If you are unfit for duty right now
Call it in. Tell the Chief Pilot or the Director of Maintenance, whichever applies to you,
and do not wait on this form. Removing yourself from duty is a phone call. This form is the
record of it, not the decision.
Not only fatigue. Use this report if you are sick, receiving medical care, or
unfit for duty for any other reason, as well as for fatigue (FRMP §4.2).
Reports are reviewed by the Director of Safety and feed the Fatigue Risk
Management Program. Under FRMP §2.2, no crewmember is disciplined for reporting fatigue,
for asking for mitigation, or for removing themselves from duty.
You can report after the fact. You do not need to be fatigued right now:
report fatigue you experienced on an earlier duty, too. Every report helps the program.
Which applies to you
Fatigue Risk Management Program: file a Fatigue / Fitness-for-Duty Report
Pilot in Command
FRMP §1.2
Pilot assigned as PIC on a Company flight, scheduled or repositioning.
Second in Command
FRMP §1.2
Pilot assigned as SIC on a Company flight, scheduled or repositioning.
Flight Attendant
FRMP §1.2
Flight Attendant assigned to a Company flight.
Management personnel
FRMP §1.2
Director of Operations, Chief Pilot, Director of Maintenance or Director of Safety, the managers who make crew assignment, risk management, fatigue mitigation, duty clearance and operational control decisions. If you were flying, pick PIC or SIC.
Covered by another procedure
Maintenance
GMM 4.3.2.3
Technicians and inspectors performing maintenance, planned or unplanned.
Scheduling, dispatch, operational control, or anyone else
SMS safety reporting, FRMP §1.2
Fatigue in these roles is reported as a safety report. The Director of Safety receives it and determines the action required.
