TLIX4028A FATIGUE AND RISK ANALYSIS
Aug 18, 2015
PRESENTATION OUTLINE
The following areas are covered in this presentation:
• Risk Management – Assess
Risks
• Risk Management – Control
Risks
• Risk Management – Evaluate
Control Measures
• Establishing Fatigue
Management Plans (FMP)
• Root Cause Analysis (RCA)
• The Five Whys Method
• What is Fatigue?
• Work-Related Factors
• Life-Style Factors
• Signs of Fatigue
• Establishing Fatigue
Management Plans (FMP)
• Risk Management – FRMS
• Risk Management –
Identifying Hazards
WHAT IS FATIGUE?
• Fatigue is an acute, ongoing state of tiredness that leads to mental
or physical exhaustion and prevents people from functioning
within normal boundaries.
• It is more than feeling tired and drowsy, it is a physical condition
that can occur when a person’s physical or mental limits are
reached.
WORK-RELATED FACTORSWork-related factors of which can cause fatigue include:
• Working time
• Scheduling and planning (for example, roster patterns, length and timing of shifts)
• Inadequate rest breaks
• Lengthy periods of time being awake
• Insufficient recovery time between shifts
• Payment incentives that may lead to working longer shifts
• Environmental conditions (for example, climate, light, noise, workstation design)
• Type of work being undertaken (for example, physically or mentally demanding
work)
• Work demands placed on the person (for example, timeframes, deadlines, intensity)
• The organisation’s culture
• The person’s role within the organisation
LIFE-STYLE FACTORS
Life-style factors of which can cause fatigue include:
• Inadequate or poor quality of sleep due to sleep disorders (for
example, sleep apnoea)
• Social life
• Family responsibilities
• Other employment
• Travel time (may be considered work time in some cases)
• Health and wellbeing (for example, nutrition and diet, exercise,
pain, illness)
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
The development and implementation of an effective fatigue
management plan requires:
• Making a firm policy commitment to effective fatigue management
• Early and ongoing consultation
• Establishment of roles and responsibilities
• Risk identification, assessment, control and evaluation
• Documentation of the plan
• Implementation of the plan
• Development and implementation of assessment and monitoring
procedures
• Regular review and resultant modification of the plan
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
Policy CommitmentCommitment to effective management of fatigue risks in the workplace and establishing a consultation procedure
Reflects organisation’s health and safety policy
Commitment to control of fatigue risks highlighted
Commitment made and demonstrated by senior management
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
ConsultationLegally required – employees/workers most
likely to be effected by decisions made
Employees/workers consulted to enable them to contribute to the making of decisions
affecting their health, safety and welfare at work
Matters that affect or may affect the health, safety or welfare at work of employees/workers
are covered
Must be undertaken by means of an OHS committee, an OHS representative or other
agreed arrangements
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
Roles and Responsibilities
Operators: plan transport task to minimise fatigue through regular risk-assessment process
Consignors: obligated not to make unreasonable/unrealistic demands on operators
or drivers (e.g. do no exceed mass limits)
Corporation, Organisation and Managerial Liability: body corporates liable for any offences
committed by its employees, directors or officers Loaders/Packers and Unloaders: must ensure
loading does not cause or contribute to fatigue of the driver or is in contravention of road transport laws (e.g. if loading causes delay,
reasonable steps must be taken to ensure driver takes a rest)
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
Risk Management
Identify hazards that can contribute to fatigue
Assess associated risks – understand the nature of the harm that could be caused, the
seriousness and the likelihood of it occurring
Control risks – implement most effective control measure that is reasonably practicable in the
circumstances
Evaluate/review the effectives of the control measures
RISK MANAGEMENT - FRMSFatigue Risk Management System (FRMS)
• An FRMS Document: The FRMS document defines and details the way that
fatigue-related risk is dealt with in the organisation and is essentially the
written version of the FRMS.
• Risk Mitigation Strategies like the Defences in Depth Framework:
These strategies form the major practical or day-to-day aspect of the FRMS
and include tools, strategies and control measures for monitoring and
managing fatigue-related risk.
• Education Programs: All employees need to be made aware of the risks
posed by fatigue in the organisation, and the individual and organisational
strategies that are employed in managing that risk.
