Report 2009-043 Recommendations and Responses in 2012-041

Report 2009-043: Board of Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun: It Needs to Develop Procedures and Controls Over Its Operations and Finances to Ensure That It Complies With Legal Requirements

Department Number of Years Reported As Not Fully Implemented Total Recommendations to Department Not Implemented After One Year Not Implemented as of Most Recent Response
Board of Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun 2 27 7 2

Recommendation To: Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun, Board of

To ensure that it consistently adheres to requirements in state law when licensing pilots, the board should establish and implement a procedure for approving and monitoring board-appointed physicians.

Response

A 101-page study entitled, “Pilot Fitness Study for the Board of Pilot Commissioners for the Bays of San Francisco, San Pablo, and Suisun,” prepared by Dr. Robert Kosnik, MD of the University of California, San Francisco Medical Center, was delivered to the Board on May 26, 2011. The Board formally accepted the study on that day. The study provides 20 recommendations that, if adopted by the Board, will make substantial changes to Board procedures for pilot fitness determinations, including recommendations that would establish a two-physician fitness determination in a clinic setting. The Board also directed staff to initiate the preliminary stages by contracting with a consultant to prepare a market survey of costs and other matters necessary. The Board has also directed its Pilot Fitness Committee and Rules and Regulations Committee jointly to begin a series of public workshops that will address the full range of recommendations from the study. The first workshop was held on July 19, 2011. The Board plans to commence administrative rulemaking to facilitate establishment and implementation of a procedure for approving and monitoring Board-appointed physicians in November 2012, followed by a competitive procurement for Board physician services. An additional appropriation may be required in order for the Board to implement these changes.

Recommendation To: Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun, Board of

To ensure that its expenditures are appropriate, the board should competitively bid contracts with physicians who perform physical examinations of pilots.

Response

A 101-page study entitled, “Pilot Fitness Study for the Board of Pilot Commissioners for the Bays of San Francisco, San Pablo, and Suisun,” prepared by Dr. Robert Kosnik, MD of the University of California, San Francisco Medical Center, was delivered to the Board on May 26, 2011. The Board formally accepted the study on that day. The study provides 20 recommendations that, if adopted by the Board, will make substantial changes to Board procedures for pilot fitness determinations, including recommendations that would establish a two-physician fitness determination in a clinic setting. The Board also directed staff to initiate the preliminary stages by contracting with a consultant to prepare a market survey of costs and other matters necessary. The Board has also directed its Pilot Fitness Committee and Rules and Regulations Committee jointly to begin a series of public workshops that will address the full range of recommendations from the study. The first workshop was held on July 19, 2011. The Board plans to commence administrative rulemaking to facilitate establishment and implementation of a procedure for approving and monitoring Board-appointed physicians in November 2012, followed by a competitive procurement for Board physician services. An additional appropriation may be required in order for the Board to implement these changes.

Current Status of Recommendations

All Recommendations in 2012-041