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From page 1... ... Moreover, it has become increasingly clear that drivers who regularly obtain insufficient sleep, whether as a result of irregular work patterns, sleep disorders, or other reasons, are likely at increased risk for a number of serious long-term health problems. To address this problem, the Federal Motor Carrier Safety Administration (FMCSA) Read the entire page →
From page 2... ... Third, Transport Canada, FMCSA, trucking industry trade associations, and other agencies developed the North American Fatigue Management Program (NAFMP) , an Internet-based online educational program that informs drivers, their employers, and anyone involved in commercial carrier operations about the causes of driver fatigue, the increased risk of crashes due to fatigue, the long-term health consequences of CMV driving (such as regular sleep insufficiency) Read the entire page →
From page 3... ... Therefore, it is not straightforward to determine how additional modifications of the current HOS regulations would result in more or less fatigue in CMV drivers that might, respectively, raise or lower crash risk. In addition, driver fatigue obviously is not the only cause of highway crashes. Read the entire page →
From page 4... ... In crash reporting databases, moreover, the primary judges of the factors involved in a highway crash are police officers, who must make such assessments after the fact, with little information to go on. Partly as a result of these difficulties, the available crash reporting databases often provide a paucity of information on sleep deficiency in CMV drivers, their adherence to HOS regulations, and their crash frequency as a result of fatigued driving. Read the entire page →
From page 5... ... Fatigue-related performance decrements are a complex function of several factors, including lengthy time on task (i.e., long drives) , extended wakefulness or acute sleep deprivation, chronic insufficient sleep, and poor-quality sleep. Read the entire page →
From page 6... ... The only way to reduce the need for sleep before going on duty and thus to alleviate or prevent operator fatigue, aside from short and temporary postponements, is to obtain an adequate quality and quantity of sleep. What Is the Relationship Between Acute or Chronic Sleep Loss and Increased Crash Risk for CMV Drivers? Read the entire page →
From page 7... ... Also unknown is whether drivers diagnosed with mild or moderate OSA are at significant crash risk or whether they, too, might benefit from PAP treatment to make them more alert while driving. How Do Health and Wellness Programs and Fatigue Management Initiatives Modify the Behavior of CMV Drivers? Read the entire page →
From page 8... ... Since roadway crashes are rare events, one measurement outcome often used as a surrogate for crashes in naturalistic driving studies is safety-critical events (SCEs) Read the entire page →
From page 9... ... Finally, since some of the linkages and information on long-term driver health outcomes will be very difficult to acquire, research progress in this area would be advanced if the National Institute for Occupational Safety and Health (NIOSH) , in conjunction with the Bureau of Labor Statistics and FMCSA, were to design and carry out an ongoing survey on the health and wellness of CMV drivers. Read the entire page →
From page 10... ... Conclusion 2: Based on the evidence on drivers who are not commercial motor vehicle drivers, obstructive sleep apnea is known to increase crash risk, and there is no evidence base or compelling reason for thinking Read the entire page →
From page 11... ... therapy with respect to the amount and quality of sleep they obtain and their cognition and driver performance following PAP treatment sessions. Conclusion 5: Substantial data gaps limit understanding of factors that impact the health and wellness of commercial motor vehicle drivers. Read the entire page →
From page 12... ... RECOMMENDATION 3: Given the potential research benefits of the use of data from electronic logging devices, Congress should consider modifying Title 49 of the U.S. Code to permit the use of such data for research purposes in a manner that protects indi vidualized confidential data from disclosure, and if such a change is made, the Federal Motor Carrier Safety Administration should make parallel provisions in its regulations.2 RECOMMENDATION 4: When commercial trucks and buses con taining electronic data recorders that record data on the functioning of the driver and the truck or bus are involved in serious crashes, the relevant data should be made available to investigators and to safety researchers. Read the entire page →
From page 13... ... How CMV Drivers React to Feelings of Drowsiness RECOMMENDATION 7: The Federal Motor Carrier Safety Admin istration should support research aimed at better understanding the factors associated with driver behavior related to fatigue and sleep deficiency, including what motivates drivers' decisions about whether to continue driving when they feel fatigued. Testing of New Technologies RECOMMENDATION 8: Using a human-systems integration framework, the Federal Motor Carrier Safety Administration and the National Highway Traffic Safety Administration, in consulta tion with the Centers for Disease Control and Prevention and the National Institutes of Health, should develop evaluation guide lines and protocols for third-party testing, including field testing, conducted to evaluate new technologies that purport to reduce the impact of fatigue on driver safety. Read the entire page →
From page 14... ... RECOMMENDATION 12: The Federal Motor Carrier Safety Administration should support peer-reviewed research on obstruc tive sleep apnea (OSA) and commercial motor vehicle drivers throughout all the research stages, from the drafting of requests for proposals through analysis of data. Read the entire page →
From page 15... ... This research program should include • evaluating the effectiveness of the North American Fatigue Man agement Program (NAFMP) for educating truck and bus drivers in how to modify their behavior to remedy various potential sources of fatigue; • determining how effective the NAFMP training modules are in meeting the needs of drivers' employers, including fleet man agers, safety and risk managers, dispatchers, driver trainers and other corporate officials (e.g., those conducting carrier-sponsored employee health and wellness programs) Read the entire page →

From page 1...

... Moreover, it has become increasingly clear that drivers who regularly obtain insufficient sleep, whether as a result of irregular work patterns, sleep disorders, or other reasons, are likely at increased risk for a number of serious long-term health problems. To address this problem, the Federal Motor Carrier Safety Administration (FMCSA)

Summary Pages 1-16

Summary
Pages 1-16