Pure research and applied research on shiftwork

At secondary school there used to be a pure science and applied sciences.  Pure dealt with concepts and applied concerned the application of the concepts.  This dichotomy exists in most disciplines and occupational health and safety is no different.

Both elements are equally important, research should be able to be applied for social benefit and applied sciences constantly needs new information to try.

Some pure research was supplied to SafetyAtWorkBlog last week from the publishers of the Chronobiology International The Journal of Biological and Medical Rhythm Research, a publication not usually on our reading list.  Within this research on shift work was a useful summary of some of the issues shift work and health issues that OHS Managers must deal with.

The article is called “Wearing Blue-Blockers in the Morning Could Improve Sleep of Workers on a Permanent Night Schedule: A Pilot Study” and was published on 12 November 2009. It’s aims are below:

“The circadian clock is most sensitive to the blue portion of the visible spectrum, so our aim was to determine if blocking short wavelengths of light below 540 nm could improve daytime sleep quality and nighttime vigilance of night shiftworkers…..Blue-blockers seem to improve daytime sleep of permanent night-shift workers.”

The role of the circadian rhythm would be familiar to most readers who have had a role in managing shift workers or fatigue but it is difficult to see how the aims and findings of the research can directly assist safety managers.  The article’s introduction gives a great summary of the hazards of shift work and the research references.  It says

“In our modern society, working at night has become unavoidable in many fields. Night work is not only associated with acute (Giebel et al.,2008) and chronic health problems (Haus & Smolensky, 2006), but also with social impairment (Wirtz et al., 2008), lower performance (Rosa et al., 1990), increased risk of error (Gold et al., 1992), and industrial (Frank, 2000; Ong et al., 1987; Smith et al., 1994) and road accidents (Akerstedt et al., 2005; Folkard et al., 2005; Ingre et al., 2006; Novak & Auvil-Novak, 1996). Essentially, the most frequent complaints among shiftworkers are the lack of proper sleep during the day and lower vigilance while working at night (Akerstedt et al., 2008; Shield, 2002).”

The report goes on to explain the research study and how blueblocking helps eye discomfort, visual acuity and other shift-related issues but applying the OHS perspective to the hazards associate with shift work would require one to ask whether the shift work is required in the first place.  The decision-making process would then descend through the hierarchy of controls to possibly, engineering or administrative controls, where the Chronobiology International research may have some application.

The Chronobiology article is a good example of academic research into a particular problem.  It does not provide a particular practical solution but it provides an option that an OHS professional could consider by itself or in conjunction with other measures.  It may be that a major solution could only come through a combination of minor solutions.

The context of the research’s application is understandable even if most of the study is too technical for the usual OHS professional’s mind but along the way the “pure” science has provided a very contemporary summary of shift work safety research as well as a possible control option.

Kevin Jones

Behavioural-based safety put into context

Yesterday Associate Professor Tony LaMontagne spoke at the monthly networking meeting of the Central Safety Group in Australia.  His presentation was based around his research into job stress and its relationship with mental health.

LaMontagne was talking about the dominant position in personnel management where negative thoughts generate a negative working environment, one of stress, dissatisfaction and lower productivity.  SafetyAtWorkBlog asked whether this was the basis for many of the positive attitudinal programs, or behaviour-based safety programs, that are frequently spruiked to the modern corporations.

He said that this was the case and that such programs can have a positive affect on people’s attitudes to work.  But LaMontagne then expressed one of those ideas that can only come from outside an audience’s general field of expertise.  He said that the limitations of such programs are that they focus on the individual in isolation from their work.  He wondered how successful such a program will be in the long-term if a worker returns from a “happiness class” to a persistently large workload or excessive hours.  The benefits of the positive training are likely to be short-lived.

This presented the suggestion that positive training programs, those professing resilience, leadership, coping skills and a range of other psychological synonyms, may be the modern equivalent of “blaming the worker”.  The big risk of this approach to safety is that it ignores the relationship of the worker with the surrounding work environment and management resources and policies.  Even the worker who is furthest from head office does not work in isolation.

It is unclear what the positive training programs aim to achieve.  Teaching coping skills provides the worker with ways of coping with work pressures, but what if those pressures are unfair or unreasonable?  What if those pressures included bullying, harassment, excessive workloads?  Will the employer be meeting their OHS obligations for a safe and healthy working environment by having workers who can cope with these hazards rather than addressing those hazards themselves?

Professor LaMontagne reminded the OHS professionals in attendance yesterday that the aim of OHS is to eliminate the hazards and not to accommodate them.  He asked whether an OHS professional would be doing their job properly if they only handed out earplugs and headphones rather than try to make the workplace quieter?

