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Safety & Health Effects of Shift Work - ASSE Members

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<strong>Shift</strong> work is<br />

here to stay, but<br />

it should be recognized<br />

as an occupational<br />

health and<br />

safety issue and<br />

should be mitigated<br />

to provide a safe<br />

working environment<br />

for employees<br />

who work outside<br />

the normal work<br />

hours <strong>of</strong> 6:00 a.m.<br />

to 7:00 p.m.<br />

or minimize fatigue and maintain their health. According<br />

to NIOSH (1997), night workers never really have the<br />

opportunity to adapt because most maintain a typical<br />

daytime schedule on their days <strong>of</strong>f. Rotating shifts may<br />

be an option to allow workers to share the difficult shifts,<br />

and 8-hour rotations may be better then 12-hour shifts<br />

due to increased fatigue and adverse health effects related<br />

to the longer shifts. This is a special consideration<br />

when workers are older because they are more impacted<br />

by longer shifts (Ross, 2009).<br />

<strong>Work</strong>load distribution and consideration <strong>of</strong> environmental<br />

factors are additional considerations for the<br />

employer. NIOSH (1997) recommends that heavy or<br />

safety-critical work be performed during day shifts<br />

whenever possible and not toward the end <strong>of</strong> a 12-hour<br />

shift. NIOSH also states that “shift workers may be especially<br />

sensitive to toxic substances because circadian<br />

rhythm changes make the body more sensitive to toxic<br />

exposures at certain times <strong>of</strong> day.” This would indicate a<br />

need to consider the work environment for shift workers.<br />

Other environmental factors that<br />

may help mitigate hazards and poor<br />

health for workers include adequate<br />

lighting, temperature controls, a<br />

place to prepare warm and nutritious<br />

foods and even workout equipment<br />

for shift workers.<br />

Employee wellness programs that<br />

address sleep deprivation and fatigue<br />

for shift workers may be helpful in<br />

reducing the effects <strong>of</strong> shift work.<br />

The wellness program should<br />

include employee education and<br />

awareness programs and should<br />

encourage physical activity and<br />

proper eating habits to minimize<br />

sleep disturbances.<br />

CONCLUSION<br />

<strong>Shift</strong> work is a fact <strong>of</strong> life for<br />

many people. It can cause sleep deprivation,<br />

dyssynchrony <strong>of</strong> the circadian<br />

rhythms and fatigue. Adverse<br />

health effects can include a myriad<br />

<strong>of</strong> diseases, including cardiovascular disease, female<br />

reproductive problems, asthma and others, with worse<br />

effects more common for women and older workers. In<br />

addition to health problems, the fatigue and dyssynchrony<br />

<strong>of</strong> circadian patterns have been implicated in<br />

impairment <strong>of</strong> judgment, decreased reaction times and<br />

increased accident rates and severity.<br />

Employers and employees can take steps to mitigate<br />

the effect <strong>of</strong> shift work, the most important being careful<br />

design <strong>of</strong> shift schedules. Recently, confronted with an<br />

incident in which an air traffic controller fell asleep on<br />

the job, Federal Aviation Administration announced that<br />

it would change schedules which are most likely to<br />

cause fatigue. Employees are advised by several studies<br />

to do whatever they can to get enough sleep, stay physically<br />

fit, eat healthy foods and avoid caffeine and alcohol.<br />

Employers can support their efforts with effective<br />

wellness programs and education.<br />

<strong>Shift</strong> work is here to stay, but it should be recognized<br />

as an occupational safety and health issue and should be<br />

mitigated to provide a safe working environment for<br />

employees who work outside the normal work hours <strong>of</strong><br />

6:00 a.m. to 7:00 p.m. <br />

REFERENCES<br />

Bird, R.C. & Mirtorabi, N. (2006). <strong>Shift</strong>work and the<br />

law. Berkeley Journal <strong>of</strong> Employment & Labor Law,<br />

27(2), 383-429.<br />

Costa, G.G. & Sartori, S.S. (2007). Aging, working<br />

hours and work ability. Ergonomics, 50(11), 1914-1930.<br />

Dembe, A. (2009). Ethical issues relating to the health<br />

effects <strong>of</strong> long working hours. Journal <strong>of</strong> Business<br />

Ethics: Supplement, 84, 195-208.<br />

Galy, E.E., Melan, C.C. & Cariou, M.M. (2008).<br />

Investigation <strong>of</strong> task performance variations according to<br />

task requirements and alertness across the 24-hour day in<br />

shift workers. Ergonomics, 51(9), 1338-1351.<br />

NIOSH. (1997). Plain language about shiftwork.<br />

Retrieved April 10, 2011, from http://www.cdc.gov/<br />

niosh/pdfs/97-145.pdf.<br />

Parker, S.R., Pettijohn, C.E. & Rozell, E.J. (2007).<br />

<strong>Shift</strong> work and accident rates: Are they really related<br />

International Journal <strong>of</strong> Business Research, VII(3),<br />

194-201.<br />

Roan, Shari. (2008). Sleep-deprived pay the price for<br />

shift work. Los Angeles Times. Retrieved from http://<br />

articles.latimes.com/2008/mar/24/health/la-he-sleep24<br />

-2008mar24.<br />

Ross, J.K. (2009). Offshore industry shift work:<br />

<strong>Health</strong> and safety considerations. Oxford Journal <strong>of</strong><br />

Occupational Medicine, 59(5), 310-315.<br />

Schmid, R.E. (2011). Odd work schedules pose risk<br />

to health. Associated Press on MSNBC.com. Retrieved<br />

from http://www.msnbc.msn.com/id/42633432/ns/health<br />

-behavior.<br />

Scott, D.E. (2010, April). Surviving shift work.<br />

Retrieved April 10, 2011, from http://www.navigate<br />

nursing.org/PDFs/Fact%20Sheet%20surviving%20shift<br />

%20work.pdf.<br />

Charlotte Dorrity works as a regional health and safety manager<br />

in the geothermal power industry for Calpine Corp. She has a<br />

background in chemistry and more than 20 years’ experience in<br />

environmental, health and safety. She has also been a pr<strong>of</strong>essional<br />

member <strong>of</strong> <strong>ASSE</strong> since 2005. Dorrity holds a master’s in organization<br />

development from Sonoma State University and is working<br />

toward an M.S. in Occupational <strong>Health</strong> and <strong>Safety</strong> and Environmental<br />

Management.<br />

12<br />

Safely Made www.asse.org 2011

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