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Fit to Fly

Approximately four weeks ago, I developed mild cold/flu like symptoms. I felt unwilling to call unfit as I had had a period of absence recently and a second period of absence within that time scale would have triggered the first stage of the absence management policy. With each additional stage, the number of absences before disciplinary proceedings are started, reduce. The pressure not to trigger a stage overwhelms better judgement about self-assessing fitness to operate. When calling unfit, initial reactions are often hostile and suspicious with a feeling of being interrogated and pressured into describing sickness details and divulging medical information to colleagues. I continued to fly and my cold symptoms worsened. After managing to secure a doctor’s appointment I was told I had a large perforation to my eardrum. Having already had a period of six days absence, I face the prospect of losing pay entirely after three weeks, which conflicts with my unwillingness to return to work too soon after this injury and risk permanent hearing damage.

When routine illnesses are picked up, there is an unwillingness to report unfit due to the absence management process which can result fairly quickly in disciplinary procedures from a relatively small number of absences. This is in direct conflict with the legal requirement to not exercise the privileges of our attestation when unfit. In the case of longer absences for injuries/ medical conditions where flying is not possible or recommended by a physician, the sick pay provision is not adequate. 4 weeks’ pay in any 12 month rolling period which can quickly be exhausted through a small number of short term absences. The nature of the pay structure where base salary is very low and variable pay represents a large proportion of total pay also contributes to an unwillingness to report unfit.

Due to the above factors, a situation arises where crew members continue to come to work when they shouldn’t in order to continue to receive enough variable pay resulting in the higher chance of developing more severe conditions (e.g. perforated eardrums) and then there is an increasing likelihood that cabin crew will return to work sooner than they should because of the prospect of losing pay altogether and the risk of entering a disciplinary process under the absence management policy.

The resulting significantly increases the risk of significant escalation of medical conditions/ injuries. E.g.; permanent hearing loss after receiving pressure to return to work following a perforated eardrum, the cause of which was continuing to fly whilst experiencing cold symptoms.

Although there isn’t one specific individual that is verbally persuading us to go to work when sick, the systems, policies and procedures in place are built to do so. The threat of going into performance and attendance stages/ development plans, the worry of not being paid, the way you’re spoken to when calling in to inform them you are not fit to fly, the passive aggressive emails/phone calls from managers. It all intertwines to create an environment in which you’re scared/ worried about having to call in sick.

Company Comment

Cabin crew must report for duty ‘fit to fly’.  There is a sickness management process, the management team utilises this process to support colleagues.  At no time should a crew member feel they must operate a flight if they are not fit.  If a crew member has been pressured to operate in some way, we would encourage them to complete a safety report.  This will allow the report to be reviewed and managed under our Just Safety culture programme.

CAA Comment

Whilst it is recognised that operators have a need to monitor and manage sickness absence from a duty of care and in order to identify any potential decrease in medical fitness that could affect the validity of a medical report, such policies should be fair and ensure that cabin crew are not encouraged to operate when unfit to do so.  Examples being financial reward for low individual sickness absence or the withholding of financial reward for higher sickness absence.

Sickness and absence are routinely tracked (as is customary in all businesses) and all operators will have various policies in place. Whereas working with blocked ears might be ok in a ground based job, it is not ok in the flying environment and could cause an illness to worsen. The Office for National Statistics reported that ‘In 2022 there were 185.6 million working days lost to sickness in the UK. This is an average of 5.7 days off sick per employee’ which is possibly higher than some operators attendance programmes.  https://www.safeworkers.co.uk/health-wellbeing/average-sick-days-uk

The reporter raises concerns about some crew feeling that they are too afraid to report sick or unfit. As the UK CAA stipulates in MED.A.020 ‘Decrease in medical fitness: Cabin crew members shall not perform duties on an aircraft and, where applicable, shall not exercise the privileges of their cabin crew attestation when they are aware of any decrease in their medical fitness, to the extent that this condition might render them unable to discharge their safety duties and responsibilities’ is it likely that cabin crew on average may be off sick more than the 5.7 days mentioned above?

CHIRP continues to voice its concerns to the UK CAA regarding absence policies and CHIRP is aware that the CAA Flight Ops Liaison Group (FOLG) is developing guidance on industry best practices for absence and sickness management plans.

This topic was discussed further in the editorial of CCFB edition 79. For advice on healthy living please visit the NHS website https://www.nhs.uk/live-well/