Hospitality Manager Fatigue Assessment Form
Assess current fatigue, workload, rest, and fatigue-related risk factors for hospitality managers.
Respondent and Work Context
Manager Name
*
First Name
Last Name
Hotel / Property or Hospitality Venue
*
Job Title / Department
*
Location / Site
*
Primary Shift Type
*
Morning
Afternoon
Night
Rotating
Split
Other
Workload, Schedule, and Rest
Number of hours worked in the last 24 hours
*
Number of hours slept in the last 24 hours
*
Sleep quality rating
*
1
2
3
4
5
Number of breaks taken on the current shift
*
Have you worked overtime or consecutive shifts recently?
*
No
Yes
Fatigue Symptoms Assessment
Physical exhaustion
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Mental fog or confusion
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Difficulty concentrating
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Irritability or mood changes
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Slowed reaction time
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Eye strain or drowsiness
*
None
1
2
3
Severe
4
1 is None, 4 is Severe
Operational Impact and Risk Signals
Which operational impacts or risk signals occurred due to fatigue?
*
Missed tasks
Errors in guest service
Communication breakdowns
Forgot procedures
Near-miss incident
Felt unsafe continuing to work
Other
Did fatigue affect your ability to perform your duties safely?
*
Yes
No
Not sure
Did you notice any near-miss incident during your shift?
*
Yes
No
Did you feel unsafe continuing to work?
*
Yes
No
Brief incident details or context (if applicable)
Overall Fatigue Rating and Follow-up
Overall fatigue severity rating
*
Low fatigue
1
2
3
4
5
6
7
8
9
Severe fatigue
10
1 is Low fatigue, 10 is Severe fatigue
Readiness to continue working
*
Fit to continue
Need a short break
Need relief
Need to end shift
Immediate support or schedule adjustments needed
Submit Assessment
Should be Empty: