t n e m u c o Fatigue management for supervisors D y c a - PowerPoint PPT Presentation

t n e m u c o Fatigue management for supervisors D y c a g e L g n i n r a e L 1

t n e m u c o Definition D y c a g e L g n i n r a e L

t n e m Fatigue u c o “A state of impaired mental and/or physical D y performance and lowered alertness c a g arising as a result or combination of hard e L physical and mental work , health and g n i psychosocial factors or inadequate n r a restorative sleep ” e L

t n e m u c o Facts D y c a g e L g n i n r a e L

Evidence base t n e m u c o 20% rail D accidents BAC Sleep y 0.05% debt c a 13% g higher £40bn cost mortality e to risk L economy g n 24-hour society i n r a e L Fatigue impact

t n e m Health Effects u c o D y • Cardiovascular c • Diabetes Shift work a Physical • Digestive • Cancer g • Menstrual e L g • Social & Family isolation n Mental Physical • Increase in irritability and i n Health Health arguments Mental • Stress r a • Depression e L

t n e Safety Effects m u c o Fatigue Alertness Performance D y c a Shift Work g e Increased L Lack of risk Sleep exposure g n Increased accident i n potential r a Increase in Fatigue e errors L Decreased Alertness

t n e Clapham junction rail crash 1988 m u c A multiple train collision o D Thirty-five people died y Five hundred people were injured. c a g Faulty signalling connection e L The signalling technician responsible had worked a g seven day week for the previous thirteen weeks. n i n r a e L

t n e m Effects of sleep deprivation u c o Unwilling to try out new strategies, perseverates D Difficulty comprehending a fast changing situation y c Unable to plan effectively, can ’ t ‘ update ’ a g Distracted by irrelevancies e L Impaired language and communication skills g n i n r a e L 9

t n e m Effects of sleep deprivation u c Unreliable memory for when events occurred o D Unable to plan effectively, can ’ t ‘ update ’ y c Difficulty in assessing risk a g Less control of mood/ “ uninhibited ” behaviour e L Less insight into own performance g n i n r a e L 10

t n e m u c o Health effects D y c a g e L g n i n r a e L

t n e m How the Body Clock Works u c o D Circadian rhythms y Melatonin production c a g Biological Functions e L Larks & Owls g n Sleep Debt i n r a e L Shift work sleep disorder video http://www.youtube.com/watch?v=MfxYufV jBas

t n e m Short term health effects u c o D Physical – blood shot eyes, slowed y movements, poor co-ordination, slow c responses a g e L Cognitive – difficult to concentrate, make clear g decisions, take in and act on information, more n i frequent lapses of attention or memory, react n r more slowly, make more errors a e L Emotional – depressed mood, irritable, frustrated

t n e m Long term health effects u c o Cardio vascular – high blood pressure, heart D disease, high cholesterol y c a Gastro-intestinal disorders - stomach ulcer, g e heartburn, indigestion and obesity L g n Substance misuse – caffeine, nicotine, i n alcohol, sleeping pills, drugs) r a e L Sleep problems – insomnia, obstructive sleep apnoea, shift work sleep disorder

t n e m Sleep disorders u c Sleep related breathing disorder: sleep apnoea o D the upper airway is blocked, causing airflow and breathing to stop y for a time during sleep. Leading cause of daytime sleepiness. c a g Insomnia e L difficulties in getting to sleep or staying asleep. g n i n Shiftwork sleep disorder r a Shift work sleep disorder is trouble sleeping because you work e L nights or rotating shifts.

