Testimony of
Vernon S. Ellingstad, PhD
Director, Office of Research and Engineering
National Transportation Safety Board
before the
Surface Transportation and Merchant Marine Subcommittee
Senate Commerce Committee
U.S. House of Representatives
regarding
Fatigue in the Trucking and Rail Industry
September 16, 1998
Madam Chairwoman and Members of the Committee. I am pleased to represent
the National Transportation Safety Board on the subject of fatigue and
its safety effects on the commercial motor vehicle and railroad industries.
Your hearing today will certainly highlight some of the work that has been
done in this area, and will go far to evaluate the public's awareness of
the problem.
Based on our investigative experience, we are very much aware of the pervasive
adverse effects of sleep-related problems on transportation safety. Several
high-profile accidents investigated by the Safety Board that involved fatigue
included the grounding of the Exxon Valdez in Prince William Sound,
Alaska, in 1989; the crash of a DC-8 in Guantanamo Naval Air Station in
1993; the failed commercial space launch of the Pegasus near Cape Canaveral,
Florida, in 1993; the crash and explosion of a propane laden truck in White
Plains, New York, in 1994; and the collision of two Union Pacific trains
that collided near Delia, Kansas, in June 1997.
Fatigue problems permeate our entire society, placing a heavy toll on our
safety, productivity, and quality of life. The factors contributing to
fatigue are becoming increasingly prominent. As the demand for goods and
the availability of transportation continues to grow, the time we want
to wait for such services continues to decrease. Our society now demands
that goods be shipped anywhere in the country -- or even around the world
-- overnight.
Although fatigue has assuredly been with us for a long time, it was not
until the industrial age and the advent of complex machinery that fatigue
became a major hazard to life and limb. Today, we need only drive from
our homes, live near railroad tracks, or board an airplane to face first-hand
potential dangers from operator fatigue. Also, our waters can be polluted
by accidents like the Exxon Valdez, in which crewmembers suffer
from fatigue.
In our investigations, the Safety Board has identified serious and continuing
problems concerning the far-reaching effects of fatigue, sleepiness, sleep
disorders and circadian rhythm disruption in transportation system safety.
We have seen repeated instances of poor scheduling of work and rest periods
in all the modes of transportation that have adversely affected the performance
of the operating personnel.
These investigations also indicate that many transportation employees and
supervisors fail to understand the problems associated with inadequate
work and rest schedules. And, with few exceptions, management and labor
segments alike fail to consider properly the harmful consequences that
irregular and unpredictable work and rest cycles can have on people who
operate vehicles.
What is interesting about fatigue is that we are not very good at judging
when we are fatigued or the effects of fatigue on us. According to sleep
researchers, tired people typically underestimate the extent of their fatigue,
and therefore don't make rational decisions about their fitness for duty.
We have all experienced the dramatic effects of extreme fatigue when we
have tried to drive an hour longer than we should, or we tried to stay
up to watch a movie or read a book. Often, the effects of fatigue are more
subtle and, therefore, more insidious. But we are getting better at identifying
fatigue, and, more importantly, we are learning how to counteract it. Much
of the success in this area has been accomplished thanks to the work of
scientists at NASA and other institutions who have developed an extraordinary
body of research on fatigue and measures to counter the effects of fatigue.
In November 1995, the Safety Board co-sponsored a multi-modal symposium
with the NASA Ames Research Center's Fatigue Countermeasures Program on
the effects of fatigue in transportation. Nearly 600 people from 16 countries
attended. The "Managing Human Fatigue in Transportation: Promoting
Safety and Productivity" symposium highlighted the importance of fatigue
countermeasures. Although the NASA countermeasures program, as well as
the other research findings presented at the symposium, were developed
for aviation, they can be adapted for the other modes of transportation
as well.
As a result of our investigations and studies specifically targeting fatigue,
the Safety Board has issued nearly 80 fatigue-related safety recommendations
since 1972 to the Department of Transportation's (DOT) Federal Aviation
Administration (FAA), Federal Railroad Administration (FRA), Federal Highway
Administration (FHWA) and Coast Guard, as well as transportation operators,
associations and unions. Human fatigue in transportation operations has
been an issue on our "Most Wanted" list of safety improvements
since the inception of the list in 1990.
In 1989, we issued three major safety recommendations to the DOT calling
for a coordinated and aggressive federal program to study and address the
fatigue problem in all modes of the transportation industry. Specifically,
the Safety Board urged the DOT (1) to expedite a coordinated research program
on the effects of fatigue, sleepiness, sleep disorders, and circadian factors
on transportation system safety; (2) to develop and disseminate educational
material for transportation industry personnel and management regarding
shift work, work and rest schedules, and proper regimens of health, diet,
and rest; and (3) to review and upgrade regulations governing hours of
service for all transportation modes to assure that they are consistent
and that they incorporate the results of the latest research on fatigue
and sleep issues. In response to these recommendations, the Secretary of
Transportation indicated his intent to emphasize human fatigue and sleep
issues in the National Transportation Policy, and to include the modal
administrations in a concerted effort to reduce the effect of fatigue on
transportation safety.