Recently SafetyAtWorkBlog received an email about a new stress management program that involves “performance enhancement, changing the way people view corporate team dynamics”.  Evidence was requested on the measurable success of the program.  No evidence on the program was available but one selling point was that the company had lots of clients.  This type of stress management sales approach came to mind when listening to Professor Montagne.

When preparing to improve the safety performance of one’s company consider the whole of the company’s operations and see what OHS achievements may be possible.  Think long-term for structural and organisational change and resist the solutions that have the advantage of being visible to one’s senior executives but short on long-term benefits.

And be cautious of the type of approaches one may receive along the lines of programs that can change

“…high performance habits so employees can operate at 100% engagement and take their achievement to the next level while achieving a healthier culture in the workplace”.

Kevin Jones

Note: Kevin Jones is a life member of the Central Safety Group.  The CSG is just finalising its website (http://www.centralsafetygroup.com/)where information of forthcoming meetings will be available.

Where is the human right to safe work?

Australia is in the middle of a debate about the possible introduction of a charter or bill of human rights.  The debate has been invigorated by the presentation to the Federal Government of a consultation report on human rights.

Occupational safety is often said to be an issue of human rights but this seems to be a secondary action inferred from labor rights rather than a specific statement.  Below are a selection of the articles in the United Nations Universal Declaration of Human Rights that may relate to safe workplaces:

Article 1 – All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood.

Article 3 – Everyone has the right to life, liberty and security of person.

Article 7 – All are equal before the law and are entitled without any discrimination to equal protection of the law. All are entitled to equal protection against any discrimination in violation of this Declaration and against any incitement to such discrimination.

Article 23 –  1. Everyone has the right to work, to free choice of employment, to just and favourable conditions of work and to protection against unemployment.

Article 24 – Everyone has the right to rest and leisure, including reasonable limitation of working hours and periodic holidays with pay.

The closest one would get to a specific right to “safety at work” would be Article 23 – 1 where there is a right to “favourable conditions of work”.  Favourable is a term that is not seen in OHS legislation or discussions but may tie in with the Australian Government’s concepts of Fair Work.

Article 25 – 1 refers to “the health and well-being” but the following examples place this clearly in the social, non-workplace context.

Article 25 – 1. Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care and necessary social services, and the right to security in the event of unemployment, sickness, disability, widowhood, old age or other lack of livelihood in circumstances beyond his control.

One could argue that the right to a “standard of living” may include the qualitative elements of a safe working environment but a standard of living –  usually income, education and, sometimes, access and quality of health care – is not the “quality of life” which includes safety.

The report referred to above again does not have an overt statement that people have a right to a safe workplace but it does say, in its summary, that introducing a Human Rights Act

“…. could generate economic benefits, reducing the economic costs associated with policies that do not protect the lives and safety of Australians.”

This language may get a sympathetic ear from the Government in its context of a review of OHS legislation.

But no-one is making the case for a right for a safe workplace.

The argument that a specific right is not required as the state and national OHS legislation places clear obligations on employers and employees does not hold water as similar obligations are in other legislation and some of those sectors are advocating for human rights.

It should be clear from this article that SafetyAtWorkBlog is not a lawyer or a human rights specialist. But what the Government is looking for is discussion on the potential impacts of a Human Rights Act and it is clear from much of the contemporary discussion on occupational health and safety that the overlap between OHS and social safety is increasing very quickly, in the opinion of SafetyAtWorkBlog, quicker than the legislations and laws can cope.

In the past the trade union movement would take the running on human rights as part of their social charter but, as has been said in other SafetyAtWorkBlog articles, the trade unions still remain focused on the material interests of work, primarily, and are currently lobbying on OHS in Australia, primarily, from an industrial base.

The labour lawyers are debating the intricacies of the proposed OHS laws rather than the big picture, the context of the OHS laws in the broader legal and social fabric.  Perhaps this is considered a dead area of examination and discussion.  Once a law is introduced or a precedent set, lawyers tend to adjust their analytical thinking to fit.  Safety professionals and commentators have the luxury to think more broadly.

The safety professional associations are remarkably quiet on the whole idea, preferring to bow to their legal advisers while at the same wondering how they can find relevance in the evolving social context of OHS.

If readers of SafetyAtWorkBlog can shed any light on the human right for safe work, please submit comments below.

Kevin Jones

More on leave retention and mental health

The research statistics quoted in an earlier blog article have finally been located.

Page 1 from Research dataIt is important to understand the limitations of the study.  Firstly, these are not statistics from the Australian Bureau of Statistics so they do not have the same weight as the regularly issued Labour Force statistics.  It would be great if the government began collating this useful economic and business information.

The data released by Tourism Australia also does not include owner-operators or part-time employees.  Part-time employees account for over 3 million Australians out of a total population of 22 million*. That seems a large number to leave out of the calculation.

