Safety management and fatigue plans /Ideas

Safety management system for managing fatigue
Tuesday, 16 May, 2006
By Maria Karlsson, OHS editor for CCH

At the Human Factors conference, Dr Drew Dawson, Executive Director of the Centre for Sleep
Research at the University of South Australia, reported that he has taken the approach used to
develop safety management systems and applied it to fatigue management.
Fatigue is now getting more attention as a workplace hazard than it used to. Courts are also taking
fatigue seriously, as indicated by a recent fine of $130,000 imposed on a company over a safety
breach involving a fatigued truck driver. The principles of the regulations on fatigue management
incorporated into the Occupational Health and Safety Regulation 2001 (NSW) from 1 March 2006 will
flow on to the other jurisdictions (except Western Australia, where fatigue management for
commercial vehicle drivers has already been covered by a code of practice since 2004).
The recent key shift in relation to fatigue is that it is now managed as an occupational health and
safety problem rather than an industrial relations problem. In the past, danger money was paid in
many jobs that involved working while fatigued. Trying to manage fatigue within the industrial
relations sphere was a spectacular failure, Dr Dawson said, and a parliamentary inquiry into the
problem in 1999–2000 made three recommendations:
(1) There needs to be a shared responsibility for fatigue between employers and employees.
(2) Fatigue management in high-risk industries (e.g. mining and transport) should be
developed according to a risk-based framework, such as that presented in Australian standard AS
4360.
(3) Fatigue should be dealt with as just another part of the safety management system.
Management plan
There are four key steps to take in the risk management of fatigue:
(1) Develop a fatigue management plan.
(2) Work out how to communicate the plan and educate people about it.
(3) Develop an auditable method to ensure safe levels of alertness can be maintained.
(4) Carry out audits to ensure compliance with the plan.
Fundamental elements of the fatigue management plan are that it must prevent excessive
wakefulness and provide adequate sleep opportunity. It is the employees’ responsibility to make use
of the provided sleep opportunities to actually sleep and, if an employee in a high-risk job has not
had enough sleep, the person may need to inform the employer. Management needs to provide
guidelines on how to manage insufficient sleep because of the hazards that arise from that. Dr
Dawson made the point that if employees fail to notify the employer of their lack of sleep and an
incident occurs, interesting legal ramifications may arise.
Educating employees about fatigue management should be in the form of competency-based
training. There are auditable methods of training people to make sure they know about fitness for
work.
A multi-layered control system
Dr Dawson also emphasised that a multi-layered defence system is needed for fatigue management.
People tend to go overboard trying to find an effective control method, but a single control cannot
be expected to be adequate — there is no single foolproof way of ensuring workers are not too
fatigued to perform their work safely. Multi-layered systems (use of training as well as equipment,
PPE, etc as applicable) on the other hand can tolerate mistakes or omissions in one or a few of the
defence levels while remaining effective overall.
Four potentially causally-based events may precede a fatigue-related incident. Each needs to be
addressed and controlled. To investigate them, ask the following questions:
(1) Had the person been given an adequate sleep opportunity?
(2) Had the person taken the opportunity and had adequate sleep?
(3) Had the person displayed some recognisable fatigue behaviour before the incident?
(4) Had the person made some fatigue-related error?
In a model that Dr Dawson published last year (Sleep Medicine Reviews 9, 365–380, 2005), he
presented five levels of control for a sleep management system. Errors that occur in the top three
levels are latent, whereas errors in the last two levels are active errors.
Level 1 controls involve determining the average sleep history of a work group (not an individual).
Assess their sleep opportunities according to hours worked per seven days, shift duration (longer
shifts, less opportunity for sleep), duration of short breaks, the number of hours of night work per
seven days, and the duration of long breaks per seven days. As all of these factors increase, the
likelihood of sleep is reduced (e.g. a person who works 55 hours a week is likely to get less sleep
than a person who works 38 hours a week). According to this assessment, the 38-hour pattern of
working Monday to Friday is the norm. Other shifts tend to increase workers’ likelihood of getting
less sleep.
Level 2 controls involve calculating individual fatigue likelihood scores. First estimate the person’s
hours of sleep in the past 24 hours, and then in the previous 48 hours. Then ask how long the person
has been awake. The reliability of the personal fatigue score has been confirmed scientifically.
However, Dr Dawson pointed out that it remains a statistical assessment and of course does not
guarantee that a person with a certain score will have an accident.
Calculating the personal fatigue score can be done, for example, at toolbox meetings. If risk-based
categories of work have been established at the workplace (low-risk jobs and high-risk jobs), the
score can be used to determine what tasks are given to individual people to do.
Level 3 controls involve identifying behavioural indicators for specific tasks, such as operating
particular equipment. The behaviour indicators include physical, mental and emotional symptoms
and the physical ones include task-specific behaviours. Procedures for managing impaired people
need to be developed.
Level 4 and 5 controls involve identifying errors and incidents. You need proof of level 1–3 indicators
of fatigue. The nature of the error must be consistent with fatigue-related errors (rather than other
errors). Confusing incidents with causation is a common mistake.
Each level of control works as an integrated whole. If you can reduce fatigue by levels 1 or 2, you
will fairly effectively have reduced the likelihood of an incident occurring. Dr Dawson recommends
managing the first two levels rather levels 4 or 5.