Gestalt of Fatigue Risk Management within a Safety Management System

Transcription

1 Gestalt of Fatigue Risk Management within a Safety Management System Aircraft Inspection & Maintenance Seminar Coogee Bay October 24, 2017 Robert ForsterLee Fatigue Enablers

2 What is Gestalt? Gestalt is also known as the "Law of Simplicity" which states that every s8mulus is perceived in its most simple form. Importantly, the organised whole is perceived as more than the sum of its parts.

3 The Principle of Closure Hold this thought

4 FRMS should emerge from an SMS SMS Where does the HF fit in? 1. It s Safety all HF!! management policy 2. Commitment Risk management & Relationships Understanding & Awareness Trust & Communication 3. Repor8ng Monitoring / Looking after 4. Incident inves8ga8on Mentoring & Promotion of well-being 5. Training and educa8on Measurement and feedback / Attention & Consideration 6. Professional Internal and Health external checks audi8ng & appropriate responses FRMS 1. Fa8gue management policy 2. Fa8gue risk management, including collec8ng informa8on on fa8gue as a hazard, analysing its risk, and ins8ga8ng controls to mi8gate that risk 3. Fa8gue repor8ng system for employees 4. Fa8gue incident inves8ga8on 5. Fa8gue management training and educa8on for management, employees, and families 6. Internal and external audi8ng of the FRMS that delivers correc8ve ac8ons through a con8nuous improvement process

5 HF Spheres within Fatigue Management Medical Nutri8onal Environmental Physical Social Behavioural Psychological Medical: preven8ve care, the presence and management of injuries, chronic condi8ons, and barriers and bridges to accessing treatment Nutri8onal: food intake, dietary paserns and behaviour, and the food environment (8mes, content, and amounts) Environmental: workplace environmental stressors and poten8al workplace pressures, home-based condi8ons (including travel condi8ons)and preven8ve and protec8ve factors Physical: physical ac8vity and fitness (consistent engagement) Social: social fitness and social support from family, friends, co-workers, management, neighbours, and cyber communi8es Behavioural: health behaviours related to sleep and to drug, alcohol, and tobacco use Psychological: self-regula8on, posi8ve and nega8ve affect, perceived control, self-efficacy, self-esteem, op8mism, adaptability, self-awareness, and emo8onal intelligence

6 Domains Contributing to Fatigue Personal Domain Predisposing Precipita1ng Perpetua1ng Work Biological/ Physical Vulnerability Physical limita8ons Psychological Personality/ Coping Social Lack of Support Acute Illness injury duress Stress and or affec8ve Disorder Sleep disturbance Excessive inac8vity P1 P2 P3 Life events Social or Work Stress Nega8ve thoughts/ beliefs Reinforcement of nega8ve beliefs, Social or Work Stress Noise Temperature Ligh8ng Shi` Time/Length Training Support Actudes Culture Awareness Organisa8onal Commitment Dynamic

7 Personal Contributors Powerful Predictors The individual has similar obliga1ons to the organisa1on! Non-work Factors Personal choices Illness (personal or family) Sleep disorder Medications The sleeping environment Poor sleep hygiene Babies, Toddlers, Teens, Elderly Parents Maintaining Well-being

8 Social Reality - Fatigued Workers 5-20% of the general popula8on suffer from persistent and troublesome fa8gue. (2/5 Australians do not get sufficient sleep, Neuroscience Research Australia) Fa8gue is twice as likely to be reported by women and is not strongly associated with age or occupa8on. AUD 66 Billion cost annually.

9 What Fatigue looks like Reduc1on in Alertness ASen8on span Reac8on 8me Judgement Awareness of the environment and situa8on Decision-making skills Memory Concentra8on Work efficiency Mo8va8on Increased likelihood of Mentally stalling or fixa8ng on one thought Moodiness and bad temper Errors of omission making a mistake by forgecng to do something Errors of commission making a mistake by doing something, but choosing the wrong op8on Micro-sleep brief periods of involuntary sleeping that range from a few seconds to a few minutes in dura8on

10 Balancing Responsibilities Individual & Organisa1onal Responsibili1es Integra8ng Professionalism into FRMS Predict & Prevent Fa8gue Risks Detect & Intervene Fa8gue Risks that cannot be prevented Predic8on Preven8on Detec8on Interven8on Preload work Sleep Avoid caffeine Pre-work naps Sleep need Vulnerability Performance risk Strategic caffeine use On-call naps Max sleep with 8me management Fa8gue awareness Monitor performance Ask for cross checks

11 Finding what we look for Present Opera8ng Suitable Effec8ve Having the components or using the principles of an SMS or FRMS doesn t mean it s working or producing the intended results

12 Summary & Questions 1. The six major aspects of an FRMS should already be part of a sound SMS. 2. The elements are tied together by the HF s associated within the domains. 3. The successful management of Fatigue is a joint organisation and individual effort Professionalism. 4. HF s link the FRMS domains into a meaningful whole. 5. Looking like an FRMS doesn t make it one!