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7 Mineworker Fatigue A Review of What We Know and Future Decisions 2018

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7 Mineworker Fatigue A Review of What We Know and Future Decisions 2018

Uploaded by

Juan Gonzales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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HHS Public Access

Author manuscript
Min Eng. Author manuscript; available in PMC 2019 March 01.
Author Manuscript

Published in final edited form as:


Min Eng. 2018 March ; 70(3): 33.

Mineworker fatigue: A review of what we know and future


decisions
Tim Bauerle, Zoë Dugdale, and Gerald Poplin
Tim Bauerle, Zoë Dugdale and Gerald Poplin are behavioral scientist, public health intern and
epidemiologist, National Institute for Occupational Safety and Health, [email protected]
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Fatigue presents several challenges for the mining industry. Depending on the specific
occupation, daily work or operational setup on any given mine site, mining jobs can have a
fair amount of labor-intensive tasks mixed with monotonous and repetitive duties. Combined
with the long working hours and shift-work schedules of mining work, the prevalence of
fatigue in mine workers may seem rather unsurprising.

Mining is certainly not alone in facing the challenge of addressing worker fatigue. Indeed,
many of the characteristics above mirror the similarities of fatigue in other industries, such
as health care, aviation and security. To the extent that fatigue in mining acts like fatigue in
any other industry, then any fatigue management applications, trainings, or interventions in
existence can be borrowed from other industries and applied to mining in a cookie-cutter
approach. However, some have argued that mining in particular is especially susceptible to
increases in the prevalence of fatigue beyond the characteristics listed above due to the
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multifaceted combination of factors in mining environments associated with fatigue: dim


lighting; limited visual acuity; hot temperatures; loud noise; highly repetitive, sustained, and
monotonous tasks; shiftwork; long work hours; long commute times due to mine site
remoteness; early morning awakenings; and generally poor sleep habits (Canadian Centre
for Occupational Health and Safety, 2012; Legault, 2011). Legault (2011) in particular
argues that it is the combination of these factors simultaneously that can make mineworkers
particularly susceptible to sleep deprivation and fatigue in comparison to other industries
where these factors are often not present all together. If fatigue looks and acts different in
mining, as others have argued, more research is needed to determine if, how, and why
worker fatigue might need to be managed differently in mining.

While the burden of fatigue on the mining population has not yet been evaluated thoroughly,
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methods and measures of fatigue management remain a popular point of discussion. Many
commercial suppliers and consultancy groups have begun to develop technologically based
fatigue monitoring systems (McMillian, 2013). