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Managing shift work

to minimise workplace
fatigue
A guide for employers
Disclaimer: The Department of Labour has made every effort to ensure that the
information contained in this publication is reliable, but makes no guarantee of
its accuracy or completeness and does not accept any liability for any errors. The
Department may change the contents of this report at any time without notice.

© Crown copyright 2007


This material is Crown copyright unless otherwise stated and may be reproduced free
of charge without requiring specific permission. This is subject to it being reproduced
accurately and not being used in a derogatory manner or in a misleading context.
The source and copyright status should be acknowledged. The permission to reproduce
Crown copyright protected material does not extend to any material in this report that
is identified as being the copyright of a third party.

Published by:
The Department of Labour
PO Box 3705
Wellington

November 2007

ISBN 978-0-478-28161-3
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Contents
Overview of the guide 5

Contributors 6

Part 1: About workplace fatigue 6


What is fatigue? 6

The causes of workplace fatigue 7


Shift work 7
Extended work hours 7
Night work 7

The consequences of workplace fatigue 8


Fatigue leads to human errors 8
Fatigue affects health 9

Recovery from fatigue 9


Sufficient sleep 9
Breaks between shifts 10
Breaks during shifts 10
Whole-of-work factors 10

Key facts about fatigue, and their implications for employers 11


1. Adequate sleep is essential for maintaining and restoring full human functioning 11
2. Stimulants provide only limited, short-term relief 12
3. Fatigue leads to physical and mental impairment 12
4. Shift work (particularly night work) can be a significant cause of fatigue 12
5. Alertness and capability vary with the time of day 13
6. People are programmed to be awake during the day and asleep at night 13
7. The ability to fall asleep easily varies with the time of day 14
8. How much time people need to recover from fatigue depends on the time of day 14

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9. Sleep loss is cumulative 15
10. Various strategies can minimise fatigue and promote better sleep 15
11. Preventing workplace fatigue requires cooperation and compromise 16
12. Various strategies are available for managing shift work to minimise fatigue 16

Part 2: Managing workplace fatigue 16


A framework for managing shift work to minimise fatigue 17
1. Develop an shift work and fatigue policy 18
2. Review the hours of work 20
3. Manage risk 22
4. Train and educate 23
5. Monitor and evaluate 26
Strategies for small employers 28

Appendix B: Your legal obligations 30

References 30

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Overview of the guide 10. Various strategies can minimise
fatigue and promote better sleep.

Part 1: About workplace fatigue 11. Preventing workplace fatigue requires


Part 1 defines fatigue, examines the cooperation and compromise.
causes of workplace fatigue, and explains 12. Various strategies are available
how recovery happens. Then it presents for managing shift work to minimise
and explains 12 key facts about workplace fatigue.
fatigue (previewed below), and highlights
the implications of these facts for Part 2: Managing workplace fatigue
employers. Part 2 presents a general framework for
managing shift work to minimise workplace
The key facts
fatigue. It also offers some strategies
1. Adequate sleep is essential for for small employers who may not have the
maintaining and restoring full physical resources to fully develop the framework.
and mental functioning, and is the only
Putting a shift work management
way of providing recovery from fatigue
system in place may seem daunting
(especially for the brain).
at first. Managing shift work can be
2. Stimulants, such as coffee, can complex—production requirements
provide only limited, short-term relief and workers’ needs must be weighed
from the effects of fatigue. against each other. However, much of the
3. Fatigue leads to physical and mental framework presented here is common
impairment. sense, which all employers can and should
put in place.
4. Shift work (particularly night work) can
be a significant contributor to fatigue. Employers and employees need to work
together to decide on the best strategies,
5. Human alertness and capability vary
policies, and procedures for their
with the time of day.
particular work setting. Some give and
6. People are programmed to be awake take will be required on both sides.
during the day and asleep at night.

7. The ability to fall asleep easily varies Contributors


with the time of day. This guide for employers has been
8. How much time people need to prepared by Department of Labour staff
recover from fatigue depends on with expert advice from:
the time of day. • Philippa Gander, Director, Sleep Wake
9. Sleep loss is cumulative. Research Centre, Massey University,
5
Wellington
• Adam Fletcher, Senior Research may impair their strength, speed, reaction
Fellow, Centre for Sleep Research, time, coordination, decision making, or
University of South Australia, Adelaide balance.

• Warren Bolger, Logistics Manager, A level of fatigue is a natural response


BP Oil, New Zealand to the mental and physical effort of
• Howard Anderson, Operations everything we do. Normally, good quality
Specialist, Airways New Zealand. sleep reverses the imbalance, allowing
the body and the brain to recover.

However, working long hours, working


Part 1: About workplace with intense mental or physical effort,
fatigue or working during some or all of the
natural time for sleep can all cause
What is fatigue? excessive fatigue. All of these have
Fatigue is a physical and/or mental state obvious implications for workplace and
caused by overexertion. It reduces a public safety. Fatigue can also have
person’s capabilities to an extent that longer-term effects on health.

Figure 1—The ‘Bucket’ model of fatigue

Opportunities for relief from Recuperation, rest, restorative


shiftwork opportunities for sleep, relaxation, healthy
personal progress; high quality nutrition, good health,
training and supervision; stimulating, rewarding and
consultation and collaboration supportive work with task
variety and a sense of control

Excessive or Physically demanding Excessive or Illness, pain, Organisational


insufficient intensitiy or hazardous insufficient mental disturbed sleep or demands of work –
and duration of environment and emotional circadian rhythm, including shiftwork
physical and mental • climate demands, poor nutrition or – out of work
effort in relation to • noise responsibilities, exercise and supply chain
recovery time and • lighting worries, conflicts and influences
timing of breaks • ergonomics, etc social interactions

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The causes of workplace fatigue Sleep restriction (having several hours
less sleep than needed) has clear,
Shift work
negative effects on human performance.
In terms of work hours, shift work is It suppresses the immune system,
defined as work that starts before 8.00am increases appetite, and makes the body
and finishes after 6.00pm. A biological increasingly resistant to insulin. Several
definition of shift work would be any work nights of restricted sleep can create a
pattern that causes a change in normal ‘sleep debt’, which has clear effects on
sleep patterns. performance.