Nor does the study include any annual leave that does not involve travel.  So if one takes annual leave and recuperate in one’s backyard for four weeks or some quality time with the kids, this is not included.

These restrictions alone show that official statistics on leave use and retention are needed.

The Research Data has some comments specifically about the workplace

“There is a consistent and widespread perception that leave is harder to take than it used to be. Two separate shifts have contributed to this feeling: that it is harder to take time off from work and that it is more difficult to plan holidays.”

Whether it is harder to plan holidays is not relevant to SafetyAtWorkBlog but why is it harder to take time off from work? It is unclear if this is a perspective of the employee or the employer. What is easier to accept is that

“Organisations were no longer seen to factor leave-taking into employee workloads, but expected people to work 52 weeks per year.”

From an OHS perspective this is unforgivable, unhealthy and unsafe. Any companies that do this are breaching their OHS obligations of providing a safe and healthy working environment.

“People are shifting into ‘work addiction’ behaviour irrespective of how they feel about it. They’re working longer hours and are under pressure to perform. Despite a higher consciousness of the importance of work/life balance, many believe things are going in the other direction.

Rather than the onus of planning leave being on the organisation as in the past, it was viewed that this has shifted to the individual. Whereas many organisations used to have cover for people going on leave, it was seen that it is now the responsibility of individuals to organise their workloads if they want to take leave.”

Further research on what caused the change of attitude would be fascinating. It is suspected that the survey frenzy generated by the global financial crisis may be showing results soon on this issue.

What the research data indicates is that there may be “employers of choice” and one’s awareness of work/life balance is high but the reality is vastly different.   There may be financial, organisational and career barriers to achieving some form of stability in mental health and productivity.  What is undeniable is that having leave from work is as important for one’s mental wellbeing as sleep, and to neglect either is not healthy or productive.

What we need is hard and authoritative evidence so that those who motivate change can do so from a position of authority rather than from impressions.

Kevin Jones

*As with all statistical calculations in SafetyAtWorkBlog, please verify them from the original data. (Arts graduates can describe “alliteration” but can’t count very well) If wrong, please advise us immediately.

The retention of leave indicates a broken business

The Australian Chamber of Commerce & Industry (ACCI) has released a statement that discusses the economic and personal costs of presenteeism in relation to Australia’s new National Employment Standards.

In the statement the ACCI mentions:

“…the colossal national stockpile of annual leave and its toxic impact on the wellbeing of business and employees.”

“It doesn’t take Sherlock Holmes or even Dr Watson to deduce that employees who take their annual leave are far less likely to take a ‘sickie’ due to fatigue or illness.”

The statistics quoted by ACCI include:

  • 123 million days stockpiled nationally.
  • $33.3 billion value to national leave stockpile.
  • 73% of national leave stockpilers are likely to be managers and earn more than $70K per annum.
  • 71% of leave stockpilers nationally are likely to be male.
  • 73% of leave stockpilers consider work/life balance to be important to their lives.
  • 70% of leave stockpilers consider taking leave to be a good way to achieve work/life balance.

It is not unreasonable to assert that the excessive retention of leave by an individual is an indication that that person does not understand that annual leave is an important element of their own mental health and safety at work.

If an executive believes they are indispensable to the company then that executive is making poor OHS decisions that flow to other employees.  Just as positive change can come from the senior management so can unhealthy work practices.  The retention of leave is just such a practice.

In a broader corporate and management context, the retention of excessive leave is an indication of a poorly managed business.  Leave, and its mental health benefits, should be integrated into the operational business strategy.  No one should be indispensable in a work role, although it is acknowledged that Plan B’s are not always as effective as Plan A’s.

Business continuity and risk management demand that contingencies be put in place for prolonged absences, or short leave breaks.

ACCI has to be admired for bringing the retention of leave to the attention of its members but the release is principally an information leaflet for a government tourism website.  Being physically absent from work is very different from being mentally absent from work.

To achieve a proper break from work, contact with the workplace and clients must be severed.  Even in this situation it may take several days to break out of “work mode”, to stop reaching for the mobile phone, to stop worrying about whether a work task is being done and to start the process of relaxing.

A “good” workplace, a “workplace of choice”, should have work management structures in place to allow its employees to recuperate from the pressures of work.  This is beyond flexible work structures and needs a business to thoroughly understand the mental health needs of its workers and business continuity.

Kevin Jones

The original research data for the figures above has been located and is available elsewhere on SafetyAtWorkBlog

23rd suicide at France Telecome in 18 months

Adam Sage has been following the suicides that have occurred in France Telecome for some time.  On 23 September 2009 in the TimesOnline (a week later in The Australian newspaper??), Sage provides a useful summary and cogitation on the “cluster”.

