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Frms eBook
Frms eBook
Management
Systems
An Introduction
Summary 22
Occupational fatigue is a significant risk factor in these safety critical While working hour legislation is an important tool in reducing worker
industries. Fatigue can impair cognitive function, reaction time and fatigue, it has limitations. The focus on working hours may not capture
decision-making abilities. This makes workers more susceptible to the full complexity of fatigue risk with factors such as shift schedules,
errors, accidents, and injuries. Moreover, fatigue can have a significant workload, and the nature of the work contributing to fatigue. Strict
impact on employee well-being which can lead to physical and mental adherence to working hour limits is restrictive and may not always
health problems, reduced job satisfaction and increased staff turnover be feasible in certain industries with unique operational demands or
rates. during emergencies. Compliance with legislation alone does not
guarantee that workers will be well-rested and free from fatigue-
Legislation plays an important role in controlling working hours to related risks.
reduce fatigue and ensure the safety and well-being of workers. There
are specific regulations and guidelines in place that limit the number A multi-faceted approach combining legislation with education, training,
of hours workers can be on duty, for example, Flight Time Limitations and fatigue risk management systems is important to address the
in aircrew, the European Working Time Directive and maximum daily complexities of worker fatigue effectively. Whilst this does not create
driving hours. These regulations typically set maximum limits for a panacea that eradicates fatigue, an effective fatigue risk management
consecutive working hours, require adequate rest periods between system can help organisations identify and assess fatigue risks,
shifts, and establish weekly or monthly limits on total working hours. implement strategies to mitigate those risks and monitor the
By enforcing these regulations, authorities aim to prevent excessive effectiveness of those strategies over time. By doing so, organisations
fatigue and minimize the risk of accidents and errors caused by tired can improve safety, enhance productivity and promote employee
workers. well-being.
“a physiological state of reduced mental or physical performance Circadian fatigue: defined as decreased performance during the
capability resulting from sleep loss or extended wakefulness, night, particularly during an individual’s window of circadian low
circadian phase, or workload (mental and/or physical activity) (WOCL).
that can impair a crew member’s alertness and ability to safely
operate an aircraft or perform safety-related duties.”
Safety critical industry professionals need to understand these different
types of occupational fatigue in order to develop effective management
There are different ways in which fatigue can be caused: and mitigation strategies. A comprehensive fatigue risk management
programme should address all types of fatigue and the factors that
contribute to them.
Physical Fatigue is due to prolonged physical exertion from factors
including heavy lifting, repetitive motions or standing for extended
periods.
Nutritional Deficits
A diet lacking in essential nutrients such as iron, vitamins or Physiological and psychological factors can interact and compound
minerals, affects physiological function which can lead to fatigue, each other, leading to chronic fatigue. Developing effective strategies to
weakness and decreased physical and mental performance. manage and mitigate fatigue risk requires a comprehensive approach
that addresses all contributing factors.
Chronic Medical Conditions
Chronic medical conditions such as diabetes, heart disease, cancer
and respiratory disorders, can lead to on-going fatigue, causing
reduced physical and mental performance.
Reduced Cognitive Function: diminishing attention, memory and Increased Errors and Accidents: studies have shown that fatigue
decision-making skills. This can result in errors, accidents, and increases the risk of errors and accidents by up to 62% .
reduced productivity.
1 Sleep diaries
and actigraphy:
these assess sleep quality
and quantity. Sleep diaries
involve keeping a record of
2 Psychomotor
vigilance tests (PVTs):
these are cognitive tests that
measure reaction time and
attention. PVTs can be used to
3 Fatigue risk
biomathematical models:
these models use algorithms to
predict the likelihood of fatigue
and its associated risk based on
4 Questionnaires
and surveys:
these can be used to assess
subjective measures of fatigue
such as feelings of alertness.
sleep patterns, while assess fatigue-related factors such as work schedule, The methods can provide
actigraphy involves using a impairments in cognitive sleep habits and other factors insight into how workers
device to monitor sleep- performance and can help to that may impact fatigue. The perceive their own levels of
wake patterns. identify workers who may be models can help to identify fatigue (which importantly has
at increased risk of incident. work patterns that may induce a psychosomatic effect on
excessive fatigue and also actual fatigue) and can help to
support fatigue mitigation identify potential sources of
strategies. fatigue-related risks.
