Fatigue is the biggest threat to a person’s safety

Not so long ago, it was considered a legitimate criticism to blame the individual for “doing the wrong thing” at work.  Depending on the type of worksite, this was considered “human error” or “bloody stupid”.

Fatigue is an interesting illustration of how occupational health and safety must cope with new perspectives on established hazards.  Australian OHS legislation operates on a responsibility to manage the systems of work in a workplace, of which only one element is the worker.

A good incident investigation goes beyond the incident to see what led up to a worker acting the way they did, the reasons behind the decision.  Instead of “tell me about your childhood”, OHS practitioners can legitimately ask “tell me about your sleep patterns”, or “tell me about your second job”, or “tell me about your relationship with your partner”, as these can be contributory factors to the decision made on the day or the work environment at the time of the incident.

Some recent AAP articles provide interesting examples of the different contexts in which fatigue as a workplace issue can manifest:

Ambulance Employees Australia (AEA) said weary paramedics had fallen asleep at the wheel and administered wrong drugs because they did not have enough time off between shifts.

They have called for a minimum 10-hour break between shifts, compared with eight hours under the current award.

But Ambulance Victoria has said the fatigue issue was one of 175 union claims, which it said sought $800 million from pay talks.”

Investigators examining the near-catastrophe at Melbourne Airport last month are exploring whether fatigue was a factor after being told the pilot had barely slept the day before the flight.

Emirates pilots are permitted to fly a maximum of 100 hours each 28 days and the pilot was also almost at the legal threshold of the number of hours he was able to fly.

Emirates has issued a statement saying safety was a top priority for the airline.”

A higher priority than a good night’s sleep apparently!  Clearly it is the spread of hours that is the issue not the total over a fixed period.

Both these examples relate to workers’ interactions with the public and reflect the complexity of OHS’s spread to public safety.  

It seems that every investigation now automatically assesses the fatigue level, or impairment, of the participants in incidents in the same way mobile phone records are checked in car accidents and blood-alcohol levels or drug testing in some industrial events.

If your OHS professional does not consider psychosocial issues in developing safety management plans or incident investigation, seek a second opinion, or better yet, make sure the first opinion is comprehensive.

Kevin Jones

Farmers creating dis-harmony in OHS legislation

Australia is undergoing a process of national harmonisation on workplace safety legislation.  The government has played down the chances of  State jurisdictions creating exemptions to, or variations of, OHS law.  The message was that we are all “singing from the same song sheet”. 

Even before model OHS legislation has been approved, the New South Wales Farmer’s Federation has wangled an exemption from the driver fatigue legislation in that state.

According to the President of the NSW Farmer’s Federation, Jock Laurie, the fatigue law was not about reducing or removing fatigue from the transport industry, it was about 

“bureaucrats finding other ways to make life difficult for people”.

He is willing to even go on the record with the statement – Jock Laurie

As farmer and outspoken conservative Senator Bill Heffernan, said in Parliament on 22 September 2008, the legislation

“is designed to make driving safer and the work conditions better for drivers in Australia, and to harmonise the laws across the states.”

Yet he goes on to support the call for an exemption which results in weakening the harmonisation process.

It seems that farmers who drive trucks long-distances over many hours, particularly during harvest-time, do not have any relationship to the transport industry.  The situation will now be that a petrol tanker driver on a country highway can operate under one set of national OHS and transport rules and a farmer delivering grain to a port operates with an exemption – all because maintainign a log book is unnecessary red tape!

This threat to the harmonisation process should have been jumped on by the Federal government.

However, it has to be said, that inadequate transport infrastructure investment has lead to the closure of country rail lines and increased the need for farmers to transport produce by road, thereby increasing the road risk to rural communities.  Perhaps the farmers’ lobby groups realise they can’t change the big picture so are aiming for little targets.

Kevin Jones

Roadwork zone speed limit enforcement

At the Safety In Action Conference recently, Geoff Knox, CEO of Downer EDI spoke about the need to respect speed limits on roadwork sites.  He mentioned this because his company conducts a lot of this type of work, but anyone who has driven through such a zone at the reduced speed limit sees many cars and truck travelling much faster, and only metres away from workers.