Shift work (in particular night work) can be Effects accumulate


a powerful cause of fatigue when it: The combined effects of sleep restriction
and extended hours of work have a
• limits a person’s opportunities to get
short-term impact on performance, and in
adequate sleep
the long term may affect cardiovascular
• requires them to work in the early health, mental health, safety, and
hours of the morning, when people productivity.
are normally at their sleepiest and
least functional. How long people can go on working
extended hours before they suffer
The evidence available on the effects of
adverse health effects is not known.
shift work is sketchy. Interpreting it in the
We do know that:
practical situation is difficult because the
risks are different for different jobs and • working more than about 55–60
groups of people. hours a week (during the day) for
an extended period is likely to have
Extended work hours significant health effects
Shifts that last longer than 8 hours • extending a working week from 65
are classed as long or extended. People to 70 hours will have more impact
may work long hours on a short-term than extending it from 40 to 45 hours,
basis to deal with a major emergency even though the amount of extra time
or an unexpected situation, or they may is the same
work long hours regularly for financial or
• a period of extended work will have
other reasons. Appendix A makes some
more impact if it follows other periods
recommendations about managing long
of extended work than if it is a one-off
work hours in emergencies.
• the effects of long periods of
The effects of working long hours depend
extended work hours (several months
on how long the work periods are, how
to years) will be greater than the
often they occur, and at what time of day. 7
effects of short periods (2–4 weeks).
Night work A recent study showed that fatigue is
common among New Zealand truck drivers
All the statements above refer to day
and can build up over time. In this study:
work. Working at night has a greater
impact than working the same number • one out of four drivers reported
of hours in the daytime, and the impact being tired, even at the beginning of
is even greater when the work hours are their shift
extended.
• 24 per cent of the drivers failed a
On average, shift workers lose 1–1.5 hours standard computer test of their
of sleep for each 24-hour period. This ability to steer, keep to speed, cope
builds up a sleep debt of 6 hours after with wind gusts, and notice and
4 nights. Working more than three or respond to signals.
four night shifts in a row is likely to cause
In a medical setting, a study of New
a significant sleep debt, with serious
Zealand anaesthetists found that 32 per
consequences for safety.
cent recalled making a fatigue-related
Night-work hours should be limited. For error in the previous 6 months. Further,
example, an employment contract for 71 per cent of trainees and 58 per cent
employees doing work where risks of of specialists had exceeded their own
errors are high could state: safety limits for length of time at work.

The total number of hours an employee Many other findings point to a clear
may work between midnight and 6.00am link between fatigue and human error.
is limited to 18 over three days, after For example:
which they must have two full nights off
• A recent study of medical interns
for sleep.
found that every extended shift
(of more than 24 hours) they worked
The consequences of workplace in a month significantly increased their
fatigue
risk of a crash while commuting to or
Fatigue leads to human errors from work.

Errors made by shift workers in the • In the United States, it has been
early hours of the morning were critical estimated that fatigue contributes
factors in the disasters at Three Mile to between 20 and 40 per cent of
Island, Chernobyl, and Bhopal, as well all commercial vehicle crashes. These
as in the Exxon Valdez oil spillage. incidents are estimated to cost more
Fatigue-induced human errors can have than 15,000 lives in the USA and $12
major consequences for public safety, billion a year in lost productivity and
as well as for the workers involved, in property damage.
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one-off events like these.
• Studies of error rates and productivity When 12-hour shifts were combined
in round-the-clock industries, where with more than 40 hours’ work per week,
work requirements and the work additional effects showed up. These
environment are comparable on all workers had more health complaints,
shifts, consistently show poorest poorer performance, and a slower pace
performance on the night shift. of work.
Similarly, standard performance tests
Long term sleep problems
given to shift workers either at work,
One way to measure the impact of night
or at home between shifts, show
work is how much it restricts sleep .
poorest performance when they are
A 5-year study of over 18,000 French
working nights.
workers found that those who had worked
Extreme fatigue may cause a person at least 50 night shifts during 1990 were
to ‘disengage’ briefly in a so-called significantly more likely to have developed
‘micro-sleep’. If this happens at a critical a sleep problem by 1995.
time, an accident may result. Micro-sleeps
have been observed in train drivers and The study found that the more of the
airline pilots during periods of critical following conditions applied to a person’s
operations, with the drivers and pilots work, the more severe their problem was
often being unaware it was happening . likely to be:

