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ID Number______________
If you have questions, you can contact:
Stephen Reinach
781.684.4259
[email protected]
Judy Gertler
781.684.4270
[email protected]
FRA F6180.128 (08/07)
Instructions for T&E Service Employee Log
This log is divided into 14 sections, one for each day
that you will be recording data. Each section has a
page for recording your self-assessments of your sleep
and your alertness. A table for recording sleep,
personal time, commute to/from work, work periods
and limbo time follows the self-ratings.
Please assign the time in each day to one of the five
categories. Draw a vertical line in the appropriate
column to indicate the time that you spent in that
activity. Put a horizontal bar at the top and bottom of
the vertical line to indicate the beginning and end of
the activity. Please enter the actual start and stop time
of each activity period. Next to the vertical line in the
“Sleep” column, write an “A” if you slept away from
home or “H” if you slept at home. Be sure to record
all sleep periods, including naps.
You may use the blank page following each daily
entry for any comments about the day’s activities.
This is optional.
The following pages contain a sample entry for two
consecutive days. This example illustrates how to
record information in this log book.
Study Compensation
Complete the last page of this log book to indicate
your preference for the study compensation.
Sample Entry
You sleep at home Sunday night, going to sleep
sometime before midnight, and you wake up at 6:30
a.m. Monday morning. You are not eligible to work
today until 8 p.m. so during the day, you decide to
fiddle around the house, run errands, and interact
with your kids, until you are called. You receive the
call to work at 6 p.m. You then prepare for work,
get in your car at 7 p.m., and arrive at work at 8 p.m.
You mark up at 8:10 p.m. Your work today takes you
on the road, away from home.
You proceed to drive through the night, and into
Tuesday morning. You realize that you are not going
to reach your destination before your HOS expire,
and you are forced to stop the train at 8:10 a.m. You
call for a van and sit waiting in limbo. Because your
agreement allows for napping, you doze for 30 min.
A van arrives at 9 a.m. to take you to your lodging,
and you arrive at 9:45 a.m.
You check into your room, and decide to have some
breakfast and take a shower before lying down to
sleep at 11 a.m. You are awoken at 6:15 p.m. when
you receive a call informing you to be to work at 7:45
p.m. You are still tired and decide to get 15 min more
sleep, so you lay back down. At 6:30 p.m. you wake
up to prepare for work. Before the van arrives you
make your way across the street to the convenience
store to grab a sandwich and some snacks for the ride
home. The van picks you up at 7:10 and drops you
off at 7:40 p.m. You mark up exactly at 7:45 p.m. and
you work up through midnight.
Activity
Midnight
Sleep
H
0000
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
0630
0630
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
1700
1700
2000
2010
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Activity
Sleep
Midnight
Personal
Commute
Work
Limbo
2 a.m.
4 a.m.
6 a.m.
8 a.m.
A
10 a.m.
A
0830
0900
1100
noon
0810
0945
1100
2 p.m.
4 p.m.
6 p.m.
8 p.m.
1830
1830
1910 1910-1940
1945
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
0810
0945
Day 1
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
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Day 2
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 3
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 4
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 5
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 6
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 7
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 8
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 9
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 10
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 11
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 12
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 13
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Day 14
Date ______ / __________ / 2008
Self-Assessments
Rate your sleep upon arising from longest sleep period
Ease of falling asleep
1
2
3
Very difficult
4
5
Very easy
Ease of getting up
1
2
3
4
Very difficult
5
Very easy
Length of sleep
1
2
3
Wholly insufficient
4
5
More than sufficient
Quality of sleep
1
2
3
4
Very poor
5
Very good
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
Start of Work
Indicate how you feel now
1
2
3
4
Very sleepy
5
Very alert
End of Work
Indicate how you feel now
1
2
Very sleepy
3
4
5
Very alert
Activity
Midnight
Sleep
Personal
Commute
Work
2 a.m.
4 a.m.
6 a.m.
8 a.m.
10 a.m.
noon
2 p.m.
4 p.m.
6 p.m.
8 p.m.
10 p.m.
Midnight
Sleep location: A=away, H=home
Enter actual start and end time for all activities
Limbo
Comments on Today’s Activities
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
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______________________________________________
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______________________________________________
______________________________________________
As compensation for my participation in this study,
I prefer to receive a gift certificate to:
q Home Depot
q Sears
Please send the gift certificate to:
Name: _______________________________________
Address _____________________________________
City _________________________________________
State _____________ Zip _______________________
_____________________________________________
Signature
The
he Federal Railroad Administration (FRA) is conducting a
study of the work schedules and sleep patterns of railroad operating crews. The purpose of the study is to develop an understanding of the issue of work schedule-related fatigue of train
and engine service employees. The study results will inform
possible future FRA policy and regulatory actions, will assist
the railroad industry in addressing any work-schedule related
fatigue issues of train and engine service employees, and, in
general, will contribute to overall railroad operational safety.
The data collected from this study will be used primarily for
statistical purposes, and is authorized by law (49 U.S.C. 20901).
Your participation in this study is completely voluntary. Your
personal information will be kept strictly confidential, and will
not be disclosed to anyone other than employees and contractors who work on this study.
Public reporting burden for this information collection is
estimated to average 10 minutes per response, including time
for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing
and reviewing this collection of information. Please note that
an agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number
for this information collection is xxxx-yyyy.
M07 128
File Type | application/pdf |
File Title | Master ALL.indd |
File Modified | 2007-10-30 |
File Created | 2007-10-17 |