impact of l2-<br />

Hour Schcdultng .\'lrsing Research' 3l' 35ó-3ól '<br />

\f.rn,.rs. D S . & rÀ'¡terhousc. J \l ( lgEf )' The slecp'*akefulness rhrthm' exogenous and<br />

en.lerenous factts ¡tn ma¡t t E.rperientr¿- {0r51: 'tl0{ló<br />

\frtlcr.\l \f.tl99lr Tuo-pcakl{-hourPatternstt]op'monai¡t!'¿nderror ln'Slecp;nd<br />

H¿;.:-,Rr;t rE,JslPerer.J H.Pengel.T-Pcxlszus.J'r'-n\\'r"i'e:' P'& Spnnser-\-:rla-s'\\<br />

\lrrìcr.\f \f .\frllcr.J.C.Lrpsirz.J J.\\'¡lsh.J K..\\¡hc.C D '1997r TheSlcepof Lon-e-<br />

Haul Tn¡ck þ¡rers .\eu Englond Journal oi 'lledtcm¿' -ì-ì-' 75ó--ó¡<br />

\fohler. S. R rl9óót Farigue rn ariation act¡r'ities..lerospoce Medtc¿ne' 3;';::-731'<br />

\loms. T. L.. Miller. J. C- (1996)' Electroculographic and prforma¡ce indices of fati-srr dunng<br />

simutated flight. Biological P4'cholog" 4l' -r13'3ó0'<br />

\{osko*irz. H (l9il). A bchar.iora] mechanism of alcohol-related a.-cidcnts. In \{. E Chafetz.<br />

(Ed.t. proceedings of the Firs Annual Alcoholism confercnce olthe Ïotional I¡tstitute o-f .llcohol<br />

.-llrus¿ and Alcoholtim. Research on Alcoholism: Clinical Problers an'd Special Populations'<br />

\lull¡ner. D. J.. Fleck. P A . okudaira- \.. Kripke. D. F tl9t5) .\¡ -\utoma¡ed S'stem for<br />

Literuure R¿r ¡¿r,<br />

Page 3-


.{dm¡nrsrenr_j CLrn'.rnu6u5 \*'orkload and for \f easunng Sustarned Continuous Pcrform¡ncc<br />

Eehattorol R¿search llethods. Instrur¿nts. &. Computers ¡7. ló-18<br />

¡,tuttane¡. D J. Knpke. D. R..Fleck. P tl99l. Au-¡ustl. Sleep losseffectsoncontrnuous<br />

sustained pcÍttrrilìaîcc. Technicd Re¡.n #1. San Drcgo: Unirersit¡ of CaJifornra Depannrnt of<br />

Ps¡'chiarrl r l98l). Cited in Evans. S. \f .. Ifa.'kie. R. R.. Wylie. C. D. Fotiguc Efccrs on Humon<br />

Perfonnance In Combat: A Lilcrature Revieu US Army Rescarch Instirute for thc Beharioral<br />

a^d Socid Scrcnccs. ARI Resc¡rch ìrio¡c 9l-90.<br />

National Comrnission on Slccp Disordcrs Resca¡ch. (1993). WaLl Up Ancrica: A Natiotøl Sleep<br />

Alcrt. Report of the Nationat C.onmission on Slccp Disordcn ReseorcL ùccuivc Suwu,¡^ attd<br />

fuecutive Rrcpott.lVashingloo DC: N¡rional Commission on Slccp Disordcrs Rcscarch.<br />

Narional Transponarion Safay Boerd. ( 1994. January). A Revie*'of Flightcreu-invoh'ed. Major<br />

Accidents of Li.S. Air Carricrs. l97E Through /990. Safe¡y Srudy: ¡¡TSB/SS-9{-01.<br />

lieri. D. F. Shappelt. S. 4.. ¿l DeJoh¡. C A.(19921. Simulatcd 5s5rrinsd fìighr operarions urd<br />

performance. Pa¡r I : Effecs of fatigue .llilitary Pq'chology.<br />

Ncvillc. K J.. Frcnch. J., Bisson, R.. L.. Boll. P. 4.. StorrL \¡/. F. (1992). Slccp and Ftigbr<br />

Dr¡¡ation Efrecs On Thc Subirtive Fatiguc Of <strong>Pilots</strong> During Opr¡¿¡¡oo Descn Storm.<br />

Proceedings of rhe Human Factors Socicqr', 102'105.<br />

\icholson..{ N r1937). Slecp a¡d r¡¡Ierulness of the a.rrlrne pilot '{riolton. Space arl<br />

Ent tronr¿n:;! .lleé:crne, 5t. 395{01<br />

\icholstn \ \. Stonc. B. \{. Borla¡d. R C. & Spencer. \l B rlgt-rr Adaputron to<br />

Lrre_sularrr¡ .'Í rest a¡rd actir lt\ In Su¡;tned lntenstre .l.tr Opera!,ons Phtstoloetca! ¿r:<br />

Perl'ormc...-i.{;pc.-.'; .4G.1RD Conferecr'e Proceedtngs. \o 3-lt. l: l-l: ó<br />

Ogilrre. R D . \\'rLi:..¡nson. R. T and.{lrson. S L ,l9t9l The detecuon oisleeponser<br />

Behar rerral. ph¡ 'rological and sub.¡ecu\c con\ergcns-e. Sleep. ¡1. {st{iJ<br />

Pack. A \f . Cucclua¡a- 4.. Schuab. C \\'. Rodgman. E. & Pack..{ I (199{l Cha¡aclcnStrs-s o[<br />

acc¡denrs ennbutcd to the dnver har ¡¡g fallcn aslccp. Sleep Research.23.<br />

Perelli.L P rl9S0.Deccmbcr).Fatt?u¿StressorsinSimulatedlnngDurationflight:Efleason<br />

Perfornrcnte Idonnation Processtne Sub¡ecttre Fotigue ond Phtsrclogical Costs. School of<br />

.{erospace \fcdicine. Brooks Ai¡ Forc¡ Base. Repon .r..o. SA\l-TR-t0{9.<br />

Pokorn¡. \t L. I . Blom. D. H J.. ran L¡euu'en. P. (l98la). Ana.l¡sis of Traffic Accidcnr Dara<br />

rFrom Bus Dnrersl-An Alternatrre.\pproach tll. In A. Rcinbcrg..\.\'ieux 6¡ P..å,ndl¡uer<br />

Li te roturc Rei ¡ett Page 3E


Eds ). Night and Shrft tt'ork'<br />

P-.\orn1.If L. l.Blr-rrn.D H J.renLeeuuen'P'l98lb'r 'vr¡lls¡sof Tr¡t'tlc'{;"rdentD¡ta<br />

tFrom Bus Dnrersr-.\r¡ .\Iernat¡rc .\pproach (llr' ln A' ReinÞrg' \' vieur & P' Andlauer<br />

tEds.). )iight and Shift t*'ork'<br />

hcrnitis'c.(l9tl}.Shifis.ork:Workload.fatigucandstaesofr.igilance.[nA.R'einben.\.<br />

vievn & P. A¡¡dlavcr (Eds.) , Night attd shiÍl worL Biological atú social Aspccts'<br />

Rcinbcrg, A. E.. & Srnolensky. M. H. (lg4). Nigbt and shift wort and transnrcridia¡¡ and spacc<br />

fligbs. Ln: Biologic nsy*,ms-in Clinical atú l-úoralol)- Mcdicitu, Springer.Verlag. NY' 2¡13.<br />

255.<br />

Res¡ak.RichardM.(l9tt).TluMin¿.BantamBooks.l.{ll.Nc*'Yort.<br />

Ribak. J.. .rstrkenazi. L E.. et al. (19t3)' Diurnal rt¡ùmiciry and ai¡ forcc flight accidcnrs due to<br />

pilot cnor. A',otton. Space, and Env.ironmental Mcdicinc,S4(12): 1096.1099.<br />

R.icba¡dson. G. S.. ca¡skadon, M- A.' orav. E' J" & Dcnrnt' w' c' ( l9t2)' Ci¡cadian variation of<br />

slecptendcncrytneldcrlyandyoungadultsubjects'Slccp's'St2-94'<br />

Roch¡sT.Timms\..ZuTghuizcn.DoorcnbosA.a¡dR'orhT.(19t9).Slcepextensioninslerpy<br />

and alert normals Sieep' l2' 419-+57<br />

'Rosa. R R. & Bon¡ct. M- H. (19931 Performance and alenncss on 8 h a¡rd l3-h roratrog siuns ¡t<br />

a oatural ees uubry Ergonom¡cs' 3ó' I177'93'<br />

Rr-rSâ. R R . Collrgm. \f J. ( ¡9tl I Sleep quantrt\ r'rd qua!q unier S-h"ur ¡;rd ll'hour r"t¡irns<br />

' shift schedules Sleep Reseorch' ló' tl I<br />

Rosckrnd.\1R..&Schuanz.G.ErlgtE)Pcr:e¡lronof;lecpandu¡Iefulncss'l'\;;tr¡3'-r¡n':<br />

ccnåint\ of sub.¡ecttre judgments' S/ecp Rescarch' l'' t9<br />

Rosckjnd. M R.. Græbcr. R c.. Dinges. D. F'. connclt' L' J" Roundtrec' \f ' s ' spinuebcr' c'<br />

L.. Gi¡en. K. A. ( 1994. July) Crc* fàcrcrs inflight operatiotts IX: Efects of planned cockptt rest<br />

oncrei.perfomlancean.dalenness.inlong.hauloperotions.NAsATe..hnicalMemorarrdum<br />

r 08839.<br />

Rosenrhat. L.. \ferloni. L.. Roch¡s. T A . & Rorh' T' (1991)' Enforce d l1-hour recoreQ<br />

foUou'ine slecp dcprir ation' SIeep' l{' {{8-'153'<br />

Rorh. T.. Roch¡s. T .{.. ca¡skadon. \f 4.. Denrnl w' c' r l99J ¡ Da¡rime sleepiness and<br />

Itt¿ raturt R¿r'iex<br />

Page -19


.{,jenness. ln Il. H K4 ecr. T Rot}r & r*'. C Dement tE.J. t. Pnnctp.', s ¿nd Procttce of Sleep<br />

.tl¿Jtctne \ÀB S¡undcrs Co<br />

S¡rrrl.¡|... & \\'egmann. H. \1. (19t7). Desynchroni¿at¡.';: and tnternai drsso.'ratron rn a.lrcre\¡<br />

Ergonomicr. 30. I 395- I 4Or.<br />

Sarrrl. 4.. \À'egmann. H. M.. & Vejvoda. M. (1996) Ai¡;rcu'fatigue in long-haul operations.<br />

Accidcru. Arulysis &. Prevenrio+ 29.439452-<br />

SeræI. 4., tl/egnrann. H. M.. Vcjvode M. (1995). Jct lag and slccpiness in aircrew.-.lournal of<br />

Sbcp RcscarcL4,30-3ó-<br />

Sr¡æ1. 4., S/cgrnann. H- M.. Dreschcr, V. M.. Gundel. ,{.. Manzcy. D.. ll/enzcl. J. (1997). Two<br />

Cre*'Opcratioos: Suess and Fatigrrc During l-ong-Hanl \ight Flighs. .lviation, Spacc, arú<br />

Fttt'ironnuntal Medicitz¿, 6t' 679't7 -<br />

Sasaki. M.. Kruosaki. Y.. Mori. 4.. Endo. S. (l9tóa). h¡crns of SlccpWakefulness Bcforc and<br />

.$rer Tra¡rsnrridian Flighr in Com¡rrrcial Ai¡li¡c Pilos .|viatton, Space. atú Ent'ironmennl<br />

Il e d i ci n¿, 57. B:9'B't2-<br />

Sasaki M. Kr¡¡osaki Y. Mori A, a¡d Endo S. ( l9t6b). Putcrns o/ Sleep-r*'aLcfulness Beþre and<br />

Afier Transmeridian Flight in Conn¿rcial Airlin¿ <strong>Pilots</strong> Cre*' Factors in Flighr Operailons II'<br />

Slcep and lYokfulness in Internation¿l Aircrew's. RC Græber (Ed ). \-.\SA Tech¡ical<br />

\lemorandum \o tt:-ì l. \f offcn Field. C.{,:.\mcs Rer¿rch Ccntcr<br />

S--hocnborn. C A. & Cohen. B- H. (l9tól Trends ¡aJr',¿r'.rng .l.lcol'.ol Consumprrcn. anJ O:)..e,<br />

Health Practttes.{Er)a_g L'5 .ldui¡s 1977 and /9E-l \ur.''n¡l Center for Health Surrstrcs. L S<br />

Depanrrrnt oiHer:l sld Hr.lman Senr;es. H1¡ttsrrìle. \D. \'.' llS :'16<br />

S;hænborn. C .{ - & Da¡chik. K \l rl9t0t H¿aith lri.'.'i.-¿-i -'r'itì'î-ì -:Ju":s Lntted States<br />

li-: .{dra¡lce dar:- \at¡onal Ccntcr for Health St¡tlst:.; L'S De¡r::rcnr.-''f Healrh and<br />

Huma¡¡ Scnices. HransrrUc. MD.6¡: l-10<br />

Shappcll. S A. & Ncn. D. F. (1993). Effecr of combat cn ai¡crc,¡'sub.¡cctire readr.ness during<br />

Opcrations Desen Sbreld a¡d De-n Storm. In¡ernation'¡! Jourw¿l of .4riation-P¡'chologt 3,231-<br />

25.<br />

Sh.¡n_eeldecker. C. A. & Holding. D. H. (197{l Risk and cffon rnc¿srue of farigue. Journol o-f<br />

-ll ot o r Behat ior. 6. I 7-15.<br />

Smilc¡'. A. (199ó. Norembcr). Interpretarion of Operorrv Perfornwnce Data. In: Operator<br />

Pe rfonnance.\lecs¿r,'ment: Derelopin-e Co¡runonalin.{.''oss Tronsponatton.Ilçt/¿5 -<br />

I)terature Rer i¿r. Poge 1l'


p,oceedtngs o-f o Septrntber l99J ll'orkslrop DOT Hum¡'r¡ F¡ctors Coordinatins Cornmjnec Frnd<br />

Rcpon<br />

Sm¡rh. L.. Fotka¡d. S.. Poolc. c J \f ' (1991)' lncrcascd rnJunci on nrsht shift' L¿nc¿¡' 3+l'<br />

n37'1139.<br />

spcncer. M. B. r lgt? l. Thc influcnce of inegurarity of resr and acrir-ir;- on pcrfofroance: a modcr<br />

bascd on rimc rr..,rc"p -¿,¡tt of day. Ergonomiæ.30. 1275-lltó'<br />

Takahåsi.J'S.(1y96).T}rcbiologi.calclock:It.sallinthcgenes.tnR.M.Buijo.A.K¡Isbcck'H.<br />

J. Romijn, C. M. p.nia¡t¿ ¿l M- if¡-ti'* (Eds')' H¡-prlnlomic-lntegration'of Circadian<br />

Rh¡-thms.<br />

Taub, J. Il. (l9tl) Bchavioral and Psychobiological Effca Of Ad-tibirum Extendcddelaycd<br />

Srccp. tn t. Ikrac- iÈ¿.1. pslci_.,phísiorogicar aspects of sreep. park Ridge. l'i- J.: Noyes<br />

Medicd h¡blicadons'<br />

Taub. J. lvr.. & Bcrgcr. R. J (rgr_¡l..pcrfofnìancc<br />

urd Timing of Slcei' Pstchopht siologt'' t0' 559'570'<br />

and lfood Fo'o'*ing'a¡iarions in the tcngr'<br />

Taub. J. M.. & Bcrger. R. J. ( l9;ó) The effecs of changing the phar and du¡atioo of sleep'<br />

J6arnal of fupenÃenral P¡'chobg\' l. 30-41'<br />

Thomas. \l L.,199?l Br¿tn cr: Beløt:rcral Efects of Proloneed ll'ake'fulness tn Hu¡tuns' A<br />

pt,stîron E^rr9on'fo,*g'oplrr 5':iJ¡ o.f B'o'n-Gl¡r"se '\lenboltsm During Task Pcrform¿nc€<br />

.\ner 1t hours n,, sirrpóri u"¡,:blr'heJ drr^.l"nl drsxn¡rron ccor-ee \lason Lnirersitl-'<br />

Tlomes. \f L . 5rng. H C . BcIcnþ.C . et al r 199: Cer:br:] Clu;ose L.ttltz¡tl..n Dunng Ta'\<br />

. perlormance ¡nl Ërîtong.,J Sle:: Loss '/ou rn¿t o'f Cerebro! B:c'¡o'! FIo* ¿nd \l¿:¿boltsnt'<br />

,l3rSuPPl ll. Sj-tl<br />

Thornc. D.,Censcr. s. Srng. H. c Hcg-ee' F r l9t-ì' Plumbrng hur':'¡¡t çerformancelimltsdunng<br />

-lhou¡sofhrgb,"rf fo"¿ -Proc¿¿dtng\-of rhe:t^DRG,Semtrarç't"TheHuntan'ls'1 Limilng<br />

Elcmen¡ In Ililircn5.\sre¡ns. l'c-tmel Totonto' Ca¡ada' Ifal' )J<br />

Torsvall,L.,&.{kerstedt.T.(l9tt)'Drsru¡bcdsleepuhilet"erngon'call:'\r¡EEGsrudyofships'<br />

enginecrs. SIeeP' Il' 35-38'<br />

Tonerdell. P.. & Folka¡d. S. r lF')l The Effccs ot changrne From a \\'eekl! Routing to a<br />

RaprdlrRouringShlftsche.Ju]:lnG.CostatEd.l.ShiftuorkHealrh.Sleep.andPerforman..e<br />

Itte ral ure Ret lcr'<br />

Page J'


Turek.F \\.&\'¡nRccth.O tl99ó Crrcad¡anrhrthns ln\f J Re-el-r&C If Bl¿neistEdsl.<br />

!'landbt,rr\ o.f PhtJt


A SCMTSTTHC Rg\ÆW OF PNOPOSSP RTCULATIONS REGARDNG<br />

FLtCrr Cn¡wUrluBER Dury PsnrOp LnnrlTIO¡iS<br />

Docxer #2t0t I<br />

The Fligbt Duty Reguletion Scientific Study Group'<br />

Preperetion of this docurrcnt w¡s supported by e grent from the<br />

<strong>Independent</strong> <strong>Pilots</strong> Associ¡tion<br />

Rr¡gr.rrng t;rle: Review of propo--d fìrght duty æSuJauons<br />

Corresoondence to : Cary S fuchudson. MD<br />

Endæn ne - H ypcræ nsion Divisi on<br />

Brigham and Women's HosPiul<br />

221 Longwood Avenue<br />

Boston, MA 021 l5<br />

'Co-Chai¡s: Wallace A.Mendelson. MD. Cleveland Cli¡ic Foundatjon; Gar)'S. Richa¡dson. MD.<br />

Bngham & \\'omen's Hospiral a¡¡d Han'ard Medicd School:Thomas Rotlr, PhD. Henry Ford<br />

Hospiul.


"Rcúew of proposcd ftighr d-ury rcqule-uons"<br />

Tfrc night pury ncguhtan Scicntif¡c Srudy Grroup<br />

Tm FLlCrr Dtrry RTCUI TTION SCu¡¡nr¡C Sn¡ov GnOUp<br />

orders.<br />

board of rlre Sleep Rescarch Society.<br />

: Di¡cctor of rlc Slecp Rescarch l:boratory and<br />

'ersiÌy of ChrcaSo' He is. ar¡ internationally. toogrrticuiarly<br />

insomni¡. ¿r¡d o.n tlrc phTmTology.d<br />

r an ofIìi-¡ oo tþ e¡ecutir¡e boards of both ür<br />

tcri{åri S¡ccD Disordcrs Assæiation, and part¡clolicy<br />

on rbc-diegnosis urd uea¡nre¡rt of slcep.dis-<br />

rt Brigham ¡nd Wornco's Hos-<br />

I,lcdicine, and ¡r¡ Inst¡r¡c¡or b<br />

tiooetly r€coglizÊd authoriry oo<br />

consr¡lunt to ¡Ìr<br />

k and sbcp dep<br />

on tlre exccutiw<br />

Thom¡s Roth, PhD. is Di¡ector of Resc¿¡ch for tlr Henry Ford Health Sysarn rn<br />

rhe Na¡ional lnsúrures of Heal¡h. Dr. Rorì has scnæd æ a corsult¡nt o tl¡e Department<br />

of Transporuúon. Naúonal Highway Trafl¡c Safe¡y Associauon and NASA.<br />

\lemben: Ruth Benca. MD. PhD<br />

U ru r'ers tty of W isconsr n/H ad:son<br />

Madrson. W¡ 53792<br />

Cynthia DorscY. PhD<br />

Mcl-e¿¡¡ HosPiuJ<br />

Belmont- MA 02178<br />

Ba¡ba¡a PhilliPs. MD. MSPH<br />

Cood Samanren HosPru.)<br />

lexingon, KY 40508<br />

Imoùy Ræhrs, PhD<br />

Henry Ford Hospitat<br />

De¡¡oit MI4t202<br />

Ma¡y A.Cank¡don. PhD<br />

Bradley HospruJ<br />

Easr Prov¡dence. RI 02915<br />

Mark Malrowald, MD<br />

Hen¡rcprn County Medicd Center<br />

Minrrapoüs. MN 554 l5<br />

Jame.s Wdsh. PhD<br />

St. L¡ke's Hospinl<br />

Chcscr{]eld. MO 630¡7<br />

Gary Zammit" PhrD<br />

S r- l-¡¡le' s-Rooscvel t H ospi tal<br />

New York. lfl 10025


"Review of proposcd ftiSht d-ury trryI?tiotls"<br />

riã errirti drü Reguraùør Scicndñc Snrdy Grroup<br />

l. Int¡oduction<br />

uorls. It is our hope that many of the rmporunt.ar<br />

oroduced by thls'effon. whe re¿s other issr¡¿s cle<br />

bas¿. f¡esè wil requirc add:úon¡l rese¿¡ch aru<br />

malung effons.<br />

The goal of providing safc.tot=l 24 hours a<br />

at aliumes. Slr,ce human den¡rcss is hrghly<br />

ro beuer address tlresc lssr¡cs wlrl tÌrc goal of op<br />

os of fuigrr ¡¡rd slcep dc-privation 4 ltghl crew.<br />

izc ev¡ilablc scbnri6c informaúoa. boü that ex'<br />

of sckntific'lirer¡¡¡rc ægarding tb ongru of hu'<br />

by rcgulaory effons in otlrer induscrrs and by<br />

r is soluuon. However, tlre Stud¡' C:oup [eels<br />

allocate...J rest rime should not reUeve =gulatoq<br />

Jequare Lurre Ls provrded for resu<br />

tl


'i:îíäî'Jüffi ,['Ë*gm.oJ":å"r'crro'p<br />

Figurc 2.1: Sclcm¡tk rcprcscoletioa of tbc plysiol4ic f¡ctor¡<br />

contributio3 to bum¡n htiguc la ¡¡¡st¡ i¡rcd opcrrtions<br />

2, Scientific Brckground<br />

2.1. A workrng delinition of faúgue<br />

(Figurc 2-l).<br />

-Slccpurcss. æcnrding b ¡¡ crsging corls€¡lst¡s ¡¡norì8 s<br />

pòysrobgicz,l s¡¡c 0ilc) bunga a ôi¡st' Dcprtvaloo cr<br />

ard es bunger s thi¡s¡ is revcn¡blc by caung a drint'u3'<br />

rcscd modificatiors to tlæ FAA regulatioru r'aria'<br />

descnbe the physiolopcal condition arising from<br />

rccurs when wakefulness is forced during phases<br />

nplrcarron of this usåEe is -tlt¡t tÌrcsc lerrns ar€ I'n'<br />

:aies tlut ¡Ìrey a¡e nou and confusion of Ùr rwo<br />

basis of performa¡rce errors and Ù¡e aPpropnac<br />

dcfiniuon:<br />

orænts which ¡ts¡ become the target for inte¡venbr<br />

¡lr teneral condiúon in which performurce is<br />

p cont¡ibutors to human faÙgue. the control and<br />

ion ol performa¡ce of crew members in air fìighu<br />

' Frcsr Ro{b, T., ¿r at.. Da},r¡-sr slcrpnncss and a.lcm¡css .lt Pnnciplcs atd Prættce of Slcep Mcdicitu, M H Kf}''<br />

gcf.T.Roù, üd w.c. DcrrnL Eds 19t9, W.B.Saundcrs: Philadclphia, p l+13


"Rernew of proposcd flight dury rcgulauors"<br />

The Fbghr Dury Regulaton Scicntific Srudy Group<br />

2.2. Horneost¿tic rcgulation of slccp<br />

¿lca'ecs of fetigræ is ¡ dcclinc in human derûrc


,i'iîíä,i'dffi ,f,É*giff#.ii:ö'.,-*<br />

üon a¡rd tightdark .y.lq have progresscd ro tÌ¡c noint wb¡c it ls now possiblc to makc rcasor¡ablc<br />

;-ñ-.r*-õr rrr. efféi ói mnsritcr¡-¿ian rrevel, w¡r¡ rtr consogucftt altc¡aooru in light-drrl gxpo<br />

sur!, on ínamal .,,c.dñ "*"¡arion a¡d üE dependerrt rtryrtrns rn ¡þrt¡lcss and Pcrformance<br />

(l l)'<br />

concl'sions rclcvant to e¡¡ended-dury paradi¡rns<br />

r nccds of thÊ boræosta¡ic system will not rcsult in<br />

1.4 Time on t^


ff îíä?'effi ,trslågr'f#J"iTö'Group<br />

2.6. Shift'work<br />

impæt of r given shifr schedulc. or t"g¡ 5pccl<br />

n.L. ot oùri human factors ¡rrc not always ava<br />

.ióãi-t resc¿¡ch result-s rcgardrng a sPecific g<br />

n rnd sbcp dcpriratioo (horneosutic) infÌ¡'rr¡c¿s.o<br />

r ærformåd. Écnaing collec¡ion of such data idc'<br />

-<br />

"fü,È<br />

t-.-on- t¡sk -¿ara noné theless nis¿ si g ni-fi'<br />

siw rsPect of ¡úuion.<br />

l¡¡c thc physiologic conributors to fa¡¡gæ il F<br />

¡d imporr¡¡tce: foiexample' how mr¡ch tþ? ú1lti-<br />

¡? Wirl¡out more d,t¡ on thls issue. ttr only efÏec'<br />

reæh of rhe three ares as completely as psible.<br />

$t crcws occurs rn tþ co{ìExt of g9rrt"l- corrcern<br />

int slæp depnvadon in a large number of æcupa'<br />

'owing number of US. workers a¡e calþd upqn<br />

!o<br />

. It is-esumated ¡Ìrat some rwelve mill¡on popb in<br />

of shifrworker (19). A number of stratcgÈs have<br />

Jne coveragc of the growing variety of scrvice and<br />

s suffing. TIE m6t common of tbcsc is thc<br />

Lcrs work-successive shifs for one or mce wecks<br />

/)


"Revicw of proposcd flight ¿^u'y ryFguo¡rsrÈ<br />

rîärti úiün.g.,bù'on ScÉnüÍ¡c Sudv Gmup<br />

ent measure.<br />

3. SummarY of ProPosed Suidelines<br />

rivatim.<br />

tþ i&nrif¡cation of ourcûne meåsr¡nes to bc uscd<br />

Whiþ available rncesuÉs haræ a@uatcJy docu'<br />

e rlrat can be used o effæuvely monitor thc impcct<br />

ansuophic ourcomes as r-hc onJy acceptcd depcnd'<br />

Jum "Pnnciples and CuldeLine for Dury. a¡rd-Rest<br />

E pnrnary óurcc rn r}rc pæparaúon of ùe NPRM<br />

etweerì Ùte NASA recommcndations and ÛE f¡r¡Âl<br />

ss dury pend. fìight. Ùnrc' a¡rd rest re4uiremens'<br />

vcll asiumulauve-dut¡' periods lor a week a¡d a<br />

month. . t<br />

The¡e arÊ two mpon¡nt tgneral fearu5s 9[ t]" Pro.ry1! 8":1t]Ti ].,ff^'^r¡ Prl:d'fi:ÎL::<br />

å,ö'rñ: ñ ;*" fi ' äå " 1'-,v -i^,c"-r q. l Y T EII 1i1," :: lm,l:, : t**":, "i .1,'," 1I.0 f i:ff<br />

ÏËoiåiäË""nËr-*i;'þF"t!:'¡."*:,f*::',ii:;,,ï. n*,:i"*;'l;^:*å'i#<br />

ìffi i t #i,ifi,"'uïã i ó' l* ¿ u t y * g'¡íl P -y<br />

li';'åiähii;-;'"ili;i;*-;íp.i;iän¡,,pry1::T :1:*1-t:.t*il^t:?::îit^*ltrl'å<br />

:,11 ï ¡.", 3i' f.îË9 î l î',s: :'" i:"'^g,llfl."<br />

ffi iå'rii;ffi;rï nigrriãryäug$J -ä ir,'itr"rron or dirrerences Þween rclevant pcrts of ûre<br />

Pan l2l rcgulatio* ;í,r"'P," l3s '=j:l'^:.:Îil:I:::q ::TTl::"Td.,,o*.ot'-d fìighs)'<br />

rt'ù å"llii'iiiì'pî'r[.r* -¿ e."",1y irñproved corsisænc¡'in fìrghI reguJatiors.


