Mitigating and monitoring flight crew fatigue on a westward ultra-long-range flight.

BACKGROUND: This study examined the uptake and effectiveness of fatigue mitigation guidance material including sleep recommendations for a trip with a westward ultra-long-range flight and return long-range flight. METHODS: There were 52 flight crew (4-pilot crews, mean age 55 yr) who completed a sleep/duty diary and wore an actigraph prior to, during, and after the trip. Primary crew flew the takeoff and landing, while relief crew flew the aircraft during the Primary crew's breaks. At key times in flight, crewmembers rated their fatigue (Samn-Perelli fatigue scale) and sleepiness (Karolinska Sleepiness Scale) and completed a 5-min Psychomotor Vigilance Task. RESULTS: Napping was common prior to the outbound flight (54%) and did not affect the quantity or quality of in-flight sleep (mean 4.3 h). Primary crew obtained a similar amount on the inbound flight (mean 4.0 h), but Secondary crew had less sleep (mean 2.9 h). Subjective fatigue and sleepiness increased and performance slowed across flights. Performance was faster on the outbound than inbound flight. On both flights, Primary crew were less fatigued and sleepy than Secondary crew, particularly at top of descent and after landing. Crewmembers slept more frequently and had more sleep in the first 24 h of the layover than the last, and had shifted their main sleep to the local night by the second night. DISCUSSION: The suggested sleep mitigations were employed by the majority of crewmembers. Fatigue levels were no worse on the outbound ultra-long-range flight than on the return long-range flight.

Monitoring and Managing Cabin Crew Sleep and Fatigue During an Ultra-Long Range Trip.

BACKGROUND: The aims of this study were to monitor cabin crew fatigue, sleep, and performance on an ultra-long range (ULR) trip and to evaluate the appropriateness of applying data collection methods developed for flight crew to cabin crew operations under a fatigue risk management system (FRMS). METHODS: Prior to, throughout, and following the ULR trip (outbound flight ULR; mean layover duration=52.6 h; inbound flight long range), 55 cabin crew (29 women; mean age 36.5 yr; 25 men; mean age 36.6 yr; one missing data) completed a sleep/duty diary and wore an actigraph. Across each flight, crewmembers rated their fatigue (Samn-Perelli Crew Status Check) and sleepiness (Karolinska Sleepiness Scale) and completed a 5-min Psychomotor Vigilance Task (PVT) at key times. RESULTS: Of crewmembers approached, 73% (N=134) agreed to participate and 41% (N=55) provided data of suitable quality for analysis. In the 24 h before departure, sleep averaged 7.0 h and 40% took a preflight nap. All crewmembers slept in flight (mean total sleep time=3.6 h outbound, 2.9 h inbound). Sleepiness and fatigue were lower, and performance better, on the longer outbound flight than on the inbound flight. Post-trip, crewmembers slept more on day 1 (mean=7.9 h) compared to baseline days, but there was no difference from day 2 onwards. DISCUSSION: The present study demonstrates that cabin crew fatigue can be managed effectively on a ULR flight and that FRMS data collection is feasible for cabin crew, but operational differences between cabin crew and flight crew need to be considered.