220: Off-the-job Rest/Sleep (Fatigue) Issue*

Node Off-the-job Rest/Sleep (Fatigue) Issue*

*This node is for descriptive purposes only. Code only to Personnel Performance; Individual Issue (#213).

Definition/Typical Issues

Was the worker involved in the incident asleep while on duty? Was the person too tired to perform the job? Was the issue caused by rest and sleep practices outside of the workplace?

Note 1: This node addresses problems associated with an individual's rest and sleep practices outside of the workplace. Problems with workers who are forced to work unreasonable amounts of overtime should be coded using the Supervision; Personnel Selection/Assignment/Scheduling Issue (#190) node segments of the map.

Note 2: Physical fatigue caused by high workloads is addressed under the Sustained High Workload/Fatigue (#161) and High Transient Workload (#162) nodes.

Note 3: The Personnel Performance Issue; Individual Issue (#213) node should only be used when the problem is isolated to one individual. If other personnel have difficulty performing the same task under similar circumstances, then other portions of the Root Cause Map™ should be used to code the issue.

Note 4: There should be management systems in place to detect and correct most (if not all) individual performance issues BEFORE an incident occurs. Therefore, the failure or absence of the management systems should be coded as well.

Note 5: Consider coding under the Personnel Hiring Issue (#209) node because there should be management controls to ensure that employees possess the required job capabilities prior to being hired. Also consider coding under the Supervision During Work Issue (#192) or Detection of Individual Performance Issue (#212) nodes because supervision should detect this problem.

Note 6: Code as Personnel Performance Issue; Individual Issue (#213) only. The 10 nodes beneath Individual Issue (#213) are included to provide the investigator with an understanding of the types of problems that might be categorized as Personnel Performance Issue; Individual Issue (#213). However, the investigator should NOT include these cause nodes in the investigation report.

Examples

Example 1

  • A mechanic was found asleep while he was supposed to be calibrating equipment. The mechanic had another job away from the site and routinely appeared to be extremely tired.

Example 2

  • A chemistry technician was found asleep in a back office. The technician liked to watch the rugby channel all night. As a result, he often slept at work.

Typical Recommendations

  • Disciplinary policies should be used to reinforce compliance with company rules and policies:
    • Discipline should be fair, impartial, prestated, sure, and swift
    • Enforcement needs to be consistent

Cross-References

Version 10 Element(s)
Node ID Node Name
214 Rest/Sleep LTA (Fatigue)

 

Maritime Element(s)
Node ID Node Name
254 Inadequate Rest/Sleep (Fatigue)
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