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NTSB SAFETY RECOMMENDATION
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National Transportation Safety Board
Washington, DC 20594
August 7, 2009
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NTSB Safety Recommendations A-09-61 through -66
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The National Transportation Safety Board recommends that the Federal Aviation Administration:
Modify the Application for Airman Medical Certificate to elicit specific information about any previous
diagnosis of obstructive sleep apnea and about the presence of specific risk factors for that disorder.
(A-09-61)
Implement a program to identify pilots at high risk for obstructive sleep apnea and require that those
pilots provide evidence through the medical certification process of having been appropriately
evaluated and, if treatment is needed, effectively treated for that disorder before being granted
unrestricted medical certification. (A-09-62)
Develop and disseminate guidance for pilots, employers, and physicians regarding the identification
and treatment of individuals at high risk of obstructive sleep apnea, emphasizing that pilots who have
obstructive sleep apnea that is effectively treated are routinely approved for continued medical
certification. (A-09-63)
Conduct research examining how pilot fatigue is affected by the unique characteristics of short-haul
operations and identify methods for reducing those effects; include research into the interactive
effects of shift timing, consecutive days of work, number of legs flown, and the availability of rest
breaks. (A-09-64)
Issue interim guidance, such as an advisory circular, that provides operators of multi-segment, short-
haul flights with the relevant safety information as it becomes available during the research requested
in Safety Recommendation A-09-64. (A-09-65)
When the research requested in Safety Recommendation A-09-64 is completed, require operators of
short-haul, multi-segment flights to incorporate the guidance requested in Safety Recommendation A-
09-65 into their operating specifications to reflect the unique crew fatigue characteristics of these
operators. (A-09-66)
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http://www.ntsb.gov/recs/letters/2009/A09_61_66.pdf
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The complete recommendation letter is available on the Web
at the URL indicated above.
The letter is in the Portable Document Format (PDF) and can
be read using the Acrobat Reader 5.0 or later from Adobe
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An archive of recommendation letters is available at
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Electronic versions of letters may or may not include
enclosures; however, related publications, accident
briefs, and aviation accident synopses may be found
on the NTSB website.
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