Tag Archives: Transportation Safety Board of Canada (TSB)

Statement from the Transportation Safety Board of Canada chair on the release of new air fatigue regulations

Today, the Minister of Transport announced new fatigue regulations to improve air travel safety for passengers and flight crews. The Transportation Safety Board of Canada (TSB) is pleased to see that the Minister is taking action to address this key safety issue.

Since the early 1990s, the TSB has identified fatigue as a contributing factor or a risk in at least 34 air occurrences. In October 2018, the TSB issued a call to action by adding this key safety issue to its Watchlist 2018. More specifically, the TSB asked for updated flight and duty-time regulations, as well as for air operators to implement fatigue risk management systems suited to their specific operations. The new regulations and standards announced today are a significant step in addressing this key safety issue. We look forward to a timely implementation of the new regulations and continued strong action from both the regulator and industry to reduce the risks associated with fatigue in the air transportation industry.

Fatigue is also a key safety issue in the Rail and Marine transportation industries. The TSB calls upon the Minister to take similar steps to address the risks associated with fatigue in these other industries. See Fatigue in the transportation industry.

The TSB is an independent agency that investigates marine, pipeline, railway and aviation transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.

Risk factors, mitigation strategies and fatigue management tools

Fatigue is widely recognized as a hazard in the transportation industry that must be managed. Mitigating the risk of fatigue requires understanding it and implementing effective countermeasures.

According to scientific research,Footnote 1 to help prevent the risk of fatigue, sleep should ideally occur at night in a period of seven to nine continuous hours, so that all stages of sleep occur during each sleep period. Because of the daily (circadian) rhythm, the human body is physiologically ready for sleep at night and for activity during the day. No matter the amount of rest we get, overall performance and cognitive functioning are at their worst during the nighttime period. The body’s circadian rhythm also makes any sleep that occurs during the day less restorative than nighttime sleep.

Risk factors

Fatigue can impair human performance in ways that can lead to accidents. This is why the TSB routinely investigates if fatigue was present in an occurrence, if it played a role, and if the operator had practices in place to effectively manage the associated risks.

  • Sleep disruptions — Depending on the stage in which it occurs, sleep disruption may affect physiological functioning and/or cognitive functioning, and elevates the risk of fatigue. The risk increases when the quality or quantity of sleep has been reduced within the previous three days (acute sleep disruption) or when sleep disruptions have been sustained for periods longer than three consecutive days (chronic sleep disruption).
  • Continuous or prolonged wakefulness — Being awake for more than 17 hours heightens the risk of fatigue.
  • Circadian rhythm effects — Changing sleep-wake patterns too quickly, or working at a time of day at which our body is expecting sleep can cause circadian rhythms to desynchronize, leading to performance impairments.
  • Sleep disorders — Many disorders result in higher than normal levels of fatigue if they are untreated or not managed properly. Three of the more common sleep disorders are insomnia, obstructive sleep apnea and periodic limb movement disorder.
  • Individual factors — A person’s ability to obtain restorative sleep may be influenced by individual factors, including certain illnesses, the use of drugs or medication that affect sleep or sleepiness, or characteristics such as morningness/eveningness, or one’s capacity to nap.

Mitigation strategies

To effectively manage the risks of fatigue in the transportation industry, organizations must adopt a proactive approach that includes, as a minimum, compliance with regulations and an education program that enables employees to identify fatigue, and take preventative measures that go beyond the regulations.

Work/rest requirements

To minimize the risk of fatigue, the following regulations apply in the transportation industry:

  • Section 320 of the Marine Personnel RegulationsFootnote 2 requires that the master and every crew member of Canadian vessels have
    1. at least six consecutive hours of rest in every 24-hour period, and
    2. at least 16 hours of rest in every 48-hour period; and

    The master shall also ensure that

    1. not more than 18 hours but not less than six hours elapse between the end of a rest period and the beginning of the next rest period.
  • Subsection 5.1.1 of the Work/Rest Rules for Railway Operating EmployeesFootnote 3 requires that

    The maximum continuous on-duty time for a single tour of duty operating in any class of service, is 12 hours, except work train service for which the maximum duty time is 16 hours. Where a tour of duty is designated as a split shift, as in the case of commuter service, the combined on-duty time for the two on-duty periods cannot exceed 12 hours.

  • According to the Canadian Aviation Regulations (CARs), subsection 700.16(1),Footnote 4

    Subject to subsections (5) and (7), no air operator shall assign a flight crew member for flight duty time, and no flight crew member shall accept such an assignment, if the flight crew member’s flight duty time will, as a result, exceed 14 consecutive hours in any 24 consecutive hours. Where the flight is conducted under Subpart 4 or 5 using an aircraft other than a helicopter, flight duty time shall include 15 minutes for post-flight duties.

Education and awareness

The prevention of fatigue in the workplace is a shared responsibility between an organization and its employees.

An organization can help prevent fatigue by

  • educating employees on the causes and mitigation of fatigue;
  • defining appropriate policies and procedures;
  • ensuring that the working environment and scheduling system minimize the risk of fatigue;
  • striving for continual improvement in reducing the risk of fatigue.

Employees can help prevent fatigue by

  • recognizing the signs of fatigue in themselves and in co-workers;
  • taking action to ensure that fatigue arising from activities inside or outside of work does not lead to performance issues;
  • making effective use of appropriate countermeasures if or when fatigue occurs, e.g., consuming caffeine; turning on a bright light; engaging in exercise; exposing oneself to intermittent loud noise; getting fresh (cool) air; engaging in conversation.

Current fatigue management tools

Marine sector

Fatigue management and awareness training materials were developed for marine pilots in response to TSB Recommendation M96-18. These materials include the Fatigue Management Guide for Canadian Marine Pilots (TP 13959) and the Trainer’s Handbook TP 13960.

On 31 May 2018, the TSB issued Recommendations M18-01 and M18-02 to help ensure that watchkeepers whose work and rest periods are regulated by the Marine Personnel Regulationshave the tools needed to recognize and address the risks of fatigue (read more about New and previous TSB recommendations to address the risk of fatigue in the marine sector).

The United States Coast Guard has developed a Crew Endurance Management System to assist in managing the risk factors that can lead to human error and performance degradation in maritime work environments.

Rail sector

Transport Canada guidance material (Fatigue Management Plans: Requirements and Assessment Guidelines) helps companies develop fatigue management plans that meet the industry’s Work/Rest Rules for Railway Operating Employees.

In 2017, Transport Canada announced its intent to amend the rail safety regulatory framework,Footnote 5 which may result in amendments to the Work/Rest Rules for Railway Operating Employees and the Railway Safety Management System Regulations, 2015 or the development of new regulations to address fatigue in the rail industry.

Aviation sector

Transport Canada provides guidance, in the form of a toolbox, to companies that adopt Fatigue Risk Management Systems (FRMS) in accordance with the CARs.

In 2017, Transport Canada proposed amendments to the CARs to mitigate the effects of fatigue with new hours of work and rest provisions.Footnote 6