Crikey.com included a rumour in its 9 April 2009 bulletin that says on a stretch of the Monash Freeway that is being widened, that 

“..within the Vic State Government that there is a tacit understanding not to police this stretch of road outside of peak hours and that between 50% & 60% of drivers are speeding. “

There are many instances where “tacit understandings” evolve into, or are considered, corruption and it is very disappointing that speed cameras, or other speed enforcement tactics, are not being applied in a circumstance where the need has never been more obvious.

Police threatened a blitz on the Monash in November 2008 if speed was not reduced.

In typical Crikey styles, there is a suggestion that there is a political advantage in this for nearby shaky electorates but the rumourmonger’s final comment brought the rumour into our context.

Vicroads are known to be particularly concerned about worker safety, particularly at night when work is being undertaken. There is a tragedy waiting to happen, and the finger pointing after the fact will be most interesting.”

Kevin Jones

Death of a safety leader

Last weekend Dr Eric Wigglesworth passed away after a long illness. Eric was a strong advocate for safety education and research over decades in Australia. I heard Eric speak several times in my professional career and remember being taught about his incident theories at university.

Over the last few years his profile has increased in the public sphere as he was the (only) Australian expert on the issues related to level crossing incidents.

Last weekend Dr Eric Wigglesworth passed away after a long illness.  Eric was a strong advocate for safety education and research over decades in Australia.  I heard Eric speak several times in my professional career and remember being taught about his incident theories at university.

Over the last few years his profile has increased in the public sphere as he was the (only) Australian expert on the issues related to level crossing incidents.

According to a media statement issued on behalf of the Safety Institute of Australia, in which Eric was an Honorary Fellow,

“Throughout the last 60 years, Eric has been at the fore of strategic thinking in applied accident prevention. While he had many, many interests, his work on railway level crossing accidents was his passion throughout much of his professional life. Reading the recent Victorian Government Report into level crossing accidents, you could be forgiven for thinking Eric was the only one to have input to the inquiry, given how often his opinions and ideas are quoted. It is yet another testament to how highly he was respected,” according to Dr Geoff Dell, Dean of the Safety Institute of Australia College of Fellows.

“Doubtless, the strongest tenet of his career was his often-voiced belief in the need for applied, researcher-driven safety research to underpin decision-making by industry and government, and to provide the basis for effective safety education.”

I have often been critical of Australia not having a safety figurehead.  Eric was the closest to such a position in academia.  Now Australia needs someone to take up the role and provide it with a public face.

Let’s hope that safety professionals don’t forget the pioneers of their discipline.

Kevin Jones

FUNERAL UPDATE

Eric’s funeral will be held on 27 march 2009 at the Monash University Religious Centre, Clayton Campus, at 10.00am.

 

Air Safety Culture – Turkish Style

SafetyAtWorkBlog would not purport to be knowledgeable about airlines, Turkish or Australia but there was a fascinating article published in Europe on 12 March 2009 that discusses the safety culture in Turkish Airlines. The article is entitled “Islam and the art of aircraft maintenance” by Claire Berlinski

SafetyAtWorkBlog would not purport to be knowledgeable about airlines, Turkish or Australia but there was a fascinating article published in Europe on 12 March 2009 that discusses the safety culture in Turkish Airlines.  The article is entitled “Islam and the art of aircraft maintenance” by Claire Berlinski (Thanks to Melody Kemp for bringing this to our attention)

There are some similarities to the current issues running in Australian media and industrial circles over the maintenance services of Qantas aircraft.

The crash of a Turkish Airline flight in Amsterdam on 25 February 2009 gained worldwide attention.  According to Berlinski’s article this crash

“…was caused by mechanical failure, exacerbated by severe pilot error: The aircraft’s altimeter – which had malfunctioned twice in the past eight landings – was faulty, and the pilots failed to note this or respond appropriately.”

