Boscombe Fatigue Matrix

Name:
Sleep: During the last 24 hrs, how many hrs of uninterrupted sleep have you had?
More than 7 hrs
Between 5 to 7 hrs
Less than 5 hrs
Primary Duty: In the last 24 hrs, how many hrs in total have you operated physically on console conducting your primary duty?
More than 6 hrs
Between 5 to 6 hrs
Less than 5 hrs
Additional/Associated/Secondary duty: In the last 24 hrs, how many hrs in total have you been carrying out additional associated or secondary duties?
More than 6 hrs
Between 5 to 6 hrs
Less than 5 hrs
Readiness/Posture: How many days have you been on call outside routine working hrs or held at R1 or above in the last 14 days?
Less than 4 days
Between 4 to 7 days
More than 7 days
Work Stress: How would you rate your current level of work stress, including additional/secondary duties and other non-ops tasking?
Minimal
Moderate
High
Very High
Personal Stress: How would you rate your current level of personal stress?
Minimal
Moderate
High
Very High
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