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WAKE UP TO A NEW APPROACH

Fatigue Management - Wake Up to a New Approach

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Organisations are increasingly moving to 24/7 operations in order to achieve a competitive edge in the global economy. Research indicates that fatigue is implicated in billions of dollars of lost productivity and in major disasters across the world. Workers experiencing fatigue have higher rates of emotional exhaustion, burnout and poor job satisfaction. They are also more likely to have or cause a safety incident. Interventions targeting workers with fatigue have a marked positive effect on quality of life and productivity of affected workers. TMS Consulting specialises in fatigue management strategies and regularly advises clients on roster design, fatigue management plans, fatigue monitoring and educational initiatives related to fatigue.

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Page 1: Fatigue Management - Wake Up to a New Approach

WAKE UP TO A NEW APPROACH

Page 2: Fatigue Management - Wake Up to a New Approach

+ Do you want to ensure your employees are safe at work?

+ Do you know how to best meet your legal safety obligations?

+ Do you want to ensure your company is productive?

+ Are you engaging your staff and influencing their choices?

UNDERSTANDING OF FATIGUE & WHY YOU SHOULD CARE

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Page 3: Fatigue Management - Wake Up to a New Approach

Organisations are increasingly moving to 24/7 operations in order to achieve a competitive edge in the global economy.

Research indicates that fatigue is implicated in billions of dollars of lost productivity and in major disasters across the world.

Workers experiencing fatigue have higher rates of emotional exhaustion, burnout and poor job satisfaction. They are also more likely to have or cause a safety incident. Interventions targeting workers with fatigue have a marked positive effect on quality of life and productivity of affected workers.

TMS Consulting specialises in fatigue management strategies and regularly advises clients on roster design, fatigue management plans, fatigue monitoring and educational initiatives related to fatigue.

Page 4: Fatigue Management - Wake Up to a New Approach

WHAT IS FATIGUE?

WHAT CAUSES FATIGUE?

+ Intense and sustained physical exertion+ Intense and sustained mental effort+ Long working hours without rest periods+ Monotonous, unstimulating work+ Working during some or all of the natural time for sleep + Lack of adequate sleep.

WHAT ARE THE INDIVIDUAL IMPACTS?

+ Loss of alertness+ Poor judgment and decision making+ Poor memory+ Mood change+ Poor personal health choices+ Risk-taking behaviour.

WHAT ARE THE ORGANISATIONAL IMPACTS?

+ Increase in error rates, near misses and actual incidents+ Increase in risk of injuries+ Lower levels of productivity+ Less engagement and focus on performance excellence.

WHY FOCUS ON FATIGUE?

+ Meet your legal obligations+ Reduce your risk exposure and mitigate your risks + Increase your company’s productivity+ Ensure your employees safety+ Increase your company’s competitive advantage.

Fatigue is a state of tiredness leading to reduced mental and/or physical performance that can endanger workplace safety.

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OUR SERVICE OFFERINGS

+ Get informed – understand the legal obligations that apply to you and your business

+ Assess your risks - systematically identify and assess the fatigue risks that you can reasonably manage

+ Control your fatigue risks – put steps in place to manage the risks you have identified

OUR EXPERIENCE COVERS A WIDE VARIETY OF EXTENDED AND 24-HOUR OPERATIONAL SETTINGS IN MANY INDUSTRY SECTORS INCLUDING CONSTRUCTION, HEALTHCARE, OIL & GAS, AND TRANSPORT.

FATIGUE RISK MANAGEMENT SYSTEMS

A Fatigue Risk Management System (FRMS) is a scientifically based, data-driven set of integrated management practices, beliefs, and procedures for identifying fatigue and safety risks. An FRMS allows a systematic and structured approach to implementing processes to prevent and manage fatigue, and to audit the control processes for efficacy and compliance. TMS Consulting has the expertise to assist with implementation of all parts of a FRMS. Our FRMS Model is displayed below. We ensure that it is embedded into your organisation’s safety management system and subsequently into your workplace culture.

Although it is difficult to totally eliminate long working hours and night shift work, having an effective FRMS can help to control adverse impacts on workplace safety and performance.

Internal and external auditing and safety assurance processes

Fatigue risk management processes

Fatigue risk management policies and procedures

Fatigue management roles, responsibilities and KPIs

Fatigue communications strategy and plan

Fatigue management training and education

Fatigue reporting system and process

AT A MINIMUM, WE ENSURE THAT YOUR FRMS HAS THE FOLLOWING SEVEN COMPONENTS:

Page 6: Fatigue Management - Wake Up to a New Approach

OUR APPROACH TO FATIGUE USES A RISK ASSESSMENT FRAMEWORK THAT

COMPROMISES 5 KEY STEPS

Firstly, we meet with your leadership team and safety personnel to discuss your key safety and fatigue related concerns, requirements and desired outcomes. This step is critical to ensure that we not only meet, but exceed your expectations.