More than nine years have elapsed since the Board issued these three recommendations
to the DOT. We have been pleased with the amount of research that has been
conducted regarding fatigue, as was evident at the Board symposium, and
have, consequently closed recommendation (1) above as "Acceptable
Action." We are also beginning to see an increase in the amount of
educational material on fatigue being developed and disseminated to transportation
industry personnel. However, we are very disappointed in the efforts to
change the hours-of-service regulations. In our opinion, the Department
of Transportation has failed to address one of the most important transportation
safety issues facing our society today.
Highway and Human Fatigue
In 1990, the Safety Board released a study of 182 fatal-to-the-driver
heavy truck accidents and found that driver impairment due to fatigue was
the most frequently cited cause or factor (31 percent) of the accidents
investigated.
As a result of this study, the Safety Board recommended that the FHWA require
automated/tamper-proof on-board recording devices, such as tachographs
or computerized logs, to identify commercial truckdrivers who exceed hours-of-service
regulations. The intent of the recommendation was to provide a tamper-proof
mechanism that could be used to enforce the hours-of-service regulations,
rather than relying on drivers' handwritten logs. The current status of
that recommendation is "Closed-Unacceptable Action."
On-board recording devices are an important tool not only with regard to
monitoring hours of service but also as support in accident investigations.
We believe they should be used universally. Closing this recommendation
as "unacceptable action" reflects our disappointment in the FHWA
and the trucking industry's failure to embrace advanced technology that
will improve highway safety. The Safety Board believes that on-board recording
devices in all modes of transportation are important, and we included a
category of automated recording devices on our "Most Wanted"
list of safety improvements last year.
A second Safety Board study regarding factors that affect fatigue in heavy
truck accidents was issued in 1995. In that study, we found that the three
most important factors in predicting a fatigue-related accident were (1)
the duration of the last sleep period, (2) the total hours of sleep obtained
during the 24 hours prior to the accident, and (3) the breaking of sleep
into small blocks of time, or split sleep patterns.
As a result of that study, the Safety Board recommended that the FHWA revise
the hours- of-service regulations. Specifically, the Board urged them to
complete rulemaking within two years to revise the pertinent federal regulations
to require sufficient rest provisions to enable drivers to obtain at least
eight continuous hours of sleep after driving for 10 hours or being on
duty for 15 hours. In November 1996, the FHWA issued an advance notice
of proposed rulemaking requesting additional information on fatigue research/issues.
The comment period was extended to mid-1997. According to the FHWA, they
plan to issue a notice of proposed rulemaking (NPRM) in the fall or winter
of 1998, if everything goes according to schedule. To say that we are disappointed
that we have not yet reached the NPRM stage would be an understatement.
Notwithstanding our support for research, we believe the results of our
1995 study of actual accidents and the wealth of scientific research already
done provides concrete and sufficient evidence of the measures that affect
fatigue in the accident environment and that the FHWA should proceed immediately
to change the hours-of-service regulations. We believe further delays are
unacceptable.
Madam Chairwoman, an example of an accident involving truckdriver fatigue
may have occurred on September 1, 1998, near Holyoke, Colorado. A large
schoolbus was struck in the rear by a tractor semitrailer. When it was
stopped along the side of a road The truck came to rest on the roadway
and the schoolbus rotated about 180 degrees and overturned onto its left
side. Two students on the bus sustained major injuries and were airlifted
to nearby hospitals.
After the accident, the truckdriver told the police that he thought he
had fallen asleep. This is the third accident investigated by the Board's
Office of Highway Safety in the past 2 ½ years in which a heavy
truck has collided with the rear of a stopped schoolbus. I might mention
that one of the accidents occurred in Chappell Hill, Texas, in April 1998.
We are looking into the issue of truckdriver fatigue in all three of these
accidents.
Railroad and Human Fatigue
For many years, the Safety Board has been concerned about the unpredictable
nature of train crew work assignments and its effect on crew fatigue. Although
there are some exceptions, most train crews are subject to call with little
notice. The Board pointed out in its 1985 report on Burlington Northern
Railroad collisions in Wiggins, Colorado, and Newcastle, Wyoming that railroad
crews are subjected to the most unpredictable work/rest cycles in the transportation
industry. We have investigated far too many accidents in which the lack
of sleep and the irregular and unpredictable work schedule of train crews
have been causal to the accidents.