• not getting to bed until after midnight


Fatigue affects health
• having to get up before 5am
A recent summary from the National
Institute for Occupational Safety and • having to sleep in the daytime rather
Health in the USA (NIOSH) analysed 52 than at night.
recently published reports that examined
long working hours in relation to illnesses, Recovery from fatigue
injuries, behaviour, and performance. Sufficient sleep
The analysis indicated that long hours
In the long term, the average amount of
of work were associated with:
sleep needed for health and alertness
• people feeling less well, less alert, and is between 7 and 9 hours a night. Most
more tired people need at least 6 hours of unbroken
sleep in any 24-hour period to remain
• lower cognitive function, poorer
alert, assuming a zero sleep debt.
performances on psychomotor tests,
and declines in vigilance However, people vary in many
• increased injury rates, more illness, ways—including their sleep needs and
and increased mortality. working time preferences (being an ‘owl’
9
or a ‘lark’). Little is known about the extent to suffer after fatigue has set in (or until
of this variation. a scheduled break time). Rest taken after
performance begins to decline tends to
Breaks between shifts be less effective and provide only
The Department of Labour recommends temporary relief.
at least two consecutive full nights’ sleep
There is evidence to suggest that rest
(with a normal day between) in each week.
breaks in addition to the traditional
Available research indicates that, other
breaks (two 15-minute breaks, and one
things being equal, this is enough to allow
30-minute meal break) can improve overall
performance to return to normal, at least
productivity. This is probably due to the
in the short term.
relief from fatigue that these extra
The length of break a person needs to breaks provide.
ensure they get enough sleep depends
Breaks can be used to
when the break begins. A 10-hour break
starting at 10.00pm will allow much more • attend to physical needs (eating,
sleep than a 10-hour break starting at drinking, going to the toilet)
10.00am. We have a strong preference
• recover from physical effort
for sleep at night. This is not just a social
convention, but a physiological need. • relieve the effects of static postures

• relieve the effects of repetitive


The length of break a person needs to
physical actions (such as prolonged
get enough sleep will also depend on how
keyboard use)
much time they need for getting to and
from work, eating, washing, dressing, • relieve the effects of concentrated
and socialising. mental work (including prolonged visual
work)
Breaks during shifts
• recover from unusually hot or cold
Breaks within the working period provide conditions
for refreshment and restore physical
• take a nap.
capabilities and alertness.
Education and training, such as useful
Workers are often given breaks at
exercises to do, will help workers to make
set times determined by custom or
the most of their breaks.
convenience. However, shift workers
need to protect themselves from fatigue. Whole-of-work factors
Ideally, they should take regular breaks
Consider all aspects of employees’ jobs
from sustained activity, rather than
when looking for ways to make their
10 waiting until their performance starts
work safer, more enjoyable, and more at a series of workshops on workplace
productive. fatigue held by the Department of Labour
in June 2003.
People cope better with day-to-day
workplace stressors (including fatigue) 1. Adequate sleep is essential for
when they: maintaining and restoring full human
functioning
• have a balance of effort and rest
Most humans need an average of around
• are properly trained and supervised
7.5–9 hours of good quality sleep a
• get objective, prompt feedback night for consistent physical and mental
• feel their efforts are acknowledged recovery from daily activities. Getting
and rewarded with appropriate pay adequate sleep is the only way to recover
and status. from fatigue, especially for the brain.
Just as muscle fatigue can only be
Features of work that operate over a
reversed through rest, mental fatigue
longer time span and may make it
can only be reversed through sleep.
more satisfying are:

• training and other opportunities for Sleepiness, like hunger and thirst, is a
skill development and advancement signal from the body of a basic need.
In extreme sleepiness, a person may begin
• opportunities for relief from shift to ‘nod off’ without being aware of doing
work so, or even fall asleep.
• opportunities for project work
Work-related sleep loss is a significant
(work that has a clear end) as a change
public health issue. In a recent survey, 37
from repetitive work.
per cent of New Zealanders aged 30 to
A fuller account of the effect of 60 years said that they ‘never’ or ‘rarely’
whole-of-work factors appears in the got enough sleep at night, and 46 per cent
Department of Labour Publication Healthy said they ‘never’ or ‘rarely’ woke up feeling
Work: Managing Stress and Fatigue in the refreshed.
Workplace, available from www.dol.govt.nz.
In the short term, people who do not sleep
well tend to eat more, and are more likely
Key facts about fatigue, and their
implications for employers to pick up infections. Long-term health
effects related to sleep problems include
The following list of 12 key facts was
digestive system upset, cardiovascular
developed from both practical experience
disease, and other complaints.
and research results. It was presented

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Implications for employers In the workplace, fatigue may cause
When employees’ sleep is affected by shift workers to:
work (particularly night work) they will not
• feel sleepy
function as effectively as employees who
work normal day shifts. • find it hard to pay attention

Aim to manage shift work and overtime • have slower reaction times and
so that employees have regular poorer coordination
opportunities for adequate recovery • have slower, muddled thinking.
through high quality sleep.
Implications for employers
2. Stimulants provide only limited, Evaluate the risks posed by tasks
short-term relief performed when levels of fatigue can be
expected to be high, and have systems in
The use of stimulants such as nicotine,
place to detect fatigue impairment. Design
caffeine, and some other drugs can help
work to prevent fatigue accumulating, and
maintain alertness in the short term.
support recovery by providing adequate
However, this gain comes at a cost—the
opportunities for high quality sleep.
‘crash’ when the effects of the stimulants
wear off. Poor quality sleep may result 4. Shift work (particularly night work)
from carry-over effects of the stimulants. can be a significant cause of fatigue

Sleeping tablets can reduce fatigue While shift work in itself inevitably
effectively if used appropriately and produces fatigue, it is not the only
for limited periods. However, they just direct cause. Shift work acts as a cause
mask the problem if the causes of sleep of fatigue along with other work and
problems remain unchanged. Only good non-work factors.
quality, natural sleep will provide full
Other causes of shift worker fatigue
recovery.
may include:
Implications for employers
• physical and mental task
Providing coffee is not a solution to
demands—high workload, lack of
workplace fatigue. You need to manage
breaks, work duration, type of work,
shift work in ways that reduce employees’
work scheduling, unpredictability of
need for stimulants.
hours of work
3. Fatigue leads to physical and • environmental factors such as noise,
mental impairment artificial light, heat, humidity, and
Laboratory studies indicate that fatigue vibration

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impairment can be equal to or greater
than alcohol impairment.
• biological factors—lack of sleep, less Implications for employers
functional times in the body’s daily This information has possible implications
cycle, poor health for:

• activities away from work—family • task scheduling


responsibilities, social commitments,
• performance expectations
commuting.
• the number, length, and use of breaks.
Shift workers have more accidents
commuting to and from work than Shift workers may be less able to assess
non-shift workers, which are likely to their safety and modify their behaviour
be caused by fatigue. during the low-functionality times of day
or night. You and your employees need to
Implications for employers
agree to take a conservative approach
You need to be especially alert to the to safety at those times.
possibility of fatigue-induced impairment
The particular measures you take to
in shift workers by:
prevent fatigue-related errors will depend
• identifying the times when workers are on the risk—how likely such errors are, and
more likely to be affected by fatigue how serious their consequences would be.