Secondly, we comprehensively assess your FRMS to determine the barriers to quality sleep and the contributors to fatigue and human error.

After implementing the changes, we evaluate your new program to ensure adequate return on investment, and that the program meets (or exceeds) legislative requirements and are based on international and Australian standards, such as AS/N25 ISO 31000 Risk Management and ISO 9000 Quality Management.

This step is critical. Your FRMS must be embedded into both your Safety Management System (SMS) and your organisational culture. The key to successfully embedding an FRMS in your organisational culture includes regular opportunities for sharing knowledge and experiences, and the reinforcement of appropriate and expected practices.

Once we have assessed your current system, we work alongside you to further develop the effectiveness of your system. This includes several components that are designed to be integrated into your existing safety management system.

CLARIFY

ACCESS

IMPLEMENT

EVALUATE

SUSTAIN

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A. FATIGUE POLICY/PROCEDURE GAP ANALYSES

TMS uses an extensive and tailored gap analysis checklist that assesses strengths, weaknesses, and gaps of your company’s safety procedures. This checklist is based on current scientific best practice guidelines and operational experience. It is important to identify what areas of risk exposure are present to the company, and what appropriate controls are needed to meet legislative, strategic, and ethical safety objectives.

B. OPERATIONAL SLEEP EVALUATIONS

Managing good quality sleep is of vital importance for effective fatigue management. TMS uses actigraphs (sleep measuring devices) to quantify sleep length and quality under operational settings. Actigraphs provide significant advantages to purely subjective diary-based assessments of sleep, allowing more accurate and robust sleep data. Accurate sleep data is particularly important for ensuring the risks associated with certain tasks or occupations, or employees at risk of sleeping disorders, are thoroughly assessed and controlled.

C. COGNITIVE PERFORMANCE AND FATIGUE ASSESSMENTS

Quantifying cognitive performance through scientifically validated tools such as the Psychomotor Vigilance Task (a reaction time test) is used by TMS to measure fatigue and sleep loss. The Psychomotor Vigilance Task (PVT) is a simple and short test performed by employees on small hand-held devices and can be performed at almost any time or place. Most importantly the PVT allows an assessment of performance impairments over consecutive shifts and work rosters due to work roster arrangements, work environment, individual susceptibility and risk factors to fatigue, and other strategic and operational reasons.

D. WORKFORCE DEMOGRAPHIC ASSESSMENTS

Numerous risk factors exist for fatigue and safety. Many of the fatigue risks involve sleep-related factors, and as such, understanding an individual or group’s susceptibility to sleep loss and fatigue (i.e. sleep disorders) is crucial for the overall safety system. Older age, overweight, smoking and drinking habits, neck circumference, poor physical fitness, inexperience and more are all risk factors for sleep disorders and fatigue. TMS has scientifically validated tools, including symptom checklist surveys for identifying the primary risk factors for sleeping disorders, and for improving pre- and post-employment screening for those at risk, particularly employees involved in safety critical roles.

E. FATIGUE BIOMATHEMATICAL MODELLING SOFTWARE

Modern software based on physiological principles of sleep are able to help predict the overall fatigue and safety risk probablity of work roster arrangements, overtime hours, and on-call and emergency service arrangements. By inputting actual or estimated sleep and work hours in to the software, risk scores can be calculated to identify the overall riskiness of the work schedule, or areas of the schedule which are higher risk. With this information, optimisations to the working arrangements can be performed, and where such optimisations are not practical or feasible, appropriate controls can be implemented to manage the associated risks. TMS has extensive operational experience with work roster analysis using the biomathematical modelling software.

WE ASSESS YOUR FATIGUE HAZARDS AND CONTROLS USING A NUMBER OF TOOLS.

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TMS CAN OFFER:

+ Development of fatigue-related learning and educational programs and materials

+ Provision of coaching and mentoring for leaders in the area of improving fatigue

+ Development of a culture that reports fatigue related incidents and ‘just culture’

CONSTRUCTION

OIL & GAS

HEALTH

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OUR KEY INDUSTRIES

OUR COMMITMENT TO OUR CLIENTS IS TO PROVIDE THE HIGHEST QUALITY CONSULTING SERVICES AVAILABLE IN THE FIELD OF RISK-BASED FATIGUE MANAGEMENT.

Our projects have included the examination of how fatigue can be identified and treated in Fly In Fly Out (FIFO) and Drive In Drive Out (DIDO) operations for various construction sites. We have run an industry sponsored fatigue research project , and provided recommendations to industry on appropriate risks and control measures to implement. We are experienced with conducting reviews of safety management systems and fatigue management plans of various construction companies. TMS has also provided guidance and advice on setting up best practice safety training practices for construction companies. We have also presented at several conferences regarding fatigue and safety.