'*îïä?'Jüffi ,['å3å'üitr#.i"":ö"o-"0<br />

T¡¡rs ll: Sur'rnA¡Y oP Proroseo Rscu¡'rnoxs<br />

l. Fllgbt dulY drretloa Crcr ¡l¡c M ¡r,d rr¡tlon<br />

(duty/fll¡ll)<br />

lul<br />

ta/l0<br />

t6/'2<br />

tM6<br />

2. Ml¡lnun rrd dunllo¡ Crcç ¡l¡¡ Ml¡" Jrntlo¡<br />

(lorrr)<br />

3. Fti3bt timc limits Timc fnmc M¡¡, lliSbt<br />

tl¡nc (Lourr)<br />

3. l. Rerìsed Flrght'Dury Durauors<br />

f .2. Rest Period<br />

hou rs.<br />

I<br />

2<br />

3<br />

3'<br />

al<br />

t<br />

)<br />

3<br />

3'<br />

al<br />

Pcr rÆÊt<br />

Pe¡ ocotb<br />

Per<br />

Dcstpix<br />

operational delaY.<br />

t0<br />

¡0<br />

la<br />

It<br />

a,<br />

n<br />

ræ<br />

fl


"Review of proposcd flight dury rcgulatiolls"<br />

Thc Flighr Dury Regul¡úon ScÈntilic Sudy G'roup<br />

3.3. Sund'ByAssiSnmens<br />

Rescrvc time in this<br />

not on dury but<br />

nonetlpless musr be<br />

dury pcriod. Thc<br />

suideti¡Es cxOLicitly it<br />

'<br />

rclaqs ¡Irool¡¡lt<br />

ãf Uro" of advance -n period. Witì less<br />

d is ¡llourcd- As Dotificetion pcnod gocs to En or<br />

pcodi¡t oo circumst¡¡Ees, Ls allowablc. A¡ dæ¡onst¿nt<br />

6 bour protcctcd time (by reqæst) for cæh<br />

nif¡c¡tc bolde¡ E¡y Dot cont¡lct tþ cæw ræmbcr<br />

bÊ ¡ssipcd beforc tlr qtw membc¡ bcgl¡rs ¡hc<br />

bc coopletcd in lt hor¡¡s within tþ rescrrr tinr<br />

rli¡rcs<br />

3.4. Cumuluiræ Limis<br />

Tlp cumr¡l¡tiræ limis fa flight hor¡rs ¡¡r€ set ¡t 32 bours fr any 7 &y period, end l0 houn for<br />

ury calendar month. Ttr f¿rty pcriod is set by multiplþg ttrc monthly requircment by 12 (i.a.<br />

1200 hours).<br />

4. Evdu¡tion of proposcd rcgulations<br />

It is importanr to rcitcrate and ernphasize ttr.Study Group's. posirion tlu¡ tÌÉ proposed rcgulations<br />

as dehned in û¡e currcnt NPRM on tþ whole reprcscnt ut important advance over existing nightdury<br />

regr¡l¡úons. Tt¡e principal improvement lies in thc æw dependenæ of thc ægulations m oal<br />

dury time. ratÌ¡er than jrst fligtrt úme. in scaing. limis on rnatdrDum work duration. As rcvþ,¡ed<br />

above. ¡l¡is is ¡ m¡.ch morc physologically sound appmæh, rcflecting tÞ importancc tlut all work<br />

time has in tÞ generarion of fatigrc.<br />

Tþ Study Group did. however, oPosed regulatiors that<br />

should be improved upon andor a inæntion "...to incorpo<br />

raa (wtrnever possible) scicnrif¡c physiology into rcgulaüors<br />

on flight crew rheduling." (l). Adjusuncn should address each of<br />

rÌ¡c rssr.¡es ldentif¡cd bclow.<br />

ln companng ùE proposcd rcgulaúgns to tl¡c suæd goals outJrned in tlr inuoduction o ¡l¡c ll?RM<br />

and ro ãvailable data rn tle scicnúfrc lierarurc. thc Study Group identified two imponant gernral<br />

rssues.<br />

4. l. Exccssive dury duration<br />

duraúoru in exccss ol 12 hou¡s ¡¡e rssæiåtcd w:<br />

r slcç v¡tc history (13. 23), the¡e ca¡r be bde<br />

; of 14 hours, ler alorrc the greatcr duraúoru pcrpecific<br />

duty ard tirnc limitations ¡¡re thc same as<br />

2), dtlough tlre¡e arc polentielly important difÍertu<br />

NPRM in the definition of flight úmc \Àlhile<br />

thc NASA docunrcnt rççeg¡1irrs thc imporuncc of limiting marimum shift duration (Section I.4; p<br />

4). ir provides no evidencc in supporr of the stalcrncnt üû l4 hours within a 24-our perid is sufficienr<br />

li¡nir¡üon (Scction 2.2.3). nor was the Srudy Group able to identify resea¡ch to suggest ù¡t<br />

rhesc shifr durariors might bc "cctpuble in the unþw ¡vi¡tion s€túng. I¡ this regard. it is importånt<br />

ro noe ùar rhesc dury perids are significantly longcr tl¡an ¡hose being applied in a range otler<br />

work seuings wherc rcgulaory arænúon has been fæuscd on tþ problem of faúgue-related prforma¡ce<br />

decrement-s. includrng most other transpon¡uon s€ctors.<br />

/t


"Review of proposcd flighr dury regulatioas"<br />

î," nigh, Oury Reguleuon Scicntific Surdy Crroup<br />

Absc¡rr resc¿¡ch dara to tÞ contrary. thc only rcjry¡¡ findings.suggcst that pcrformancc dctcrio<br />

-<br />

an 12 boun. ù¡d th¿ tæqamendcd I'imis for dury<br />

efTcct-<br />

tioos mr¡s¡ await erupirical confrmarion of sr¡ch an<br />

'cirçumstarces wlæ¡c c¡srr nu¡nber is augmented<br />

lli.sh¿d srudies luve not yet shown that tìls tmion<br />

o allow a signifrcantly slcc¡deprived crcw<br />

s corrern is thet scræral studies in otlpr concxts<br />

pporurnity for slecp in Ûtc exænded-duty scning<br />

C obui¡¡ed. Without express stipulation about tlrc<br />

d by crcw members. it is ou¡ concerì that thc re'<br />

rter¡èd duty arrangemenls wiÙrout providrng uty<br />

oh¡¡¡rd.<br />

dêquæ ¡o compen$te for tlre clearly l¡eroic dc'<br />

t alkr*a¡ces are adjrsed for ¡l¡e rest penods fiolccdr¡g<br />

rt- Thus for crewmembcrs movrng among<br />

be called upon to work very long shift dunrions<br />

"re¡Lr¿d rest"), witlr no stipulation th¡t t}rts u¡ne<br />

be prorndcd ¡t a circadian phasc condr¡cive to slcep.<br />

rp dø r¡ot foel ¡Ìrcrc is ¿dcqr¡aa scientific justifr-<br />

\,lor is rlrc Study Group conlident that compensa-<br />

:n b fìight. and exænded rest provide adequaæ<br />

itl very long work schedules permitted under tl¡e<br />

4.2. No rdjrstme¡¡t for "bæk side of thc clæk"<br />

Ou¡ sccond rnaþr concern is that rÞ propord rcgubuors-malce no effort,to adjus¡ prescribed.lim'<br />

¡o on wort duårion or resr dr¡ration bascd on the ü¡rr of day u which thosc activitie's a¡e sched'<br />

ut"¿. tt¡ iç rlr mosr disappointing omission, a¡rd panrcularly diff¡cult.o r¡ndersta¡rd in light 9f 9"<br />

.ror""r predic¿ion of rlre Ë"isc¿ rcgularians on tlc NASA-Arnes datebase. a body. of resea¡ch ¡ìat<br />

t,"l ø"ä m¡rch o clra¡actc¡izc rhc dèpcndence of sleep and prformancg in tlp aviation sening on<br />

\ srudies a¡rd tle larger body of scientilic evidencc<br />

abour ûre importancc urd rcleva¡rce of circadian<br />

ance a¡d tlre ænder¡cy o human error, and to thc<br />

crrna¡¡cc decremen$ arising as a corLs€quer¡ce of<br />

sleep depnvauon.<br />

ß


ff îíäî'*ffi,f;S* tli,lifl*iö "-*<br />

1'3' Intcrætio¡s<br />

c¡dorr¡ of rhc<br />

¡s ¡pvicuæd<br />

and no cq¡well<br />

or¡tsidc<br />

hout adjusunc¡rs of rcst pcnod du¡aúon for cir'<br />

le to Ìui,c a rourine 14 hour night shifu follo*td<br />

) PM. i.¿. preciçely coirridcnt with tÌ¡c circadian<br />

orbiddc¡ zöne'). followed by r 2ó hour strift<br />

n of in-night timc for slecp can not bc assumcd rc<br />

ncnls th¡t ma¡athon dury of this kind will i¡pvi¡r<br />

ion sæms frorn the ebscrrce of any adjustment of<br />

s could dcmorurrac that a succcssion of 14 hor¡¡<br />

rablc pcrfonnarlcÊ limis. it is very unlikcly that a<br />

ly validaad. Unless maximum shift du¡ations a¡t<br />

keor well within hurnanpcrfonnance limir-s. i.c. less tl¡anJlhous'. somc adjustment for tþ com'<br />

polnding cffccs of Úmeof'day nccds to be includcd'<br />

na¡iæ ¡Ire not likely to bc rcprescntative of rypical<br />

on of tlrc Study Group h¡t no rcliable protectioo<br />

:Þduling can bc lud withor¡t express adjusmens<br />

ci¡c¿dian clæk, urd signifrcant reductiors in thc<br />

4.4. Rescrve Trnr<br />

Thc Srudy Group has separarc bur rcla.red concerrLs abort.rhe.proposcd.regulaúoru rcgatq¡Í¡g R.e-<br />

;,-,,- Ti-fr..-li rirr.*ed'above, rwo dlsdrrct approachcs.for tlr pmrecûon of rest time within ttte<br />

¡i{ "variable noùcc". tþ ma¡imum length of a dury<br />

perid- Tlr window is ttre sa¡ne during cach succ¿ssive day on reserve.<br />

Thc Study Group is conccrrrd that ùrc vúi¡bb notice a¡ran8erDcnt is based on,t'l't"_TPPYÍ^ ju.l<br />

p"rid tÍrt stejp Oe6"arion resr¡lting from a shorr-noticc call cen bc adcquaæly compensated tor<br />

. Twelvc boufs is fclt o bc t-bc manunr¡-rr safc sbift dr¡¡zrion in many sbifrwort satunS\ c.g. nursinS. Howerc¡.<br />

ùcrÊ '-e d¡r. dcsrcnsua¡ng ur irrrcasc i¡ frfcrs¡¡¡¡c¿ errrs betwæn t ar¡d ¡ 2 bû¡rs of shift d¡¡ndql. sttggcsting o<br />

sorne the¡ rÀc approçrrac mårrmu!ì shiñ d¡¡rarx¡o io safery-rnsitivc shifrwcrk ruings sbou¡d bG t bot¡rs (17)'<br />

/10


'l,cview of propæcd ftight d-ury ryqultiotls"<br />

frtc nrght fiury n.3ut ù'on Sciênriñc Sody Crroup<br />

5. Rccommend¡tions<br />

c¡ttËrDe. this rrrangeocot would dlow ¡ pikr o<br />

cc, d.c. ¡dv¡¡s notice equivabtt to thc unr rc'<br />

m¡geo€aL es spccifrcally dcf¡ncd in ùc NPRM,<br />

iy¡Éõo is ¡iniÊri o lt bours (Pres¡¡m¡S ù¡l ôÊ<br />

r pruccrcd vi¡dows dnring tl! d.y' ud panbr<br />

¡ni¡l ¡¡c¡-css. six bor¡rs would not rgpeer n be<br />

¡s.<br />

lin tb cuÍcal NPRM Eserve ¡¡r¡rngements is üc<br />

iræd-<br />

5.1. Recommended revisions to thc proposed rcguhtiors:<br />

5. 1, 1.<br />

tightduty rcgulations rÊPrescnt an important ad'<br />

rd Lmirs û¡at minimize fatigtæ and optimize flight<br />

of tlp specilic regulations æviewed above ¡æ not<br />

iltHú åHf;ffi ¡J:ilf,roup<br />

u rses expdicnt<br />

slcepincss(4-64À{).<br />

5.1.2. Minimr¡m rcst pcriods should bc dlns_red upward for sleep perids ¡Ì¡¡ inclu& he<br />

tirrrc of pcâL circ¡dirn ¡lcrtncss (4 - ó PM)'<br />

5. 1.3. Thc provision allowing ertcrsion of dury maximums. uP.to 24. hours (2ó yiù opcra'<br />

uon"l delay) in augnrnrcd crcws end rn assignrncns tìat include fæ.tljties for rn-fì.ight<br />

slecp shouid not É impÞmcntcd ur¡r¡l scþntific cvidenct is available dcmorscnung<br />

thar'in flighr arrengrmens pres€n't alcn¡rcss at æccptabþ levels. i.¿. at le rtls equiva-<br />

þnt to rhit on Ûre roudrr shift duraÚons<br />

5.1.4. Rescrtc tirrr rrraogs'rrs should bc djuscd so tlrat Protcctci windowsiuf-tng futimc<br />

otpcal circadi-an alcrr¡rss a¡e cxenðcd to comPcrts¿rc for dccr€åscd clÍrcirry of<br />

slecp during tlut unr.<br />

5.2. Recommendations for fut¡¡¡e rcvisiors:<br />

Sewral of tlrcsc issr¡cs illurarc fu Dced for addiüonal dat¿ a¡¡d even wiÚt adjrstmens reDom'<br />

I minimum rest duntion will represcnt quantiutive<br />

urrently only qualitatiræ scientilic suPPort TÌÉrÊ'<br />

l[ recomrnerËaúons þ viewed as tþ lint stcp in<br />

5.2. l. NASA. in ir-s capaciry as rndependent scientific resource. should þ commLsioncd o<br />

gather additional dau on this issue wirlr ûæ followrng pnorities;<br />

/u


"Revicw of pmposcd ft'ighr d^ury rc.gule-tions"<br />

ff,c n gnt fiury negrtl¡È'on ScËnúiic Sordy Group<br />

S.Z.Z.<br />

5.2. t.l. Idcoti6cetion ¡¡rd cl¡¡ræreriz¡ti<br />

tlrr¡ c¡¡ subsdrua for æo¡l<br />

rDc¡sl¡t€ of fatigrr in fligfit cn<br />

rsscd to continuoslY oonitor<br />

a¡rd furr¡re rcgulaory adjustmens'<br />

5.2.1.2. De¡crmin¡rioo of rtr impæt of dury perigd dr¡ration o¡ nerfo¡mancc' indcp""d""r<br />

;a sleep acpriration ¡¡d-ci¡cadi¡¡.ptrasc qffff Tlæ impact of<br />

r.ry.nt pcrccndgcs 'of nigfrr dræ within r duty period should also bc esscsscd.<br />

5.2. t.3. Dcrcrmin¡¡im of rtr impeg of vrrying rc+loed. on çr.form¡¡p, with<br />

panrcut¡t ¡lenrio to thc- rolc of hndings ¡¡rd srs¡ai¡¡cd füghr<br />

5.2.1.4. Asscssecnt of rlp proræivc PPI'<br />

sioo of fæilitics fc irnight of dc'<br />

rcroining tþ excat to w-hich ¿ ly er-<br />

a¡dcd.<br />

^2<br />

view tþ data collectcd by NASA on a rcgu.lar<br />

pæhensiræ and de¡ailed sct of recomrncndcd<br />

e¿¡s from thc time at which thesc recommer¡'


"Rcview of proposcd flight duty rcgulaüors"<br />

Tlrc Flight Dury Regr¡l¡tion Scicntifrc S¡udy Cnoup<br />

6. Refcrenccs<br />

l. US Govt kal Aviatim Adminisratioo Rigfit Crenr¡eç¡¡¡r' Dury Period Limi¡¿rions.<br />

Right Time limiutiors and Rcsr-Rcqui¡e¡ne¡¡s. Notxæ of propord rulemaking (MRM).<br />

Fc ù ral Re gisu r 195:60(2U):6595 I {0.<br />

2. Srerrb I, l -hm¡¡ul D, Sleep deprivation: efrecr<br />

in man El¿ctoc¡ccy'ubgraphy &. Clinicat<br />

3. C¡rskadon lrlA Bro*'r¡ ED,' Den¡cTt.lVC, S]fq fragmcnurioql! qre clderl¡ rclarimship<br />

to da¡ime slccp rcndcncy. Neurotiology of Aging l9t2;3(4):321-7.<br />

1. C¡rskadon lvlÀDcme¡¡t WC, Effccs of ¡p¡¡l sbep loss oo sbcp tendency. Pcrcepul l&,<br />

M o o r Sb r¿r lÍl 9 :a8Q):49S506.<br />

5. Roscnth¡l L ì{erloui L Ræ}trs TÀ_Roth T, Eaforced 21-bour æcovery following slccp<br />

deprivation Sleep I 99 I ; I a(5):44t-53.<br />

6. g.Fly.AA. Bddeær G. Trachscl L Tobler I, Efræt of mi.l"olam urd sleep deprivarion<br />

on day-tinrc slecp propensiry. Ara¿imincl-Forschung 198535(l l):169G9. '<br />

7 . Moore-Edc MC. Czcislcr CA Riche¡dson GS, Ci¡cadian ti¡nckeeping in heåtrh and diseasc.<br />

l/. hgL J. Med l9t3:309:469-7ó & 530-6.<br />

t. Ri


"Review of proposcd flight d_ury rcgula_uns"<br />

The Flighr Dury Regulatim Scientif¡c Sudy G'roup<br />

19. Mellor EF. Shift work and flcridme: How prevalent ¡¡rË thcy? Monthlv Labr Rcvie*<br />

1986(Nov/86):PP l+21.<br />

ZO. Akersrcdr T, Sleepiness ¿s ¡ corisequencc of shifr work Sle ep l9tt: I I ( I ): I7-3a.<br />

2L. Rosekind MR, Gandcr Pl[ Mitþr DL, et rL, Fatigrr in operaüond sctongs; examples<br />

from thc aviation cavi¡onment Hunøn Fæørs l99a;36(2):327'3t'<br />

22. Rosekind M. Wegrourn H. Din¡rs D, Graebc¡ R. Sa¡æ_l À Principles ¡nd Guidelines for<br />

Dury urd Rest Schcduling in Com¡¡ercid Avi¡tion ¡fÁ^9t Teclnical Menorandum<br />

1995;in press.<br />

23. Unitcd Statcs Cæst Guard Al¿rùvss atú Fatigue Re-<br />

ßäi"#"i:k<br />

tnfoencc oÍilu Mø'Mochirc Inurface<br />

24. Rosckind M, Gr¡cbcr R Dingcs D, et ¡1., Crew Fæors in Flight Opcntiors D(: Effecs<br />

of planrrcd cocþir rÊst on crcw Frformancc ¡¡rd eþrt¡pss in long-haul opcrations. /V/tS^<br />

Teêtnical M c nøratúun 1994; l0tt39: I ó4.<br />

t'l .


Remarks by Dr. William Dement to the ARAC Working Group Pilot<br />

Representatives on December 1,1998 at ALPA HQ, Washington, D.C.<br />

I'm L,ery plensed to presat Dr. Williant Denrcnt sf $tnnford Unit'er:itt/ ¿tlto's lrcre to<br />

ansluer some of our questions regarding slerp science. Dr. Denrcnt ts considered tlrc<br />

fatlrcr of nrodern sleep medicine. He earned his M.D. and Ph.D. front tlrc Unioersity o.f<br />

Chicago where he first began to study sleep. ln 7963 he became the director of Stanford<br />

Uni''ersity's Sleep Research and Clinical Programs and continues in tlut post today. He<br />

was Chairman of the National Commission on Sleep Disorders Rexarch from 7990 -<br />

1992; a Contmission chnrlered by Congress. He is the author of a defnitiue textbook on<br />

the diagnosis and treatment of sleep disorders and lus u¡ritten or ctauthored more than<br />

500 scientifc publications. Dr. Demmt, welcome and tlunk you þr your time and being<br />

here today.<br />

Thank you. For many years, the people who were interested in circadian<br />

rhythms and the people who were interested in sleep were fairly separate. Now<br />

there's actually a scientific meeting going on in Bethesda hosted by the National<br />

lnstitute of Health and the National Science Foundation in wl¡ich circadian rhythm<br />

issues and sleep issues are considered to be complementary pañs of one<br />

scientific discipline. This has been happening over the past 10-15 years.<br />

One of the things that l'm trying to deal with is the fact that the study of sleep,<br />

the scientific study, and the applications / operational situations coincided later<br />

than some of the other Cisciplines. To get really into the mainstream of the<br />

scientific knowledge a"C the applications, ...this has been v,'hat l've been most<br />

interested in trying to help accomplish during the past 20 years,... and the first<br />

efforl was to try to create a federal agency that would really be responsible for<br />

sleep and circadian issues, research, applications and education. Our efforts to<br />

do this led to the response of Congress to create a Commisslon, not to create an<br />

. agency but to create a commission.<br />

It turned out to be really a good thing because many of us had been in the ivory<br />

tower and this Commrssion really put us out in the field, hearing stories from<br />

people who have been rnvolved in accidents, heanng what life is like in the<br />

trenches so to speak. That certainly made an enorrnous difference to me in<br />

appreciating, in a much more human way, the difficulties and the problems. We<br />

presented recommendations to Congress and it kind of coincided with the budget<br />

crisis, and dare I say. the Republican revolution so that only one key<br />

recommendation was passed. But there is now a f ederal agency - The National<br />

Center on Sleep Disorders Research - which, small, although it may be, is<br />

certainly a great start. and has on its plate some of the concerns that affect you.<br />

It also has the legislative mandate to interact with the Department of<br />

transportation and other agencies that are involved in these issues. I just wish it<br />

was much, much larger, and we're still working in that direction,


The second thing is that all sleep researchers now accept the concept of ''5leep<br />

debt." Each individual needs a certain amount of sleep each day on the average<br />

to avoid accumulating a sleep debt. That sleep debt can accumulate over a long<br />

period of time, lt can accumulate in relatively small amounts so it's kind of<br />

insidious, or of course it can accumulate very rapidly. You find frequently that<br />

many people have been partally sleep deprived for long periods of time, They<br />

arên't aware of this as fully as they ought to be you would think.<br />

There's lots of evidence showing that you can get rid of that debt and how much<br />

extra sleep you have to have to get rid of it. The best type of research that<br />

demonstrates that is to show the increase in the tendency to fall asleep -- the<br />

power of the tendency to fall asleep - as you add hours to the sleep debt.<br />

Eventually, the person will finally fall asleep, no matter what. They can be<br />

walking and fall asleep. But if you put someone in an ad-lib situation, iust take<br />

any one of you, and say, "Now you're in a situation where you have to sleep."<br />

You're going to be in a bedroom with no lights. All you can do is sleep. Then<br />

you will see all this extra sleep will take place. That's the debt....the amount of<br />

sleep that you should have received on a daily basis. That's usually astoundingly<br />

large.<br />

ln studies of this sort, you can show that a person thinks they're perfectly normal<br />

in terms of the way they feel. However, if they reduce the sleep debt, their<br />

performance will improve, The question is how much debt is anyone carrying at<br />

any parlicular time. The main thing is don't do anything that might increase it.<br />

That's my fundamental PrincrPle.<br />

Finally, the circadian rhythm - I think that everyone has known that there is a<br />

biological clock. Since 1971. the location has been known in the brain, there<br />

have been a lot of electrodes and genetic studies, etc. Exactly how the clock<br />

functions to create a circadian rhythm of sleep and wakefulness has been<br />

understood relatively recently. This has been learned through the study of<br />

experimental animals. The best results are obtained with primates. So if you<br />

eliminate the primate biological clock, what's the result? They fall asleep all the<br />

time. They'll fall asleep, stay asleep, wake up, fall asleep, wake up, etc. The<br />

circadian rhythm of sleep is completely eliminated and you lose periods of<br />

sustained wakefulness. So hat the concept today is that the clock pailicipates in<br />

the daily regulation of sleep and wakefulness by alerting the brain at certain<br />

times, And you know those as, in other words, the forbidden zone for sleep,..,<br />

the second wind that a lot of people get at the end of the day. But the clock does<br />

not put you to sleep. When the clock turns off in effect, when this alerling<br />

influence ends, a person is left with this gigantic sleep debt. That's what I've<br />

heard you refer to as'WOCL." That's the period where you find the least aleriing<br />

of the activity clock, the most unopposed manifestation to the effects of<br />

accumulated sleep debt, and the greatest likelihood of falling asleep.<br />

3


Well, there's an ideal time to sleep and then everything else is less than ideal.<br />