• timing the starting and ending points 6. People are programmed to be awake
of shift rosters to minimise fatigue during the day and asleep
• applying and following the types of at night
strategies described in Part 2. Humans have an inbuilt ‘body clock’ that
controls daily rhythms of alertness and
5. Alertness and capability vary with the
sleepiness.
time of day

People’s ability to be alert or to focus When people do shift work they must try
attention is not constant throughout the to override the body clock to remain active
course of a day. There are two low points at night when the body wants to sleep, and
during the 24-hour cycle, which occur for to sleep when the body wants to be active.
most people somewhere between 3.00 As a result, they may be working when
and 5.00am, and again between 3.00 and they are at their least functional and most
5.00pm. error-prone, and not getting enough sleep
between shifts to recover fully.
These low points are reflected in the
times when most fatigue-related driving The body clock seldom adapts fully to shift
accidents happen. work. An exception is when workers are
never exposed to daylight at all. Workers
13
on oil platforms in the North Sea, for 8. How much time people need to recover
example, almost completely reverse their from fatigue depends on the time of day
body rhythms after 2 weeks of working
This fact, together with the following
in this way.
one (sleep loss is cumulative), means that
Implications for employers while it is reasonable to expect employees
Try to minimise disruption to natural to get adequate sleep during a normal
rhythms when planning shift work. overnight break of 12 hours, it is not
Provide a roster that allows employees reasonable to expect that they will get
to regularly reset their body clocks to adequate sleep in a 12-hour break that
the natural rhythms. begins in the morning.

Implications for employers


7. The ability to fall asleep easily
If possible, allow employees longer periods
varies with the time of day
off if they must sleep during the day.
Generally speaking, most people fall asleep
naturally somewhere between 10.00 and 9. Sleep loss is cumulative
11.00pm, (although people do vary, with
As a pattern of shift work continues,
some preferring to go to bed earlier,
the effects of sleep loss and poor quality
and others preferring to stay up later).
sleep accumulate, leading to increasing
There is a period of wakefulness before
sleepiness and performance impairment.
this, from around 6.00pm to 10.00pm,
when it is difficult for most people to Two full nights of unbroken sleep within
fall asleep. the normal self-selected sleep time of
10.00pm to 8.00am, with a normal day
It is also difficult to fall asleep when the
in between, are a minimum requirement
internal drive to be awake reaches its daily
for adequate recovery after periods of
peak. This happens about 6 hours after
overnight work.
the early-morning peak in sleepiness; that
is, late morning for most people. It may be Implications for employers
slightly later after a series of night shifts. Provide breaks with at least 2 full nights
off (and where normal day-oriented
Implications for employers
functioning is possible) as part of the
Where practicable, avoid or minimise
normal shift roster.
consecutive shifts that mean employees
will need to sleep at those times when Depending on when the time-off period
falling asleep is most difficult. begins, this may mean providing a period
longer than 48 hours. For example, a
48-hour break beginning at midnight gives
only one full night of uninterrupted sleep.
14
Shift workers who cross time zones (such 11. Preventing workplace fatigue requires
as international pilots) will have additional cooperation and compromise
problems that need special measures.
Shift-working arrangements are a
compromise between the business’s need
10. Various strategies can minimise
for work to continue at a time when people
fatigue and promote better sleep
are normally asleep, and employees’ need
Good education about fatigue leads to to recover adequately through quality
common understanding and appropriate sleep.
workplace-specific solutions. Shift workers
can be given strategies to improve their Finding compromises that are acceptable
quality of life and sleep, such as improving to the greatest number of people
their sleep facilities, and avoiding caffeine will require employee involvement and
or alcohol within the hours before sleep. participation. Some rosters are better
than others, but everyone involved needs
Make sure you cover the following topics to accept that there is no ‘perfect’
in your information and training sessions: night-shift roster.

• adjusting the sleeping area to promote Bear in mind that:


good sleep
• there is a sense that the most
• good nutrition while working shifts
successful roster is the one that
• use and avoidance of stimulants staff prefer

• recognising fatigue • people adapt their lives to any


arrangements over time, and changing
• getting to and from work safely
arrangements can be seen as a threat
• fitness and exercise to their adaptations
• effective napping • if a roster never changes, it cannot
• maintaining home and family life be improved.

• childcare arrangements Implications for employers


The success of any shift-working
• equal facilities for shift workers.
arrangements will largely depend on
Implications for employers the quality of the consultation process.
Provide training in fatigue management People taking on shift work need reliable,
strategies before an employee begins basic information to make informed
shift work. choices.