A spokesperson for the airline insisted that the quality of servicing was the equal of European airlines.  (God help, airline passengers in Europe.)

Berlinski reported that

“Technicians were given maintenance tasks after two or three hours of training”

and that according to a reputable Turkish publication “Tempo Dergisi”, a technician was interviewed who 

“..claimed to be responsible for engine maintenance: he admitted that he was not licensed to do this job.”

Lastly she reports that

“And in December, 2006, it was widely reported that Turkish Airlines workers had sacrificed a camel on an Istanbul airport ramp as a gesture of thanks for having at last got rid of a batch of troublesome planes.”

There is much more in Berlinski’s article of concern and the full article is recommended but the relevance to SafetyAtWorkBlog is its example of a dysfunctional safety culture in an industry that is used as a positive example throughout the world, principally, as a result of James Reason’s work.

There will be good and bad in every industry and one will always be able to find a poor example of safety management in some country somewhere but the airline industry is different.  It projects itself as well-regulated and operates to international benchmarks of efficiency and safety.  It promotes its maintenance industry as “world’s best practice” but the generalisation is as empty as all generalisations.

OHS professionals are taught to manage safety in a way that includes the lowest common denominator in the workplace.  Safety is built around the highest risk or the stupidest act. 

It is useful to read the Berlinski as an article that reflects the infamous Darwin Awards except that the victim is not only the pilot but hundreds of innocent passengers.

Kevin Jones

Video of Level Crossing Survivor

The Australian Broadcasting Corporation has shown a remarkable video of a Turkish man who was involved in a level crossing incident and survived.  

Initially it is difficult to identify the man from the aerial perspective but the side view shows clearly how lucky the man is.

It is not the policy of SafetyAtWorkBlog to show gratuitous videos with no point.  That is a role, it seems, for the internet generally.  However this video has instructional uses beyond the “gosh” factor.

It is worth looking at the video and considering the following issues

  • Rail location
  • Visibility of truck driver
  • Isolation of pedestrians from rail and vehicular traffic
  • Signage

There are many other issues that could be pertinent but are not identified in the video, such as administrative policies, compliance, even behavioural safety.

In this instance it is highly unlikely that the worker complementing the hard hat with a high visibility vest would have made much difference to the outcome.  But then an unfastened vest may have presented its own non-visibility hazard as a catch point for the wheel structure of the truck as it passed over him.

Please note that it is his survival which makes this video of interest but there are clear safety improvements to be made.

The reality of First Aid

Many employees undertake first aid training because it is a relatively easy training program to arrange, it is cheap and it provides skills that can be applied outside the workplace.  

But newly trained first aiders often leave training with an unrealistic feeling of empowerment.  Regularly, small businesses regret the disruption caused by the first aider’s evangelism for safety, particularly if the first aider was trained to provide some generalist safety presence in the company.  Similar disruption can result from health and safety representative training and perhaps that is why many small businesses are wary of this.

First aid trainers need to remind students regularly of the reality of first aid.  This reality is shown in the death of a truck driver in an isolated part of Australia on 9 January 2009.  First Aid is a terrific life-saving skill but the reality is that circumstances beyond one’s control may still result in a death.

In a class once, a student asked a first aid instructor what would happen if a farmer was bitten by a snake in an isolated part of the farm and the farmer  had no first aid skills or kit.  The trainer responded, “the farmer would die”.

The reality of living in a large country of isolated roads and small population is shown in the death of the truck driver.

The role of mobile telecommunications in the article is a distraction and relates more to the current political and commercial disputes between the Australian government and the telecommunication providers, than to the truck driver’s injuries.  

The article may lead to discussion on the poor emergency resources in rural and outback Australia.

First aid and emergency response has been revolutionised by mobile phone technology over the last 20 years.  Mobile phones have caused us to find lost bushwalkers and to get emergency ambulances to accident scenes much quicker.  Thankfully, a quicker emergency ambulance response shortens the time needed applying first aid.

It is a truism that no matter how much training we have, or how much technology we can access, death is a reality of life.

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