Experience in the healthcare industry includes the investigation and understanding of fatigue-related risk within an individual hospital, the identification and implementation of initiatives to minimise the effect of fatigue-related risk amongst junior medical officers and an analysis of rostering practices to promote adequate opportunities for sleep between shifts. At the departmental level, TMS experience involves encouraging the embedding of a proactive fatigue risk management culture amongst doctors, supporting facilities in compliance check preparation, training and developing staff, and the review of policies, procedures and education materials.

TMS has performed a review of existing fatigue policies and procedures across a multi- billion dollar gas company. We have provided safety and cost-benefit analyses and recommendations on the impact of transitioning from a 21 to 28 day work roster. We have conducted an extensive review of published scientific fatigue literature on the relationship between work roster length and fatigue. TMS Consulting also has employees embedded in companies to provide guidance on fatigue, safety, and workplace cultural issues.

OUR DIFFERENTIATOR IS THAT WE WORK AT THE BEHAVIOURAL LEVEL.

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TMS HAS WORKED WITH CLIENTS FROM A LARGE RANGE OF INDUSTRIES INCLUDING:

CONSTRUCTION, HEALTHCARE, OIL & GAS AND TRANSPORT. COLLECTIVELY, THE TEAM AT TMS HAVE WORKED WITH THE FOLLOWING CLIENTS ON VARIOUS FATIGUE-RELATED PROJECTS AND INITIATIVES.

“OUR CLIENTS HAVE NO HESITATION IN

RECOMMENDING TMS TO ANY ORGANISATION REQUIRING A CONSULTANCY THAT DELIVERS CONSISTENTLY HIGH QUALITY

OUTCOMES IN A TIMELY MANNER AND, IMPORTANTLY,

ON BUDGET.

OUR KEY FATIGUE CLIENTS

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OUR TEAM INCLUDES FATIGUE EXPERTS WHO OFFER GUIDANCE ON IMPROVING FATIGUE RISK MANAGEMENT SYSTEMS, AND EMBEDDING A FOCUS ON FATIGUE IN YOUR ORGANISATION. WE AIM TO COMBINE OUR SCIENTIFIC KNOWLEDGE OF FATIGUE WITH EXTENSIVE AND REAL WORLD EXPERIENCE, THEREBY HELPING YOU TO IMPROVE YOUR SYSTEMS AND GAIN FLEXIBILITY, CONTROL AND A COMPETITIVE EDGE.

OUR FATIGUE TEAM

Helen Wood, Managing Director of TMS Consulting has extensive expertise in human and organisational dynamics, enhanced through a successful 25-year career in both the public and private sectors. Helen has significant experience as a consultant advising a range of clients on areas such as organisational capability, business optimisation, leadership, workforce productivity and fatigue. Helen is currently providing executive oversight on a significant fatigue study being conducted in the oil and gas industry in Queensland and has presented several papers on fatigue, roster cycles and the challenges business face in managing fatigue effectively.

Ben is a qualified exercise physiologist who specialises on the links between fatigue, human factors, and safety risk. Ben was the primary researcher in an industry-sponsored investigation on effective fatigue and safety management in the Australian pipeline industry. Ben has extensive experience using fatigue biomathematical modelling software for work roster analysis, psychometric tests for cognitive performance (such as the Psychomotor Vigilance Task and Mackworth Clock), sleep-wake analyses through actigraph watch data and sleep diaries, fatigue policy gap analyses, and numerous subjective sleepiness and fatigue scales.

Megan is a registered psychologist who has experience in investigating and managing fatigue in the healthcare setting at both the facility and the corporate level, with an emphasis on doctor-related fatigue risk management. Her experience includes policy development, fatigue risk management system introduction, fatigue-related activity measurement and analysis, fatigue rostering, and fatigue-related risk mitigation strategies. Key to Megan’s success in the area of fatigue has been supporting facilities to incorporate the requirements and principles into daily work.

Amy is registered psychologist with over 8 years of experience in consulting for the mining, defence, healthcare, and transport industries. She has experience with fatigue in both the healthcare and defence industries, and has most recently reviewed the safety culture of the Collins Class submarine for the Royal Australian Navy- a large subcomponent of the review and change program involved fatigue. Amy has also recently provided training to clinicians on human error and patient safety within a health care setting.

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In order to ensure lasting behavioural change, it is critical that the changes to your FRMS are embedded within the culture to ensure lasting change. The model below was developed by TMS, and outlines the key seven levers used to ensure that the change is hard-wired.

EMBEDDING CHANGE

THE TMS MODEL IS BASED ON SEVEN KEY LEVERS THAT MUST BE USED TO EMBEDDING LASTING CHANGE.