But although this number of suicides in one company should be alarming, it is not really a cluster as the suicide rate for Telecome’s employees was only slightly above the national average of 14.7 per 100,000 people.  Sage reports that France is a country with a high comparative suicide rate.  The relevance to SafetyAtWorkBlog is that Sage goes on to identify work-related factors that contribute to suicides.

He quotes a sociology professor who says the French “define themselves by their professions”.  The risk with this basis for identity is always when the demand for the profession declines, one needs to redefine and this is not easy.

Sage finds a psychoanalyst who says that his patients feel isolated at work and have no support mechanisms.

A suicide prevention expert says that often a problem at home is the suicide trigger with someone who is feeling stressed at work.

Sage provides a potted history of the privatisation of France Telecome and speaks to a current employee bemoans the loss of camaraderie.

What is surprising about this article is that it seems France, and particularly France Telecome, are way behind other Western nations in having control measures in place for employee support programs and change management.

It is not as if France is ignorant of workplace stress issues or that workplace suicides have only occurred at France Telecome.  A major reason for its experiment with the 35-hour week was to

“…to take advantage of improvements in productivity of modern society to give workers some more personal time to enhance quality of life.”

In January 2008 (well before the current financial crises), the Institute for Economic and Social Research published “Workplace suicides highlight issue of rising stress levels at work “.  After some suicides at Renault and Peugeot it assessed the issues, acknowledged the trade union assertion that

“…excessive isolation of workers due to high workloads and fierce competition leads to a malaise in companies and thus call for a reflection on choices of work organisation.”

The article also reported

“The French Democratic Confederation of Labour (Confédération française démocratique du travail, CFDT) welcomed the ‘recognition of psychological factors being the cause of an occupational accident’ as it ‘opens the way to taking into account a form of suffering and malaise that, until now, has been minimised by companies’.”

A longer-lasting improvement will only come if this recognition is built on by all social structures in France.  Perhaps it should look across the channel at how the Health & Safety Executive and the corporate sector have responded to the report by Dame Carol Black – “Working for Health” – calling for an integrated approach to health management involving work, public health, health promotion and other elements of social capital.

France Telecome held an extraordinary Board meeting on 15 September concerning its suicide rate.  It made the following commitments:

  • “The national health, safety and working conditions committee (CNSHSCT) will be meeting on Thursday next week in the presence of Jean-Denis Combrexelle, the Ministry’s Director General for Employment.
  • To stop the phenomenon from spreading, it has been decided to immediately put in place a freephone number to promote dialogue. Psychologists from outside the company will be available to listen to and talk with any employees who may be having difficulties.
  • The first meeting for the negotiations on stress will be taking place on Friday September 18. On this occasion, the employee representatives will appoint an external consultancy to conduct an audit of the situation within France Telecom.
  • These negotiations will focus on the prevention of stress and psychosocial risks in the event of geographical or professional mobility among staff. To address this issue, a forward-looking employment and skills management (GPEC) system will be set-up with a view to offering employees and their direct managers visibility over their professional development and support.”

Didier Lombard, France Telecom’s Chairman and Chief Executive Officer, has set a tight timeframe for improvement.  On 15 September 2009 Lombard said

“December’s France Telecom will not be the France Telecom of today.”

Kevin Jones

UPDATE 30 SEPTEMBER 2009

Agence France Presse has reported a 24th suicide associated with France Telecom.  According to the report the 51-year-old male jumped to his death from an overpass onto a busy highway.  His suicide note to his wife expressly referred to the work environment as a reason for his action.

 

Fatigue, impairment and industrial relations

Many of the employees in the health sector in Australia have recently been negotiating new employment conditions.  It is rare for the workplace hazards of fatigue and impairment to be given such prominence in industrial relations negotiations.

A major cause of fatigue is the lack of adequate resources for relieving staff.  This issue has been identified for doctors, ambulance officers and firefighters over the last 12 months.

Many important OHS issues are identified in a recent ABC Radio interview with Dr David Fraenkel, the Treasurer of Salaried Doctors Queensland (SDQ).  Dr Fraenkel mentions the following issues, amongst others:

  • Queensland Health‘s duty of care to the public
  • Queensland Health’s duty of care to its employees
  • “wrong site surgery” due to judgement impaired by fatigue

Dr Fraenkel also shows the institutional pressures on individual doctors to not discuss the implications of fatigue.  He mentions that there is a code of conduct that impedes the discussion of issues by health care professionals.

He admits that should a young doctor leave their station to relieve their fatigue they would most likely be “called to account” for their action and their career may be jeopardised for what OHS professionals would admit is an individual taking responsibility for looking after their own safety and health.

Salaried Doctors Queensland has established a website in support of its campaign which includes some factsheets.    The print media also picked up on the SDQ media statements.

Kevin Jones

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