Fatigue Symptoms Checklist for Bus Operators
Employee to complete Part 1
Part 1 Self Assessment
Manager / Supervisor to Complete Part 2 (can be completed even if part one has not been completed)
Part 2 Observation
Part 3 – Risk Evaluation |
|||||||||
What is the level of risk associated with this person continuing without intervention? Consider the following:
§ Has a fatigue related incident occurred or is it likely to occur? § Has the person self reported or been identified by another person as a fatigue risk? Circle the risk number in the matrix below after considering consequence and likelihood If a risk to continued operation has been identified proceed to Part 4 – Supervisory Actions
|