Education and training are an important Changing shift-working arrangements is


part of any shift work management a major undertaking. Employees will need
15
system, but they are never a complete time to adjust.
solution.
12. Various strategies are available for Strong leadership will be required, with one
managing shift work to minimise fatigue person with adequate authority overseeing
the project as a whole. Good faith will also
Strategies available for assessing and
be required, with the understanding that
managing shift work include standard
shift work inevitably requires a balancing
audit frameworks, roster design principles,
of interests.
risk assessment tools, and fatigue
modelling methods. The search for the ‘perfect roster’
is a wild goose chase. A shift work
There are various tools to use in
management system is never
developing these systems:
final—reviewing and evaluating it at an
• FAID fatigue safety system – agreed level of formality must be part
see www.faidsafe.com of shift work policy.
• Australia New Zealand Standard The framework below will apply more easily
4360:1999 – Risk Management. to larger employers. It is most important
Implications for employers that it is applied in safety-critical work.
No single method of shift work A simpler set of strategies for small
management will fit all circumstances. employers is provided at the end of Part 2.
Whichever method you use, you will need to
tailor it to the needs of the organisation.

Part 2: Managing
workplace fatigue
A framework for managing shift work to
minimise fatigue

The framework presented here is not the


only way to meet your obligations as an
employer under the Health and Safety
in Employment (HSE) Act. It is just one
approach, based on the idea that the
best focus is on opportunities for
recovery, rather than on the number
of hours worked.

16
Figure 2—A framework for managing shift work to minimise fatigue

Obtain Senior Management Outline business


Commitment See pg 18 requirements See pg 20

Review legal and operational Review skills, leave, training


needs time needed
See pg 18 See pg 20

State employer and employee Calculate real need for


responsibilities employees
See pg 18 See pg 20

Develop and draft policy Fatigue assessment for


document planned hours

See pg 17 Fatigue assessment of See pg 21-22


Review and redraft actual hours

Implement Implement
See pg 20 See pg 23

Establish fatigue risk


content See pg 22
1. Shiftwork and 2. Review hours
fatigue policy of work
Determine risk assessment
workgroup
See pg 23

Commitment Effective fatigue and 3. Risk Identify fatigue risks


Communication Shiftwork Management management See pg 23
Consultation
Analyse and evaluate risks

5. Monitoring 4. Train and See pg 23


and evaluation educate Treat risks in priority order

Reporting
See pg 23

Identification of fatigue
Determine relevant groupings
in people See pg 26 See pg 23

Assess current
Personal monitoring
understanding and skills
See pg 26 See pg 24

No blame, non-punitive, day to Develop programs for


day monitoring of how things groupings
See pg 24
are going See pg 26

Implement training programs


Ongoing System Evaluation
See pg 28
Evaluate and update training See pg 26
programs

Maintain training register


See pg 26

17
1. Develop a shift work and fatigue policy • rotating shifts forward (usually,
although some rosters can work
Obtain senior management commitment
with backward rotation)
Managing shift work successfully needs
high level commitment—and support with • avoiding rosters that require
time and resources proportional to the starting work before 6.00am
importance of shift work in your business.
• implementing responsible
As an employer you need to: alternatives where the measures
above cannot be implemented.
• approve a responsible shift work policy
• Systematically identify hazards and
• support all activities needed to assess their significance in relation
manage shift work to shift work. This could include:
• insist on being up to date with any • identifying risks in tasks to be
developments on shift work policy. performed
Review operational and legal needs • assessing the risk of performing
Identify what your operation needs in tasks when workers are fatigued.
terms of work that must be done by
• Eliminate, isolate or minimize these
shift workers
hazards, in that order of priority.
Check what you and your employees have
• When employees face significant
to do under the Health and Safety in
hazards, monitor their hours of work
Employment Act to manage fatigue.
and their health.
As an employer your obligations include
the following. • Provide information, training, and
supervision for shift workers and
• Take all practicable steps to ensure health and safety representatives.
the safety of employees at work. In Include families in training sessions
relation to roster design, this could if possible (though this is not an HSE
include: Act requirement).
• reducing night work to the • Ensure that accident investigations
minimum possible consider whether fatigue was a
• ensuring no worker spends more contributing factor.
than 2–4 days on any one night Define employer and employee
shift responsibilities
• providing a minimum of 2 full Review internal company policies and
nights’ recovery after 2–4 traditional operating methods alongside
night shifts your legal and operational needs, to define
18
who will have responsibility for doing what.
State these responsibilities as specifically • review counter-fatigue measures
and concretely as possible, as in the against specific standards
following examples.
• provide adequate resources.
Employees have a responsibility to: Develop and draft a policy document
A shift-work management policy should
• cooperate with the employer in
be constructed on two levels:
matters of health and safety

• alert the employer if following normal • the corporate level – establishing


procedures no longer seems advisable commitment from senior management

• report hazards • the operational level – describing how


the system will operate.
• report when they feel they are not
safe because of fatigue This policy (which could use the headings
from this framework) can set a standard
• attend training, and be ‘fatigue aware’
against which to evaluate the actual
• use recovery and rest times management of the shift work.
appropriately, as much as they can.
Remember that plans work best when they
Line managers have a responsibility to: are SMART–that is: Specific, Measurable,
• contain working hours within specified Achievable, Realistic, and Time-framed.
fatigue limits For example:

• monitor employee health, if required In 3 months all employees in the ‘Product A’


under the HSE Act Division will be asked:
• keep training up to date and inform • what they know about the hazards
employees of hazards, including new of shift work
hazards as they arise.
• what countermeasures they use
Senior managers have a responsibility to: to minimise the effects of fatigue
• take part in policy development • what their last month’s roster
• provide facilities for night workers arrangements were
(training, access to HR, appropriate • what their opinions of their current
food) equivalent to those provided roster arrangements are
for day workers
• how they assess the hazards on
• ensure regular reporting against their jobs.
standards

• evaluate from time to time how the


19
shift management programme is going
Review and redraft • ensuring the target amount of product
The policy will need to be reviewed and is produced to the required standard.
revised from time to time. Input from the
Some examples of inputs are:
people involved may identify areas that
have been left out or need revising, and • adequate supplies
more formal evaluations may indicate • trucks in roadworthy condition
where changes are needed.
• raw materials on hand.
Implement Patterns of work hours for employees in
Once the policy is agreed on, move on a small business may have a less regular
to the next step. pattern than those of larger businesses.

