Reference number
AR201300100
Date reported
Published date
Mode
Affected operation/industry
Concern subject type
Concern summary

The concern related to the fatigue experienced by flight crew during back of the clock long distance return flights, especially when operating consecutive back of clock duties.

Reporter's deidentified concern

The reporter expressed a safety concern regarding the fatigue experienced when flying either of two long distance return flights which are both back of clock duties. This fatigue is even worse on the second night if the crew is rostered on consecutive duties.

The flight time is eight hours and forty five minutes on the first return flight and nine hours and fifteen minutes for the second return flight and if the flight is diverted this generally occurs when the crew is already in a fatigued state and likely to make fatigue induced errors.

While most crews attempt to get enough sleep between consecutive duties, as they are driving home in peak hour traffic, arriving as their family is starting the day, and with body clock issues it is difficult to get more than three hours sleep during the day. This is inadequate for another back of clock duty.

While the duties may be considered below the threshold using the FAID fatigue management system, the reporter advised that they feel extremely fatigued during the latter part of the flight.

The reporter has stated that if the operator had a 'Just Culture', they may receive more reports of fatigue from flight crews rather than crews reporting unfit for duty.

Named party's response

The airline takes fatigue management seriously and has a system for monitoring fatigue risk in our operations. Rosters are built to provide appropriate preparation and recovery time, meeting and often exceeding regulatory requirements. The number and frequency of consecutive back of flying operations for individuals are minimised and crew can express preferences for particular duties. The airline provides a just culture where crew can declare themselves unfit for duty if fatigued, consistent with crew individual responsibilities for fatigue management.

Regulator's response

CASA is aware of the operator's fatigue risk management policy and monitors the system in respect of fatigue risk management objectives. Risk mitigators observed include regular monitoring of roster pattern performance by the airline, adjustment of rostering rules, the ability for a crew member to opt out of a duty when fatigue is anticipated or experienced and the provision of company transport or accommodation in order to limit the fatigue effects following duty.

Under the proposed flight and duty rules which are expected to be in force from this year, it will still be up to the individual to determine fitness for duty and to make a report via the safety management system (SMS) where this is indicated under company procedures. CASA strongly recommends airline employees report potential fatigue events through the SMS, in order to identify areas where the company should focus resources to reduce operational risk, including fatigue risk.

If the reporter has evidence of the reporting culture being compromised by management actions they are invited to make a report to CASA detailing any concerns.