3
by implementing strategies that help manage and reduce fatigue.
Fatigue training:
There are several approaches that can be taken, some at an Educating workers about the risks of fatigue and how to
organisational level and some by individuals. manage them can help prevent fatigue-related incidents. This
can include knowledge of sleep disorders, training on sleep
hygiene, nutrition and the impact of shift work on the body.
1
autopilot systems in aviation can reduce pilot workload on
long flights. Alertness monitoring systems can detect changes
Effect scheduling and work practices: in employee alertness levels and prompt them to act if they
There are many options for organisations in this respect, for are at risk of falling asleep. Automatic shut-off devices on
example, creating forward-rotating shifts (morning, machinery are another effective means to prevent accidents
afternoon and night shifts in rotation), which allow at work. It is, however, essential that technology solutions are
employees to maintain a regular sleep schedule; adjusting always used in conjunction with other, human based
shift start times to ensure they get adequate rest; strategies, to effectively manage fatigue risk.
scheduling regular breaks and rest periods; ensuring that
shifts are no longer than a certain number of hours; and
providing adequate time off between shifts.
2
Regular monitoring and reporting of fatigue-related
incidents as well as near misses can help identify areas of
Workload management: concern and inform fatigue risk mitigation strategies.
These can support good working practice policies. For
example, implementing workload tracking systems that
monitor the number of hours employees work and
Organisational strategies must be tailored to the specific needs and
workload distribution.
circumstances of the industry, workplace, and workforce and should
be reviewed on a regular basis to ensure they remain effective.
1 Sleep hygiene:
Getting enough sleep is essential for managing fatigue.
Individuals can improve their sleep hygiene by establishing
a regular sleep schedule, use naps, avoiding caffeine and
limiting alcohol and exercise before bedtime, and creating a
4 Stress management:
Stress can contribute greatly to fatigue, so individuals should
learn to manage stress effectively. This can include practicing
relaxation techniques such as meditation or yoga, taking
breaks throughout the day and avoiding over-commitment,
sleep-conducive environment. including excessive workload.
2 Diet:
A healthy diet can also help reduce the risks of fatigue.
Individuals can improve their diets by eating a balanced
diet with plenty of fruits, vegetables and whole grains, and
avoiding heavy or high-fat meals before work.
5 Caffeine:
Caffeinated products can be consumed as a temporary
countermeasure to fatigue, however, use of such stimulants
too close to bedtime are likely to have a detrimental effect
on sleep quality.
HEALTHCARE INDUSTRY
Fatigue can have serious consequences in the healthcare industry,
where professionals such as doctors, nurses, and support staff work
long hours and irregular shifts, leading to fatigue-related errors and
adverse events. To address these issues, many healthcare organisations
AVIATION INDUSTRY worldwide have implemented fatigue risk management programs.
The aviation industry is one of the most safety-critical industries, where
fatigue management is of utmost importance. Due to the nature of For instance, the UK’s National Health Service (NHS) has introduced
aviation, pilots and air traffic controllers must maintain high levels of the “Safe and Sustainable Staffing” initiative to reduce fatigue and
alertness and attention for extended periods of time. improve patient safety by ensuring appropriate staffing levels for the
workload. The programme uses standardised tools to assess workload
The aviation industry has been at the forefront of developing and and staffing levels, provides training on fatigue risk management
implementing effective FRMS. These programs typically include strategies, and introduces guidelines for shift length and breaks.
policies and procedures for managing fatigue, training for employees However, there is yet to be a common approach across all organisations
on recognizing and managing fatigue, and scheduling practices that to effectively manage fatigue risk.
prioritize adequate rest and recovery.