Sometimes it's devastatingly less than ideal.<br />

W'¿ll, lnzr much so? lf vou had an opportunitv to sleep during the dnu .tnd uou îL'ere<br />

gi,,en an S{nur sleep opportunity, could uou etpect to get S ltours o.f slery during tlnt<br />

opportunitv?<br />

No, I'd say absolutely not. lf that happened, it would be an incredible exception.<br />

There's a ton of evidence on that also.<br />

How about ,f you were getting a L0 hour sleep opportunity?<br />

No, I don't think so. There have been a lot of studies on sleep reversal. You<br />

simply reverse the sleep period and this is now a model of insomnia. lf you have<br />

to sleep in the daytime, you have insomnia in effect. The ideal time to sleep if<br />

you have a stable circadian rhythm is to stay near the circadian rhythm.<br />

The t hours of ideal sleep, is it possible from vour studies you can nail aoltnt any specific<br />

|-hour period or is it aariable for indiuiduals?<br />

Well, it may vary a little bit. Within a very narrow range I wouldn't say....l would<br />

sayfor most people, it'sfrom 11- 12 PM to 7 -8 AM. Forthe vast majority,<br />

that's the ideal sleep period. People will ask why they are the exception, but<br />

you're not dealing with exceptions here.<br />

l\'il,'l l/t.r:( l'a.riìr'ú¿',? fo /i.;:'c to s/e4r i.f vr.:i rt.flvittg ttt ttigltt L1n;l uLlu 'r'r :.iq:;r1ç ln l/¡¡<br />

dnv I1'rri-.-.;i'/r.?l vLitt rt renlltt -snvillg ls jllal tlrc clnttces nre vou'rctf:':_\- fur b¿'L(rlr¡c<br />

('<br />

-i<br />

r? ¡ c'. ¿'/t ¡t : ; i i n, tl nt r i:' t'.r, t1ï e r t i û I t'<br />

That's nght.<br />

Andsotheonlvl.1'nVvlitcorrectthnt,nt ttntterlnzt,muchtinteuou:tr:gettirtgtoslerp,<br />

ttou're still going tòbe somanhat sleep tl7trit'ed.. So the onlv it'nv yott'r.:-going to brenk<br />

tltnt cycle ts ¡teriodicnllu i.f vou hat,e a certnin amount of time o.ff and vL1:t slee7 during<br />

tlnt ntigltt be considered your nornnl slee¡: ¡:eriod to restore tlnt.<br />

Well, at the present time that really is the only effective way. I think that we take<br />

the position that there's never an adjustment to that type of schedule. You<br />

referred to night duty...and you would think that if a person did it all the time they<br />

ought to adjust, ..but all the studies always show impairment in sleep loss.<br />

Dr. Dent¿nt, . ..u,e're really at the ¡toirrt t'tozt, tchere u,e're going beyortd the ¡thiloso¡slty<br />

nnd tte'r€ trying to pttt our finger on nunteric !,alues. Our position nt lenst .front tlrc<br />

pilots' stnnd¡toirrt, is thnt zle see the need -for n l}Jrcur slee¡t o¡:portun:lrtknozting thnt<br />

tlrc opporttutity may not always be nt the best time of the day. We're.fncing an industry<br />

position that is looking for I hours as the ntinimum. Our positiort is predicated on the<br />

5


I'm tv¡ticnlly so sleep deprit,ed that Icnn't wtderstand rest of statenient.]<br />

Years ago, just to make a dramatic point, we were approached before we knew<br />

about sleep debt, before we could measure sleepiness. lt was in the 60s we<br />

were approached by a company that had a billion-dollar bed (ceramic bead bed -<br />

billions of little beads. They use them now for burn patients. lt's supposed to be<br />

the most comfortable surface ever. So we got a group of students. We had a<br />

regular bed, the cold concrete floor condition and the beaded bed. To our utter<br />

amazement, sleep was the same in all three conditions. The students who were<br />

doing this were on spring break, they probably had a 10O-hour sleep debt, they<br />

could probably sleep anyrvhere, and that to me is a symptom of grave concem.<br />

lf you could sleep anywhere.. anytime you are very sleep deprived....that's not<br />

good. That's another mythology. People get so macho. Saying that they can<br />

sleep an¡rwhere is like saying they were drunk or they could drive when they're<br />

drunk. People misunderstand that. That's a symptom of severe sleep<br />

deprivation.<br />

I ha¿e a couple questions. First of all, i-f u,e consider we are dealing with an indiaidual<br />

u,ho lud no nccrued ;leep debt and tLnt indiuidual autoke in the nrcrning, u,hat does tlrc<br />

science snv ahout the amount of tinte azt,ake tlnt indiuidual would lwae before, or is there<br />

anv kini o.f .<br />

Well. probably if he s getting up in the daytime. that person could not possibly<br />

sleep rn the daytime.<br />

I'tttnctti.zli::':i'?¿r0rr;-i/cr'l)urç. l/1r;¿'ion¡r:olr/,ilrcbcntt,nkebefor;ite.....<br />

Oh. well. maybe 16 hours would be the usual time he's awake. One of the things<br />

that we -- at least I and I think most of my colleagues -- agree on is that all<br />

wakefulness is sleep deprivation. ln the model of sleep regulation, you need that<br />

accumulated sleep debt of 16 hours to, in a sense, power the sleep of the night.<br />

I.f uou ,ù,ln t ì:'¡t,e a sleep debt, hot ntattv ltours zt'ould vou hn¿e tt"'be n¡t'ake beþrt vott<br />

coulrl b¿' tthb to tnl


I wanted to say three or four things about sleep. First of all, I'll preface this by<br />

saying last year when we changed to daylight savings time, there was a National<br />

Sleep Awareness Week sponsored by the National Sleep Foundation, which by<br />

the way, is a major resource in the education and is based in Washington. DC. lt<br />

created a sleep lQ test for the American public. The American public did more<br />

poorly than chance on this test. Not only then is there a pervasive lack of<br />

awareness by the general public, but there's also the presence of cerlain<br />

mythologies which then lead you to'pick wrong answers more frequently than by<br />

chance alone. A lot of those mythologies are still in the transportation industry. I<br />

think there is no question about that.<br />

The first thing that most people should be aware of is very simple: what is sleep?<br />

The fundamental difference between wake and sleep (and there's some very<br />

elegant research being presented about what actually goes on in the brain at that<br />

momentary transition) is that first, the transition is very rapid and can take place<br />

in less than a second. One moment you are awake and conscious of the outer<br />

world and then next moment you are asleep and unconscious of the outer world.<br />

When you're very fatigued, you can go to sleep instantly, and at that moment you<br />

don't see anything or hear anything. That's what makes falling asleep so very<br />

dangerous because you will not respond to a signal. The only thing that a<br />

stewardess could do is to wake you up. Often in a fatigued person, the<br />

awakening stimulus must be very, very intense.<br />

So, anyone who thinks that moving towards sleep is in the least little bit safe is<br />

completely wrong if you want a human being to function at any level at all. The<br />

transition is very. very rapid.<br />

Then there's the period of fatigue that I like to call "fatal fatigue" which is<br />

approaching the moment of sleep and depending on the degree of fatigue. can<br />

be fairly rapid. But that's a penod of great impairment where you miss signals.<br />

you misjudge, your memory is impaired. your reaction time is elevated, etc. You<br />

are now very close to the threshold of unconsciousness....the moment of sleep.<br />

There's a very dramatic study that I'd like to tell you about because it should stick<br />

in your memory. You have someone lying on a table with the eyelids taped open<br />

and a 50,000 power strobe light 6" from the nose. When that thing flashes. the<br />

table almost wiggles. He is supposed to press a little switch when it flashes, and<br />

you'll be making it flash and suddenly the person will not press the switch.<br />

apparently wide-awake. You ask him, "Why didn't you press the switch?" -Well.<br />

the light didn'1 flash." And if you look at the brain wave recording you'll see that<br />

there's a micro sleep right at the moment the light flashed. So that's how<br />

powedul that is. There's been a recent study in heavy trucks with brain wave<br />

recording in the cab as the drivers are driving, and yes indeed there are lots of<br />

micro sleeps there. They really do occur.<br />

2


Going beVond tl.,r.t, u,hat is probably the ntost greatest points o_f contention right n(r¡¿' -<br />

the debate bet¿uen the pilots and tlrc industry operators - is the fact tlnt the operntors<br />

would like to extend this reser',e atailability period in excess of zthat vou sßv is 71or 75<br />

or 16lnurs,u'hatrc,er the case may be, to a Inrger incranent, ertending that reser¿¿<br />

auailability period based upon an adttance notice qf a nap opportunity. ln other t'ords, a<br />

pilot comes on call at 8:00 a.m. He is then told at 9:00 a.m. that he is to rrport for duty 5<br />

hours later. The industry's position is that the notice constitutes an opportunity.for<br />

additional rest a'hich then would be utilized to add more restoratiae energy, or analogotts<br />

to putting more charge into a batten¡, to carry tlut pilot into more of an extended duty<br />

period zuith nn additional amount of time. . .. up to in ceñain cases 24 hours of dutv.<br />

What is your feeling on that type of scenario?<br />

To me, that's a recipe for disaster because if you have a responsible, professional<br />

pilot -- who has a reasonable schedule, I guess - rvho is not horribly sleep<br />

deprived, and who has a fairly stable circadian rhvthm, then the likelihood that<br />

he can get adequate sleep by trying to nap I think is relatively smalt. I would not<br />

depend on it at all. I would think also to have to do it sort of unexpectedlv like<br />

this....Oh! Take a nap....Only people who are ven'sleep deprived....<br />

Can I nsk that qtestiott a different t,ay?<br />

Sure.<br />

Let':;,ztt I lnt¿.; i)-lrcur sltqt t't¡t¡tsytttntt'g: 70 pr.rtt 1.. S a.pl. Thnt ntenns l'm.¡.-.iilnbl¿<br />

.ft-¡r7-i /ior¿rs¡¿r:.:s:tlte,t.r7tt nttit'tto t/¡¿n¿i't 10¡r,r'..,':toirig/rf. C¡:¡1,?/ncrf r-¡:.;;n//<br />

Sou il! rlrrrrll fl)'lr ;.ty tttsteatl o.f vou beittg crff folriÀ'/¡l i! 10 p.nt., z¿'c i¿'¡znf :/o¡t Ícl;¿'r.rk<br />

until ;c¡,¿n frrrT;-'.ro¡¿' ntonlnt? but vott nrcn't grrirrg 1.. ¡o to i.L,ùrkuntll l0:00 tluti rtight<br />

So tltn cnli nt¿.1: noon, tlvy gi7,¿ n 7)-lnur notic¿ tiu¡! I'nt not going tohn,,t fo€cr fo<br />

¡t'ork until 70 Jt,^ws front noon, so ni 2200 I rEtor! .ic.r ,L,c)rk, nnd thzu icutt nte tc. flv<br />

ttntil 0800. 5o :;i,¡t ,t'otúd he a totnl of 21 lnurs front lit¿ titttt I theoriticallu ,cokt iti, nnit<br />

l'te hatl h 7}-hc.i¿r notice that I itns goittg to be.flutnq tlti:.fntigttirrg -.che,?ri/e lfì.¡rid<br />

thnt bc safe?<br />

lVell, I u'ouìdn't be on vour plane. No. I think that's almost insanity in the sense<br />

of saving that is safe. First of all, naps can't be depended on - even under ideal<br />

circumstances - to get vou through this period rçhen the biological clock alerting<br />

is gone, n'hen r-ou're alone rvith vour sleep debt so to speak, during the \\-oCL.<br />

There's no \\'a\- that isn't going to be dangerous. l'es, there mar- be exceptions,<br />

but it's alrvar-s going to be dangerous. The likelihood is not good that vou rtould<br />

be able to have some kind of good luck that vou did sleep a lot, and that has<br />

gotten vou through. First of all, vou lvould not be at your peak performance.<br />

There is just no way. You cannot achieve peak performance during that period<br />

of time. lr{avbe for 10 minutes. The notion that vou can depend on getting<br />

adequate sleep I think is just wrong. You can go into a laboratory and you can<br />

9


So those are the three main things. These are established facts. I don't think the<br />

scientific evidence is conclusive and those are the things we take into<br />

consideration when we try to apply the knowledge to the practical or operational<br />

situation. Any questions on that?<br />

People say, "Can you accumulate a debt for a year?" We don't know because<br />

those studies haven't been done. But there's no evidence whatsoever that says<br />

"No, it levels off," or "No, it changes." All the evidence says that you keep<br />

accumulating a debt as long as you keep losing sleep below your specific daily<br />

requirement. There's no evidence that you can change this. I suppose you<br />

could ski or play basketball as opposed to just sit in a hot room and that would<br />

make a little difference but that doesn't change your sleep requirement.<br />

Anybody got any questions?<br />

l've got a question. Napping: does that in any way alleviate the sleep debt?<br />

Let's say you have a 4O-hour sleep debt and you have a ten-minute nap. So now<br />

your sleep debt might be 39 hours and 50 minutes. lt wouldn't make any<br />

difference there. A lot of the napping is done after lunch. Most people, and<br />

especially younger people - and I don't know what the average age is in this<br />

group - but younger people have strong clock-dependent alerting late in the day.<br />

So you have sort of an illusion. You happen to take a nap just before the clock<br />

turns on. ls the alerting partly a result of the nap or not? Mostly not, but I would<br />

say until proven otherwise that a nap, if it is good sleep (which it usually isn't) is<br />

minute per minute doing what sleep would do, but it's usually nowhere near the<br />

total amount that you require.<br />

Dr. Denrcnt , I lt,z,,e a list o_i quesf ion-ç tlnt pertain to our task of l;al¡tirtg to de.fine flight<br />

ttme and dutv ttnte regulntiorts nnd i.f I could just take the libertv o.t asking these<br />

¡tarttcular questiorts and opn up the .floor.ior any other rennining questions that other<br />

people may hat'e. One o_f the most basic tasl


could certainiv get the probabilitv up, but it's not something that you could ever<br />

really control. Ågain, there ought to be a better war'.<br />

Tluzt's the problem: a better tav. Understnndably, tl:rr.t': not desirable l¡ut the questiort<br />

is: how do vott best prepnre .for tlnt?<br />

You're saving if the notice is given with the 10-hou¡ rvindow?<br />

Mnnagement u'ould like a 7}-hour notice.<br />

It r.r'ould seem to me that a better approach would be to have a 24-hour window<br />

or some longer period. Say you get notified the dav before. I suppose there are<br />

emergencies and so on, and you would be called for those exceptions... and a<br />

pilot would have so manv exceptions over such and such portions of time<br />

depending on the emergencies and whatever constraints....<br />

Some types o.f operations operatt u'ithout a schedule.<br />

That's the rr'orst.<br />

l1:.t.'e 2 qrrisfrr-'r:-., doctor. First. a person thnt has ndequile sleep itakes upt rnn- slerp<br />

,i¿,.'ri,,ed at E:0(t -i t¡t. Fourt¿¿n ht'lurs later it's 2200 nni |w's ¡lri',ing:lnnte front dínner<br />

.r'::jr hi-ç r¿';t I: !rc inrytntrt,l?<br />

I heve to sar it Cepends on h¡s aee probablr'. The r:.pairment is starting<br />

probabir'. \'ou Con't go straight don'n; \'ou go dorrn n'ith an accelerating level of<br />

rmpairment. \lost of the studies in the laboraton'sav depending upon n'here<br />

vour mid dar iip is, r'our performance will start de,-reasing in the late evening.<br />

I'm thinking ltì:00.<br />

I.f t7 persotl ¡¿'n-r jo.flr¡ -so ns f rr stLlD _flvùlg nt 8:00 n.nt. an,i he ¡t'as to flv tltrottglnut the<br />

0:00 - 0600 ttn:¿ frnnte, ir.'!ut! !:,ne sltould he be zt'nkinq :¿p in ortier to be best prepared<br />

i¡, llnt fliglú tl:-tt Innds nt 6:00 :t.nt.?<br />

I know vou said he's flr-ing. He's rvaking up?<br />

\o Wrcn slro¡r/d lrc u,nke up to be best prepared for a.t't:Eht tlmt zuottld include Innding<br />

nf 8:00 n.nt ? li he starts at ntidnight. Hozt, do you Set ¡tr¿p¡¡rrd for tlnt e-aen if (I'nt not<br />

ttzlking about re:er,'e or anvtltir¡ql.. .Wlnt should a pilot '7o,ltozt, sltould he plan his day<br />

tt.t iLlale up nt the right tinte to be nnst alert at 8:00 a.nt.?<br />

11


-fact thnt t hours nny be adequate if it ot,erlaps the WOCL. But since î.te ¿on'¡ ¡çns7u for<br />

sure zcltnt ,t'e're goirtg to lnt'e tlut opportunity, we beline that, or ue think that luaing<br />

that ertra 2 hours is goirrg fo g::'e us a little more of a buffer, especiallv ¡t'hen it conrcs<br />

during tlrc dnr¡tinrc. Would uoit consider tJnt to be a conser¡tatit,e and n iustifted<br />

position?<br />

Absolutely. I don't think you could poss¡bly assume someone is going to fall<br />

asleep instantly and then sleep continuously for I hours, not even under the most<br />

ideal circumstances. Maybe it should be longer.<br />

By the *me tolcen, say that sam.e indiuidual who was supposed to sleep had the perfect<br />

time during the day and utas supposed to slerp during the day, hndn't slept the preoious<br />

night and he had normal sleeping hours because he was not disturbed.for any duty<br />

assignment. What effect does that haae on his subsequent rest period?<br />

ln the ideal situation if someone sleeps the normal amount at night, they can't<br />

sleep at all during the day. We are pretty much a sleep-deprived nation so that<br />

we do have this mid day dip in alertness. Most people say they get drowsy after<br />

lunch. That's sleep deprivation. lf you were not dealing with someone who is<br />

extremely sleep deprived. then I would say sleeping a normal amount at night<br />

becomes very difficult, or it should become very difficult to sleep in the da¡ime.<br />

That is a fact if the carryover sleep debt isn't large, it's definitely more sensitive to<br />

stimuli. etc. and you're fighting the biological clock for much of the day.<br />

Have you ever conducted these tests when they're wearing a uniform?<br />

[Laughter] Well, we did some testing but I think they took them off when they<br />

went to bed.<br />

I .flv a! nigltt all tltc tinte nnd crlv get rest dtring tlv tlny . I henrd tlni i.f vott sleep<br />

during the o¡ttimum tinte o.f d¡v vou reallv need to ltnt,e about a 7}-hour period in zthiclt<br />

l¡-t get uottr 7 V: or I |rcurs of -.,';+' I.f you do not e-L,er hnLte the opporttntity to sleep for 7<br />

- 10 d,lvs in a ro¡t', L/ou dr€ ne'¿r nble to slee¡s during the optinntm tim¿. I heard you sn7<br />

tlnt uott ali.t'nys need nrcre thnt: 70 hours to get el,en reasonnble sleT, e .'en though yott<br />

¡srobnblv nerer icill acltir¿e ai,¿.¡unte sleep. C'm you lut any kind o_f t ntmtber on the<br />

gros-ç tTntount o_f tinte Vou coul.ì ltaxe n,,ailnble .for sleeyt op¡tortwtittt to tn/ to restore<br />

sle4t?<br />

The problem is that there becomes inefficiency. You don't want to spend 16<br />

hours in bed to get I hours of sleep. There just isn't a good solution to be<br />

perfectly honest. The main thing you need to know then is first, at what period of<br />

the day in your clock (God knows where your clock is) there is some period when<br />

it's the most difficult to sleep. Hopefully you know that about yourself. Obviously<br />

you avoid that. lf you can schedule more than 10 hours, not at that time, then<br />

you yourself will need to determine if you can do it in a minimum of 10 hours, or<br />

does it take 13. That would be a horrible life.. to spend all that time in bed.


that h'OCL, if you will. \4hether it's low because vou napped or lorv because<br />

you got lots of sleep the night beiore doesn't matter. Both would be the best.<br />

Shotild vou stay up ttntil 3:00 ,2.m. so yott can sleep later in tlæ aftentr'tvt?<br />

Not necessarily, no.<br />

Shotild vou stick with normal sleeping and then try to get a nap befort vott 8o to u,ork?<br />

Yeah, I would say as much sleep as possible. But here again you need to know<br />

yourself a little bit. But that's not what rulemaking is aX about. Rulemaking is<br />

what fits everybody. Because of the uncertainty of being able to take a nap, I<br />

mean it's uncertain for me and I think it's uncertain for pilots. Although again,<br />

since pilots are generally more sleep deprived, they are more able to nap. If vou<br />

felt able to take a nap with absolute certainV, then you should take a nap. But<br />

also get vour needed amount of sleep the night before.<br />

Wdre shooting around the sub.iect. I hate to break any of this up, but this question has<br />

been plaguing this committee. The industry lcerps harping on the fnct that there should<br />

be rn difference bet'r.teen the schedule holder who knou,s he's gttt to _fly _fron, nidnight to<br />

8:00 a.nt I.f he cnn do it sa.felv . zuhv can't a r€s€r'c1€ that u,alce: up nt llte snnte time in the<br />

ntorninl (6:00 n.m. or 6:00 a nr.) WAnl is it not safe for this reserce'-'!!ot ¡cl:¡ does it<br />

¡t'itlt r -':ice?<br />

I dor. : :hink it's safe for er:her ¡ilot.<br />

perfornance, etc. But I tfr-ink at least he has preparahon. l\'alTrng, etc. and<br />

knorss his on'n strengths and u'eaknesses n'hereas the trther p:.r-rt I think is<br />

alrçar-s n'ithout u'arning ánd has reallv no chance to prenare. I don't think the<br />

t\\'o EToups are the same.<br />

Ìvf avbe a little less CangeÍtìuS in the sense of<br />

Are vtri inrytluing that the preparntion should ncttnlly stnrt tltt preT':''tt; r:ighf ?<br />

Yes. Ir I rçere going to drive all night, I rvouldn't rvant someone to tell me that<br />

dar'<br />

Thru'r¿ renllV killittg us .for ntnktng thnt stune argttnrcnt. I n:¿.ttt ¡¿'i "lnkc tint argurrtent<br />

nrrpss :he tnble nntl îte get sntiles nnd nods o.f the lrcn,l nnd sl:rugs o.; tlte slnulders.front<br />

fh¿ollr.-rsi,ic. TJrcvsnv if '-< rlcrl nt'nlidnrguntent' Tlnt's n/;¿'¡vs zcii-'¿t tltat cotneuP<br />

¡¿'if/r.<br />

Ther--v it's not a valid argument? It is a supremelv r-alid argument. I mean<br />

that's iust like saving dou-n is up-<br />

13


you tolerate before you have a micro sleep? Two or three hours? Under<br />

ordinary circumstances, daytime sleep is difficult.<br />

l: there anything definitit,e tlut says u,hich o_f these tu,o situatiotts ztould be more<br />

.fatiguing: an indi-',idtnl tho hns to stay up until 3:00 a.m. or an indbidual who is forced<br />

to ztake up nt 3:00 a.nt.?<br />

That's a good question. I would think both would be fatigued and it's so the<br />

pattern might be a little different, but it would depend on how much sleep they<br />

had prior to that. I would think though that going into action at 3:00 a.m. for most<br />

people you'd be extremely impaired. On the other hand, some people, as you<br />

get after midnight, become extremely impaired also. I don't think they've ever<br />

been compared head to head, but those are the kinds that would impair<br />

per{ormance. Period. There's a thought that people somehow get enough<br />

adrenaline. Certainly students in exam week somehow get so stressed and so<br />

anxious that they seem to be able to go a little longer. lt's obvious that they're<br />

paying a price when you look at them aftenryards. That's not something to rely<br />

on. To me, it's only when you're trying to rescue people or something that you<br />

would want to do that sori of thing.<br />

Dr. Dement, after our reserùe pilots receiz'e their sleep opportunity, tlrct¡ become az:nilable<br />

.for dutv. We call the dt'ailability period the "reser,'e at,ailabilitv period" and that's<br />

b.t:tcnlltt the time tlrcu .tre a.'ailable.for ¡t'ork, _for.flving. A.fter tlrc slerp opportunity,<br />

:.'i;.rf ¡¿'crr¿/d vou ccln-i¡r/ir to be a safe lintit L1f tinrc since ait,nke iùr a cr¿';ctnemberT<br />

For the 10-hour period?<br />

\ '--:<br />

Fourteen hours. And I wouldn't say that's 1009'" safe but if you have a number,<br />

that adds up to the 24-hour day. lt ought to be reasonably safe.<br />

l\here do yott get vour ttuntber from?<br />

Well, it comes mainly in my head from circadian type 24-hour studies to see the<br />

pattern of the manifestation of the drive to sleep versus the awakening effect of<br />

the biological clock. lf you're getting outside the 24-hour cycle. then you're going<br />

to have periods of greater risk. I realize that operationally that's probably difficult,<br />

but....<br />

Tltnt assuntes tlut the indit'itlunl it'akes up as soLlrl as hi-s protected tinte period is ot,er.<br />

Sc'' in otlrcr zu,ords, vou see a contplimentary -factor: t hours of rest should dictate a 75-<br />

I: r. u r a ¿ailabil ity p erio d ?<br />

Yeah. I think most people rvould agree that would be the ideal.<br />

I


It seems likc contnton sense. Fntrlv oht,ious. One other quick tyuestiott. /l s¿c'n¡s tct be the<br />

îL1nV Vou zt'ere goirtg is that hoiu ntuch notice Vou're giten is not as importnnt as i¿,hen<br />

tlrc notice.falls. In other uords, then the opportunity to rest based on this notice of<br />

assignment, is that a fair assun+ttion?<br />

Well, the h+'o aren't exactly the same. I don't mean to implv that r+'hen....I mean,<br />

the longer vou have, the better. I guess I don't understand your question.<br />

WelI, that's kind of itlat I'm gettirtg at. I guess it is....<br />

I mean, generally you don't get the notice in the middle of the night, do you?<br />

WeII, it would kind of depend....-,De're dealing with round-the-clock operations so ute may<br />

laae situations where nn indiuidual's protected time period this time he's strpposed to be<br />

sleeping actually starts at 7:00 a.m. and goes to 3:00 in the afternoon. So he might get<br />

notice in the middle o.f the night -for an assignmnt that comes xùsequent to thnt later on.<br />

So we're dealing ztith round-tlrc-clock operations and no guarantees.....<br />

I rvould think notice in the middle of the night is useless. First of all, you disturb<br />

the sleep and secondly it doesn't reallv help r-ou with the next dav any more than<br />

notice at 6:00.<br />

'.i nlltlt¿nt tlnt ut¡u r'¡ r¡of t:le4t,l nt¿.¡,t thnt it's t1t'¡t ut''ur nonn,zl sleeTt fi¡yls.<br />

:.ìj vr'l¿'rc'-i,?r/il7g i-ç f l:-ij lJ i:rrllrs l¡crl:.j tr 7) iL,ottld bt !',etter th,ln 70 itt'tst<br />

