Fatigue Risk Top of Descent Report

• Use the following form to complete at top of descent.
  Data is captured and presented at the FSAG.

General

• Do you wish to submit a confidential report?

  YES

  NO

• Title and Name

• Staff number

• Date/Time of Occurrence

  Date

• Sector

  Select 7311 CNS - BNE 7312 BNE - TSV 7314 TSV - CNS 7331 MEL - BNE 7332 BNE - MEL 7333 MEL - PER 7334 PER - MEL 7335 MEL - SYD 7336 SYD - MEL 7337 MEL - LST 7338 LST - MEL 7341 BNE - MEL 7342 MEL- BNE 7371 HBA - LST 7372 MEL - HBA 7373 LST - MEL 7393 PER - MEL 7394 MEL - PER 7523 SYD - AKL 7524 AKL - CHC 7524 CHC - SYD 7525 SYD - AKL 7526 AKL - SYD 7527 SYD - AKL 7528 AKL - CHC 7528 CHC - SYD 7531 AKL - HKG 7532 HKG - CNS 7532 CNS - SYD 7532 HKG - SYD Other (specify below)

  • 7311 CNS - BNE
  • 7312 BNE - TSV
  • 7314 TSV - CNS
  • 7331 MEL - BNE
  • 7332 BNE - MEL
  • 7333 MEL - PER
  • 7334 PER - MEL
  • 7335 MEL - SYD
  • 7336 SYD - MEL
  • 7337 MEL - LST
  • 7338 LST - MEL
  • 7341 BNE - MEL
  • 7342 MEL- BNE
  • 7371 HBA - LST
  • 7372 MEL - HBA
  • 7373 LST - MEL
  • 7393 PER - MEL
  • 7394 MEL - PER
  • 7523 SYD - AKL
  • 7524 AKL - CHC
  • 7524 CHC - SYD
  • 7525 SYD - AKL
  • 7526 AKL - SYD
  • 7527 SYD - AKL
  • 7528 AKL - CHC
  • 7528 CHC - SYD
  • 7531 AKL - HKG
  • 7532 HKG - CNS
  • 7532 CNS - SYD
  • 7532 HKG - SYD
  • Other (specify below)

• Sector details

• Augmented Crew

  YES

  NO

Top of Descent Assessment

• Role for the Sector

  Pilot Flying

  Pilot Monitoring

  Other

• Any rest utilised for sector

  Select Controlled Rest Crew Rest Seat Bunk Other

  • Controlled Rest
  • Crew Rest Seat
  • Bunk
  • Other

• How you felt at time of report; 1. Fully alert, wide awake. 2. Very lively, responsive but not at peak. 5. Moderately tired, let down. 3. OK, somewhat fresh. 6. Extremely tired, very difficult to concentrate. 4. A little tired, less than fresh. 7. Completely exhausted.

• At completion of the flight duty consider the following;
  * utilising port crew rest facility before returning home
  * utilising other accommodation for rest before returning home
  * public transportation or taxi to home

• Comments Please include a brief description of any relevant information.