Similarly, Canadian healthcare organisations have implemented fatigue
ICAO guidelines on fatigue risk management have been adopted by management policies and guidelines, and the Australian Medical
many regulators around the world, and the airline industry’s use of Association has developed guidelines on fatigue management for
data analytics and sleep science to optimize scheduling and minimize healthcare professionals. These initiatives show that the healthcare
the risk of fatigue-related accidents is widespread. industry is recognising the importance of managing fatigue risk to
ensure patient safety as well as clinician wellbeing.
© FRMSc Ltd Fatigue Risk Management Systems | An Introduction 18
In the commercial trucking industry, drivers often work long hours and
SECTION 5 face pressure to meet tight deadlines, leading to fatigue and potentially
dangerous driving conditions. To address these risks, regulators
INDUSTRY CASE STUDIES including the Australian National Transport Commission and the US
Federal Motor Carrier Safety Administration (FMCSA) have implemented
hours-of-service regulations that limit the amount of time a driver can
spend behind the wheel and mandate rest breaks.
TRANSPORTATION INDUSTRY
The transportation industry, including trucking and rail, have
implemented measures to address fatigue risk. These include policies
on rest breaks and scheduling, as well as the use of fatigue monitoring MINING INDUSTRY
technologies to detect signs of fatigue in drivers. Some transportation Mining operations often involve long hours of work, irregular shift
companies have also implemented wellness programs to promote patterns, and physically demanding work, which can lead to fatigue
healthy sleep habits and improve overall employee well-being. among workers. Fatigue-related accidents in this industry can be severe,
resulting in serious injuries or even fatalities.
In recent years, UK Network Rail, the owner and operator of most of
the rail infrastructure in the UK, has recognised the importance of Regulations and guidelines have been developed in many countries
managing fatigue risk. The organisation has implemented a to ensure that mining companies implement effective fatigue risk
comprehensive system that includes risk assessments, training, and programs. For example, in Australia, the New South Wales Resources
technology-based fatigue monitoring systems across the rail industry Regulator has developed guidelines for the mining industry, which
supply chain. outline best practices for managing fatigue-related risks. Similarly, in
Canada, the Canadian Centre for Occupational Health and Safety has
Network Rail’s approach is based on the principles of the British developed guidelines on shift work and fatigue in the industry.
Standard BS 8484:2016, which provides guidance on the management
of fatigue in safety-critical industries. Network Rail’s program is ENERGY INDUSTRY
designed to ensure that workers are not fatigued to a level that poses Regulations and guidelines have been developed in many countries
a risk to safety and that they are fit to perform their duties. to ensure that energy companies implement effective fatigue risk
management programs. For example, in the UK, the Office of Nuclear
Likewise, the US Federal Railroad Administration (FRA) has Regulation has developed guidance on fatigue risk management for
implemented regulations that limit the number of hours a worker nuclear safety, which outlines best practices for managing fatigue-
can be on duty and mandate rest periods between shifts. related risks in the nuclear industry. Again, in Canada, the Canadian
Centre for Occupational Health and Safety has developed guidelines
for the oil and gas industry.
© FRMSc Ltd Fatigue Risk Management Systems | An Introduction 19
SECTION 6
FUTURE TRENDS AND
CHALLENGES
SECTION 6
FUTURE TRENDS AND
CHALLENGES
Wearable devices: such as smartwatches and fitness trackers, Fatigue risk assessment tools: can be used to assess the level of
can monitor biometric data such as heart rate and sleep fatigue-related risk in an organisation. These tools can incorporate
patterns to detect signs of fatigue in individuals. These can also factors such as workload, shift patterns and sleep quality to identify
provide feedback and alerts to individuals and supervisors, areas of risk and prioritize actions to manage those risks.
enabling them to take action to manage fatigue-related risks.
This information has been adapted using best practice guidance from the Aviation industry including UK CAA, CASA and ICAO.