Yeah. .{Ì1 other things being equal<br />

Dd qou et'er _flr¡ tlrc núclniglrf .fl;ghts?<br />

No, not anvmore.<br />

Especiallv a.fter todntt, right?<br />

Doctor,l,llike tt'¡ tlút:Jzt'e'db¿ .zble tc¡ negotintt:ontetlting |iltt vt',tt said: a 7}-hc'ur rest<br />

¡teriod ani n T[-lrcur ntañntunÌ rescrL'c attnilabtl:lv period, hut un.fortttnntelv, thnt's n<br />

,'ery high ¿rpectntion. Wnt r¿'¿ ¿'i// be facing ts itln1€r perit'tds ¡.f reserre n',nilahility.<br />

Bnsed on tlrc<br />

-fnct thnt ¡.t,e ztill h¿ _fncing potentinliu onerous, Iong ¡teriods o_f tinte since<br />

ttiL'ak€,lt'tng r€s€fcte amilnbilitu periods, do yott tltink that being afforded n greater<br />

nnrcunt o.f slee¡t opportunity zcill gioe us ntore o.f<br />

't ¡trotection agninst that longer dutyT<br />

Is tltere a relationship as far as the antouttt of restorntiae sleep ns preparation for longer<br />

period of dutv?<br />

15


do some studies and vou can demonstrate that occasionally someone r+'ill.<br />

perform prett]'well, but that's not 100oo er-er. It's never Eetting back to peak<br />

performance and it's under the luxuriou-. circumstances of no interruptions, no<br />

noise, etc. I u'ouldn't ever think that napping could make it safe going through<br />

the night.<br />

How about that the flight is going to happen. There is going to be eæry day in America,<br />

pilots thnt report to work at 2300 or whatr;er and fly until0800 the next morning.<br />

No'u, what's different about the man who htm.us A tueek, a month in adaance that this is<br />

going to be his schedule and the reseroe pilot -,tho finds out at noon after haaing woken<br />

up at 8 a.m.? Whnt would be the difference?<br />

You know that the time you do all of the things you can to move toward a better<br />

situation. . ..You can never get to perfection, but the more practice, the more<br />

warning, the better you'll be able to handle it. Some people learn that there is a<br />

time when it's quiet and if I do this,I ca¡r pretty much depend that I will fall<br />

asleep. It's not 100o'o but vou kind of leam that or you practice or whatever. But<br />

if it's r,r'ithout warning, all bets are off.<br />

Dr. Demerit, vou' ¿e kind of led the discusstc'n into another area of this rulentaking tlnt<br />

has to do zt,ith an altnnatit,e method. Assuniing that the pilots in this protected tintc'<br />

period method ¡t,ere depleted, tlrc carriers ti'¿tt u,nnt to gile pilots ad?ßnce notice f o co¿'er<br />

nnvntissionLlrnnv rl-.s;-gnntertf . Tlrcuare,,--'


All sorts of things happen, but the major thing of course is that vou are norv<br />

trying to sleep when the body wants to be awake and you're t -ving to be as-ake<br />

*'h"r, the body n'ants to be asleep because vou left the circadian stabilih' that<br />

vou talked about.<br />

[Question cannot be heard]<br />

No, I think in summary, ....science is really clarifying these issues that people<br />

have been struggting with for many years, and there is always a resistance to<br />

change. But I think one of the things that we confronted in our Congressional<br />

commission is that a lot of the bad effects of sleep loss and impaired performance<br />

are frequently not obvious because there has not been a history of really looking<br />

for them. One of the studies that impressed me the most in that regard was an<br />

anonymous survey of hospital house staff. I don't remember the exact question,<br />

but ii was that 42% rn this anonymous survey had killed a patient as a result of a<br />

fahgued-based error. Well, who knor¡'s that? Who wants to know it? If we had<br />

the por.r'er to really take a look at the price of fatigue, it would be enormous. I<br />

think these things are just beginmng to emerge and thev seem to threaten<br />

management, threaten economic realities, but I think once there's this move<br />

torvard help and peak performance and utilizing all this scientific knorvledge<br />

that even-one r.r'ill benefit. There rtill be \\'avs to deal with these things and it<br />

rvill get t'etter and better and the benefits rvill be recognized more and more. I<br />

think one of the problems in the trucking industn'is the same kind of thins:<br />

rvhat's the cause of all the crashes? Frequentlr', these causes aren't reallrassessed,<br />

and the public doesn't recog¡ize the liabilitt', but it's cominq. I'm sure<br />

at some point it's better to be safe than to be sorn-. Because sorrv is lau'surts and<br />

lost lir.es, tremendous damage to properfr'. Those things are going to be equated<br />

sooner or later.<br />

END TAPE<br />

17


First of all, why does he have to rvake up at 8:00?<br />

No, no. He's flying at 8:00. H{s flving from midnight to g:00<br />

oh, okav. But basicallv what should he do the day before if it,s a midnight<br />

flight? I assume sleep as late as possible.<br />

On his normal sleep cvcle lilce you first said?<br />

Yeah.<br />

And then what?<br />

And he's free all day?<br />

Yeah. He doesn't haise to do anything....<br />

If he knows that he has this post prandial period of diminished alertness , I<br />

would tT'to take a nap at that point in time.<br />

Late aftentoon?<br />

Yeah.<br />

I tlon't knr'.¿' ttlnt lto:!t rnntii,zl . ..<br />

It means after lunch. Parentheticallr', I'r'e been rvorking rr-ith students and l,r.e<br />

been finding þecau-se I'r'e t'een n'orking rvith .'"r,,- ,*ulll groups) that if the,v.<br />

start bv learning hors much sleep thev need as an indiçidual, when is their iime<br />

of peak learning, rvhen is their circadian nadir, thev are able to make some<br />

choices in preparation for exams, etc. that are a great improvement over their<br />

previous situation rr-here thev didn't know these things. lVhat vou're trying to<br />

do is to get your sleep debt "t lo*' as possible and utilize ¡,hat \.ou kno*, about<br />

vourself to accomplish that. Part of it rçould be, as a responsibie pilot, you<br />

rvould do that as kind of a lifestvle. Mavbe the lifesh le is changr"g u tittt" bit b,ut<br />

vou're alrçavs trving to keep vour sìeep debt lor+' so \-ou ne\-er have to do<br />

üï:' iåi"ï'å'"iï;:,ïÍï:ï:;ï:'"ff:,<br />

best pre night before. Tie pilots in ihis NASA<br />

lavover naps. Not perfect, but pretty<br />

good. We decided the rea ere sleep dåpriyed. Thäy could<br />

take a nap. So there's that n the issue is lvhether or not the<br />

sleep closer to the duh-pe rily better. I don't think it matters.<br />

when you start that period, rvhat is your sleep debt r.r,hen you,re going to go into<br />

12


Fatigue, Alcohol and Perforrnance Impairment<br />

Nature. Volume 388, July-August 1997<br />

Reduced opportunitv for sleep and reduced sleep qualiqv are frequently<br />

related to accidenls involving shift-workersr'3. Poor-qualiry sleep and<br />

inadequate recovery leads to increased fatigue, decreased alertness and<br />

impairìd performance in a variety of cognitive psychomotor testsa. However.<br />

the risks associated with fatigue a¡e not well quantified. Here we equate the<br />

performance impairment caused by fatigue with that due to alcohol<br />

intoxicauon, aná show that moderate levels of fatigue produce trigher levels of<br />

impairment than the proscribed level of alcohol intoxication.<br />

Forty subjects participated in two counterbala¡lced oçeriments. ln one<br />

they were irept áwake for 28 hours (from 8:0O until l2:AO tl.e following day)'<br />

rtrá itt the other they were asked to consume lO-l5g alcohol at 3O-min<br />

intervals from 8:OO until their mean blood alcohol concentration reached<br />

O.lOo/0. We measured cognitive psychomotor perfolrnance at half-hourly<br />

inten'als using a computer-administered test of hand-eye coordination (an<br />

unpredictablekacking task). Results are expressed as a percentage of<br />

performance at the start of the session.<br />

performance decreased significantly in both conditjons. Between the<br />

tenth and twenty-sixth hours of wakefubress, mean relative performance on the<br />

tracking task decreased bl'O.71o/o per hour. Regression analvsis in the<br />

sustainéd wakefulness condition revealed a linear correlation betrveen meart<br />

relatir-e performance and hours of rvakefulness that accounted for roughlv 90%<br />

of the variance (Fig. ta).<br />

Regression analvsis in the alcohol condition indicated a significant linea¡<br />

correlation between subject's mean blood a-lcohol concenlration and mean<br />

relatiçe performance tfrat accounted for roughlv 7Oo/o of the variance (Fig. lb).<br />

For each O.Ololo increase in blood alcohol. performance decreased by 1.1602ô.<br />

Thus. at a mean blood alcohol concentration of 0.100/0. mean relative<br />

performance on tJ.e tracking task decreased. on average b]- I L'60lo'<br />

Equating the two rates at which performance declined (percentage<br />

decline per hour of wakefulness and percentage decline rvith change in blood<br />

alcohol concentration), rve calculated t-Ìrat the performance decrement for each<br />

hour of wakefulness behveen i O and 26 hours was equivalent to the<br />

performance decrement obsen'ed with a O.OO4o/o rise in blood alcohol<br />

concentration. Therefore. after I7 hours of sustained rvakefulness (3:OO)<br />

cognitive psychomotor perforrnance decreased to a level equivalent to the<br />

p.kor-*cè impairment observed at a blood alcohol concentration of 0.050,0.<br />

This is the proscribed level of alcohol intoxication in marl\- rvestern<br />

industrializèd countries. After 24 hours of sustained rvakefulness (8:00)


cognitive psychomotor perforrnance decreased to a level equivalent to the<br />

performance deficit observed at a blood alcohol concentration of roughly<br />

O.l0o/0.<br />

Plotting mean relative performance and blood alcohol concentration<br />

'equivalent' against hours of wakefulness (Fig. 2), it is clea¡ that the effects of<br />

moderate sleep loss on performance are simila¡ to moderate alcohol<br />

intoxication. As about 5Oo/o of shift.-workers do not sleep on the day before the<br />

fìrst night-shifts, and levels of fatigue on subsequent night-shifts can be even<br />

highef. our data indicate that the performance impaiment associated with<br />

shift.-work could be even greater tha¡r reported here.<br />

Our results underscore the fact that relatively moderate levels of fatigue<br />

impair performance to an extent equivalent to or greater than is currently<br />

acceptable for alcohol intoxication. By expressing fatigue-related impairment<br />

as a'blood-alcohol equivalent', we can provide policy-makers and the<br />

communit-v with an easily grasped index of the relative impairment associated<br />

with faugue.<br />

[Note: Refvped. Endnotes and Figures I and 2 are illegible and have been<br />

omitted.l<br />

Dreu'Dau'son<br />

The Cenrre for Sleep Resea¡ch<br />

The Queen Elizabeth Hospital<br />

Kathnn Reid<br />

Departrnent of Obstetrics and Gynecolog,'<br />

The Queen Elizabeth.Hospital<br />

Woodrille. 501I South Australia Woodville. 5011 South Australia<br />

e-mail : ddarvson @ tqeh. smtp. tgeh. sa. qo\'. au<br />

2


ng the Performance Impairment associated<br />

with Sustained Wakefulness<br />

Nicole Lamond and Drew Dawson<br />

The Centre for Sleep Research, The Queen Elizabeth Hospital, South Australia<br />

March / April 1998<br />

S ustai ned lV.akefulness and Performance<br />

Address allcorrespondence to Drew Dawson, The Centre for Sleep Research, The Queen Elizabeth<br />

Hospital, Woodville Rd, Woodville SA 501l- Australia.<br />

Phone: +61 8 82226624. Fax: +61 8 822?6623.<br />

Acknowledgments: Research supported by the Australian Research Council.


SUMMARY<br />

The present study systematically compared the effects of sustained wakefulness' and alcohol<br />

intoxication on a range of neurobehavioural tasks. By' doin,e so, it was possible to quantify the<br />

performance impairment associated with sustained wakefulness and express it as a blood alcohol<br />

impairment equivalent. Twenty-two healthy subjects. aged l9 to 26 years. participated in three<br />

counterbalanced conditions. In the sustained wakefulness condition, subjects were kept awake<br />

for twenty-eight hours. In the alcohol and placebo conditions, subjects consumed either an<br />

alcoholic or non-alcoholic beverase at 30 minute intervals, until their blood alcohol concentration<br />

reached 0.1OVo. In each session, performance was measured at hourly intervals using four tasks<br />

from a standardised computer-based test battery. Analysis indicated that the placebo beverage<br />

did not significantly effect mean relative performance. In contrast, as blood alcoholconcentration<br />

increased performance on all the tasks, except for one. significantl¡' decreased. Similarly. as<br />

hours of wakefulness increased performance levels for four of the six parameters si_enificantly<br />

decreased. More importantlr'. equating the performance impairment in the two conditions<br />

indicated that. dependin-s on the task measured. approximately 20 to 25 hours of wakefulness<br />

produced performance decrements equivalent to those observed at a BAC of 0.l0Vc. Overall.<br />

these results suggest that moderate levels of sustained wakefulness produce performance<br />

equivalent to or greater than those observed at Ievels of alcohol intoxication deemed<br />

unacceptable rvhen driving. working and/or operatin_s dangerous equipment.<br />

KEY WORDS sustained wakefu lness, alcohol intoxication, performance impairment


INTRODUCTION<br />

The negative impact of sleep loss and fatigue on neurobehavioural performance is *'ell<br />

documented (Gillberg et al., 1994; Mullaney et al., 1983: Tilley and Wilkinson, 1984). Studies<br />

have clearly shown that sustained wakefulness significantly impairs several components of<br />

performance, including response latency and variability'. speed and accuracy, hand-eye<br />

coordination, decision-making and memory @abkoff et al.. 1988; Linde and Bergstrom, 1992;<br />

Fiorica et al-, 1968). Nevertheless, understanding of the relative performance decrernents<br />

produced by sleep loss and fatigue among policy-makers, and within the community, is poor.<br />

By contrast, the impairing effects of alcohol intoxication are generall,"- well accepted by the<br />

community and policy makers, resulting in strong enforcement of laws mandating that individuals<br />

whose blood alcohol concentration exceeds a certain level be restricted from driving, working<br />

and/or operatin-q dangerous equipment. Consequently, several studies have used alcohol as a<br />

standard by which to compare impairment in psychomoror performance caused by other<br />

substances (Heishman et a\..1989: Dick et al. 1984: Thapar et a\..1995). By usin_e alcohol as a<br />

reference point, such studies have provided more easiJy grasped results regarding the<br />

performance impairment associated with such substances.<br />

In an attempt to provide policy makers and the community $ ith an easily understood index of the<br />

relative risks associated with sleep loss and fatigue, Das'son and Reid (1997) equated the<br />

performance impairment of fatigue and alcohol intoxication using a computer-based unpredictable<br />

tracking task. By doing so. the authors demonstrated rhat one night of sleep deprivation<br />

produces performance impairment greater than is currently acceptable for alcohol intoxication.


t,<br />

While this initial study clearly established that fatigue and alcohol intoxication has quanrirarively<br />

similar effects, it should be noted that performance on only one task was investigated. Thus, it is<br />

unclear at present whether these results are restricted to hand-eye coordination, or characteristic<br />

of the general cognitive effects of fatigue. While it is generally accepted that sleep loss and<br />

fatigue a¡e associated with impaired neurobehavioural performance, recent research suggests that<br />

tasks ma¡'differ substantially in their sensitivity to sleep loss. Studies addressing this issue have<br />

suggested that tasks which are complex, high in workload, relatively monotonous and which<br />

require continuous attention are most vulnerable to sleep deprivation (Johnson, 1982, Wilkinson,<br />

t9&).<br />

As conditions that cause deterioration in one particular function of performance may leave others<br />

unaffected. it is unreasonable lo a-ssume that one could predict all the effects of sleep loss from a<br />

sin-ele perlbrmance test. Thus, the current study sou-eht to replicate and exrend the initial f,rndings<br />

of Dawson and Reid (1997) by s¡,stematically comparing the effects of sleep deprivation and<br />

alcohol intoxication on a ran_se of performance tasks.<br />

4


I\fETHOD<br />

Subjects<br />

Twenty-two participants, aged 19 to 26 years, were recruited for the study using advertisements<br />

placed around local universities. Volunteers were requi¡ed to complete a general health<br />

questionnaire and sleep/wake diary prior to the study. Subjects who had a currenr health<br />

problem, and./or a history of psychiatric or sleep disorders were excluded. Subjects who smoked<br />

cigarettes or who were taking medication known to interact with alcohol were also excluded.<br />

Participants were social drinkers who did not regularly consume more than six standard drinks<br />

per week.<br />

Performance Battery<br />

Neurobehavioural performance was measured using a standardised computer based test battery.<br />

The apparatus for the batten' consists of an IBM compatible compurer. microprocessor unit.<br />

response boxes and computer monitor. Based on a standard information processing model<br />

(Wickens, 1984). the batten sought to provide a broad samplin_e of various components of<br />

neurobehavioural performance. Four of twelve possible performance tests were used, such that<br />

the level of cognitive complexity ranged from simple to more complex (as listed below). Since<br />

speed and accuracy scores can be effected differently by sleep deprivation (Angus and<br />

Heslegrave. 1985; Webb and Levy, 1982). tasks that assessed both were investigated.


The simple sensory comparison task required participants to focus on an attention fxing spot<br />

displayed on the monitor for 750ms. Following this, a line of stimulus characters, divided into<br />

three blocks of either numbers, letters or a mixture was displaved. Participants were then required<br />

to respond to a visual cue, which appeared in the position of one of the stimulus blocks, by<br />

naming the block, which had been there. Verbal responses were scored as correct. partially<br />

correct or incorrect.<br />

The unpredictable tracking task (three-minute<br />

the position of a tracking cursor by centering<br />

time on target was the performance measure.<br />

trials)<br />

it on<br />

was performed using a joystick to control<br />

a constantly moving target. Percentage of<br />

The vigilance task (three and a half minute trials) required subjects to press one of six black<br />

buttons or a sin-sle red button. dependine on which lieht 'À'a-s illuminared. If a single lieht was<br />

ilìuminated. subjects rvere required to press the corresponding black button underneath it. If<br />

hou'ever. two li-ehts were illuminated simultaneously'. subjects were required to press rhe red<br />

button. For this report. two vigilance measures '*'ere er aluated: I ) the number of correct<br />

responses (accuracy). and 2) increases in the duration of responses (response latency).<br />

The grammatical reasoning task required subjects to indicate u'hether a logical srarement.<br />

displayed on ¡he monitor, was tn¡e or false. Subjects \\ ere presented with 32 statements per trìal,<br />

and instructed to concentrate on accuracy. rather than speed. Both accuracy (percentage of<br />

correct responses) and response latency were evaluated in this report.<br />

6


During test sessions, subjects were seated in front of the workstation in an isolated room, free of<br />

distraction. and were instructed to complete each task once (tasks were presented in a random<br />

order to prevent order effects). Each test session lasted approximately l5 minutes. Subjects<br />

received no feedback during the study, in order to avoid knowledge of results affecting<br />

performance levels.<br />

Procedure<br />

Subjects participated in a randomised cross-over design involving three experimental conditions:<br />

l) an alcohol intoxication condition.2) a placebo condition. and 3) a sustained wakefulness<br />

condition. During the week prior to corrrmencement of the experirnental conditions, all<br />

participants were individually trained on the performance battery, to familia¡ise themselves with<br />

the tasks and to minimise improvements in performance resulting from learning. Subjects were<br />

required to repeat each test until their performance reached a plateau.<br />

The subjects reported to the laboratory at 8:00pm on the night prior to each condition. Prior to<br />

retfing at I l:00pm, subjects were required to complete additional practice rrials on each tasks.<br />

Subjects were woken dt 7:00am, following a night of sleep, and allowed to breakfast and shower<br />

prior to a baseline testins session. which started at 8:00am.<br />

Alcoltol I n¡ orication C onditiott<br />

Subjects completed a performance testing session hourly. FolJowing the 9:00am testing session,<br />

each subject was required to consume an alcoholic beverage, consisting of -10 percent vodka and<br />

a non-caffeinated softdrink mixer, at half hourly intervals. Twenty minutes after the consumption<br />

of each drink, blood alcohol concentrations (BAC) were estimated using a standard calibrated


eathalyser (Lion Alcolrneter S-D2, Wales). accurate to 0.0057o BAC. When a BAC of O.lOVa<br />

was reached no further alcohol was given. Subjects were not informed of their BAC at anytime<br />

during the experimental period.<br />

Placebo Condition<br />

The procedure for the placebo condition was essentially identical to the alcohol condition.<br />

Subjects in the placebo condition had the rim of their glass dipped in ethanol to give the<br />

impression that it contained alcohol. To ensure that subjects remained blind to the treatment<br />

condition to which they had been allocated. approximately equal numbers of subjects received<br />

alcohol or placebo in any given laboratory session.<br />

S us t aine d W akefulne s s C ondit i on<br />

Subjects u'ere deprived of sleep for one ni-eht. During this time, they completed a performance<br />

testin-e session every hour. In between their testing sessions, subjects could read. write, watch<br />

television or converse with other subjects. but were not allowed to exercise. shower or bath.<br />

Food and drinks containing caffeine were prohibited the ni-eht before and during rhe experimental<br />

conditions.<br />

Statistical Analysis<br />

To control for inter-individual variability' on neurobehavioural performance, test scores for each<br />

subject \À'ere expressed relative to the average test scores they obrained during the baseline<br />

(8:00am) testing session of each condition. Relative scores within each interval (hour of<br />

wakefulness or 0.017c BAC intervals) were then averaged to obtain the mean relative<br />

performance across subjects. Neurobehavioural performance data in the sustained wakefulness


and alcohol intoxication conditions were then collapsed into two-hour bins and 0.027c BAC<br />

intervals. respectively.<br />

Evaluation of systematic changes in each performance parameter across time (hours of<br />

wakefulness) or blood alcohol concentration were assessed separately by repeated-rneasures<br />

analysis of variance (ANOVA). with significance levels corrected for sphericity by Greenhouse-<br />

Geisser epsilon.<br />

Linear regression analysis was used to determine the relationship between test performance,<br />

hours of wakefulness and alcohol intoxication. The relationship between neurobehavioural<br />

performance and both hours of wakefulness and BAC a¡e expressed as a percentage drop in<br />

performance for each hour of wakefulness or each percenta-qe increase in BAC, respectively. For<br />

each perforrnance parameter. the percentage drop in test performance in each of the two<br />

conditions was also equated. and the effects of sustained waliefulness on performance expressed<br />

as a BAC equivalent.


RESULTS<br />

Alcohol Intoxication Condition<br />

Table I displays the results of the ANOVAs run on each perforrnance variable as a function of<br />

BAC. Five of the six performance pararneters significantly (p = 0.0008-0.0001) decreased as<br />

BAC increased, with poorest performance resulting at a BAC of 0.10 or greater.<br />

The linear relationship between increasing BAC and performance impairment was analysed by<br />

regressing mean relative performance against BÅC for each O.OZVo interval. As is evident in<br />

Table 2, there was a si_enificant (p = 0.0132-0.0002) linear correlation between BAC and mean<br />

relative performance for all of the variables except one. It was found that for each 0.017c<br />

increase in BAC, the decrease in performance relative to baseline ran.sed from 0.29 to 2.68%.<br />

Placebo Condition<br />

To ensure that differences in performance reflected only the effects of actual alcohol intoxicarion<br />

a placebo condition w'as incorporated into the study. As indicated in Table l, mean relative<br />

performance in the placebo condition did not si_enrt-rcantly varv.<br />

Sustained Wakefulness Condition<br />

Table I displays the results of the ANOVAs for each performance variable as a function of hours<br />

of wakefulness. Four of the six performance parameters showed statistically significant (p =<br />

0.0001) variation by hours of wakefulness. In -general, the hours-of-wakefulness effect on each<br />

performance parameter was associated with poorest performance resulting after 25 to 27 hours of<br />

wakefulness.<br />

l0


Since there is a strong non-linear component to the performance data. which remained at a fairly<br />

stable level throughout the period *'hich coincides with their normal waliing day, the performance<br />

decrement per hour of wakefulness. was calculated using a linear regression between the<br />

seventeenth (equivalent to I l:00pm) and twenty-seventh hour of wakefulness.<br />

As indicated in Table 2, regression analyses revealed a significant linear correlation (p = 0.00tt-<br />

0.OO0l) between mean relative performance and hours of wakefulness for four of the six<br />

performance variables. Between the seventeenth and twenty-seventh hours of waliefulness, the<br />

decrease in performance relative to baseline ranged from 0.61 to 3.35Vc per hour (Table 2).<br />

Sustained Wakefulness and Alcohol Intoxication<br />

The primary aim of the present study 'Å'as to express the effects of SW on a range of<br />

neurobehavioural performance tasks as a blood alcohol equivalent. Figures I -6 illustrate the<br />

comparative effects of alcohol intorication and sustained wakefulness on the six performance<br />

parameters. \lhen compared to the impairment of performance caused by alcohol at a BAC of<br />

O.l}Vc. the same degree of impairment was produced after 20.3 (-erammatical reasoning response<br />

latency). 22.3 (r:i-eilance accuracy). l-1.9 (vi_eilance response latency) or 25.1 (tracking accuracy)<br />

hours. Even after 28 hours of sustained wakefulness. neither of the remaining two performance<br />

variables (grammatical reasoning accuracy and simple sensory comparison) decreased to a level<br />

equivalent to the impairment observed at a BAC of 0.lÙVo.<br />

ll


DISCUSSION<br />

In the present study moderate levels of alcohol intoxication had a clearly measurable effect on<br />

neurobehavioural performance. We observed that as blood alcohol concentration increased<br />

performance on all the tasks. except for one, significantly decreased. A similar effect was<br />

observed in the sustained wakefulness condition. As hours of wakefulness increased performance<br />

levels for four of the six pararneters significantly decreased. Comparison of the two effects<br />

indicated that moderate levels of sustained wakefulness produce performance decrements<br />

comparable to those observed at moderate levels of alcohol intoxication in social drinkers.<br />

As previous research has found that some individuals tend to perform in a manner that is<br />

consistent with the expectation that they are intoxicated due to alcohol consumption<br />

(Brechenridge and Dodd, l99l). a placebo condition *'as included in this study. We found that<br />

the placebo beverage did not signifrcantll effect mean relative performance. Thus. it was<br />

assumed that performance decrements obsen'ed during the alcohol condition were caused solell'<br />

by increasing blood alcohol concentration. tor.ol.r. it is worth noting that the placebo<br />

condition in this study generally did not create the perception of alcohol consumption.<br />

Furthermore, when participants had already experienced the alcohol condition, and thus the<br />

efiects of alcohol on their subsequent behaviour and performance, placebo beverages were even<br />

less convincing. suggestin-s that inclusion of a placebo condition is not necessary in future studies<br />

of a similar nature.<br />

In general, increasing blood alcohol concentrations r.r'ere associated with a significant linear<br />

decrease in neurobehavioural perf,ormance. At a BAC of 0.lOVo mean relative performance was<br />

impaired by approximately 6.87c and 14.2Vo (grammatical reasoning accuracy and response<br />

t2


latency. respectively),2.3Vo and 20.5Vo (vigilance accuracy and response latency, respectiveh'r or<br />

2l.4Vo (tracking). Overall, the decline in mean relative performance ranged from'approximarely<br />

0.29Va ¡o 2.68Vo per 0.0lVo BAC. These results are consistent with previous frndings that<br />

suggest that alcohol produces a dose-dependent decrease in neurobehavioural performance<br />

(Billings et al., l99l).<br />

In contrast, mean relative performance in the sustained wakefulness condition showed three<br />

distinct phases. Neurobehavioural performance remained at a relatively stable level during the<br />

period which coincided with the normal waking day (0 to 17 hours). In the second phase,<br />

performance decreased linearly. with poorest performance generally occurring after 25 to 27<br />

hours of wakefulness. It was observed that mean relative performance increased again after 26 to<br />

28 hours of wakefulness presumably reflectin-s either the well reported circadian variation in<br />

neurobehavioural performance (Folkard and Tottersdell. 1993) or an end of testing session effect.<br />

The linear decrease in performance observed for four of the measures in this study is consisrent<br />

rvith previous studies documenting neurobehavioural performance decreases for periods of<br />

sustained wakefulnesS between ll and 86 hours (Linde et al. 1992: Storer et al. 1989: Fiorica ¿¡<br />

¿/. 1968). Between the seventeenth and twenty-seventh hours of wakefulness, mean relarive<br />

performance significantly decreased at a rate of approximately 2.61% (-erammatical reasoning<br />

response latency).0.61 and 1.98% (vi-eilance accuracy and response latency, respectiveh'r or<br />

3.36Vo (tracking) per hour.<br />

While the results in each of the experimental conditions are interesting in themselves, and have<br />

been previously established. the primary aim of the present study was to compare the effects of<br />

l3


alcohol intoxication and sustained wakefulness. Equating the effects of the two condirions<br />

indicated that l7 to 27 hours of sustained wakefulness (from l2:00am to l0:00am) and moderate<br />

alcohol consumption have quantitatively similar effects on neurobehavioural performance.<br />

Indeed, the findings of this study suggest that after only 20 hours of susrained wakefulness<br />

performance impairment may be equivalent to thar observed at a BAC of Q1OVa.<br />

This stud¡' has confirmed the suggestion made by Dawson and Reid (1997) that moderate levels<br />

of sustained wakefulness produce performance decrements equivalent to or greater than those<br />

observed at levels of alcohol intoxication deemed unacceptable when driving, working andTor<br />

operatin-s dangerous equipment. More importantly, however, this study was desi-qned to<br />

determine whether the results of Dawson and Reid (1991) were an isolated finding. or<br />

characterlstic of the general cognitive effects of sleep deprivation. Using the degree of<br />

impairment caused by alcohol that produced a BAC of O.lOVo as a standard, this study<br />

svstematicelly compared the effects of sustained *aliefulness on a range of neurobehar.ioural<br />

tasks. Results indicate that *'hile. in general. sustained wakefulness had a detrimental effect on<br />

psychomotor performance. the specifrc components of performance differed in their degree of<br />

sensitivitr to sleep deprivation.<br />

The obsened differences betu'een the performance tasks with respect to the lulnerability to sleep<br />

deprivation can be explained by their relative de-srees of complexity. That is to say, the more<br />

complex neurobehavioural Parameters measured in the present study were more sensitive to sleep<br />

deprivation than were the simpler performance parameters. While only 20.3 hours of susrained<br />

wakefulness was necessary to produce a performance decrement on the most complex task<br />

(grammatical reasoning) equivalent to the impairment observed at aBAC of 0.lOVo. it was after<br />

l-t


22.3 and 24.9 hours of sustained wakefulness that a similar result was s€en in a less complex task<br />

(vigilance accuracy and response latency. respectively). Furthermore, on the unpredictable<br />

trackin-s task, a slightly less complex task than vigilance, a decrement in performance equivalent<br />

to that observed at a BAC of 0.10Vo was produced after 25.1 hours of wakefulness.<br />

It was observed that, despite a slight downwa¡d trend, performance on the simplest of the four<br />

tasks did not significantly decrease, even following twenty-eight hours of sustained wakefulness.<br />

In contrast, performance on this task was significantly impaired after a dose of alcohol that<br />

produced aBAC of 0.10% (or greater). These results are in line with the suggestion that simple<br />

tasks are less sensitive to sleep deprivation (Johnson, 1982). Indeed. we believe it likely that<br />

impairment of performance on this task may have occurred if we had extended the period of<br />

sustained wakefulness. It is interestin-e to note that several studies (e.g. Dinges et a1..1988) have<br />

reported that tasks similarlr lackin-e in complexitv. such as simple reaction time tasks. are affected<br />

earll' and profoundly br sleep loss. thus strongly suggesting that monotony ma¡ increase<br />

sensitivity to sustained rrakefulness. Indeed. the fact that this task was not vulnerable to<br />

sustained wakefulness mav possibly be explained by the interesting and challengin,e properties of<br />

the task.<br />

It is also noteworthy that. while we obsen'ed a decrease in accuracy on the grammatical<br />

reasoning task. impairrnent of this performance parameter was not comparable to that produced<br />

by a BAC of 0.l0Vc. While this may at f,¡¡st contradict the su,egestion that in this study<br />

to sustained wakefulness was. to a large degree, determined<br />

"ulnerability<br />

by task complexity, it<br />

should be noted that panicipants were instructed to concentrate on accuracy rather than speed<br />

when completing the gramrnatical reasoning task. Thus, our particular instructions to<br />

l5


Participants may explain, at least in part, this irregularity. Alternatively. this finding is in line with<br />

the suggestion of a natural 'speed-accuracy trade-offl. Simila¡ results have been observed in<br />

several studies, which report a decline in speed of performance. but not accuracy, when sleep-<br />

deprived subjects are required to perform a logical-reasoning task (An_eus and Heslegrave. 1985;<br />

Webb and Levy, 1982).<br />

Interestingly, this was not the case with the vigilance task. In this instance, despite instruction to<br />

concentrate primarily on accuracy, this component w¿ts slightly more vulnerable to sleep<br />

deprivation than was response latency. The absence of a trade-off on this task may be explained<br />

by the different properties of the vigilance and grammatical reasoning tasks. In accordance with<br />

the distinction raised by Broadbent (1953). the latter of these tasks can be defrned as an unpaced<br />

task, in which the subject determines the rate of stimuli presentation. In contrast, the r-igilance<br />

task can be defined as a paced task, in ç'hich stimuli are presenred at a speed controlled by the<br />

experimenter. In line with this distinction. our findings are consistenr with those of Broadbent<br />

(1953) who obser"'ed that while a paced task rapidl¡'deteriorated durin_e the experimentalperiod.<br />

in terms of speed. an unpaced version of the same task did not.<br />

A further explanation for the differences observed between these two tasks, may relare to the<br />

extremely monotonous nature of the vieilance task. Indeed. we believe it likely that subjects<br />

were more motivated to perform well on the grammatical reasoning task, which was generalìy<br />

considered more interesting and challen-eing. Hence degree of motivation may explain why<br />

measures of both speed and accuracy decreased on the vigilance task, while on the forrner task,<br />

accuracy remained relatively stable. This suggestion is in line with previous studies that have<br />

l6


found that motivation can. to a degree. counteract the effects of sleep loss (Horne and pettitt,<br />

1985).<br />

Taken together, the results from this study support the suggestion that even moderate levels of<br />

sustained wakefulness produce performance decrements greater than is cumently acceptable for<br />

alcohol intoxication. Furthermore, our findings suggest that while sleep deprivation has a<br />

generally detrimental effect on neurobehavioural performance, specific components of<br />

performance differ in their sensitivity to sustained wakefulness.<br />

Since approximately 50 percent of shiftworkers typically spend at 1east twenty-four hours awake<br />

on the first night shift in a roster (Tepas et aI.,l98l). these findings have important implications<br />

within the shiftwork industry. Indeed, the results of this study. if generalized to an applied<br />

setting. suggest that on the hrst night shift. on a number of rasks, a shiftworker would shou. a<br />

neurobehavioural performance decrement similar to or greater than is acceptable for alcohol<br />

intoxication.<br />

'Wirile the cunent study supports the idea that sustained w'aliefulness may carry a risk comparable<br />

with moderate alc.ohol intoxication. it is difficult to know to what degree these results can be<br />

generalized to "real-life" settings. Indeed, laboratorl' measures and environments usually bear<br />

little resemblance to actual tasks and settings. Furthermore, while our stud¡- used a battery of<br />

tests to evaluate the effects of sustained wakefulness on performance, their is no guarantee that<br />

all the functions involved in "real-life tasks", such as driving, were utilized and assessed. An<br />

alternative approach would be to simulate the actual task. as accurately as possible. Given that,<br />

for practical and ethical reasons, it is difFrcult to experimentally study the relationship between<br />

t7


sustained wakefulness and actual driving" simulators of varying realism have been used. Thus,<br />

protocols using simulators could be used to model "real-life" settings and establish a more<br />

accurate estimate of the BAC equivalence for the performance decrement associated with sleep<br />

loss and fatigue.


REFERENCES<br />

Angus. R.G. and Heslegrave, R.J. Effects of sleep and sustained cognitive performance durin-s a<br />

command and control simulation. Behavioural Research Methods, Instntments and Computers,<br />

1985. l7:55-67.<br />

Babkoff, H., Mikulincer, M., caspy, T., Kempinski, D. and Sing, H. The ropology of<br />

performance curves during 72 hours of sleep loss: A memory and search task. The Quanerly<br />

Jountal of Experimental Psr^chologr- , 1988, 324 737-756.<br />

Brechenrid-ee, R. and Dodd. M. Locus of control and alcohol placebo effects on performance in a<br />

drivin,e simulator. Perceptual and Motor Ski//s. 1991,72:751-756.<br />

Broadbent. D.E. Noise. paced performance. and vigilance tasks. British Jountal of Psvchologr..<br />

1953. .J-1: 295-303.<br />

Dawson. D, and Reid, K. Fatigue. alcohol and performance impairmenr.,V¿¡¡lre,1997,388: 235.<br />

Dick. R.8.. Setzer, J.V.. Wait. R.. Hayden, M.8.. Taylor, 8.J., Tolos. B. and Putz-Anderson. V.<br />

Effects of acute exposure to toluene and methyl ethyl ketone on psl'chomotor performance.<br />

Archives of Occupational and Ent'ironntental Health, 1984,54: 9l-109.<br />

Dinges, D.F., Whitehouse, W.G.. Orne, E.C. and Orne, M.T. The benefits of a nap during<br />

prolonged work and wakefulness. Work and Stress, 1988, 2: 139-153.<br />

l9


Fiorica, V., Higgins. E.4.. Iampietro, P.F., Latesola, M.T. and Davis, A.W.'Physiological<br />

responses of man during sleep deprivation. Jountal o.f Applied Phtsiologt', 1968.24(2): 169-175.<br />

Folkard, S., Totterdell, P.. Minors, D. and Waterhouse, J. Dissecting circadian performance<br />

rhrthms: Implications for shiftw ork. Ergonomics. I 993, 36( I -3): 283-8.<br />

Gillberg, M., Kecklund, G. and Akerstedt, T. Relations between performance and subjective<br />

ratings of sleepiness during a night awake. Sleep, 199-1, l7(3): ?3611.<br />

Heishman, S.J., Stitzer, M.L. and Bigelow. G.E. Alcohol and marijuana: Comparative dose effect<br />

profiles in humans. Pharmacologr, Biochentistrv and Behaviour. 1989. 3l: 649-655.<br />

Horne. J.A. and Pettitt. A. N. High incentive effects on vi-eiìance performance during 72 hours of<br />

total sleep deprivation. Acta pstchologica. 1985. -sE. 123: 139.<br />

Johnson. L.C. Sleep deprivation and performance. In: W. B. Webb (Ed.) Biological rhvhms,<br />

Sleeo and Peformanc¿. Wiley, New York. 1982.<br />

Linde, L. and Ber_sstrom. M. The effect of one night without sleep on problem-solving and<br />

immediate recall. Psvcholopical Research, 1992. 51tl): l2l -36.<br />

\lullaney. D.J., Kripke, D.F., Fleck, P.A. and Johnson, L.C. Sleep loss and nap effects on<br />

sustained continuous performanc e. P s ¡- choph _t s iol ogt, I 983, 20: 613 -65 L<br />

20


Storer, J., Floyd. H., Gill, W., Giusti. C. And Ginsberg- H. Effects of sleep deprivation on<br />

cognitive ability and skills of paediatric residents. Acadentic Medicine, 1989, 61: 29-32.<br />

Thapar, P..Zacn¡'. J.P., Thompson, W. anfl Apfelbaum, J.L. Using alcoholas a sranda¡d ro assess<br />

the degree of impairment induced by sedative and analgesic drugs used in ambulatory surgery.<br />

Anesthesiology, 1995, 82( I ): 53-59.<br />

Tilley, A.J. and Wilkinson, R.T. The effects of a restricted sleep regime on rhe composition of<br />

sleep and on perÌormance. Ps_ycåophvsiologt, 1984, 2l:406-412.<br />

Webb, W. and Levy, C. Age, sleep deprivation and performance. Psvchophtsiolog_r., 1982,<br />

l9(3): 272-276.<br />

Wickens. C. Engineering psvchologt'artd luunan perfonnance. C.E. Merill. Columbus. 1984.<br />

Wilkinson. R.T. Effects of up to 60 hours sleep deprivation on differenr rypes of work.<br />

Ergonornics. 196J. 7: 175-186.<br />

2l


TABLE f . Summary of ANOVA results for neurobehavioural performance variables<br />

Performance Variable<br />

GRG Response Latency<br />

GRG Accuracy<br />

VIG Response Latency<br />

VIG Accuracy<br />

Unpredictable Tracking<br />

Simple Sensory Comparison<br />

Placebo Alcohol Intoxication Sustained ryVakefulness<br />

Fr. rr<br />

'<br />

P" Fs.tos P" Fr¡.:z¡ P^<br />

0.82 NS 4.96 0.0021 t3.77 0.0001<br />

0.63<br />

2.r9<br />

2.02<br />

2.63b<br />

0.78<br />

GRG. grammatical reasoning: VIG, vi_eilance<br />

NS<br />

NS<br />

NS<br />

NS<br />

NS<br />

6.88 0.0001<br />

43.09 0.0001<br />

7.99 0.0008<br />

5.32 0.0008<br />

l.88 NS<br />

u corrected by Greenhouse-Geisser epsiìon: b based on data from twenty subjects.<br />

2.20 NS<br />

33.74 0.0001<br />

I1.04 0.0001<br />

10.09 0.0001<br />

1.47 NS<br />

22


TABLE 1. Summary of linear regression analysis of neurobehavioural performance variables<br />

Performance Parameter DF F P R2 ToDecrease<br />

SW Condition<br />

GRG Response Latency<br />

GRG Accuracy<br />

VIG Response Latency<br />

VIG Accuracy<br />

Unpredictable Tracking<br />

Simple Sensory<br />

Alcohol Condition<br />

GRG Response Latency o<br />

GRG Accuracy<br />

VIG Response Latencv<br />

VIG Accuracy o<br />

Unpredictable Trackin-e "<br />

Simple Sensory<br />

1,4<br />

1,4<br />

1,4<br />

1,4<br />

1.4<br />

1,4<br />

1)<br />

1.4<br />

1.4<br />

l-J<br />

l.J<br />

1,1<br />

l.l<br />

70.61<br />

3.&<br />

98.54<br />

8t.79<br />

70.93<br />

4.71<br />

74.30<br />

31.07<br />

t2.65<br />

212.37<br />

238.52<br />

5.37<br />

0.001l<br />

NS<br />

0.0006<br />

0.0008<br />

0.011<br />

NS<br />

0.0132<br />

0.0051<br />

0.0002<br />

0.0007<br />

0.0006<br />

' Based on data from O.02Vc-0.10% BACI o Based on data from 0.04Vc -0.l\Vo BAC<br />

NS<br />

0.9s<br />

0.96<br />

0.95<br />

0.95<br />

0.97<br />

0.89<br />

0.98<br />

0.99<br />

0.99<br />

(per hour)<br />

2.69<br />

1.98<br />

0.61<br />

3.36<br />

(per0.0l Vo BACt<br />

2.37<br />

0.68<br />

2.05<br />

0.29<br />

2.68<br />

23


.l)<br />

H^<br />

.o -5<br />

q,<br />

R -to<br />

It<br />

E .I.5<br />

ax<br />

É -"v<br />

4<br />

oá<br />

-2s<br />

Blood Alcohol Concent¡æion (%)<br />

ll 15 tg 23<br />

Houn of Wakefulness<br />

FIG. f . IHean rclative pcrformance levcls for the response latency componenr of ¡he grammarical reasoning<br />

task in the alcohol inroxication (lefit and sustained waksfulncss condiúon. The equiv¿iç¡¡ psrformance<br />

decrement at a BAC of 0.05Va a¡d O.l07c are indicarcd on ûre right hand ¿ris. Error ba¡s indicare + one s.e,m-<br />

tú<br />

ã-<br />

0.0-< &Þtí<br />

o<br />

o.r0 g Õo,DD5<br />

tt<br />

I<br />

\é<br />

24


a<br />

Q<br />

f-<br />

,o<br />

e<br />

E<br />

.f<br />

I<br />

ã -.ó<br />

J<br />

E<br />

.0:5 .045 .0ó5 0E5 .to+<br />

Blood Alcohol Concentration (9ä)<br />

FIG. 2. Mean relative performa¡ce lerels for the accuracy' component of the gramrnatical re¿sonins nsk in<br />

thealcoholintoricedon(left)andsustarnedwaliefulnesscondition. Theequivalentperfoimancedecr:¡rpnt<br />

¡t a BAC of 0.057c utd O.lMc are indicated on the righr hand a.ris. Error ba¡s indicaæ i one s.e-!E<br />

tÍ<br />

õ-<br />

'o Ê.<br />

Þ<br />

o.o5 I Ef)<br />

o<br />

ã<br />

o<br />

0.10 ä u<br />

õ'<br />

5<br />

s<br />

25


o0<br />

c<br />

.ð -5<br />

o<br />

P -10<br />

..A<br />

ã e<br />

o1 -t5<br />

f6<br />

o<br />

=- -20<br />

0.00 .025 .045 .0ó5 .0E5 .10+<br />

Blood Alcohol Concentration (%)<br />

Il t_< t9 23<br />

Hours of Wakefulness<br />

FIG. 3. Mean relarive performance levcls for thc response latency componear of the vigilance rrsk in the<br />

alcohol intoxication (ieft) and sus¡ained *ahefulness condition. The equivalcnr performance decrement at<br />

a BAC of 0.05% and 0 l0% are indicated on the right hand axis. Error ba¡s :ndicare¡ one s.e.m.<br />

ID<br />

õ"<br />

o<br />

9.<br />

Þ<br />

ño<br />

6<br />

0.05 ã o<br />

Ëì<br />

x<br />

I<br />

0.t0 : \o<br />

€)<br />

26


ü-r<br />

g<br />

€ õ-3<br />

À g<br />

6-<br />

É<br />

ã o<br />

E-:.<br />

Blsod Alcohol Concentration (%)<br />

FIG. 4, Mean relative performance levels for the accuracy component of the vigilance task in the<br />

alcohol intoxicauon (left) and susrained wakefulness condi¡ion. The equiralent performance decrement<br />

at a BAC øf 0.05Vc and 0.10!t are indica¿ed on ¡he risht hand axis- Error bars indicatÈ + one s.e.m-<br />

27


Êro<br />

.l<br />

Ë<br />

€ rn<br />

o-<br />

À<br />

IÞ<br />

-( -ro q¡<br />

É<br />

Eo0,<br />

E -20<br />

7ll151923Z7<br />

Hours of Wakefulness<br />

FIG. 5. N{eari relaúve performance levels for the unpredicuble racking tssk ir the ålcohol<br />

inloxication (lefi) and sustained wakefulness condition. The equivalent performance decrernent at a<br />

BAC of 0.057o and 0.107q are indicated on the right hand. axis. E¡ror bars indicate ! one s.e.m.<br />

l!<br />

Eo<br />

ê.<br />

Þ<br />

Ènfì{<br />

g 6<br />

Õ<br />

o<br />

ã<br />

.D<br />

0.ro äI ã<br />


o<br />

Q<br />

ã.<br />

ti<br />

,o<br />

-l!rì<br />

!t¡<br />

À<br />

ä.:<br />

16<br />

Ë{<br />

á<br />

at-<br />

=-o<br />

-<br />

trt<br />

E'<br />

o<br />

9.<br />

Þ<br />

ñ<br />

o<br />

r<br />

.¡<br />

o<br />

B<br />

lD<br />

x<br />

I'<br />

ö'<br />

ã<br />

ö


'. rev, ¡atlguc Iaclot> úr dv¡ô!.¡L,lr êvv¡g!^r'<br />

Crew fatigue factors in the Guantanamo Bay aviation accident<br />

Mark R. Rosekind, PhD.<br />

NASA Ames Research Center<br />

Kevin B. GregorY, Donna L. lvfiller<br />

Sterling Software<br />

Etizabeth L. Co<br />

Sæ Jose State Universþ Fou¡d¡tion<br />

J. Vrctor l-ebacqa PtiD.<br />

NASA Ames Research Center<br />

Malcolm Brenner<br />

National Transportation Safety Boa¡d<br />

, f'me, ¿ military contract fltght crashed while<br />

on, Guantanamo Bay, Cuba. The airplane, a<br />

'impact forces and fire. The three flight<br />

National Transportation Safetv Board<br />

(NTSB), an indøpendent agenry of the united States goverDment, conducted an official<br />

ùvestrganon to áetermine the cause of the accident and to make recommendations to<br />

pre!'enr a recufrence ( I ). At the request of the NTSB, the NASA Ames Fangue<br />

Countermeasures program anzly?ßd the crerr fatigue factors to examine ther¡ potentral<br />

role in the accideot. Tbr." principal sources of information *'ere made available from the<br />

\TSB accident inrestigation to NASA Ames for analysis: 1) Hrman Perforrnance<br />

Investigator's Factual RePort,<br />

2¡ Opeiauons Group Chairman's Factual Report, and 3) Flight 808 Crew Statements.<br />

Based on scientific data r.elated to sleep and crcadian rh¡hms, the NASA Ames Fangue<br />

Countermeasures program idcntified three core physiological factors to ex¡mirre when<br />

investiganng the role óf f"tigue in an incident or accidsnt. These factors have zubsequently<br />

been eipanã.¿ to four, to explicitly include a factor examined but not previously' reported-<br />

The for¡¡ fatigue factors 1s sxemine in rncident/accident investigatiorls are: l) acute sleep<br />

loss/cumulative sleep debt, 2) continuous hor¡rs of wakefulness, 3) time of dayrç¡cadian<br />

effects, and 4) pr.r"o* of sleep disorder. These factors were e¡amined and the<br />

sleep/wake histories for the flight crew prior to the accident are presented in Figure l.<br />

hnp ://olias af c. nas. gov/publicationVrosekind/GB/GB. Abstraa.html<br />

ra27lgE


L rer lauSue lagtors tn a\]¿tuu¡r .¡\ie r\¡ç¡¡.<br />

C?t<br />

F/O<br />

FIE<br />

¡IIII<br />

llrillt<br />

Figwe I. CreY' Sleep/Takc Histories<br />

The crew hed been offdqy up to 2 days priot to the accident trip and then flown<br />

overnigbt cargo schedules for the two nights ptiot to the accident, and had been assigned<br />

the accident trip uneryectedly on the morning of August 18, shortly after being released<br />

from duty. The erctra trip involved segments from Atlanta to Norfolk, VA to Gr¡antan¡mo<br />

Bay back to Atlanta, approximately 12 hrs of fl.ight time in 24 hrs of duty. The figure<br />

ptór.id"t information on the fatigue factors: I ) the individual crew members had an acute<br />

il""p loss (i.e., 5,6,8 hrs of daytme sleep). 2) were continuousl¡' awake 19.21, and 23.5<br />

hrs prior to the accident, and 3) the accident occured just prior to 5 pm local time during<br />

the afternoonwindow of sleepiness (this did not rePresent a time zone change for this US<br />

E¿st coast crew). Upon inquiry, there were no rsPorted symptoms or signs of a sleep<br />

d.isorder. Therefore, all three of the initial fatigue factors were operating in this accident.<br />

There were two principal sources of data available on fhgbt crew perfonnance in the<br />

accidsnt: cocþit voice recorder (CVR) and Captain's testimony at the NTSB publ-rc<br />

hearing. There were four performance effects related to fatigue that significantly<br />

contrr-buted to the accident: I ) degraded decision-making, 2) visuaVcognrtive fixation, 3)<br />

poor çps1¡armication/coordittation, and 4) slowed reaction time.<br />

A complete description of flight operations, fatigue factors, perfonnance effects, a¡ld<br />

accident investigation findings a¡e available in the full NTSB accident report ( I ). Based on<br />

the findinp, the NTSB determined that the probable cause of tlus accident included the<br />

impaired judgment decision-making, and flying abilities of the captain and flightcrew due<br />

to the effects of fatigue. This was the fi¡st time in a major U.S. aviation accident that the<br />

NTSB cited fatigue in the probable cause. As a result of this investigation, the NTSB<br />

recourmended that the Federal Aviation Administration (FAA) expedite the revier*'and<br />

upgrade of Ftight/Duty Time Limitations of the Federal Aviation Regulations to ensure<br />

that they incorporate the results of the latest resea¡ch on fatigue and sleep issues. The<br />

NTSB reiterated a recorrrmendation to require U.S. air ca¡riers to include, as part of pilot<br />

training a prognm to educate pilots about the detrimental effects of fatigue and strategies<br />

http://oli¡s.arc.n¡ìs¿t.gov/publicationJrosekind/GB/GB.Abstract.html<br />

ra27t98


Cre t lattgue laflors m allatlon accloeni<br />

for avoiding fatigue and countering its effects. This I'{TSB invesngation and the NASA<br />

gurdelines 1e ç¡amine fatigue factors, provides a model for invesngating and documenting<br />

the role of fatigue in operational incidents and accidents.<br />

(l) National Transportation Safay Boa¡d. Aircraft accident report unconuolled collision with terraiÂ<br />

n-ericao International Airways night 80t, Douglas DC-tó1, N8l4CK U.S. Naval Ai¡ StatiorL<br />

Crtu¡tanamo Bay, Cub4 August 18, 1993. WashingorL DC: Natiooal Transportation Safety Boa¡d,<br />