• Audit Functions : The system must be monitored for continuous
improvement and to ensure it is flexible to change with changing work
practices or functions. The audit function is essentially built into the
Defences in Depth framework.
RISK MANAGEMENT – IDENTIFYING HAZARDS
Mental and Physical Demands of Work
• Repetitive or Monotonous Work
• Sustained Physical or Mental Effort
• Complex Physical or Mental Tasks
Work Scheduling and Planning
• Night shifts, including the number of consecutive night shifts
• Long hours of work in a single shift inc. travel time, especially for remote sites
• Long hours of work across a roster cycle
• Long hours because of on‐call duties
• Short breaks between work shifts
• Short breaks within work shifts
• Shift start/finish times
• Changes to rosters
RISK MANAGEMENT – IDENTIFYING HAZARDSWork Environment Conditions
• Stress
• Adverse working conditions
• Organisational factors
Excessive Commuting Times
• Excessive commuting times necessary
Individual and Non-Work Factors
• Family commitments
• Insufficient quality sleep
• Sleeping disorders
• Psychological issues
• Alcohol and drug use
• Second job/non-paid work
RISK MANAGEMENT – ASSESS RISKS
Risk assessment methods can include:
• Consulting with industry or employee association who may be able
to assist with risk assessments for type of work and workplace
• Checking whether workers have had accidents (including
transport) travelling home or on work-related journeys
• Consult workers on workloads and schedules and ask if they are
having or have experienced work-related fatigue
• Comparing planned working hours with hours actually worked
• Reviewing workplace incident data
RISK MANAGEMENT – ASSESS RISKS
• The risk assessment should place the fatigue risk factors in order
of priority – highest to lowest.
Risk Categories
Severity Likelihood
Insignificant Rare
Minor Unlikely
Moderate Possible
Major Likely
Critical Almost Certain
RISK MANAGEMENT – ASSESS RISKS
Risk Assessment Matrix
• Used to combine the effects of the consequences and likelihood
ratings into an overall assessment of risk priority
Risk Rating Matrix
Risk RatingE: ExtremeM: MediumH: HighL: Low
Likelihood
Rare Unlikely Possible LikelyAlmost Certain
Consequence (Impact)
Severe Medium High High Extreme Extreme
Major Medium Medium High High Extreme
Moderate Low Medium Medium High High
Minor Low Low Medium Medium High
Insignificant Low Low Low Medium Medium
RISK MANAGEMENT – ASSESS RISKS
• It is important to clarify what each level in the matrix represents
to ensure it is used correctly and consistently by those who use it
Standard risk likelihood scale:
Rating Definition Scale
Almost certain Will definitely occur or will occur on an annual cycle
5
Likely Similar events have been experienced several times
4
Possible May occur once 3
Unlikely Occurs from time to time 2
Rare Occurrence is possible but highly unlikely 1
RISK MANAGEMENT – ASSESS RISKS
Standard risk consequences scale:
• Used to combine the effects of the consequences and likelihood
ratings into an overall assessment of risk priority
Rating Definition Scale
Severe Most objectives cannot be met 5
Major Some important objectives cannot be met 4
Moderate Some objectives impacted but may still be met
3
Minor Minor effects that can be remedied 2
Insignificant Almost no impact on objectives 1
RISK MANAGEMENT – CONTROL RISKS
The Hierarchy of Control
• Controls risks by ranking them from the highest level of protection
and reliability to the lowest
• The WHS Regulations require duty holders to work through this
hierarchy when managing risk under the WHS Regulations
• Prioritises preferred options for implementing possible problem
solutions and controls
• You must always aim to eliminate a hazard, which is the most
effective control. If this is not reasonably practicable, you must
minimise the risk by working through the other alternatives in the
hierarchy.
RISK MANAGEMENT – CONTROL RISKS
Hazard Control Model for Fatigue Risk Management
There are five major levels of control for managing fatigue risk:
• Level 1 (organisational): making sure scheduling gives
employees adequate opportunity to sleep
• Level 2 (individual): making sure individual employees have
actually been getting sufficient sleep
• Level 3 (behavioural): monitoring for symptoms that indicate
employees are fatigued
• Level 4 (error): strategies to ensure that fatigue in the workplace
does not result in errors or incidents
• Level 5 (incident): determining the role of fatigue in workplace
errors or incidents
RISK MANAGEMENT – EVALUATE CONTROL MEASURES
There are certain situations where you must review your control
measures under the WHS Regulations and, if necessary, revise them.
