Professional Documents
Culture Documents
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.
Published by:
The Department of Labour
PO Box 3705
Wellington
November 2007
ISBN 978-0-478-28161-3
2
Contents
Overview of the guide 5
Contributors 6
3
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
References 30
4
Overview of the guide 10. Various strategies can minimise
fatigue and promote better sleep.
6
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.
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.
8
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:
• 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
11
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
12
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:
• 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.
Part 2: Managing
workplace fatigue
A framework for managing shift work to
minimise fatigue
16
Figure 2—A framework for managing shift work to minimise fatigue
Implement Implement
See pg 20 See pg 23
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
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
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.
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?
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
Consequences
24
Table 3. General training topics
Napping
Fatigue awareness
Fitness
Childcare arrangements *2
Nutrition
Exercise *4
Notes
3. Certain elements in work life overlap home arrangements for night workers;
eg, ability of family to contact night workers in a home emergency.
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
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
• 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?
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.
31
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