1994; NTSB/AAR-94/04.<br />

hnp ://olias.arc.n¿rsa. gov/publicarionVrosekind/CB/GB Abstract. htmJ t2/77/98


IBT PROPOSAL, JAN. 6,1999


INTERNATIONAL<br />

BROTHERHOOD OF TEAMSTERS<br />

AFr-CtO<br />

R{Y W EENNINC, lR.. Direcror<br />

Airl¡ne Divrsron<br />

6l¡l Westchester Parkwav. Suite 150<br />

Los Angeles, CA 90045<br />

Mr. Donald E. Hudson<br />

Aviation Medical Advisory GrouP<br />

14707 East 2d Avenue<br />

Suite 200<br />

Aurora, CO 80011<br />

Gentlemen:<br />

TEL: rll0ì 6¡15-9Eæ<br />

FAX: rJ ¡ Or 645-9869<br />

January 6, 1999<br />

Mr. Clay Foushee<br />

Northwest Airlines<br />

901 15h Street, NW<br />

Suite 310<br />

Washingrton, DC 20005<br />

The undersigned (FPA, IACP, lPA, SWAPA, and IBT representing approximately<br />

20,000 crewmembers) concur with the basic document submitted by the entire<br />

labor group concerning the issue of Reserve and Reserve Rest. This <strong>submission</strong><br />

is supplementary to that document and it addresses additional methodology<br />

applicable to the Part 135 and non-scheduled carriers (non-scheduled as used<br />

herein applies to carriers currently operating under Part 121, Subpart S<br />

(supplemental rules) excluding such carriers as FEDEX. UPS, etc. that may<br />

operate under supplemental rules, but do so with a known published operating<br />

schedule).<br />

It is recommended that the basic labor document, addressing a Protected Time<br />

Period (PTP) and Reserve Availability Period (RAP) methodology, apply to all<br />

carriers, i.e., scheduled, non-scheduled (as herein defined), and Part 135.<br />

Additionally, it is recommended that non-scheduled and Part 135 carriers be<br />

provided an alternative method for reserve assignments where it can be<br />

validated that the PTP-RAP methodology cannot be applied. An example<br />

requiring this alternative means would be an aircraft with one crew at a station<br />

with a prospective duty to operate the aircraft at an undetermined time.<br />

The underlying rationale of the Flight and Duty Time ARAC working groups over<br />

the past seven years has been to ensure that crews are provided a reasonable<br />

sleep opportun¡ty. The most eflective means of rest is to provide a sleep<br />

opportunity at the same time each night. Recognizing that this is not always<br />

possible in the air transpoñ industry, the PTP-RAP methodology and a reduced<br />

duty time, based on predetermined notice periods, represent two means of<br />

satisfying the underlying rationale of ensuring a reasonable sleep opportunity.<br />

This alternative methodology greatly reduces the economic impact of regulatory<br />

reform on the non-scheduled and Part 135 segment of the air transport industry.<br />

2: LOUISIANAAVENU= NW WASHINGTO\ DC 2OOOr. (202\ :2¿.58:,3


We believe that this <strong>submission</strong> should be helpful to the FAA in formulating a<br />

new rule that balances safety, economics, and the public interest. We are<br />

pleased that the FAA has addressed this issue and we are supportive of<br />

constructive change arising from the etfort put forth by the respective gioups and<br />

the Agency.<br />

Dave Wells //s<br />

FPA, CAPA<br />

D.R. Treichler<br />

IBT, CAPA<br />

Don Kingery //s<br />

IACP (non-CAPA)<br />

Lauri Esposito //s<br />

IPA, CAPA<br />

Bob Landa //s<br />

SWAPA, CAPA


PROPOSED REGULATORY LANGUAGE<br />

121.xxx Alternative Means of Obtaining Reserve Rest for Non-scheduled<br />

Operators (without a known schedule) and Part 135 Operators (separate<br />

subpart)<br />

(a) Non-scheduled operators and Part 135 operators may schedule a flight<br />

crewmember and that flight crewm€mber may accept a reserve assignment as<br />

follows:<br />

(1)The operator first must assign a PTP period, discussed elsewhere in this<br />

rule, provided the operator's flight assignments haye a known departure time<br />

(schedule), and the operator may then schedule and a crewmember may accept<br />

any assignment provided elsewhere in this rule excluding (2) and (3) below;<br />

(2) lf unable to comply with (1) above, and an advance notice before<br />

departure of not less than 14 hours is provided the crewmember, an operator<br />

may schedule and a crewmember may accept any assignment provided<br />

elsewhere in this rule excluding (3) below; or<br />

(3) lf unable to comply with (1) and (2) above, an operator may assign and a<br />

crewmember may accept a reduced duty period as set forth below:<br />

(a) With I to 13:59 hours advance notice, the scheduled duty period is<br />

limited to 12 hours, but may be extended to 14 hours for operational délays; or<br />

(b) With 6 to 7:59 hours advance notice, the scheduled duty period is<br />

limited to 1 0 hours, but may be exlended to 12 hours for operational delays; or<br />

(c) With 4 to 5:59 hours advance notice, the scheduled duty period is<br />

limited to I hours, but may be extended to 10 hours for operational delays; or<br />

(d) With less than 4 hours advance notice, the scheduled duty period is<br />

limited to 7 hours, but may be extended t hour for operational delays.<br />

(e) For assignments in paragraph (2) and (3) (a) through (d) above, the<br />

operator must relieve the crewmember from all further responsibilities between<br />

advance notice and report time.<br />

(f) Advance notice, as used in paragraphs (a) through (d) above, means<br />

the time from when a crewmember is alerted for an assignment until<br />

transportalion local in nature is available at that hotel to transport that<br />

crewmember to his place of assignment. The duty period thereby commences<br />

with hotel pick up.


Appendlr I<br />

Reference Data Furnished by the IBT<br />

1. Normal dally sleep - References vary trom 7 hours and 20 minutes to<br />

approximately 8 hours and 10 minutes.<br />

Coren, S., S/eep Thieves, (Toronto: Free Press, 1996) pp.251-253<br />

(7 to I hours and 10 minutes.)<br />

Dinges, D. and R. Broughton, S/eep and alertness: Chronobiolqical, behavioral<br />

and múical aspects of napping, (New York: Raven Press, 1989)<br />

(Average sleep for N. American and European adults were around 7 hours and<br />

20 minutes.)<br />

Wojtczak-Jaroszowâ, J., Physiologiæl and Psychological Aspcts of Night and<br />

Shift Work, USDEW (N¡OSH) 1977<br />

('During normal night sleep, lasting about 7/a hours....")<br />

2. Napping -<br />

Op. Cit., Coren, S., pp. 222-223<br />

(Naps before and during a shift have shown "modest success.")<br />

Nicholson, A. and B. Stone, Circadian Rhythms and Disturbed Sleeo: /ts<br />

Relevance to Transport Operations. IJAS 1/3-D (Unknown publication date in<br />

approximately 1982<br />

("...naps, sleeps of 3-4 hours and very long periods of sleep are all attempts to<br />

adapt to the irregularity of duty hours and time zone changes, and to ensure<br />

adequate rest before the next duty period. lt would be reasonable to assume<br />

that the natural requirements for sleep are met in this way-even though the timing<br />

and duration of the sleep periods are radically changed.")<br />

Nicholson, 4., Sleep and Wakefulness of the Airline P/ot Stewart Memorial<br />

Lecture presented February 11, 1986 at the Royal Aeronautical Society<br />

("...with a 4 hour period of sleep during the evening, there was a sustained<br />

improvement in performance overnight' .....'...recent studies show how (naps)<br />

can improve alertness...There was a distinct improvement in their alertness<br />

during the day when a nap of t hour was taken in the morning. The effect was<br />

evident in the afternoon, as the nap seemed to encourage the rise in alertness,<br />

which normally occurs during the day. The duration of a nap may be critical if it<br />

is to be beneficial, and its effects may last for several hours.")


ARAC RESERVE DUTY WORKING GROUP INDUSTRY/IVIANAGEMENT REPORT


ARAc Rescne Dury workrng crrurp Industry/lvfanagement Repon (t/15/99)<br />

Backsround end Introduction<br />

ARAC Reserve Duty Time<br />

Working Group<br />

Industry/Ìf anagement R.eport<br />

The RD!ü/G was asked to rcport on six specific tasks ¿¡d to complete the report by<br />

December l, 1998. That daie was subs{uently extended roJ;ï¡ary rs, i*B. -<br />

scheduled, FAR Part 121 vs. 135, on-demand, supplesls¡ral, etc.). Thus, the rqslç<br />

assignment drafæd by the FAA also included-.a-próvision for the nbWC té p-"i¿"<br />

recommendations that accommodated these diffèrences in a rearcnable fashiïn.<br />

The first publi-c meeting YT hJId on Augu1 l2-l3,l9lB, an-d subsequent public meetings<br />

were held on September l-2, October I-2, October 2930, and Decemær à-5. Numeror,-.<br />

were resolved by the final public meeting.<br />

ere pres€nt at one or more meetings druing<br />

.l as the *ATA position," the proposal therein was developed by the entire RDWG<br />

r ncustry/management group.<br />

ussions,<br />

between<br />

i,Ëi*"å¿",<br />

In addition. a consensus industry/management proposal was reached for Part l2l, nonscheduled<br />

operations, which recognized that certaià types of operations could not iunction


ARAC Reserve Duty' Worbng Group Indusrry/lvlanagemenr Repon ( l/15/99)<br />

uled operations. At least scveral<br />

despiæ the lack of an overall<br />

It was also generally agreed by the industry/management group that the Part l2l, scheduled<br />

reseryc relt ProPosat should not apply !o Fhrt 135 operations for many of the same<br />

Feaso¡Ls..Tw-o proposals werc submitted for Pa¡t 135 operations, one by the Helicopter<br />

<strong>Association</strong> Inærnati_onal (Attachment 3) and onc fq Part 1.35, non-schéduled opera-tions<br />

by tbc National Air Tranportation <strong>Association</strong> and tbe National Business Aircrafì<br />

Assæiation (Anachment 4).<br />

Natiooal Business Aviation <strong>Association</strong>, and<br />

the members of these organizations.<br />

IndustrJr/-lVlsnagerrent Resgonses to SDeciñc Tssks<br />

Task 1: Review of current scientific dat¡ on the eflects of fatigue in<br />

reserve duty. Coneider conflicting opinions.<br />

The l¡¡s public meeting included an extensive disc¡rssion of the relevant scientific literai,rrc,<br />

and whether any new data pertaining to this issue h¡d emerged since the issuance of NIRM<br />

9418. It was generally agreed that there wer€ no signifrcant new scientific studies relevant<br />

to the rcsewe duty question published since that time.<br />

It was frequently pointed out by the indrstry/management group that there bave been no<br />

known accidents where the probable cause was deemed to be pilot fatigue associated with<br />

reserve duty assiguments. In the minds of many RDWG members, this was relevant to the<br />

question of whether changes to the existing rules should be a regulatory priority.<br />

Extensive discr¡ssions ensued th¡t illusuated the fact that the scientifrc literature pertaining<br />

to this issue can be inærpreted in a variety of ways. As a result, many different and<br />

sometimes inconsistent conch¡sions can be d¡awn, and thus, there a¡e no clear ansìyers<br />

from the body of scientific liæran¡re ^s to appropriaæ rcgulatory policy<br />

The RDtl/G did agree that there are two very broad scientific principles specifically rclevant<br />

to res€rye duty. Frnt, it was agred that humans generally need the oppo(uniry to acquire<br />

approximately 8 hours of sleep per V+ hour period Second, it was agreed that fatigueis<br />

more probable during the period of time encompassing approximately 02OO to 060, whicb<br />

rougbly corresponds to the low point in an "averaç" (across the population) human<br />

circadian cycle.<br />

However, it was also noted that the scientific literarure demonstrates that humans, in<br />

general and piloa in particular, arc highly variable in their slecp habits, lifestyles, and<br />

circadian cycles. This phenomenon poses significant a¡d diffic¡¡lt complications for FAA<br />

rcgulatory policy on flight and duty time. An appropriate rest opportunity (no matter how<br />

long) cannot guarantec that a particular res€rve pila will obtain appropriate sleep. In<br />

addition, because of the high degree of variability in individual sleep habits and lifestyles, it<br />

is difficult to know the natu¡e and timing of a paìticula¡ individual's circadian cycle. For<br />

example, since a large percentage of pilos commute across multiple time-zones to both<br />

2


ARAC Rescrvc Duty Workrng Group Indusrry/hlanagemenr Rcpon ( l/1999)<br />

rcs€rve and scheduled duty assignments, it is diflìcult to assess the particular timing of an<br />

individr¡al's circadian cycle vis ã vis a particular flight assignment.<br />

The rnajoriry<br />

opportunity i<br />

hours during<br />

also acknowledged that the PTP should not c<br />

the next- Consensus was rcached that this is I<br />

ranâgem€nt proposal is rb¡, at best, rcserye<br />

appropriate rest opporrunity. They cannot<br />

ryriately rested" prior to a flight assignment.<br />

rccept personal respo,nsi tility for obtaining<br />

i provided for resl<br />

m routine<br />

method is<br />

ry to<br />

In addition, it was recognized<br />

difficult, if not impossible, to<br />

and/or Part 135 operations (sc rs of<br />

crcws involved in sucå operatio_ns. Thus, an alærnative was deemed to be necessary for<br />

non-scheduled and other Part 135 operations.<br />

nce rqserves are frequently not called for<br />

fligbt assignmens<br />

operations, if at all<br />

"snowball effect,"<br />

course of a normal<br />

assiguments to utilize all available opportunities for rcst.<br />

RDWG discussioos of the scientific literatu¡e also included resea¡ch by the National<br />

Aeronautics and-Space Administratiog (l,lASA) which demonstrated rhrt gys¡ brief naps<br />

(approximately 45 minutes) can significantly enhençs alerhess and scrve as an effectivì<br />

countermeasure to faúgue. This underscores the responsibility res€rve pilos have to utilize<br />

all available r€st opportunities during RAh.<br />

Task 2: Analysis of current reserve schemes and operational situations<br />

Extensive discr¡ssions of current practices illustrated that there is a wide variety of reserve<br />

conclusion that a single rule would not be in the public intercst.<br />

It was fu¡ther demonstrated by the management group that the majorir¡- of major airlines<br />

(affecting the vast majority of U.S. professional pilots) had negotìated work-rules<br />

governing nes€rve assignments that had factored in the cha¡acterisúcs of a particular<br />

tc.


AR,{'C Rescn'e Dutv Work¡ng Group Indusrry/lvlanatemcnl Repon ( l/lS/99)<br />

grganization's.oPeration. Thus, it was asscrted that any rule change must be broad and<br />

flcxible glough to take these negotiaæd work-rules and- operationai diflercnces into account<br />

without disproportionate impact on a particula¡ ca¡rier.<br />

As a rcsult of these discussions, industry/management members proposed that the þst<br />

alter¡ative for rescrye flight and duty time rulemaking would be to ailow individual<br />

operators to develcp detai led, indi vidually-tai<br />

rcserve duty by.each<br />

Offìce. This the way<br />

specificatiou tions, trz<br />

this aPP'roach.<br />

T¡sk 3: Recommendations on stand¡rds end criteri¡<br />

Á¡f.ter several public meetings, nv9 basic schemes were proposed for providing reserve<br />

ptlgts op-portunities for rest or limi¡i¡g the duty day basà u-pon tle arnomt ofãdvance<br />

notice of-a fligþt assi8nment. Tbe first scheme involved providing a scheduled PTP for all<br />

Feserve pilots, but also allowed tbe r¡se of advance notificãtion to ãither cancel a scheduled<br />

second scheme simply limited the dury day<br />

based uPgg +l3¡1ount of advance notification. The latter is very similar to regulaûoni<br />

proposed in NPRM 9t18.<br />

Afær extensive discussions, the RDWG agreed to attempt to reach a consensus for Part<br />

121, scheduled operations on the first scheme, where most pilots would receive a PTP,<br />

with an appropriate mechanism for the urilizafe¡ of advancè nodfication in lieu of PTPs<br />

under circumsrânces associated with deviations from normal operations. The second<br />

scheme was proposed as an alter¡aúve for Part l2l, non-scheduled and part 135<br />

oPerauons.<br />

The industry/management proposal for Part l2l, scheduled operations is presented in<br />

with the amount of time devoted to PTPs, length of R.,ôrPs, and the amount of advance<br />

notification necessary to cancel tTh, modify RAPs, as well as how advance notification<br />

should aflect the amount of allowable dutv time.<br />

to complete a flight assignment safely and legr<br />

industry/management-proposal is far more restrictive with rcspect to rules governing<br />

reserve assignments than either those proposed by the FAA in NPRM 9t18 or current<br />

rules, neither of which have provisions for PTPs covering the vast majority of rcserve<br />

pilots in U.S. domestic service.


ARAC Rescn'e Duty Workrng Group lndusry/lvlanagement Repon ( l/ lt99)<br />

The fìnal labor proposal(s) included longer PTPs, longer and more extensive advance<br />

notilìcation rcquirements, shorter RAR, and restrictions on allowable duty time bas€d<br />

upon time of day. The indnstry/management RD\tt/G memþrs maintain that the benefits<br />

which might possibly be derived from the labor proposal(s)' more rcstrictive parameters are<br />

susp€ct, at best, and not supporæd either by the scientific literan¡re or by the safety rccord,<br />

in ligbt of the substantial additional burden that would bc placed up the indrxtry and the<br />

U.S. air transportation system (see task 5 below).<br />

Task 4: Recommendations on how FAA witl Eeasure compliance<br />

With regard to the industry/managemeut proposals, tåere was no disagreement within the<br />

RDWG that the FAA would be able ûo measure compliance in the same $,ay it currently<br />

assesses flight and duty time regulatory compliance. It was noted that most automated<br />

rccord keeping systems could be modihed ¡o accommodate the proposed shnnges within S<br />

to 12 montbs from the date of publication, depending upon the complexity of a new rule.<br />

Task 5: Economic Impact<br />

Industry/management represenøtives compiled the available ec-onomic data pertaining to the<br />

costs of the proposal provided in Auachment 1. It was estimated that the cost of that rule<br />

çh¡nge would be approximately $10 million in incremental costs to the major operators<br />

thet provided economic data (primarily ATA member airtines). Mæt of these costs a¡e<br />

necessitated by the requiremeut to hire additiooal Fes€rye pllots and the associaæd c.¡sts of<br />

training both the additional new pilots required and part of the exising pilot populadon<br />

because of the "upward bumping" phenomenon created by most conmct-imposed seniority<br />

systems during perids when new pilots are being hired<br />

No economic data were provided by sm¡ller Part 12l operators, hrt 135 operations, or<br />

other types of operations, but it is probable that the total cost to industry would be<br />

significantly greâter th¡n $100 million. [n addition, it was maintâined that some smaller<br />

unscheduled operators might have to ceas€ opentions under some of the labor proposals.<br />

It was also asserted that these proposals would substantially alter the nature of manl'<br />

collecti ve bargaining agreements.<br />

The RDWG was unable to perform additional detailed economic ¡nalyses comparing the<br />

va¡ious proposals. This was due to the fact tbau t) these analys€s are very complex and<br />

time-consuming,and 2) it was difhcult to ascertain how to conduct comparative analys¿5 s¡<br />

competing labor proposals, because a single labor proposal had lot emerged by the<br />

deadline associated with the final public meeting and the task assignment.<br />

However, exploratory analyses did indicate that very small increases in PTPs, advance<br />

noúfìcation requircments, and corrcsponding decrcases in RAPs (as outlined in the labor<br />

proposal closeit to the ind<br />

- in the<br />

iurñUer of reserves requir<br />

this<br />

dramatic incrcase occurs.<br />

serve<br />

positions becar.rse it and has multiple crew bases.<br />

îhese circumstance<br />

. the number of resewe<br />

positions equals the of ryat<br />

positions in each baseðaptain<br />

vs. hrst officer vs. second officer--times the number of aircrafr types operating in<br />

eaèh base). In most cases, there are only a handful of reserves in each category (often as<br />

few as I<br />

million in salarY,<br />

benefits<br />

s it initiallY hires.<br />

For this<br />

nding reductions<br />

5


AR.AC Resen e Dut¡' Workrng Group I ndustry'/N4anaSemeot Repon ( | I I fl 99)<br />

in RAh from the industryimanagement proposal would require it to add at least one<br />

res€rve ùo every category. As a rcsult, the minimum incremental cost for this single airline<br />

would be $G7 million, assuming only one reserve is necessary in each category. These<br />

incremental costs over and above the final industryimanagement proposal are expecæd to be<br />

similar for each major airline. Thus, the potential incremental costs of competing labor<br />

proposal(s) could be perhaps double (in the'best'case) or significantly more (in the<br />

"worst" case) than the cost estimates associaæd with the industry/management proposal.<br />

l{lærnatively, a carrier could choose not to saff the additional reserves that would be<br />

required to cover contingencies imposed by more stringent rcserve rest requi¡ements. Of<br />

course, this would cause significantly more fligbt cancellations than a¡e common under<br />

current rules and a resulting negative impact on the U.S. air transportâtion system.<br />

In summary, even small (1 or 2 hr.) increases in advance notification requirements, PTPs,<br />

or conesponding reductions in RAP, or duty day would cause an operator to add additional<br />

reserves in each reserve category to provide at least minimal coverage. The associaæd<br />

incremental costs would be substantial over and above the final RDWG indr¡strv/<br />

rrìanageme nt proposal.<br />

Reserve pilos, by definition, are ne,cessary because an operaûor never knows when or if<br />

they will be required. In normal operations many, if not most, res€rve pilots are never<br />

cålled for an assignment. [n short, the economic consequences of the industry/management<br />

proposal are significant, but all competing labor proposals are significantly more cosly.<br />

Thus, the argr:ably questionable benefits of any rule change must be carefully considered in<br />

ligbt of the large additional economic burden imposed upon air tansportation providers.<br />

Task 6: Assessment of record-keeping burden<br />

The RDWG was unable to ass€ss the specific additional rccord-keeping burden since a<br />

cons€nsus was not reached on a proposed rule. However, as previously reported, any rule<br />

chaage would require each operator to make changes to it's record-keeping system, which<br />

wor¡ld reslt in some incremental cost.<br />

ln addition- it is expected that FAA would need to either add additional inspectors to<br />

monitor compliance with more complex rules th¡n those prcsently in place, or alternatively,<br />

FAA would be required to reduce surveillance in other areas. The RDWG was not in a<br />

position to advise the ARAC or the FAA on this internal policy matter.<br />

H. Clayton Fqbshee<br />

ARAC RDWG Industry/Management CoChairman


N&. H. Clayton Foushee<br />

Vice President-Regulatory Affairs<br />

Northwest Airlines<br />

901 l5ô Süeet, N.W. Suite 310<br />

Washington, DC 20005<br />

Dear Clay:<br />

Dece!îber 30, 1998<br />

.ìttachrent I<br />

As co-chairman of the Aviation Rulemaking Advisory Committee (ARAC)<br />

Working Group on Pilot Reserve Rest, you are aware that the final meeting of that grouP<br />

was helã on Dècember 2, 1998. The working group was originally given a task deadline<br />

of October, but that date was extended r¡ntil December. Non¡¡ithstanding the extension<br />

and despite a good-faith effort from all xào participated, a consensus position was not<br />

reached.<br />

The ATA reserve rest proposal, discussed at length during the ARAC Worki¡'g<br />

Group meetings, effectively addresses the issue of prospective rest for pilots in reserve<br />

statu;. Attached is the final ATA proposal. which represents the collective position of ou¡<br />

member airlines. Our proposal calls for a Protected Time Period (PTP) for each reserve<br />

pilot of a minimum oleight consecutive hours. This period of pre-scheduled rest is time<br />

when a pilot is free from all duty and has no present responsibilir¡ for work. ATA<br />

operators anticipate that the majoriry of reserve pilots will fall into this category.<br />

By definition, reserve pilots a¡e needed to protect schedule integrity when<br />

unpredictable events occr¡¡. To account for these inegularities, ATA oPerators require<br />

greater flexibiliry than is afforded by simply scheduling reserve pilots with protected rest<br />

periods. Therefore, a system is needed that provides both the flexibility necessary to<br />

maintain a reliable operation that meets consumer needs, and that also provides reserve<br />

pilots an oppornrnity for rest.<br />

FAA inrerpretations have consistently stated that if the time between notification<br />

for a flight assignment and reporting for duty were of sufficient length to meet existing<br />

rest requirements, then that period would qualify as an opportunitv for rest. The ATA<br />

Ai¡ Ïr¡mporl Associ¡lior¡ of Amcric¡<br />

I l0l Pennsrlv¡nr¿ Ave.. Nw - 5U'te I l0O W.rshrnglon, DC 20OOJ-.l707<br />

(lcr 6¿6-.¡000


proposal includes a provision that provides the pilot u'ith a minimum ten-hou¡'adva.nce<br />

notification. Once notified, the pilot would be free from reserve status and all<br />

responsibility for work. Notification under the advance notice concept would permit the<br />

pilot to be utilized for any legal flight assignment becar¡se the pilot has an opportuniqv for<br />

full rest prior to reporting for the assignment.<br />

It is worth noting that the advance notice proposal is not without additional<br />

complexity or cost. As stated earlier, ou¡ members have indicated that that most reserve<br />

pilots will be provided with pre-scheduled or protected rest periods (PTP). A review of<br />

historical reserve utilization app€ars to support this hypothesis.<br />

In order to provide a limit to the time, in which a pilot may be utilized in a<br />

specific reserve or duty assignment, a concept called Reserve Availability Period (RAP)<br />

is included in the ATA proposal. This limits the pilot's assîgnment to nineteen hours<br />

from the end of the previous protected rest period.<br />

Note: The 19 hour proposed møimum Reserve Availability Period (MP) is<br />

consistent with the l6 hour period beween consectttive Protected Time Periods<br />

efP) plus the ability to reschedule the subsequenl PTP by 3 hours. Any<br />

maximum PAP of less than 19 hours cannot be justífied and will have<br />

considerable economic impact on operators.<br />

In summary, the ATA Reserve Rest proposal satisfies the ARAC task assignment<br />

as it appeared in the July 9, Federal Register. Reserve pilots are provided with an<br />

oppornrnity for prospective rest that is not available to them under the cu¡rent rule. This<br />

proposal also provides a solution to reserve rest that is consistent with a long list of FAA<br />

interpretations. In developing this proposal. ATA member ai¡lines considered many<br />

'factors including safety, effectiveness. flexibility, cost, administation, compliance and<br />

FAA enforcement.<br />

Encl.<br />

ftr,<br />

Sincerely,<br />

.,.'>)= t/<br />

/ .'f 7'É-


ARAC Reserve Duty and Rest Requirements Working Group<br />

DEFINITIONS<br />

The following definitions îo¡ ¡æt and duty apply to Subparts Q, & and S and are identical to existinq<br />

deflrnitions in Subpart P.<br />

Duty Period - The period of elapsed time between reporting for an assignment involving<br />

flight time and release from that assignment by the certificate holder conducting<br />

domestic, flag or supplemental operations. The time is calculated using either<br />

Coordinated Universal Time or local time to reflect the total elapsed time.<br />

Protected Time Period (PTP) - A period of time during a reserve assigrrment that<br />

provides a flight crewmember with an opportunity to rest. A certificate holder may nor<br />

contact a flight crewmember during his or her PTP, and a crewmember may not have<br />

responsibility for work during hisåer PTP.<br />

Reserrye Availability Period (RAP) - The period of time from the end of one protected<br />

time period to the time that the reserve flight crewmember must complete resen¡e or<br />

flight dutv and sta¡t hiVtrer next PTP.<br />

Reserve Flight Crewmember - A flight crewmember that does not have a flight duty<br />

assignment and has a present responsibiliry for flight duty if c¡úl:d, but who is nct on<br />

standby dury<br />

Rest Period - The period free of all restraint or duty for a certificate holder conducting<br />

domestic, flag or supplemental operations and free of all respc.sibility for work or duÇ<br />

should the occasion arise.<br />

Standby Duty - A period of time when a flight crewmember is required to report for a<br />

flight assignment in less than I hou¡ from the time of notification. It also includes time<br />

when a flight crewmember is required to report to and remain at a specific facility (e.g.<br />

airport, crew lounge) designated by the certificate holder. Standby dury is considered<br />

part of a duty period. Standby dury ends when the flight crewmember is relieved from<br />

dury associated with an actual flight, or is otherwise relieved from duty.