2. Review the hours of work Review skills, leave, and training time
Hours worked are one of the key factors needed
affecting worker fatigue. Aspects of hours The outline of business requirements will
worked include: indicate the roles required to do the work,
the abilities and skills of workers in each
• the number of hours role, and the training required for each
• the time of day role.

• the day of the week Shift workers need the same facilities as
non-shift workers, such as access to first
• overtime or extended hours
aid, training, human resources facilities,
• what breaks are provided within and refreshment. These needs should be
the work period. planned for.
The patterns of work to be done by each
Calculate the real need for workers
employee or group of employees need to
Using the information gathered under the
be planned in advance and assessed.
previous headings, you can work out the
Outline business requirements number of workers needed at different
Identify your business requirements in times of the day, and so plan and assess
terms of the outputs and inputs needed a roster.
at different times of the day.
Making clear the extent to which the hours
Some examples of outputs might be: of work may vary will allow for appropriate
planning by everyone. Unpredictability is
• wiring a home building extension a key element in employee dissatisfaction
• driving from point A to point B with shift work—for example, being called
and delivering so many packages back to work unexpectedly while on leave,
20 or at short notice.
Fatigue assessment of planned hours
Table 1 outlines some of the factors that
you will need to consider when developing
a roster.

Table 1. Suggestions for roster arrangements

Factor Conventional recommendation

1. Night work Reduce to the minimum possible.

2. Length of work Extended working hours (shifts longer than 8 hours) may need
to be examined.

• Are the nature of the work and the workload suitable for
extended hours?

• Is the system designed to prevent fatigue accumulating?

• Are arrangements to cover for absentees adequate?

• Will overtime and/or double shifts be avoided or minimised?

• Are toxic exposures limited?

• Is adequate recovery after work possible before the start


of the next shift?

• Is there a high acceptance of the working time?

3. Rate of rotation Rotate shifts quickly—no more than 2–4 days on any one shift.

4. Direction of rotation Rotate shifts forwards (ie, morning, afternoon, night). Some shift
arrangements operate well when they rotate backwards, but
such arrangements seem to need more commitment from
employees.

5. Shift start and end times Avoid rosters that require starting work before 6.00am.
If possible, give longer breaks between shifts when breaks start
in the early morning.

6. Lengths of periods off Allow at least 2 full nights recovery time with normal daily activity
after working nights—this is the minimum needed for recovery.
Provide for some complete weekends off.

21
These recommendations reflect the to these questions will determine how
requirements of human physiology. important it is to make sure that shift
They are not all hard and fast rules, work is managed properly.
and it may be possible to devise
Form a risk assessment workgroup
successful shift-working arrangements
A risk assessment workgroup could
that do not stick to them, if there
be formed to carry out the activities
are other ways of preventing fatigue
described in this section of the
accumulating.
management system. The group
Once you have designed a roster, you can would need to represent all employees
assess how fatigue is likely to accumulate. affected by shift work.
There are various software programmes
Identify fatigue hazards
available for this purpose. However,
Assess each job or task to see if there
fatigue modelling software may not take
are hazards that could worsen the
into account the effects of workload,
consequences of a fatigue-related error.
environment, breaks within shifts,
For example:
out-of-work activities, or the possible
consequences of errors. • moving machinery poses an extra
hazard if a worker ‘nods off’
Fatigue assessment of the actual
hours worked • carrying out a maintenance operation
The actual hours people work can early in the morning could result in
differ from what is planned because incorrect reassembly.
of factors such as delays, call-backs, Identifying hazards and assessing their
altered deadlines or delivery schedules, significance are requirements of section
breakdowns, and shift-swapping. 7 of the HSE Act.
Monitor the actual hours worked. If they Analyse and evaluate risks
differ significantly from the planned hours Once you have identified the hazards,
of work (and particularly if the actual assess the risk associated with each one.
hours worked cause a high level of You can do this using a framework such
fatigue) then you will need to revise the as that in the Australia/New Zealand
work schedule. Standard for Risk Management
(ANZS 4360).
3. Manage risk

Establish fatigue risk context


What are the risks (product liability,
personal and public safety consequences
of errors) if things go wrong? The answer
22
Table 2. Risk assessment scoring

