Fatigue Management Assessment and Event Form

This Fatigue Management Assessment and Event Form helps supervisors and operators proactively assess fatigue risk and manage post-event responses in mining operations. It captures site, department, shift, and rotation details; travel and commute factors; observation type and behaviors; suspected medical conditions; and potential substance impairment indicators. The form includes DSS video review, alert meter game and Prism results, work hours, breaks, and sleep history. It guides selection of controls based on a total fatigue score, from continuing duties with hydration to mandatory rest or removal from safety‑sensitive tasks, and travel-home planning. HR notifications, documentation of reasons, transport alternatives, and required 10-hour rest are supported. Follow-up reassessments and hydration guidance help verify readiness to return to work, with signatures and comments recorded.