Model 1. Embedding Lasting Behavioural Change

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LEADERSHIP

ORGANISATIONAL DESIGN

PERFORMANCE MANAGEMENT

COMMUNICATION

REWARD AND RECOGNITION + Provide meaningful recognition of appropriate fatigue management behaviour+ Provide clearly articulated promotional opportunities for high performers+ Celebrate successes on a regular basis

THE SEVEN KEY LEVERS INCLUDE:

+ Encourage each other as a leadership team to model the espoused fatigue management behaviours + Support sound fatigue management practices over other internal and external pressures + Ensure senior safety managers regularly visit the worksites to discuss issues of fatigue with employees

+ Ensure the ownership of fatigue is appropriately assigned within the organisational structure + Redesign roles and responsibilities where required+ Revise role descriptions to include fatigue and safety

+ Develop both proactive and reactive organisational level fatigue KPIs + Communicate the consequences of unacceptable fatigue behaviour + Focus on building a just culture

+ Communicate near misses and successes related to fatigue in a succinct and timely manner + Ensure that fatigue -related issues are considered at high-level meetings on a regular basis+ Create organisation specific language to build a shared safety language

+ Ensure RCAs are performed religiously, and ensure they remain the focus+ Ensure a sound system for workplace analysis and hazard prevention and control is in place+ Ensure the organisation has in place rapid, useful and intelligible feedback channels to communicate the lessons learned

+ Provide refresher sessions on fatigue management, and hardwire this into the induction and orientation of employees+ Develop a mentoring program to increase transfer of fatigue management + Ensure leaders use a coaching model when interacting with employees to ensure transfer of knowledge back into the workplace

REPORTING SYSTEMS

LEARNING & DEVELOPMENT

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SAFETY AND RISK MANAGEMENT

We believe that fatigue must be treated as an official safety hazard. Therefore fatigue management must be assessed as part of your overall safety management system.

We push the boundaries of conventional approaches to safety to transform cultures and enhance organisational performance. We have in-house psychologists who have expertise in both change and safety management-we succeed in our programs where others have failed because are we have the professional insight to engage your employee’s heart and minds to hardwire the change.

OUR SAFETY SERVICE OFFERINGS

Our safety programs are designed to overlay your existing structures, not create new ones. We understand that one size doesn’t fit all, so will help you integrate our safety programs into your workplace. Our safety programs have a flexible approach to delivery with a combination of ‘In-House’ and consultant-delivered options available.

Safety Management System Reviews

Having a robust safety management system in place is the foundation for managing safety in the workplace. Every employer has an obligation and a duty of care to their work colleagues to provide a safe and healthy workplace. We work with you to customise your safety management system to ensure you have the who, what, when, why & how covered while improving your workplace safety performance.

Safety Culture Assessments

In order to determine what needs to be changed within an organisation, it is important to understand what parts of the culture are contributing in a positive way to safety performance and what parts need to change. Our safety cultural assessment tool allows you to:

+ Articulate and understand your current safety culture

+ Identify gaps between your current safety culture and a positive safety culture

Education & Learning Solutions

Our comprehensive range of educational solutions uses the latest education techniques and media. Areas of speciality include:

+ Safety awareness programs

+ Safety coaching

+ Safety leadership and mentoring programs

+ Hazard management

+ Safety evaluation / auditing

Risk Management

Identifying hazards and managing risk is an essential part of creating a safe work environment for your employees and is a requirement under Work Health & Safety Laws.

Our services include:

+ Compliance audits and practical advice to achieve compliance

+ Review of current risk assessment process and protocols

+ Review of your business operations, structure, existing safety system, and training of employees

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OUR DIFFERENTIATOR

+ We work in collaboration with clients to build a relationship that is based on a strong understanding of business, strategic and operational challenges

+ We focus on both the people and the processes within an organisation

+ We have a depth and breadth of experience and skills without the overheads of large global consulting firms

TMS IS A TRUSTED ADVISOR AND SOLUTIONS BROKER

OUR SERVICE OFFERINGS

+ Fatigue, Risk and Safety Management+ Performance Leadership+ Change Management+ Business Improvement and Transition Management+ High Performing Teams+ Cultural Change

Our service offerings include the practice of improving our client’s Organisational Capability by providing them assistance in Planning, People and Performance relevant to the level of intervention required by each organisation.

ABOUT TMS CONSULTING

TMS SPECIALISES IN OPTIMISING PEOPLE, PLANNING AND PERFORMANCE

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COLLABORATING CLOSELY WITH KEY STAKEHOLDERS, WE AIM TO ADD VALUE BY REDUCING FATIGUE-RELATED RISK AND THE

ASSOCIATED COSTS.

CONTACT US

Please contact us to discuss your fatigue management requirements. To help determine the best person to assist you, we ask that you phone us

directly on 07 3003 1473, or email [email protected]