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Sleepiness is a significant workplace safety hazard and prevalent in shift workers including bus drivers. Several aspects of professional driving can result in shortened sleep and increased sleepiness, which has the potential to result in workplace injuries, incidents and crashes. Caffeine is an effective sleepiness countermeasure; however, private and professional drivers also report using potentially ineffective countermeasures such as sugar. By identifying factors which predict use of specific countermeasures (e.g., sugar, caffeine), educational initiatives could be targeted towards encouraging effective use. A subset of data was analysed from a driver sleepiness survey with London bus drivers (n=1,335). Univariate and multivariate logistic regressions were conducted to determine which factors separately predicted use of sugar (n=238) or caffeine (n=238) as a sleepiness countermeasure. Being female, having higher self-reported sleep quality and waking indexes and actively doing something to stay awake were predictive of sugar use. Age, sleeping pill use and actively doing something to stay awake were the strongest predictors of caffeine. However, many predictors from the univariate analyses were the same for both sugar and caffeine. Although tailored initiatives could be developed, broader education relating to managing sleepiness should be implemented for all bus drivers to encourage effective countermeasure use.

This paper presents a new conceptual framework, and stepwise approach to populate it, for informing countermeasure development to support fitness-to-drive for professional drivers. Professional drivers are vital to the transport network; however, the job is demanding and drivers are vulnerable to impairments which may impact safe driving. Countermeasures are any action or activity that mitigates the impact or frequency of occurrence of driver impairment. The framework proposes countermeasures to be delivered across three time points: Operational (during shift), Tactical (immediately after shift) and Strategic (outside of on-shift) and at multiple system levels, e.g., driver, manager, enforcement etc. The framework was successfully pilot tested with three different professional driver use cases: autonomous shuttles, taxi, and garbage truck drivers. This structured approach to countermeasure design offers potential to improve driver health and enhance road safety. The work was conducted within PANACEA, an EU project, grant agreement number 953426.