PROBLEMS ASSOCIATED WITH FATIGUE: Fatigue increases the risk of injuries or other accidents. As an employer, ensure your workers are not experiencing signs or effects of fatigue on the job. You can help make your workers and your business safer by including information on fatigue and sleep in your safety guidelines and orientations. You can also develop a fatigue management plan. Effects of fatigue Studies indicate that the risk of making mistakes at work increases significantly if workers sleep for less than the average (7.5–8.5 hours) or are awake for more than 17 consecutive hours. The effects of fatigue can reduce a worker’s: o Ability to make decisions o Ability to do complex planning o Communication skills o Productivity and performance o Attention o Ability to handle stress o Reaction time o Ability to recall details o Ability to respond to changes in surroundings or information provided o Fatigue can also result in: o Inability to stay awake o Increased forgetfulness o Increased errors in judgment o Over the long term, fatigue can result in health effects, such as loss of appetite and digestive problems, and other chronic health conditions, including depression. These effects can result in: o Increased sick time, absenteeism, and rate of turnover o Increased medical costs o One study has shown that fatigue can have similar effects to drinking alcohol: o 17 hours awake is equivalent to a blood alcohol content of 0.05 (the legal limit in o British Columbia) o 21 hours awake is equivalent to a blood alcohol content of 0.08 o 24–25 hours awake is equivalent to a blood alcohol content of 0.10 SIGNS OF FATIGUE: Fatigue can cause a vast range of other physical, mental and emotional symptoms including: SIGNS OF FATIGUE chronic tiredness or sleepiness headache dizziness sore or aching muscles muscle weakness slowed reflexes and responses impaired decision-making and judgement moodiness, such as irritability impaired hand-to-eye coordination appetite loss reduced immune system function blurry vision short-term memory problems poor concentration hallucinations reduced ability to pay attention to the situation at hand low motivation RISKS ASSOCIATED WITH FATIGUE AND PROCEDURES FOR MANAGING THE RISK OF FATIGUE: Measures to manage the risks associated with fatigue will vary from one workplace to the next, depending on the nature of the work, environmental conditions and individual factors. The risks associated with fatigue can be managed by following a systematic process which involves: identifying the factors which may cause fatigue in the workplace if necessary, assessing the risks of injury from fatigue controlling risks by implementing the most effective control measures reasonably practicable in the Circumstances, and Reviewing control measures to ensure they are working as planned. PROPOSED STRATEGIES FOR MANAGING FATIGUE AND RELATIONSHIP TO HIERARCHY OF CONTROL: Controlling fatigue in the workplace ideally involves a number of different approaches that provide several protective” barriers”. This includes: 1. Ensure adequate staffing levels As a first step, it is important to ensure that adequate staffing levels have been set in order to enable control over other factors such shift length, amount of overtime and the average time off duty. And adequate shift levels also control hierarchy. 2. Shift scheduling In addition to mandatory limits that may exist for shift lengths and rest periods, optimal shift schedules require consideration of issues such as shift structure (e.g. permanent or rotating shifts), shift patterns (e.g. fast versus slow rotation of shifts) and rest breaks during and between shifts. Shift schedules should also account for factors such as the employee’s commuting time to and from work, employees swapping shifts or overtime assignments. This is best addressed by using fatigue risk models to assess actual (rather than planned) work-rest patterns and to place limits on the number of consecutive working hours or the number of days worked in a row. 3. Employee fatigue training & sleep disorder management It is also important to educate employees on the causes of fatigue and the ways that they can manage their personal fatigue risk at every level of hierarchy, so top managers are able to cope with shift work lifestyle issues and understanding health conditions that may affect the quality of sleep. 4. Workplace environment design Changes in the workplace can also assist in overcoming reduced alertness caused by out of synch circadian rhythms or inadequate sleep. Changes in environmental factors such as the lighting intensity, sound levels, temperature and humidity can be helpful in this regard. 5. Alertness monitoring & fitness for duty A final line of defence is to put measures in place that identify employees who are not suitable for work. Technologies such as alertness monitors and fitness for duty tests are options that can be considered for this purpose. By taking a systematic approach to fatigue management, companies can minimise fatigue-related incidents while improving employee wellbeing and ensuring compliance with OHS regulations and best practices. Sources of information used for the report, as well as sources of expert advice that could be used if further advice is needed in the area. Online sources