Rest Period:<br />

ARAC Reserve Duty and Rest Requirements Working Group<br />

RESER\¡E REST PROPOSAL<br />

PART I21, SCIÍÐ(ILEÐ<br />

Each flight crewmember assigned to reserve duty will be provided with a scheduled rest<br />

period of at least eight consecutive hor¡¡s during each reserve day, free of all duty with the<br />

carrier, so that the flight crewmember will have an oppornrniqv to resr.<br />

o The ca¡rier may reschedule the rest period by as much as th¡ee hor¡rs ea¡lier or later<br />

than the beginning time of the preceding rest period provided that notice is given<br />

prior to commencement of the next scheduled rest period.<br />

o The carrier may rcschedt¡Ie the rest period with at least ten hours advance notice prior<br />

to the commencement of the ne:ct scheduled rest period.<br />

Advance Notice:<br />

Advance notice to a reserve flight creçmember of a flight assignment by the air carrier<br />

provides the flight crewmember an opportunity for rest.<br />

. If the resçrve flight crcwmember is provided with l0 or more hours advance notice,<br />

that flight crewmember may be assigned any legal flight assignment.<br />

. Contact may not be made with the reserve flight crewmember during a scheduled rest<br />

period for the purpose of providing advance notice.<br />

Reserve Availabilitv Period :<br />

The Reserve Availability Period is the period of time from the end of the rest period to<br />

thè time that the reserye flight crewmember must complete reserve or flight duty.<br />

The reserve flight crewmembe/s reserve availability period may not exceed l9 horus<br />

except as permined below. Actual flight dury time may be extended an additional two<br />

hou¡s for reasons beyond the control of the air carrier such as weather, ATC, or<br />

mechanical delays. With advance notice of less than ten hou¡s. the reserve availabiliry<br />

period may be adjusted as t'ollows, allo'*'ing for an opportunity for rest in preparation for<br />

the assignment:<br />

. If at least 8 hor.rs notice is given, the scheduled reserve availabiliry period may not<br />

exceed 24 hours, except that the actual reserve availability period may be extended an<br />

additional 2 hours due to operational circumstances beyond the control of the<br />

oPerator.


' [f at least 6 hor¡¡s notice is given, the scheduled reserve availabiliry period may nor<br />

exceed 22 horus, except that the acrual reserve availabiliqv period may be extended an<br />

additional 2 horus due to operational circumstances beyond the control of the<br />

opeËtor.<br />

o If at least 4 hor¡rs notice is given, the scheduled reserve availability period may not<br />

exceed 20 hours, except that the actr.¡al reserve availability period may be extended a¡r<br />

additional 2 hor¡rs due to operational circumstances beyond the control of the<br />

operator.<br />

The above reserve Availability Rules apply to international flights except where the<br />

reserve flight crewmember is assigned to an augmented crew, in which case, the flight<br />

and duty time rules of $121.a83 and $121.485 apply forthe enti¡e flight duty assignment.<br />

ttt


Attachment 2<br />

Alternative Reserve Duty and Rest proposat<br />

for Non-Scheduled Operations<br />

(a) A certificate holder may apply the following reserve scheme for nonscheduled<br />

operations in lieu of the protected time reserve scheduling<br />

requirements for domestic or flag operations..<br />

(b) Each flight crewmember must be given a 1O-hour rest per¡od before any<br />

reserve time assignment.<br />

(c) lf the reserve f light crewmember is provided with 10 or more hours<br />

advance notice, that flight crewmember may be assigned any legal flight<br />

assignment.<br />

(d) The certificate holder may provide advance notice of<br />

duty involving flight and provide an additional time of not<br />

to report with the following limitations.<br />

an assignment to<br />

less than one hour<br />

(1) lf at least I hours advance notice is given, the scheduled duty<br />

period is limited to 12 hours, but may be extended to 14 hours for<br />

operational delays.<br />

(21 lt at least 6 hours notice is given, the scheduled duty period is<br />

limited to 1o hours, but may be extended to 1 2 tor operational delays.<br />

(3) lf at least 4 hours notice is given, the scheduled duty period is<br />

limited to 8 hours, bút may be extended to'10 for operational delays.<br />

(41 lf less than 4 hours notice is given, the scheduled duty period is<br />

limited to 7 hours, but may be extended to 8 for operational delays.<br />

(e) The certificate holder must relieve the crewmember from all further<br />

responsibilities between advance notice and report time. tEndl


1635 Prrnce Streel Alexandrra Vrrqrnta 22314-2818<br />

January 14, 1999<br />

Dr. H. Clayton Foushee<br />

Vice President-Regulatory Affairs<br />

Northwest Airlines<br />

901 l5'Street. NW. Suite 310<br />

Washineton. DC 20005<br />

Re: ARAC Flighr Crev' Reserve Time Working Group:<br />

HAI Proposalfor a Rule Applicable to Pan 135 On-Demand Air Charter<br />

Dear Clay:<br />

]ri:chm¡f ?<br />

Telephone. (703 I 6E3-4646 Fax (703) 683-4745<br />

On August 5. 1998. F.\A invited Helicopter <strong>Association</strong> lnternational (HAI) to serve on a working group of the<br />

Aviation Rulemaking Advisory Committee (ARAC) to consider flight crew resen'e time requiremenrs. H,\I<br />

herewith tenders its proposal for the structure and content of a Flight Crew Reserve Time regulation applicable<br />

to on-demand air chaner operations conducted under 14 CFR Part 135.<br />

HAI's proposal reflects many hours of thou-eht. discussion and negotiation focused on optimizing flight safery.<br />

flight crew lifesty'le concerns and operational flexibility in the context of the unique demands of Part 135 air<br />

charter operations. .\s y'ou k¡ow'. HAI fulll supports the proposal for scheduled domestic operarions conducted<br />

under l-l CFR Part lll described elsewhere in your repon. FIAI believes that proposal is an appropriare<br />

balancingofconcernsinPartl2ldomesticscheduledaircarrieroperations. Hou'ever.HAlalsobelievesrhar<br />

the proposed Pan Ill solution will not work in the Part 135 context. in particular because the advance norice<br />

provlsions of the Pan l2l proposal are inconsistent with the ondemand nature of part 135 air charter<br />

operatlons.<br />

HAI also suppons ¡he substance of the "Special Provisions for Air Ambulance Operations" proposed by the<br />

National Air Transponarion <strong>Association</strong> (NATA) and National Business Aviaúon <strong>Association</strong> (NBAA).<br />

However. we beliere that the approach outlined there is appropriate for allpan 135 on-dèmand air charter<br />

oPeratlons.<br />

Finally. HAI thanks;-ou and Dr. Don Hudson for your very capable, even-handed. and very patient leadership<br />

of the Working Group. Your efforts as co-chairs have been greatly appreciated.<br />

Sincerely,l<br />

President<br />

Oe'7,cated to the advancement of lhe ctvtl heltc-^cler tnd-slry


ARAC Flight Crew Reserve Time Workin_s Group<br />

FIAI Proposal for a Rule Applicable to Part 135 on-Demand Air charter<br />

HAI proposes a rule on Part 135 Flight Crew Reserve Time srrucrured in three parts:<br />

l. Scheduled Reserve<br />

Under 14 CFR pan 135, an on-demand air charter operator may assign a pilot to<br />

"scheduled reserve."<br />

. No period of scheduled reserve may exceed 14 hours in any 24 hour period.<br />

o Each period of scheduled reserve must be preceded by a "protecred time<br />

period" of at least l0 consecutive hours in length.<br />

o No combination of "scheduled reserve" and assigned duty may exceed 20<br />

consecutive hours.<br />

o Under "scheduled reserve," the pilot's duty period begins when the pilot<br />

receives a call from the operator to report for work.<br />

2. Extended Reserve<br />

,{n operator may assign a qualifying pilot to a penod of "exrended reserve."<br />

Under exrended reserve. a pilot mav be assisned to hold herself:<br />

o Able to be contacted bv the ooerator:<br />

r Remain fit to fly (to the extent that this is within the control of the pilot): and<br />

o Remain within a reasonable response time of the alrc¡aft.<br />

all without triggering the start of any period of "duty" under the Parr 135 flight<br />

cre\,\' dutv time regulations.<br />

a. Dutv under Extended Reserve<br />

. Under "extended reserve," the pilot's duty period begins when the pilot<br />

receives a call from the operator to report for work.<br />

o When a pilot completes a period of duty under extended reserl'e, that pilot<br />

shall enter a protected time period of at least l0 consecutive hours before next<br />

being available for contact by the'operator.


ARAC Flight Crew Reserve Time Working Group OIlL3tgg<br />

HAI Prcìposal for a Rule Applicable ro Pan 135 On-Demand Air Chaner paee l<br />

b. Limitation on Extended Reserve<br />

. Assignment to extended reserve may not exceed l5 consecutive days.<br />

o If assignment to extended reserve is for a perid of not more than six<br />

consecutive days, the flight crew member shall enter a protected time penod<br />

of at least 24 consecutive hours before next being available for contacr by the<br />

operator.<br />

o If assignment to extended reserve is for a perid of more than six consecutive<br />

days, one additional period of 24 consecutive hours shall be added ro rhe<br />

protected time period for each 3 days, or any porrion of three days, of<br />

extended reserve assignment over six davs.<br />

3. Operational Delay<br />

o The limitations stated in paragraphs I and 2 above may be extended by a<br />

maximum of 2 houn to meet operational delavs.<br />

o The limitations stated in paragraphs I and 2 above may be extended by air<br />

medical service op€rators as reasonable and necessar_v to complete a medical<br />

transport oPeratlon.


NATIONAL AIR<br />

TRANSPORTATION<br />

ASSOCIATION<br />

Mr. H. Clayton Foushee<br />

Vice President, Regulatory Affairs<br />

Northu'est Airlines<br />

901 15'Street, NtvIy'<br />

Suite 310<br />

Washingron, DC 20005<br />

Dea¡ Clav,<br />

Janua¡y 15. 1999<br />

At-sachr€nt -;<br />

4226 < ^3 Sîree'<br />

Alexondrio, Virgrnro 22302<br />

(703) 845-9000 FAX (703) 845-8r7ó<br />

Enclosed, you will find the National Air Transportation <strong>Association</strong> (NATA)<br />

and Na¡onal Business Aviation <strong>Association</strong> (NBAA) proposal for the Aviation<br />

Rulemakjng Advisory Committee Reserve Duty/Rest Working Group.<br />

This concept paper reflects the issues unique to the on-demand air charter<br />

industrl. and explains the operator and pilot relationship where reserve concepts are<br />

concerned. While the proposal articulates the manner in which both NATA and<br />

ì\BA.'\ believe reserve-related issues for Part 135 unscheduled operators should be<br />

handlec- this proposal should not be vie*'ed as suggested regulatory language. Please<br />

for'*'a¡i this proposal to the ARAC Executive Committee for <strong>submission</strong> to the<br />

Federaì -\viation Administration.<br />

Thank you for all your hard work as we addressed this complex issue.<br />

Enclosu¡e<br />

cc: Phil Harte¡. The Mediation Consortium<br />

SERVING AVIATIC.. SEIIVICE COMPANIES<br />

t"¿"&L<br />

Sincerely,<br />

An&o¡á. Cebula<br />

Vice P¡esident


January 15, 1999<br />

NIIrOXI¡, ATR TRANSPORTATIOT{ ASSOCIATIOT<br />

&<br />

N¡,noxlr Busnvnss AvIATToN AssocIATIo\<br />

Pnoposg Fon Rrsnnvs-RElArno Isstns Ix FAR P.rnr 135<br />

Uxscmolrr-ED Opnn lrons<br />

THE concept:<br />

Under FAR Part 135, a flight crewmember's reserve issues consist of:<br />

l. Rest<br />

o required rest þer current regulations)<br />

2. Opporunity Time<br />

. can be contacted for a possible duty assignment<br />

3. Dury<br />

' flYrng time<br />

o time required to prepare/conclude a flight<br />

4. Standby<br />

o time required to wait for dury assignments<br />

The purpose of this proposal is to define the elements of 'Standby' and 'Oppornrnity<br />

Time.' This clarification will provide the Part 135 certificate holde¡ with the versatility<br />

to comply with the on-demand nature of unscheduled FAR Part 135 operations by having<br />

a pool of crewmembers who are on their or*n time, and free of all present duties of a<br />

certificate holder, unless the crewmember is contacted and the crer+member accepts a<br />

dury assignment. At the same time, this clarifies the crewmember's responsibilities to the<br />

Part 135 certificate holder and ensu¡es adequate rest and fitness for dutl' assignments.<br />

OPPORTUNITY STANDBY<br />

TIME<br />

DUTY<br />

\[hat was the<br />

Previous Rest? l0 consecutive hou¡s l0 consecutive hou¡s l0 consecunve hou¡s<br />

after a dury assignmeur after a dury assignmeut after a duty assignment<br />

Is this Rest?<br />

is this Duty?<br />

Can the Certiñcate<br />

Holder Contact<br />

Crewmember?<br />

Is This Part of l4HR no<br />

Duty Period?+<br />

yes yes<br />

yes yes nJa<br />

yes yes<br />

*Sp¡crnL PRovlstoNs APPLY Fon Arn ArvrguleNcE FLIcHT Op¡n¡loNs,<br />

SEE PAGE 3


January 15, 1999<br />

Pnrlrous REsr<br />

Following a duty assignment, the crewmember must have received at least l0<br />

consecutive hours of Rest before assignment to 'Opportuniry,' 'Standby,' or 'Duty' can<br />

occur.<br />

REsr oR DurY?<br />

Opportunity Time: Opporruniry time is not to be considered a duty assignment and<br />

does not fall under the duty time limitations. However, Opporunity Time is not Rest as<br />

defined by the regulations. It is an assignment unique to Part 135 unscheduled operators.<br />

When in Opportunity Time, the crewmember has no specific duties to the certificate<br />

holder until a duty assignment is accepted. Example of Opporrunity Time: The<br />

certificate holder has no current duty or Standby assignment for the crewmember;<br />

however, should one arise, the certificate holder can contact the crewmember to<br />

determine if the crewmember can report for that duty.<br />

Standby: Standby is considered a dufy assignment. Upon being assigned to Standby,<br />

the l4-hour duty clock begins. Thrs duty period ends when the crewmember is released<br />

b-v- the certificate holder or the 14-hou¡ duty period expires, whichever occurs first.<br />

Example of a Standby assignment: Crewmember is directed to wait at the airport for<br />

contact for a dury assignment and must report to that assi_mment within a reasonable time<br />

penod.<br />

Dutl': Dury is the time a certificate holder has assigned a creumember to specific duties<br />

and responsibilities. Dury time begins when a crewmember reports and ends when<br />

released or the duty period expires. Examples of dury are: flying, pre-flight and postflight<br />

activities, training for the certificate holder.<br />

OgUcaTIoN To REPoRT<br />

Opportunity Time: Druing Oppornmiry Time, the flight crer¡member has no specific<br />

duties to the certificate holder; however, the certificate holder can contact the flight<br />

crewmember for a duly assignment should one arise. There is a responsibility on the<br />

crewmember to be fit for a duty assignment unless the fli*eht crewmember is not capable<br />

of accepting a dury assignment based on an inability to meet the following, for example:<br />

¡ Adequately rested for the planned dufy ¿tsslgnment,<br />

o No immediate physical impediments that would affect abiliry to perform the dury<br />

assignment, i.e., sprained ankle or broken arm, etc.,<br />

o Not being detrimentally affected by a major life stress, i.e. death in the family, or<br />

divorce, etc., that would affect abiliry to perform the duty assignment, and<br />

. Ability to report for duty within a reasonable ¿rmount of time as defined by the<br />

certifrcate holder.<br />

Standby: The duty period begins when Standby is assigned. A crewmember in Standby<br />

must be able to complete any duty assignment within the original duty period.<br />

Dut-v: Reporting is not applicable as the crewmember is presently on duty.


January 15, 1999<br />

Penr oF DurY Pnn¡oo?<br />

Opportunitv Time: Oppornrniry Time is not considered part of the duty period,and,<br />

therefore, does not count against the l4-hour dury clock.<br />

Standby: This assignment is part of duty and can only'continue for the duration of the<br />

normal duty period.<br />

Sppcmr PnolrsroNs FoR Arn A¡vtsuLANcE Opnn¡noxs<br />

To accommodate the unique and critical flight operations conducted by Air Ambulance<br />

operators, these Part 135 on-demand air cha¡ter operators could operate under the<br />

following standby provisions without triggering duty time:<br />

. an operator may contact the pilot for a duty assignment<br />

o the pilot may be expected to remain fit for flight (to the extent that this is<br />

within the control of the pilot)<br />

o the pilot may be expected to remain within a reasonable response time to the<br />

aircraft<br />

o when operating under these provisions a dury period begins when the pilot is<br />

contacted and accepts an assignment<br />

Such operations would be subject to the following constraints:<br />

. following completion of a duty assigned during a period of extended reserve.<br />

the pilot will be provided at least l0 consecutive hou¡s of rest before next<br />

being available for contact by the operator<br />

. assignment to extended standby can consist of up to six consecutive days<br />

which shall be followed by a period of at least 24 hours of consecutive rest<br />

before next being available for contact by the operator<br />

. ExtensionProvisions:<br />

The six-day period may be extended by the operator under the following<br />

conditions:<br />

t. Th¡ee additional days of extended standby may be assigned.with the<br />

addition of another 24-hour period of rest.<br />

2. The ma,ximum amount of extended standby will be l5 days followed by a<br />

mandatory 4 days of consecutive rest during which the operator may not<br />

contact the pilot.<br />

¡ The duty period may be extended by Air Ambulance operators as reasonable<br />

and necessary to complete a medical hansport operation.


t4910-131<br />

DEPARÍÌ{ENT OF TRAI{SPORTATION<br />

Federal Aviation Adninistration<br />

FJ.ight Crervmenber F1íght Time Linitations and Rest<br />

Requirements<br />

AGENCY: I'ederal Aviation Administration, DOT.<br />

ACTION: Notlce.<br />

SITMMARY: This notice announces to the public the Federal-<br />

Aviation Administration's intent to rigorously enforce the<br />

r rarrrl uv ufu al i ons cônr:erni no F'l i oht- time limitations and rest<br />

! rêr^rriremenls- v\auf ! Thcsc reollations have been under review for<br />

Some time, and the FAA has stated with respect to reserve<br />

time assignments that if new rules \^/ere not adopted' the FAA<br />

intended to enSure that the current rules, âS interpreted'<br />

:ra kraina ¡nrror-t'l rz imnlcmented. No new rufes with regard<br />

oIç vçfrrY 9vrrvuurJ<br />

to feserve time have been adopted. Therefore, the FAA ís<br />

ro ì1_ar:l- i nrr jf - Innaorrnrlì ¡n inlornrcl-aliOn Of itS<br />

-Lò -L\r1I9ÒLArrufll\j Lrruç!yrçLuu<br />

regulations on this issue and is giving affected certificate<br />

holders and fÌiqht crewmembers notice of its intent to<br />

enforce its rules in accordance with this interpretation.<br />

This notice is beinq given so that those affected witl have<br />

ãñ nnnart rrn'i 1_r¡ l_n ror¡i ow l_ þai r nr:,^l i r-oq and i f nor-o5SAfyt<br />

dI.L UpPUr LL.,ll.l-L Ly LU rE v fUvv Llrçrr y Lqv sfrvt<br />

come into fuft regulatory compliance.<br />

DATES: This notice is effective on June 15, 7999-


FOR ET'RTHER INFORMATION CONTACT:<br />

Atberta Brown, Aír Transportation Division' AFS-200,<br />

B O O Independence Avenue , SVü. , Vüashington, DC 2059I ,<br />

Telephone (2A2J 267-832I.


Admlnístrator finds necesSary for safety in air Commerce and<br />

national security." 49 U.S.C. S 4410I (a) (5).<br />

The current rules specify flight time limitations and<br />

rest requirements for aír carriers certificated to operate<br />

under part I2L (domestic: subpart Q; flag: subpart R; and<br />

supplemental: subpart s) and part 135 (subpart F). The FAA<br />

has consistentlv interpreted the term rest to mean that a<br />

flight crewmemb'er is free from actual work for the air<br />

carríer or from the present responsibLliLy for work should<br />

the occasion aríse. Thus, the FAA previously has determined<br />

that a flight crewmember on reserve hras not at rest if the<br />

f I i oh1_ .rcu¡merhnr l-,rÄ 1 ñrôqênl II resnonsi biÌitV for work in<br />

L\-,1 11L U!çvvrLLUrlLUUI tlÕLt A yrçÐçr1u rçJI/vrru L<br />

that the flight crewmember had to be availabfe for the<br />

carrier to notify of a flight assignment-<br />

The FAA| s current rules at L4 cFR S I2L.4'7I set forth<br />

flight time timitations and rest requirements for domestic<br />

operations. Subsections (b) and (c) of this section have<br />

^^ñ^r¡r_nr.l ñ,rñôrôlls inlernref :l'inn rorrrrasfg ffOm indUStfy.<br />

9U.LI.EId.LUU ItUILLE!VUO f¡iLç!yrvLqufvir<br />

These sections províde that:<br />

section 72L.477 FLiqht time limitations and test requirements:<br />

AJJ fTight crewmembers.<br />

(b) Except as provided in paragraph (c) of this section, no<br />

certif icate hol der conductirlgJþnLestic operations may scheduJe<br />

flight crewmember and no flight crewmember may accept an<br />

.-ôi ã^m^nf far f l iahf f jme r-lüy j ¡a fho ?4 aançar-tttiVe hOUf S<br />

d.Þö t gtttIICttL LvL t!!9!t L L Lfr.u vuLJtt9


precedinq the scheduJed compfetion<br />

scheduled rest period during that<br />

foJJowing:<br />

(1) 9 consecutive hours<br />

sr-herlttl erl fl ioht tjne.<br />

(2) 70 consecutive hours<br />

hours of scheduJed flight<br />

(3) 77 consecutive hours<br />

schedufed flight time.<br />

wL atty LttvrtL<br />

24 hours of at<br />

aanmanf ¡^¡i f hnttf<br />

feast the<br />

of rest for -less than B hours of<br />

of rest for B or more but fess than 9<br />

time.<br />

of rest for 9 or more hours of<br />

(c) A certlficate hoLder may schedufe a flight crewmember for<br />

less than t.he rest required 1n paragraph (b) of this section or<br />

may reduce a schedul-ed rest under the foffowing conditions:<br />

(1) A rest required under paragraph (b) (1) of this section may be<br />

scheduLed for or reduced to a minimum of B hours if the fllght<br />

crewmember is given a rest period of at feast 70 hours that<br />

must begln no later than 24 houts after the commencement of<br />

the reduced rest period.<br />

(2) A rest required under paragrdph (b) (2) of this section may be<br />

schedufed for or reduced to a minimum of B hours if the fJiqht<br />

crewmember 1s qiven a rest perlod of at Least 77 hours that<br />

must begin no fater than 24 hours after the commencement of<br />

the reduced rest period.<br />

(3) A rest required under paragraph (b) (3) of this section may be<br />

schedufed for or reduced to a minimum of t hours if the fJight<br />

crewmember is given a rest petiod of at Least 72 hours that<br />

must begin no later than 24 hours after the commencement of<br />

the reduced rest period.


similar language is contained in Sections I35.265 (b) and<br />

(c). Also note the "l-ook back" requirement in Section<br />

r35.267 (d) .<br />

The EAA has consistently interpreted Section L2I.471(b)<br />

and the correspondinq Section I35.265(b) to mean that the<br />

certificate holder and the flight crewmember must be able to<br />

look back over the 24 consecutive hours preceding the<br />

scheduled completion of the flight segment and find the<br />

required scheduled rest period. This interpretation of rest<br />

also has been applied to pilots On "reserve time." Reserve<br />

time wh1le not defined in 14 CFR 1s general-Iy understood to<br />

be a period of time when a ffight crewmember is not on duty<br />

but must b'e available to report upon notice for a duty<br />

period. Thus, a flight crewmember on reserve could not take<br />

- €l -i<br />

d I-LIL¡llL ^Lr- crD>JVIIItLvllLt --oi ¡¡1¡p¡1_ _ ancl arru the ur CertifiCate hOlder COufd nOt<br />

schedule that crewmember for a flight assignment, unless the<br />

flight crewmember had a scheduled rest period such that at<br />

the end of the fliqht segment one could fook back 24 hours<br />

and find the required amount of rest.<br />

Compliance and Enforce¡nent PIan<br />

Flight crewmembers and their unions have raised<br />

Concerns that scheduling procesSeS used by Some certificate<br />

holders may not ensure compliance wíth flight time<br />

restrictions and rest requirements when a ftight crewmember


and expects to deal stringently with any vioÌations<br />

discovered.<br />

Issued in Washington, DC on June 10, 1999<br />

/s/<br />

L. Nicholas LaceY<br />

Director, Ftight Standards Service


Rest Period:<br />

ATA Proposed Reserve Rest Regulation<br />

Each flight crewmember member assig uty will be provided with a<br />

scheduled rest period ¡eriod of at lea tive hours during each reserve day,<br />

frge_of all ith the carrier ght crewmember will have an<br />

. The carrier may reschedule the rest period by as much as three hours earlier<br />

or later than the beginning time of the preceding rest period provided that<br />

of the next scheduled rest period.<br />

riod with at least ten hours advance<br />

e next scheduled rest period.<br />

Advance Notice:<br />

Advance notice to a reserve flight crewmember of a flight duty assignment by the<br />

air carrier provides the flight crewmember an opportunity for rest.<br />

. lf the reserve flight crewmember is provid eawitdto g) ror" hours of advance<br />

notice, that flight crewmember may be assigneffi legal flight assignment.<br />

o Contact may not be made with the reserve flight crewmember during a<br />

scheduled rest period for the purpose of providing advance notice.<br />

Reserve Availability Period:<br />

The Reserve Availability Period is the period of time from the end of the rest<br />

period to the time that the reserve flight crewmember must complete reserve or<br />

flight duty.<br />

*<br />

The reserve flight crewmember's reserve availability period may not )' '<br />

hours except as permitted below. Actual flight duty time may be extended "x"""(19 a\h- .''<br />

additional two hours for reasons beyond the control of the air carrier such as<br />

weather, ATC, or mechanical delays. With advance notice of less than ten hours,<br />

the reserve availability period may be extended as follows:<br />

\ Advance Notice Reserve Availability period<br />

.) 4 - 5:59 hours 20 hours scheduled + 2 in actual operation<br />

'\ 6 - 7:59 hours 22 hours scheduled + 2 in actual oþeration<br />

I I - 9:59 hours 24 hours scheduled + 2in actual operation<br />

RAP applies to the first duty period of a flight assignment. Subsequent duty<br />

periods of the flight assignment are subject to FAR 121 Subpart Q, R or S, flight<br />

duty time rules, as applicable.<br />

lnternational Flight Crews:<br />

The above RAP rules apply to internationalflights except where the reserve flight<br />

crewmember is assigned to an augmented crew under Subpart R or S in which<br />

case the flight and duty time rules of those Subparts apply for the entire flight duty<br />

assignment.<br />

12t02t98


NATIONAL AIR CARRIER ASSOCIATION<br />

RESERVE DUTY AND REST POSITION<br />

Reserve Duty and Rest Working Group Meeting<br />

September 2, 1998<br />

The following is proposed as an amendment to FAR Part 121 to establish a formal<br />

reserve duty and rest regime for domestic, flag and supplemental operations.<br />

