New Guidance on Preventing Fatigue

Australian OHS authorities have been struggling for many years to address issues of fatigue in the workplace.  Partly this has been because the issue of stress and bullying came to dominate the psycho-social agenda.

The transport industry has pushed fatigue into the unavoidable hazard basket.  New South Wales’ experience with this issue has been particularly interesting and continues to do so. France’s experiment with a maximum set of working hours, partly on the grounds of occupational health and safety, has proven to be a brave experiment.  The Australian Trade Unions’ campaign on “reasonable hours” had safety echoes.

But, as with so many long-term OHS initiatives, Australia waited until England’s Health & Safety Executive (HSE) did all the leg work before tailoring fatigue guidelines to its own circumstances. At least this guideline acknowledges the HSE’s work.

On 4 August 2008, WorkSafe Victoria and WorkCover New South Wales published their guidelines on “Fatigue – Prevention in the Workplace”.  As far as it goes, it is a good addition to OHS information and, if its existence is publicised sufficiently, should place fatigue on the radar of OHS professionals.  Prior to this guide, the only fatigue information that WorkSafe produced was concerning fatigue in the forestry industry in March 2004! – hardly something that any other industry would see as relevant to themselves.

It is worth comparing some of the basic concepts that the OHS regulators have put forward.

The differing definitions reflect the perceptions of the OHS regulators, the state of knowledge at the time, the approach taken by the organisation consulted in the development of the guidances, they anticipate the level of resources allocated to the promotion and enforcement of fatigue management.  The contrast between the Victorian “definitions” of 2004 and 2008 are particularly marked.

Guidelines only go so far and then it is up to business to consider the advice and decide what to do.  The success of the new fatigue guideline won’t be in evidence for several years and, of course, that relies on the very dim chance of anyone undertaking an assessment of the guideline at all.

There are several issues that I think should be considered when reading the new guidance:

The role of the second job.

Second jobs, often undertaken by shift workers are assessed, if at all, for potential conflicts of interest.  The impediment in being “fit for work” in the principal employment is never assessed.  This guideline, in a roundabout manner, identifies this risk. 

The need for nightshift.

Often nightshift, or specific shift rosters, are traditional structures.  “This is the way it has always been done”.  The existence of nightshift in every workplace should be reassessed on a regular basis as economic factors change and as knowledge of the extent of harm presented by nightshift accumulates.

Overlap of Human Resources and OHS

I have bleated on for years about the silo mentality of the OHS and HR disciplines.  The demarcations have been eroding for ages in the real world of business and this trend has been increases as more and more psychosocial hazards are placed within the OHS context.  But the HR professional and the OHS professional continue to speak different languages and with competing agenda.

Fatigue cannot be successfully managed without a common understanding between HR and OHS.

Impairment

Impairment has been a concept floating around the trade unions for some time and they have never found the right approach to getting this on the OHS agenda.  Much of the content in the new fatigue guideline is broader than fatigue and deals with interaction with our employees and colleagues.  The guideline clearly identifies issues from outside work that may exacerbate fatigue in the workplace. (That other demarcation between work and non-work hazards does not apply to fatigue)

Fatigue impairs judgement as well as actions.  Mental fatigue is applicable to a broader range of occupations than physical fatigue and reaches into occupations that are not familiar with OHS, such as judges and politicians, whose important decisions must not be impaired.

 

Fatigue should not be one of the workplace hazards that are increasing shuffled off into the miasma that is work/life balance and wellness.  It relates directly to the traditional areas of OHS but can only be controlled by non-traditional approaches.  There lies the challenge.

Domestic violence and workplace stress

Today, prominent New Zealand sports broadcaster Tony Veitch has admitted striking a previous girlfriend whose back broke in the incident.  The issue of domestic violence is outside the approach of SafetyAtWorkBlog but Tony Veitch has identified some contributory factors to his actions – workload, stress and medications.

Media coverage of Tony Veitch’s admissions will be dominated by the issues of domestic violence and the money that he paid his girlfriend to keep the matter out of the media.  In this blog’s context, questions should be asked about his employer’s, TVNZ’s, appoach to stress management and excessive working hours, and Tony Veitch’s own decision to accept working conditions that he says contributed to his violent acts.

As with the many politicians who resign due to workload and stress and who develop a sudden desire to “spend more time with the family”, and those CEO’s who take a year off to reestablish a work-life balance after amassing a personal fortune, and the television broadcasters who strike out at girlfriends, the contributions to domestc violence by work environments should be assessed so that other workers do not have to suffer and partners are not assaulted.