t n e m When to see a Dr u c Do you snore? o D Are you excessively tired during the day? y Have you been told you stop breathing during sleep? c Do you have a history of hypertension? a g Is your neck greater than 43cm’s (male) or greater than e 40.6cm’s (female)? L Are your sleeping habits not improving after making lifestyle g changes such as quitting smoking or engaging in physical n i activity? n r a e If you answer yes to three or more questions, you should discuss L your symptoms with your doctor

t n e m u c o Fatigue assessment D y c a g e L g n i n r a e L

t n e m Causes of fatigue u c o D y c Individual a g e L g n i n Environment Work r a e L

t n e m Individual causes u c o Circadian rhythm D Health conditions y c Sleep quality a g e Lifestyle L Po o r Die t g Po o r Hyd ratio n n i E xc e ssive Alc o ho l n r E xc e ssive / timing o f c affe ine a e L ac k o f E xe rc ise o utsid e o f w o rk Individual L De pre sse d Mo o d e g re latio nships, injury e tc Other factors

t n e m Work causes u c o D Long daily work hours y Concentrating for extended periods c a High risk activities g e L Shiftwork g New at job or skill n i n Working alone r a Work Being on call e L Working night shift

t n e m Work environment causes u c o Insufficient breaks D Not using breaks effectively y c a Noise, vibration and heat g e Repetitive or boring tasks L High physical and/or mental exertion g n i n r a Work e L Environment

t n e m Home environment causes u c o D Sleep disruptions – neighbours, family, living in multiple occupancy accommodation y c a g Poor sleep habits – late to bed, watching tv e L g Family - illness, new baby n i n r a Worries – financial or domestic e Home L Environment

t n e m HSE Fatigue & Risk Index u c o Use to compare shift patterns as part of fatigue risk D management programme y c a HSE’s fatigue and risk index g e L HSE’s fatigue user guidance/calculator g n i n r a e L

t n e m u c o Legal requirements D y c a g e L g n i n r a e L

t n e m Shift Work & the Law u c o Working Time Regulations 1998 D These lay down minimum legal requirements in how to organise y working time. The key requirements are:- c a g e L g n i n r a e There is also provision in the regulations to opt out of the 48 hours a L week limit for a number of industries and roles

t n e m Shift Work & the Law u c o Health & Safety at Work Act (HSWA) D y Management of Health & Safety at Work c Regulations (MHSWR ’ s) a g e A well as the specific duties in the WTR ’ s, there are L general duties in the above to protect the health & g safety of employee ’ s as far as reasonably n practicable. This includes conducting risk i n assessments and implementing control measures r for all relevant risks. a e L Shift working is accepted as introducing additional health and safety risk into the workplace and therefore needs to be covered.

t n e m u c o Fatigue plan D y c a g e L g n i n r a e L 9/12/2017 27

t n e m CRL Fatigue Management Plan u c o Laid out in a 7 step process. D y Step Action Required c  Any Line Manager who sanctions regular shift work (as a Step 1 defined in Section 2 and 3.1), must inform Human g Identify staff who fall into the Resources of the names of employees who have been e required to work these shifts and instigate the following applicability of this plan. L steps of this process. g  The Health and Safety Executive fatigue and risk index, Step 2 n must be used to assess the proposed shift pattern for each Define and risk assess the individual to ensure it does not present an unacceptable i n proposed working pattern. risk. (note that at this stage this is a generic risk estimate r which does not account for any personal factors of the a individual). e  Provided that the score falls within the defined parameters L the individual may commence the proposed shift pattern.  If the score exceeds those defined then the shift pattern must be reevaluated.

t n e m CRL Fatigue Management Plan u c o D Step Action Required y  Any employee who commences night shift work following Step 3 c the above assessment is required to complete a night Health Assessment workers health assessment. This will be co-ordinated by a Human Resources who will notify the occupational health g provider to send employee out a questionnaire. This is a requirement of the Working Time Regulations. e L  Prior to commencement of shift work, employees are to be Step 4 provided with information which explains the risks of shift g Provision of information and work and what personal lifestyle factors can help to reduce training n fatigue and the health risks of working shifts. i n  After the first month of shift working each employee should Step 5 undergo a review, conducted and documented by their r Monitoring of Arrangements manager to ensure that they have no personal factors a which may increase their fatigue risk from that estimated e during step 2. Copies of documented records should be sent to Human Resources to file. L  Reviews should be undertaken at regular intervals (quarterly) thereafter.