Consequences

Likelihood Insignificant Minor Moderate Major Catastrophic

A. Almost certain High High Extreme Extreme Extreme

B. Likely Medium High High Extreme Extreme

C. Moderate Low Medium High Extreme Extreme

D. Unlikely Low Low Medium Medium Extreme

E. Rare Low Low Medium Medium Medium

It is clear that this process is valid only Report


when there is good information about
Results from this section of the system
both the likelihood and the consequences
feed into shift work policy.
of an event. If good information is not
available then estimates of risk should 4. Train and educate
not be presented as anything other than
‘guesstimates’. The HSE Act requires that employees be
informed about the hazards that exist in
Treat risks in priority order the workplace and about the measures
Risk control measures are described the company is using to control them.
at this step and their effectiveness
can be assessed from time to time. Information, training, and supervision of
As an employer you are required to: employees should aim to create a set of
values, beliefs, and expectations shared
• assess each hazard identified and by management, employees, and other
decide whether it is significant or not affected people.
• take all practicable steps to eliminate, Provide new staff with information about
isolate, or minimise significant hazards, shift work at induction. Those doing night
in that order of priority work should be trained during their normal
• where significant hazards can only be work hours—they should not have to
minimised, monitor workers’ exposure come back during the day for training.
to each significant hazard and, with Families and partners can be included in
their informed consent, monitor their the training programmes. Educating their
personal health in relation to it. families about the importance of sleep will
help night shift workers.
23
Determine relevant groups • What are some of the warning signs
You will need to decide how to group and effects of fatigue?
employees and management (and perhaps
• What does being ‘fatigue aware’ mean?
other stakeholders) for training and
education. Groups could be based, for • What are some ways to promote high
example, on the similarities of their work/ quality sleep?
sleep patterns. • What are good eating and drinking
practices for shift workers?
Assess the groups
To design appropriate training, you will • How can exercise affect sleep quality
need to assess the current knowledge, and workplace alertness?
values, beliefs, and expectations of each • How can commuting be affected by
group in relation to shift work. working shifts?
Questions to assess an employee’s • How can working shifts affect family
knowledge of shift work and its hazards relationships?
could include some of the following:
• What are some helpful strategies
• What are some of the hazards of to promote shift workers’ family life?
shift work and night work related to Develop training programmes
fatigue, safety issues, and long term Design a training programme for each
health problems? group of trainees that covers all the
• What are some hazards faced by topics listed in Table 3.
night workers that are not faced by
day workers in the same organisation?

24
Table 3. General training topics

Topic Topic has consequences Topic has consequences


for work arrangements for out of work activities
and facilities and sleeping facilities

Fatigue-related hazards and  


measures to combat them.

Napping  

Fatigue awareness  

Getting to and from work  

Stimulant use and avoidance  

Promoting good sleep  

Fitness  

Childcare arrangements *2 

Home and social life *3 

Nutrition  

Exercise *4 

Self-management, lifestyle choices,  


responsibilities

Notes

1. Will be relevant in workplaces that promote napping.

2. Providing childcare facilities may be an option for some workplaces.

3. Certain elements in work life overlap home arrangements for night workers;
eg, ability of family to contact night workers in a home emergency.

4. Exercise is an important factor in shift work. Providing exercise facilities in


workplaces can help people manage sleepiness.

25
Implement training programmes Identify shift workers who are not
Training programmes can now be coping well
conducted. However, to make the desired Some people do not cope well with shift
behaviours possible, the organisation will work, especially when concerns outside the
need to implement the policies, processes, workplace weigh more heavily than usual
and workplace changes needed. (for example, a sick relative, a difficult
relationship, or a bereavement). Managers
Evaluate and update training programmes
and supervisors should be aware of the
You will need to evaluate the training
warning signs that an individual is not
programmes continually to find out
coping or is fatigued.
whether:
Factors that can affect individuals’
• it is possible to apply the strategies
responses to shift work are:
proposed in the training
• training and experience
• the strategies are being applied
• general health and fitness
• there are any gaps in training and
opportunities • age

• employees retain the information. • sex

Various methods are available for • eating habits


evaluation, including focus groups,
• general coping skills
semi-structured interviews with
employees and supervisors, direct • rigidity of sleeping habits
observation, and questionnaires. • adaptability to different daily rhythms

Maintain a training register • whether they are a morning person or


A training register can help you manage, an evening person
track, schedule and document training • whether they are introverted or
activities, requirements, and staff who extroverted.
have completed training activities
The Health and Safety in Employment Act
5. Monitor and evaluate requires employers to take all reasonably
practicable steps to identify when a
This section describes four further
fatigued employee is impaired to the point
steps that will be important in your shift
where they are a danger to themselves,
work management programme.
their colleagues, or the public.

26
Monitor hazard exposure and health • What leisure activities are available
As mentioned earlier, monitoring to the shift worker?
employees’ exposure to significant hazards
• What social support does the shift
and, with their consent, their personal
worker have?
health in relation to such hazards, is a
requirement of the HSE Act. • How much time does the shift worker
have to spend travelling?
Examples of exposure to a significant
Find out about ‘near hits’
fatigue-related hazard include:
To get valid feedback about how well a
• operating dangerous machinery in shift-work management system is working,
the early morning you need to know about fatigue-related
’near hits’. These include such things as
• having responsibility for seriously
when:
ill patients

• being a security officer. • a driver ‘nods off’ and clips a safety


barrier
Fatigue estimation software can help you
to predict when people might experience • a maintenance engineer realises
hazardous levels of fatigue, and to adjust later that she omitted a step in a
rosters accordingly. reassembly procedure.

An anonymous, no-blame reporting


It may help to consider the issues below,
system will make employees more willing
which can affect individual responses to
to provide information about these sorts
shift work.
of incidents. Analysing the information
• Is the shift worker single, or living may alert both you and your employees
with a partner? to safety issues and increase fatigue
• Is the partner also a shift worker? awareness.

• How many children are affected by the Design a questionnaire for shift workers
shift work, and what ages are they? Supervisors need to be alert for signs
of fatigue. A questionnaire to monitor
• What housing does the shift worker
the individual effects of shift work can
have?
be circulated to all employees at regular
• What job alternatives are there in intervals, or be available for individuals
the locality? to complete at any time.
• Is there a local shift-working The questionnaire could include questions
community, and if so, how big is it? such as the following.
• What local shift-working traditions
27
exist?
1. Are you generally coping with shift work good staff support would find the
better or worse than you have done in strategies below reasonable, and easily
the past? accommodated into daily work activities
and normal contact with staff.
If worse, why do you think this is?