A balanced ABC news report on the Tony Veitch’s apology is available HERE.  A New Zealand talkback radio session on the issue is available HERE

Additional information on the issue can be found HERE

Shiftwork risks

For fixed periods over the last two years I have been working morning or night shift for a multi-national business information company.  I know shiftwork fairly well although I have never worked rotating shifts and the longest shift worked is around nine hours.  That may well categorise me as a wimp to those oil-rig workers, firefighters, bakers and miners out there, but…..

being an OHS professional I have been very watchful of my own health when working shiftwork.  On full night shift it took my digestion weeks to break the routine of over forty years.  My weight has increased but no chronic illnesses yet.  My biggest risk comes from fatigue in the drive to and from work though I have to admit that at 2.30 in the morning in Melbourne, I could use my cruise control on the suburban streets as the traffic is so light.

I have also been more keenly aware of the studies and reports on shiftwork and the health risks associated with it.  Often these reports garner considerable media coverage and, as is the way with media, some contrary articles never get a run.  Below is a selection of links to articles that highlight increased risk or the reduction of risk in relation to shiftwork:

Epidemiological Diagnosis of Occupational Fatigue in a Fly-In–Fly-Out Operation of the Mineral Industry

Simple Schedule Changes Could Improve Shift Worker Health

U of T research finds shift work linked to organ disease

This is a selection of the most recent and show the difficulties posed to OHS professionals and managers in handling this emerging risk.

For the moment, I am taking the issue of shiftwork out of my personal concerns.  I will focus instead on the health, fitness and fatigue issues applying the logic that the hazard variable over which I have the most control is myself.

Minimising stress hazards by managing better

Wendy MacDonald, from Latrobe University’s Centre for Ergonomics and Human Factors, discussed the possible breach of OHS legislation by the Australian Prime Minister Kevin Rudd’s dismissal of the risk of working excessive hours by public servants, recently on ABC radio.

The podcast can be accessed HERE

By identifying the links between excessive working hours and the increase in cardiovascular problems due to stress, the report echoes other posts in safetyatworkblog but also adds a new dimension to the Victorian government’s WorkHealth strategy.  If the link of excessive working hours to stress-related conditions is proven, and I think the evidence is already there, then there is an obligation under OHS law to control the hazard at the source, to eliminate the hazard. 

I wait to see the WorkHealth publications that advise managers to reduce workload to “healthy” levels, to ensure that adequate leave is taken to ensure people are “fit for work” and that they cap working hours to a safe level.

Public Servant Workload – Part 2

In today’s Age newspaper Dr Mirko Bagaric takes the Australian Prime Minister to task on the matter of hypocrisy and how his actions now are beginning to reveal his character.  However Bagaric, makes some comments about public servant workloads that are relevant.

“Rudd has an important project. It is to run the country in a manner that best provides an opportunity for each of us to flourish. And he is passionate about his project. Last week he boasted that frankly, he does believe in “burning the midnight oil”. And good on him. That’s his choice.

But it is not his choice to expect others to share his fanaticism. Stung by leaks relating to the FuelWatch scheme and responding to complaints of overwork by public servants, he said: “I’ve got news for the public service — there’ll be more. The work ethic of this Government will not decrease, it will increase.”

Almost universally regarded as being overpaid, lazy and inefficient, public servants evoke no public sympathy.

Yet, they too have interests. They are public servants, not public slaves. Many of them have families. Many of them have other priorities.

Rudd has spectacularly failed the exploitation test.”

Cultural change is most effective when it is introduced from the top level of management.  The Prime Minister is displaying his own work ethic but, as Bagaric, states it is unfair to impose this on others. 

Times when work/life balance should be sacrificed

Further to my post on public service workloads, the Finance Minister, Lindsay Tanner, author of the 2003 book on work/life balance, has stated on television (if you get through the fuel price discussion) that 

“There’s always going to be some disgruntled people in a large organisation,” he said. “Whether there’s truth in what they say, who knows. You just don’t know. But I believe that things will settle down to a degree. We’ve got a big agenda, we expect a lot of ourselves, we expect a lot of people working with us but it’s for the betterment of the nation, it’s for getting better outcomes for Australia.”

The challenge facing the government at the moment is that it is confusing productivity with hours of work. And I don’t accept that there is a difference between those who work in the civil service and those in private companies in terms of the health and safety risks associated with hours of work.

In today’s The Australian newspaper, John McDonnell, a public policy consultant, mentions the inconsistency in the government’s approach in passing.  He says

“leaving aside the inconsistency between the Government’s view of work-life balance for the public service as opposed to that for the rest of the community…”

Lindsay Tanner has written about work-life balance yet is not prepared to apply his knowledge to the industry he works in.  His comments above, and similar ones from his colleagues, are the first time that I have heard patriotism used in relation to workload. I wonder when the public service workers compensation claims begin to appear for stress-related disorders and depression, whether they will be rejected on the basis of “working for the betterment of the nation”.

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