managing fitness for work peter simpson boylan simpson & simpson corporate psychology services t...
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MANAGING FITNESS FOR WORK
PETER SIMPSON
BOYLAN SIMPSON & SIMPSONCORPORATE PSYCHOLOGY SERVICEST (08) 9211 3700 / F (08) 9211 3711
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FITNESS FOR WORK
Being “FIT FOR WORK” means that you are a state
that you can perform your duties effectively and in a
way that does not threaten your own or other’s safety
or health.
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THE CAUSES OF IMPAIRMENT
Alcohol
Medication
Psychological
factors
Stress
Illegal drugs
Caffeine & nicotine
Medical conditions
Fatigue
IMPAIRMENT
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DRUGS AND WORK TRAUMA
24% of patients from industrial / constructions sites were positive for alcohol or other drugs
N = 62
56% of patients from a “trade” or “service” area were positive for alcohol or other drugs
N = 61
ROYAL ADELAIDE HOSPITAL - TRAUMA STUDY - APRIL 2007
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DRUGS & TRAFFIC ACCIDENTS
MOTOR VEHICLE ACCIDENTS
Alcohol - 22.6%
Cannabis - 17.5%
Benzodiazepines - 14.7%
Amphetamines - 6.9%
Opiates - 3.3%
(No. admissions = 539)ROYAL ADELAIDE HOSPITAL - TRAUMA STUDY - APRIL 2007
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FATIGUE AND ACCIDENTS
CRASH TYPE ALCOHOL FATIGUE
All 5% 5 - 10%
Serious injury 20% 20 - 30%
Fatality 40% 25 - 35%
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THE NARROW MARGIN FOR SAFETY
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MANAGING FFW - 1
PROACTIVE
Minimise
causes of impairment
(identify &
address causes)
REACTIVE
Minimise
consequences
of impairment
(identify &
address risks)
IMPAIRMENT
ON SITE
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MANAGING FFW - 2
Organisational Organisational
risks solutions
IMPAIRMENT
Individual Individual
risks solutions
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SOME FATIGUE EXAMPLES
FATIGUE RISK
Working at
night
Obstructive
sleep
apnoea
SOLUTIONS
Roster design Napping policy Alertness mgt Nap before night shift #1
Pre-employment medical Weight loss
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FATIGUELEVELS
SHIFT / ROSTER• Night work• Hours worked• No. consecutive days / nights• Rotation• Breaks• Cycle length• No. shift changes
WORK CULTURE• Work pressure• Support for self management• Work practises - job rotation - napping
NATURE OF WORK• Mental load• Physical load
ENVIRONMENT• Temperature• Noise• Light levels• Vibration• Humidity• Exposures
ONSITE SLEEPINGENVIRONMENT• Air conditioning• Inside toilets• Noise• Light control
INDIVIDUALCHARACTERISTICS• Suitability for night
work• Age• Fitness• Chronic illness• Sleeping disorders
PRIVATE COMMITMENTS• Family• Social activities• Study / other jobs etc
SKILLS, KNOWLEDGE• Sleep habits• Ability to nap• AOD use• Nutrition• Management of stress• Preparation for first
night shift
COMMUTING• Daily • Start / end cycle
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FFW RISKS
Pre employment assessments
Self management
Peer management
Supervisor management
FFWassessments
FFW ACCIDENTS
Safe workplace
Safe work practices
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RANDOM TESTING ON THE ROADS
VIC WANT SA
ACT NSW TAS QLD
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CONTROL PREVENTATIVE CORRECTIVE
ORGANISATIONAL • Appropriate rosters• Monitor / control excessive
working hours• Appropriate lighting,
ventilation• Extra breaks
• Napping procedures• Task rotation• Scheduling hazardous tasks
for high alertness periods• Extra checks at high risk
times• Strategies to improve
alertness (e.g., quizzes etc)PREEMPLOYMENT • Medical assessment to
identify individuals withsleeping disorders
• Assessment during selectionof experience & strategies tomanage shiftwork
• Provision of medical /counselling assistance forrecruits with fatigue issues.
• Education to improve skills /practices in managingshiftwork
SELFMANAGEMENT
• Education to improve sleepand skills to manage shiftwork
• Preparation for night shift#1 (afternoon sleep)
• Self assessment prior tocommencing work
• Education to promotewillingness to notify whenfatigue
• Provision of medical andcounseling assistance to assistwith identified fatigue issues.
PEERMANAGEMENT
• Education to improveknowledge of FFW / duty ofcare
• Education to promote ability /willingness to identify andassist fatigued workmates
SUPERVISORMANAGEMENT
• Promote culture of self andpeer management
• Pre-start assessment /discussion of fatigue
• Monitor hours worked
• Increased “on the job”supervision at high risk times
• Assessment and managementof fatigued individuals
• Provide written instructions
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THE STRUCTURE OF SLEEP
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ALCOHOL & SLEEP