2. Do you recover from periods of shift To manage shift work well:


work more slowly now than you did in
• involve your employees
the past?
• agree on responsibilities in relation
If yes, why do you think this is?
to preventing fatigue
3. Has your health been affected by
• work safe numbers of hours and allow
working shifts?
enough recovery time
If yes, how has your health been
• ensure that high-risk tasks are
affected?
done at safe times, or under special
4. Have you been involved in a 'near hit' precautions
where you felt that your safety, or the
• train and educate staff to develop
safety of your colleagues or the public,
a culture of fatigue awareness
was at risk because of some aspect
of shift work? • support staff as far as possible
(and ask staff about the best way
Please describe the incident (without
to do this)
giving names) and say why you think it
happened. • look out for staff who are not coping
(in both the short and the long term)
Continually evaluate and improve the
system • take steps to detect impairment
from fatigue
At agreed intervals, as specified in policy
• monitor staff health, where they face
documents, carry out an evaluation of the
significant hazards
system involving all the key stakeholders.
• be alert for the contribution of fatigue
Strategies for small employers in accident investigations
Small businesses may lack the time, • assume that your arrangements will
skilled personnel, or resources to develop never be perfected, so evaluate them
complex, systematic approaches to the from time to time.
fatigue aspect of safety management.
However, a responsible employer with

28
Appendix A: • Provide information, consultation and
opportunities for feedback.
Working long hours
in emergencies and • Keep special checks on workers aged
shutdowns over 50, who may not tolerate shift
work well.
Coping with a major natural or industrial
• Enable workers and their families to
emergency, or a planned shutdown for
contact each other.
maintenance or repair, will usually mean
that some people must work extended • Limit continuous work periods to
hours, often at night. 3–4 days.

• Allow workers enough time for full


Employers are not expected to follow the
recovery after their period of work.
suggestions below as a prescription, but
rather to adapt them to their own needs. • Assess and monitor each worker’s
recovery.
Working through an emergency
Working through a shutdown
Pre-planning anticipates emergencies
The following strategies could apply to a
and prepares responses as far as possible.
prolonged industrial emergency such
Assess fatigue risks as an integral part
as repairing a damaged item of plant,
of planning for envisaged emergencies.
or to a planned shutdown required
• Provide appropriate preparation and for maintenance.
training of people who may be called
• Provide appropriate preparation,
on.
training and supervision, and prompt
• Provide supervision and prompt feedback about how to deal with
feedback about how to deal with uncertainties.
uncertainties on the job
• Provide time and a suitable place for
• Make sure workers get at least 6 napping, with beds or comfortable
hours sleep in each 24 hours, as well loungers.
as other appropriate breaks.
• Provide appropriate meal and
• Allow time for napping, and provide refreshment breaks.
beds or comfortable loungers.
• Monitor fatigue risks.
• Provide washing facilities, including
• Provide information, avenues for
portable hot showers.
consultation, and opportunities
• Provide appropriate food and drinks. for feedback.

• Assess fatigue risks as work proceeds. 29


• Limit individual work hours to a • ensuring employees participate in
maximum of 80 a week for a maximum health and safety processes
of 2 weeks (section 19A)

• For night workers, provide transport • responding to reports of fatigue, and


to and from home, and make sure they report serious harm (section 25)
can get appropriate food during their
• acknowledging employees’ right to
meal breaks.
refuse work that is likely to cause
fatigue leading to a risk of serious
harm (section 28A)
Appendix B:
• detecting fatigue-related impairment
Your legal obligations
in employees (section 19).
The Health and Safety in Employment
Act 1992 requires employers to take all
practicable steps to prevent harm from References
workplace hazards, including fatigue and
• Charlton S G, Baas P H. ‘Fatigue,
the behaviour of fatigued workers.
work-rest cycles and psychomotor
Your legal obligations include: performance of New Zealand truck
drivers.’ NZ Journal of Psychology 30(1)
• identifying and assessing fatigue
(2001): 32–39.
hazards (section 7)
• Gander P H, Merry A, Millar M M,
• controlling fatigue hazards by
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eliminating or minimising them
fatigue-related error: A survey of
• where a significant fatigue hazard New Zealand anaesthetists.’ Anaesth
can only be minimised (rather than Intensive Care 28(2) (2000): 178–183.
eliminated), monitoring employees’
Barger L K et al. ‘Extended work shifts
workloads and work hours , and (with
and the risk of motor vehicle crashes
their consent) monitoring their health
among interns.’ NEJM 352 (2005):
in relation to that hazard (section 10.2)
125–134.
• providing information and training
• Caldwell J A. ‘Efficacy of stimulants for
about fatigue management (sections
fatigue management: The effects of
12 and 13)
Provigil and Dexidrine on sleep deprived
• making employees aware of their aviators.’ Proceedings of the 4th
responsibilities in minimising fatigue International Conference on Fatigue
(section 19)
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Transport, Murdoch University, 2000.
• Tucker P. ‘The impact of rest breaks
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Administration. 1996.

• Klein K E, et al. ‘Circadian rhythms


of pilots’ efficiency and effects of
multiple time zone travel.’ Aerosp. Med.
41 (1970): 125–132.

• Coleman R M. Wide awake at 3.00am.


By choice or by chance? New York: W H
Freeman and Co, 1986.

• Akerstedt T. ‘Sleepiness at work:


effects of irregular work hours.’ In
Monk T H (Ed) Sleep, sleepiness and
performance. West Sussex: John Wiley
and Sons Ltd, 1991. 129–52.

• Rosekind M R, et al. Crew factors


in flight operations X. Strategies
for alertness management in flight
operations. CA: NASA Moffett Field,
1996.

• Caruso C, et al. ‘Overtime and


extended work shifts: Recent findings
on illnesses, injuries and health
behaviours.’ DHSS. CDC. NIOSH. (2004).

31
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