Chairwoman Hutchison, it is the Safety Board's view that the Railroad Hours
of Service Act is flawed. It was when it was first enacted in 1907, and
has remained flawed through its substantial revision in 1969 and its amendments
in 1976 and 1988. We believe that the Railroad Hours of Service Act encourages
work schedules that combine excessive hours on duty and minimum opportunity
for rest, and there is no scientific basis for the work/rest provisions
in the current law. In addition, Board railroad accident investigations
in which fatigue was a cause or factor show that train crew members were
in full compliance with the Hours of Service laws. Let me expand these
points.
The current railroad hours-of-service laws permit, and many railroad carriers
require, the most burdensome fatigue-inducing work schedule of any federally
regulated transportation mode in this country. A comparison of the modes
is revealing. The aviation, highway, marine and rail modes all have federally
imposed limits on the amount of work and rest in a 24-hour period. The
aviation and highway modes also impose weekly limits. Only aviation has
monthly and annual limits. To keep the comparison simple, consider the
number of hours an employee of each mode is permitted to work in the course
of a 30-day month:
We fail to understand why a locomotive engineer, or other train crew
member, is permitted to work more than 4 times longer than an airline pilot,
and 1.5 times longer than a truck driver.
Let me emphasize that we are not advocating reducing everybody's hours
to 100 hours a month. Our point is that allowing any transportation worker
in a safety-sensitive position-operating powerful equipment through our
Nation's cities-to work more than 400 hours per month is excessive, if
not downright unconscionable.
The Safety Board also believes that the hours-of-service laws have no scientific
basis. In fairness to those who framed the laws in 1907, there was little
more than anecdotal knowledge about fatigue at that time. But in the last
two decades, the scientific and research communities have conducted extensive
in-depth studies of sleep and fatigue. We now know a great deal about the
structure of sleep, the effects of human biological or circadian rhythms,
and the debilitating effects that cumulative sleep loss has on alertness
and health.
The railroad hours-of-service laws prescribe only maximum hours on duty
and a minimum amount of rest in a 24-hour period. They do not take into
account (1) how human circadian rhythms interact with the time of day when
the work/rest periods take place, (2) the cumulative effects of working
an unlimited number of successive days, or (3) the long-term health effects
of various work/rest schedules. In short, it is time for a substantial
scientifically-based revision to the Hours of Service Act. Unfortunately,
little meaningful progress has been made, we believe, because the solution
requires a fundamental change in habits and culture - and neither is easy
to change. Labor has grown accustomed to the extra money earned and companies
save money by employing fewer operators. This was made evident in testimony
given at a recent Safety Board hearing on railroad safety. We must all
recognize that fatigue is debilitating, and that fewer workers and more
overtime are the fundamental ingredients for fatigue.
In all of the railroad accident investigations in which the Board has determined
fatigue to be a causal or contributing factor, the train crew members were
in full compliance with the hours-of-service laws. However, I should add
that in a number of our investigations, some crew members did not avail
themselves of the opportunity to get sleep during their off-duty period.
The irregular schedules appear to be the problem in this industry. Generally,
the traincrew either had an expectation that they would be called for duty
at a later time, or their time off was during the day and they found it
difficult to sleep.
While we applaud the work being done at some individual railroad companies,
this problem is not unique to any one railroad. It is a national problem
that is deserving of national attention. Reducing the hours-of-service
parameters would prevent gross abuses of work hours and would provide a
level playing field upon which all workers can be provided a healthier
work environment.
I would like to share with you a fax that one of the Board's railroad investigators
recently received from the widow of the engineer who was killed in the
collision that occurred in July 1997 near Delia, Kansas. Her fax provides
us with a poignant perspective on this issue:
"On July 1, 1997, my husband Mike called the recording to find out
when he would supposedly be going to work. Afterwards, he left to run errands.
Later I called the recording too, but of course it said the same thing
all day. That he was on the line-up for 5:00 p.m. That afternoon he came
home and called it again. After listening he said 'well, as usual the lyin-ass
line-up isn't holding up.' Mike and some of his co-workers called it the
'lyin-ass line-up,' being that it was so highly inaccurate. Several hours
went by before they finally called him for 8:30 p.m. This was a common
occurrence. He never knew when he would leave, how long he would be gone,
or how long he would be home, either. He used to say our local weather
forecaster was more reliable than the line-up. We could never plan anything.
About the time he would decide to give up on the call and make other plans,
they would call him to work. Sometimes he would be ready for work, 8 to
12 hours before he would finally receive a call. There is no other industry
that I am familiar with, which is so unprofessional as to keep their employees
uninformed about something as essential as their work schedule. The last
time I called that recording, it was again inaccurate. It said Mike was
still on duty. That was 8:30 a.m. July 2, 1997, approximately two hours
after Mike was pronounced dead."
Madam Chairwoman, we as a government need to decide to what extent the
status quo is acceptable. If we can agree that fatigue-caused accidents
are unacceptable, then we must move to change the status quo.
That concludes my prepared statement. I will be happy to respond to any
questions you may have.
NTSB Home | Contact Us | Search | About the NTSB | Policies and Notices | Related Sites