121.xxx. Reserve Duty and Rest. Certificate holders may schedule flight<br />

crewmembers for reserve assignments us¡ng one of the following methods after<br />

providing the crewmember with a 12-hour notice of the particular reserve option that<br />

is being applied. Reserve options may not be changed without an intervening 12 hour<br />

rest.<br />

(a) The certificate holder shall provide the flight crewmember with a scheduled<br />

rest period of not less than I hours within each 24 hour period of reserve; or<br />

(b) The certificate holder may provide advance notice of an assignment to duty<br />

involving flight and provide an additional time of not less than one hour to report with<br />

the following limitations. The certificate holder must relieve the crewmember from all<br />

further responsibilities between advance notification and report time.<br />

(1) lf the flight crewmember receives at least I hours advance notice, the<br />

flight and duty limitations set forth in this Subpart apply.<br />

(3) Less than I hours but more than 6 hours advance not¡ce, the<br />

scheduled duty period is limited to 12 hours, but may be extended to 14 hours for<br />

operational delays.<br />

(4) Less than 6 hours but more than 4 hours notice, the scheduled duty<br />

period is limited to 10 hours, but may be extended to 12 hours for operational delays.<br />

( 9t t"""than 4 hours, the scheduled duty period is limited to I hours, but<br />

may be exteirded to 10 hours for operational delays; or<br />

(c ) Where the operator is unable to provide a flight crewmember with one of the<br />

rest or notification periods described in (a) or (b) above, the crewmember is limited to<br />

no more than 72 hours in reserve status without a planned rest period of at least 24<br />

consecutive hours. lf the crewmember is assigned duty involving flight, the subsequent<br />

minimum rest period of this Subpart shall be increased by at least one-half the length<br />

of the preceding flight duty period.


i<br />

I<br />

t-.<br />

:.-::l<br />

'!i¡9<br />

';:r<br />

Mr. Donald E. Hudson<br />

Avjation -Medical Advisory Gro up<br />

14707 East 2nd Avenue<br />

Suite 200<br />

Aurora, CO 80011<br />

20005<br />

Gentlemen:<br />

January 6, 1999<br />

Mr. Clay Fourshee<br />

Northwest Airlines<br />

901 15th Street, NW<br />

Suite 310<br />

Washington, DC<br />

The undersigned (FPA, IACP, lPA, SWAPA, and IBT representing approximately 20,000<br />

crewmembers) concur with the basic document submitted by the entire labor group concerning<br />

the issue of Reserve and Reserve Rest. This submissíon is supplementary to that document<br />

and it addresses additional methodology applicable to the Part 135 and non-scheduled<br />

carriers (non-scheduled as used herein applies to carriers currently operating under pari 121,<br />

Subpart S (supplemental rules) excluding such carriers as FEDEX, UPS, etc. that may operate<br />

under supplemental rules, but do so with a known published operating schedule).<br />

It is recommended that the basic labor document, addressing a Protected Time period (pTp)<br />

and Reserve Availability Period (RAP) methodology, apply to all carriers, i.e., scheduled,<br />

non-scheduled (as herein defined), and Part 135. Additionally, it is recommended that<br />

non-scheduled and Part 135 carriers be provided an alternative method for reserve<br />

assignments where it can be validated that the PTP-RAP methodology cannot be applied. An<br />

example requiring this alternative means would be an aircraft with one crew at a station with a<br />

prospective duty to operatê the aírcraft at an undetermined time.<br />

The underlying ratÍonale of the Flíght and Duty Time ARAC workíng groups over the past<br />

seven years has been to ensure that crews are provided a reasonable sleep opportunity. The<br />

most effective means of rest is to provide a sleep opportunity at the same time each night.<br />

Recognizing that this is not always possible in the air transport industry, the PTP-MP<br />

methodology and a reduced duty time, based on predetermined notice periods, represent two<br />

means of satisfying the underlying rationale of ensuring a reasonable sleep opportunity.<br />

Thís alternative methodology greatly reduces the economic impact of regulatory reform on the<br />

non-scheduled industry. We belíeve that this <strong>submission</strong> should be helpful to the FAA in<br />

formulating a new rule that balances safety, economics, and the public interest. We are<br />

pleased that the FAA has addressed this issue and we are supportive of constructive change<br />

arising from the effort put forth by the respectiVe groups and the Agency.<br />

Dave Wells //s<br />

FPA, CAPA<br />

D.R. Treíchler<br />

IBT, CAP,<br />

Don Kingery lls<br />

IACP (non-CAPA)<br />

Lauri Esposito /is<br />

IPA, CAPA<br />

Bob Landa //s<br />

SWAPA, CAPA


PROPOSED REGU LATORY LANGUAGE<br />

l2l.xxxqlternative Means of Obtainíng Reserve Rest for Non-scheduled Operators (without a<br />

known schedule) and Part 135 Operators (separate subpart)<br />

ta) -Non-scheduled operators and Part 135 operators may schedule a flight crewmember<br />

and that flight crewmember may accept a reserye assignment as follows:<br />

(1) The operatorfirst must assign a PTP period, discussed elsewhere in this rule,<br />

provided the flight assignment has a known departure tíme (schedule), and the operator may<br />

then schedule and a crewmember may accept any assignment provided elsewhere in this rule<br />

excluding (2) and (3) below;<br />

(2) lf unable to comply with (1) above, and an advance notice before departure of<br />

not less than 14 hours is provided the crewmember, an operator may schedule and a<br />

crewmember may accept any assignment provided elsewhere in this rule excluding (3) below;<br />

or<br />

(3) lf unable to comply with (1) and (2) above, an operator may assign and a<br />

crewmember may accept a reduced duty period as set forth below:<br />

(a) W¡th 8 to 13:59 hours advance notice, the scheduled duty period is<br />

limited lo 12 hours, but may be extended to 14 hours for operational delays; or<br />

(b) Wìth 6 to 7:59 hours advance notice, the scheduled duty period is<br />

; limited to 10 hours, but may be extended to 12 hours for operational delays; or<br />

,.-:_..,:<br />

(c) Wth 4 to 5:59 hours advance notice, the scheduled duty period is<br />

limited to 8 hours, but may be extended to 10 hours for operational delays; or<br />

(d) \Mth less than 4 hours advance. notice, the scheduled duty period is<br />

limited to 7 hours, but may be extended t hour for operational delays.<br />

(e) For assÍgnments ín paragraph (2) and (3) (a) through (d) above, the<br />

,¡=-i..c operatormust relieve the crewmember from all further responsibilities between advance notice<br />

i+J,q¡ and report time.


ALPA's HANGAR Page 1 of2<br />

Volume 6, Number 2 June 25, 1999<br />

ALPA Declares Preliminary Victory in Flight-Time/Duty-Time<br />

Battle<br />

FAA Agrees to Enforce 7985 Rule on Pilot Rest<br />

ALPA recently declared victory in its almost 1S-year battle to compel FAA to "rigorously"<br />

enforce existing regulations on pilot flight-time/duty-time requirements. Improving pilot rest<br />

rules is one of ALPA's top safety priorities.<br />

FAA Administrator Jane Garvey told ALPA President Duane Woerth in a June 3 letter that her<br />

agency will finally begin to enforce 1985 rules requiring pilots to receive a prescheduled and<br />

protecteci rest period during the 24 hours before a flight, "The FAA has said on more than one<br />

occasion that, all else failing, we wouid rigorously enforce the current (pilot rest) rule," Garuey<br />

said in her letter. "To emphasize our commitment, I plan to publish our intent to enforce the<br />

current rules in lhe Federal Register."<br />

"ALPA has led the fîght to correct inadequate duty and<br />

rest rules for years and we are elated that<br />

Administrator Garvey is committed to moving forward<br />

finally on this critical aviatian safety issue."<br />

Duane E, Woerth, ALPA President<br />

Garvey also said FAA will issue a Supplemental Notice of Rulemaking altering its December<br />

1995 proposal regarding regulations governing the amount of time pilots can fly and remain on<br />

duty without a mandated rest period.<br />

The current regulations require that a reserve pilot be given at least nine hours of rest for<br />

every 24-hour work period. During this time, the pilot must be free of all official duties and<br />

cannot accept any assignments. The designated rest period can be reduced to eight hours if<br />

compensatory rest ís províded the -following day.<br />

FAA has set a 180-day deadline, giving all U.S. carriers until Dec. 72, 7999 to comply with the<br />

rules. At that time the agency will " ... begin a comprehensive review of certificate holders'<br />

flight scheduling practices and expects to deal stringently with any violations discovered."<br />

The FAA administrator's correspondence was in direct response to a May 13 letter fron-eapt.<br />

\4lqerth" asking Garvey to fulfill earlier promises to enforce the existing rules for pilot rest<br />

requirements. Woerth also urged FAA to forge ahead with other needed revisions that have<br />

hung ín bureaucratic limbo fcr the past four years.<br />

In addition, Woerth advocated that FAA perform a comparative risk assessment of pilot fatigue


ALPAs ITANGAR<br />

Page2 of2<br />

issues instead of a typical cost/benefit analysis. Such an assessment would be the first step in<br />

the development of any new and improved federal pilot fatigue rules.<br />

The National Transportation Safety Board concurs with ALPA's position on flight and rest rules'<br />

On June 1, its chairman, Jim Hall, urged FAA to take immediate action on pilot fatigue<br />

regulations.<br />

Back to ALPA Home Page


Letter: FAA Interpretation of FAR 121.471 - 4 Jun 1999 Page 1 of4<br />

U.S. Department<br />

of Transportation<br />

Federal Aviation<br />

Administrat¡on<br />

Captain Rich Rubin<br />

7700 N.E. 8th Court<br />

Boca Raton, Florida 33487<br />

Dear Captain Rubin:<br />

Rese¡ve <strong>Pilots</strong> Rest Press Kit<br />

JUN - 41999<br />

800 Independence Ave., S.W<br />

Washington, D.C. 20591<br />

This responds to y_our request 1'or an inle¡prqtatiol {¡l'the Fqderal AviattQn<br />

Regul¿tiqn$ 14 C.F.R. ç 121.471, Flight time limitations and rest requirements:<br />

All flight crewmembers. Section 121.471(b) states as follows:<br />

Except as provided inparagraph fc) of this section, no certificate holder<br />

conducting domestic operations may schedule a flight crewmember and no<br />

flight crewmember may accept an assignment for flight time during the24<br />

consecutive hours preceding the scheduled completion of any flight segment<br />

without a scheduled rest period during that 24 hours of at least the following:<br />

(1) 9 consecutive hours ofrest for less than 8 hours ofscheduled<br />

fligirt time;<br />

(2) l0 consecutive hours of rest for 8 or more but less than t hours<br />

of scheduled flight time;<br />

(3) 11 consecutive hours of rest for 9 or more hours of scheduled<br />

flight time.<br />

You present the following hypothetical:<br />

You begin reserve duty after cornpleting a scheduled 48 hour 2 day<br />

off period. You are then assigned a block of five days reserve duty<br />

commencing at 0001 on day one until 2359 on day 5. You do not<br />

receive any notice of a prospective rest period by the air carrier for<br />

any of the five served duty days. You are not called for flight duty<br />

during day one of your reserve duty. On day two, you are called at<br />

1900 for a flight duty period that will commence on day two a|2300<br />

and will end at 0745 on day three.<br />

Please note that you request an interpretation under 14 C.F.R. $ 121.471(b), but<br />

state that you are an international captain for an air carrier. Section I2l.47l(b)<br />

only applies to domestic operations. Flight time lirnitations for flag<br />

(international) carriers are specified in Subpart R Part l2l of the Federal<br />

Aviation Regulations. Since you have specifically asked about the interpretation


Letter: FAA Interpretation of FAR 121.471 - 4 J:url'1999<br />

of $ 1 21.471(b) in questions 1 -5, this interpretation is restricted to that section<br />

and the rest requirements for domestic operations. Additionally you use the term<br />

"flight duty" in your above hypothetical. The FAA uses the terrns "flight time"<br />

and "rest" in $ 121 .471(b). For purposes of this interpretation, we have assumed<br />

your use of the term "flight duty" to be synonymous with the term "flight time."<br />

Finally, you have not specified what you mean when you use the term "reserve<br />

duty." Therefore, for purposes of this interpretation, we assume that this means<br />

you have a present responsibility for work should the occasion arise.<br />

Question 1: Using the above example, would an air carrier be in compliance<br />

with the requirements of FAR 121.471(bX Please explain.<br />

No. We have consistently stated that reserve duty is not rest when the reserve<br />

flight crewmember must maintain accessibility (via telephone or pagerlbeeper)<br />

to the employer and there is a present responsibility to work. Therefore, the<br />

certificated carrier must provide an opportunity for the flight crewmember to<br />

obtain appropriate rest when scheduling the flight crewmember for flight time.<br />

In this instance, when you are called at 1900 for flight duty you receive 4 hours<br />

notice that you will be required to report for flight duty at 2300. Your flight duty<br />

will end at 0745 on day three; thus it will be 8 hours and 45 minutes long. In<br />

order to be in compliance with Section I2l.47I(b), the air carrier conducting<br />

domestic operations and the pilot rnust be able to look back over the 24<br />

consecutive hours preceding the scheduled completion of the flight segment and<br />

find the required scheduled rest period. In this instance, looking back24 hours<br />

from the end of the pilot's scheduled flight time (0745 on day three), the pilot<br />

only had 4 hours of rest - the time period between 1900- 2300L. The regulations<br />

(ç l2l.47l(bx2)), however, require a pilot scheduled for more than 8 hours but<br />

less than t hours of flight time to have 10 consecutive hours of rest. Since you<br />

received only 4 hours of rest in the 24-hour period, the flight schedule would be<br />

in violation of Section 121.471(b)(2). Furtherlnore, the reduced rest provisions<br />

of Section l2l.47l(c)(2) would not be met with only 4 hours of rest.<br />

I We assume that once you are notified at 1900 to report for a flight af 2300 that you no longer<br />

have a present responsibility for work between 1900 and 2300<br />

Question 2: Using the above example, would I [the pilot] be in violation of<br />

FAR 121.471(b) if I accepted the flight duty assignmentthat begins at2300<br />

on day two.<br />

Section I21.47I(b) applies to pilots and other flight crewmembers as well as the<br />

air carrier. Consequently, you would be in violation of this section if you<br />

accepted the flight assignrnent prior to completing the required rest period.<br />

Question 3: Does the FAA expect an air carrier to schedule pilots in<br />

compliance with FAR 121.471(bX If so, how is operator compliance<br />

measured and enforced?<br />

The law requires an air carrier to schedule its pilots in compliance with the<br />

regulations - in this instance ç 121.477. Section l2l.47l(b) applies to the air<br />

Page2 of 4


Letter: FAA Interpretation of FAR l2I.47l - 4 Jun 1999<br />

canier. Thus, the air carrier is expected to schedule pilots in compliance with $<br />

l2l.47l(b) as well as all other pertinent Federal Aviation Regulations.<br />

Compliance is measured by analyzingthe facts and the applicable safety<br />

regulations published in the Code of Federal Regulations. The Flight Standards<br />

Service is responsible for investigating alleged violations of $ 121.471 and for<br />

initiating enforcement actions.<br />

Question 4: Does the F AA expect crewmembers to comply with the<br />

requirements of FAR l2l.47l(b)? If so, how is crewmember compliance<br />

measured and enforced?<br />

See the answer to Question No. 3.<br />

Question 5: What does the FAA advise a reserve crewmember to do if<br />

he/she is scheduled for flight duty and he/she has not received an<br />

appropriate prospective rest period as required by FAR l2l.47l(b)?<br />

You seek advice as to what a reserve crewmember should do if the rest specif,red<br />

in $ l2I.47l has not been provided. First, the reserve crewmember must<br />

determine whether all of the elements of $ 121 .471, including the reduced rest<br />

provisions in $ 121 .471(c), have been met. Second, if $ l2l.47l(c) cannot be<br />

used, you are hereby advised that $ l2l.47l(b) specifically prohibits a flight<br />

crewmember from accepting an assignment that violates this provision. In the<br />

event any flight crewmember finds himself/herself scheduled in violation of $<br />

121.471, helshe should, at a minimum, advise the appropriate person at the air<br />

carrier. Depending on the air carrier's protocol, this may be the Chief Pilot, the<br />

Director of Operations or the Director of Safety. Additionally, a pilot always has<br />

a duty under $ 91.13(a) to notify the certificate holder when he/she is too<br />

fatigued to fly.<br />

Question 6: Can offduty time incurred during layovers fulfitt the24 hours<br />

off in 7-day rest requirement?<br />

Yes. We assume that "off duty time" -dh that the pilot does not have a present<br />

responsibility for work should the occasiõrf arise,<br />

Question 7. If the ans\üer to the above question is yes, what are the<br />

requirements for this rest period? Can pilots be reassigned during this<br />

period? fs it protected from interruption or contact?<br />

The FAA has consistently interpreted "rest" to mean a continuous period of time<br />

during which the flight crewmember is free from all restraint by a certificate<br />

holder. This includes freedom from work and freedom from responsibility for<br />

work should the occasion arise. See Letter of Interpretation to James Baxter.<br />

March 25. 1997 (copy enclosed). Thus, a crewmember who was required to be<br />

near a phone, carry a, beeper, or maintain contact by computer so that he would<br />

be available should the carrier need to notifu hirnlher of a reassignment would<br />

not be on rest. However. there would be no rest violation where an air carrier<br />

does not impose any requirements on the crewmember during the rest period,<br />

Page 3 of4


Subj: Horizon comPliance<br />

Date: 2t19t991:10:58 PM Eastem Standard Ïme<br />

From: 74113.U3@compusene.com (Don Treichler)<br />

Sender: 7 41 03.U3@compusene. com (Don Treichler)<br />

To: DJSTACEY@ao|.com (INTERNET DJSTACEY@ao|.com)<br />

cc:DJWMSW@aot.com (Dare Weils),76364.2764@compusene.com (Don Kingery), LLE5',16@aol.com (Lauri Esposito)'<br />

Smcphait@compusene.còm (Stere Mcphait - sweá, Gömith2617@aol.com (INTERNErGSmith26lT@aol.com)<br />

Dear Doug:<br />

On 2-18-99, I discussed Horizon Air compliance with the Calhoun letter of<br />

interpretation with Greg Simes, Horizon FAA POl. He stated that Horizon<br />

had not been required to comply with that letter except for the portion<br />

addressing pilots not receiving 24 consecutirc hours off in selen<br />

consecutire days during the crossowr fom one month to the next'<br />

Apparenfly Horizon initially indicated that they would comply with that<br />

portion and then decided not to do so. Greg is proceeding with enforcement<br />

action on the latest <strong>submission</strong> Volating that area. As for the portion of<br />

the enturcement letter, which states that in domestic operations you must<br />

be able to look at the prer,ious 24 hour period and find a minimum of 8<br />

hours of rest or you must termrnate your f ight, the Horizon POI stated<br />

that he has receiwd no guidance from the FAA at the national lercl as to<br />

whether enfcrcement action is desirable or permissable. Bottomline appears<br />

to be that the FAA national intends to IGNORE the existing regulation as<br />

well as their consistent interpretations of it orer the past 8 years and<br />

wait for rulemaking to resolle the issue. The FAA is likely to outsource<br />

an economic study of the resene issue that will take until late 1999.<br />

Following that, the FAA likely willwrite a Supplementary Notice of<br />

Proposed Rulemaking (SNPRM) and pror,ide 90 days for comment (and possibly<br />

another 90 days if someone so requests). All of this has occuned because<br />

the management side of the FAA rulemaking process has stated that<br />

enforcement would cost the airlines $100,000,000. This statement was made<br />

during ARAC meetings. I requested documentation of these figures and<br />

management agreed to supply the numbers. Later, in front of the FAA and<br />

labor, management refused to do so. Management refuses to do so to this<br />

lery day. The reason they refuse is (a) the figure is totally inaccurate<br />

and (b)they wish to wait until the comment penod forthe sNPRM and use<br />

the figure again when there is no opportunity to challenge it. As a<br />

result. misinturmation is allowed to stand unchallenged. Regretably, such<br />

action compromises safety<br />

Best regards,<br />

Donald R. Treichler<br />

lntemational Representatile<br />

Teamsters Ai rlíne Dir,ision<br />

7306 School House Lane<br />

Roseville, CA95747<br />

Tel.916-791ß747<br />

Fax 2757<br />

Prevously, the Northwest Region Administrator advised members of congress<br />

that Horizon Air had agreed to comply with the letter of interpretation.<br />

This is not the case. You may use this e-mail as an attachment to any<br />

conespondence you may hare with congressional members to ensure that they


Letter: FAA Interpretation of FAR 121.471 - 4 Jlun1999<br />

U.S, Department<br />

of Transportation<br />

Federal Arriation<br />

Administration<br />

t<br />

March 25.1997<br />

Mr. James Baxter<br />

P. 0. Box 250578<br />

San Francisco. CA 94125<br />

Dear Mr. Baxter:<br />

800 Independence Ave., S W<br />

Washingfotl D.C.20591<br />

Thank you for your inquiry requesting an interpretation of rest and duty<br />

regulations in conjunction with non-flight assignments by the air canier. Due to<br />

the loss ofpersonnel over the past year and the urgency ofother regulatory<br />

mattets, we have been delayed in anslvering your inquiry. We thank you for your<br />

patience.<br />

Your inquiry revolves around the definitions of "rest' and "duty" and the<br />

relationship between ground assignments and flight time duty. Interpretations of<br />

what constitutes "fest" or "duty" are the same under Part l2l or 135. The FAA<br />

has consistently interpreted "rest' as a continuous period of time during which<br />

the crewmember is free from all restraint by the certificate holder. This includes<br />

freedom from work and freedom from responsibility for work should the<br />

oecasion arise. The FAA has alsc consistently interpreteC "Cuty" to mean aotual<br />

work for an air carrier or the present responsibility for work should the occasion<br />

arise. (Letter from Donald P. Byrne, Assistant Chief Counsel, Regulations and<br />

Enforcement Division, to Assistant Chief Counsel. AGL-7, dated July 5, 7991,<br />

letterfrom DonalC P. Byrne to R.C. McComick, dated June25,1996.)<br />

You prolffi lhree situations in which you questioned whether the<br />

crewmember's assignment constituted "duty titne," I will respond to your<br />

tluestion regarding a reserve pilot's status first, as the rules here are plain. You<br />

inqrired whether acrewfiomber who had flown for 3 Cays in a row, lvas on<br />

reserve a fourth day but diúnot fly, and then was scheduled to fly another four<br />

Cays, is legal, Under the definitions stated above, this pilot would be in violation<br />

of Sætion 135.265(d). Reserve duty is not rest, as the type of reserve duty you<br />

described requires that the crer¡,rmember be available to fly, should the<br />

opportunity arise. In this specific scenario, the crewmember would have been<br />

without rest for 8 days, While the crewmember could have florvn for two days<br />

after the reserve day, on the 7th day the crewmember must be given the required<br />

rest before another flying assignment, Section 135.265(d) states that a<br />

crewmember must be relieved "from all further duty for a least 24 consecutive<br />

Page 1 of3


Letter:FAA Interpretation of FAR l2l.47l - 4 Jun7999<br />

hours during any 7 consecutive days." It is possible for a crewnember to be<br />

scheduled on reserve for 7 days and not be in violation ofthe regulation as long<br />

as the crewmember does not fly (Letter from Donald P. Byrne, Assistant Chief<br />

Counsel, Regulations and Enforcement Division, to B. Stephen Fortenberry,<br />

dated June24,1991.) However, once the crewmember takes a flight in Part 135<br />

operations, the rest requirements activate in order to ensure that the<br />

ciewmember has had iufficient rest prior to the flight. Thus, if the crewmember<br />

has not had a scheduled rest period during the previous 7 days, the air carrier<br />

and crewmember could be held in violation of Part 135 265(d)<br />

In your second and third situation you inquire whether ground school or a Crew<br />

Resource Management course lvould be considered duty. Again, duty must be<br />

thought of in relation to required rest. The FAA would not hold an ait canier or<br />

a crei',mernber in violation of Section 135265(d) if a crev"rnember was<br />

scheduled for 7 days or a month of ground school, CRM training or any other<br />

kind of gound assignrnent. As long as crewrnembefs afe on the glound, they are<br />

not in violation of a rest and duty regulation. However, once again, once that<br />

crewmember takes a flight, rest regulations activate. At that time, if the<br />

crewmember had been in ground school for the previous 7 days, that<br />

crewmember would be in violation of Section 135.265{d) as he had not received<br />

the required 24 hours of rest in a consecutive 7-day period. An air carrier can<br />

schedule a crewlnember to any kind of dull it desires for 6 consecutive days, but<br />

on the 7th day rest regulations will affect any flying assignment.<br />

Since "Iest" requires that a crewmember be free from all work obligations,<br />

ground school or CRM training would not qualiff as "rost" once a crewrnember<br />

initiates a flight. While it is not "düty," in the sense of flight duty, it is also not<br />

t'rgst. "<br />

Additionally, if a crewmember operates anaitctaft with insufficient rest, a<br />

certificate holder or crewmember could be charged with a careless or reckless<br />

violation under Section 91.13.In a prior interpretation the FAA has stated that<br />

the "lack of rest of the pilot is certainly a circumstance which could endanger<br />

others, and it is not necessary that the situ¿tion devolve into actual<br />

endangerment for there to be a violation of FAR 91.13." (Letter from Donald P.<br />

Byrne, Assistant Chief Counsel, Regulations and Enlorcement Division, to<br />

David Bodlak, dated October 28,lÐ1.)<br />

This interpretation \À/as prepared b¡'Terry Turner, reviewed by Joseph Conte,<br />

Manager of the Operations Law Branch and concurred with by the Air<br />

Transportation Division of Flight Standards Service. We hope this interpretation<br />

will be of assistance to you.<br />

Sincereiy,<br />

Donald P. Byrne<br />

Assistant Chief Counsel<br />

Page2 of 3

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!