A review is required:
• When the control measure is not effective in controlling the risk
• Before a change at the workplace that is likely to give rise to a
new or different health and safety risk that the control measure
may not effectively control
• If a new hazard or risk is identified
• If the results of consultation indicate that a review is necessary
• If a health and safety representative requests a review
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
FMP Documentation
Demonstrates how decisions about controlling risks were made
Helps organisations to target training around key hazards
Provides a basis for preparing safe work procedures
Allows for easier review of risks following any changes to legislations or business activities
Demonstrates to others that work health and safety risks are being managed
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
FMP Implementation
All health and safety management systems or plans should reflect the organisation’s
health and safety policy
Important to ensure the fatigue component is strongly reflected in the policy
A fatigue management plan should be integrated as part of an overall health and
safety management system or plan.
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
Monitoring, Evaluation and Review
All aspects of plan should be audited and reviewed at regular intervals to ensure continuing suitability, adequacy
and effectiveness of the controls for eliminating risk
The plan must be reviewed at least every 12 months or when circumstances change, rostering patterns change or when there
is any indication that fatigue risks are not being controlled
Hours worked by all employees/workers, including professional staff and management, should be monitored
and evaluated as part of the fatigue management plan
Incident investigation tools must be able to identify the contribution that fatigue may make to incidents
ESTABLISHING FATIGUE MANAGEMENT PLANS (FMP)
FMP Review
All audits are to be conducted by an approved independent auditor
Compliance Audits (Existing Accreditation Holders)
Scheduled Audits
Triggered Audits
Random Audits
Spot Checks
Statement of Compliance
ROOT CAUSE ANALYSIS (RCA)
• Focuses on finding the origin of a problem and dealing with that,
rather than just dealing with its symptoms.
• It uses a specific set of steps, with associated tools, to find the
primary cause of the problem, so that you can:
1. Determine what happened
2. Determine why it happened
3. Figure out what to do to reduce the likelihood that it will
happen again
ROOT CAUSE ANALYSIS (RCA)
When conducting a Root Cause Analysis there are three causes that
may be determined:
1. Direct Causes: The cause that directly resulted in the event.
(Fatigued worker falling asleep while loading a truck)
2. Indirect /Contributing Causes: The cause(s) that contributed to
an event but themselves would not have caused the event
(Limited replacement staff/contingency should workers call in sick,
unknown fatigue policy)
3. Root Causes: The fundamental reason for an event, which if
corrected, would prevent recurrence (training, strict following of
the fatigue procedure, ensuring operators of plant are supervised)
THE FIVE WHYS METHOD
• Question-asking method used to explore the cause/effect
relationships underlying a particular problem
The dump truck was overfilled by the plant operator (the problem):1. Why? The plant operator dozed off while filling the truck. (first why) 2. Why? Operator was fatigued and unsupervised. (second why) 3. Why? The incident occurred toward the end of the worker’s night shift. The
worker had also played sport the day before. There was only one worker on duty when the truck driver turned up. (third why)
4. Why? Other workers had called in sick. There were no other workers available to fill shift. Operator did not disclose the fact they had played sport when agreeing to the night shift (fourth why)
5. Why? Operator did not realise the impact playing sport could have and had not received fatigue awareness training or been made aware of the company’s fatigue management policy/procedures. Business is small and have limited reserve staff should someone call in sick. (fifth why and root causes)
THE FIVE WHYS METHOD
The benefits to using the Five Whys Method to get to the root cause
of an issue include:
1. Simplicity
2. Effectiveness
3. Comprehensiveness
4. Flexibility
5. Engaging
6. Inexpensive
VIDEO EMBEDS
Risk Assessment Intro
https://www.youtube.com/watch?v=fY6KGN72d7Q
Risk Assessment Matrix:
https://www.youtube.com/watch?v=6TKDlKGSfgo
5 Whys Analysis:
https://www.youtube.com/watch?v=JmrAkHafwHI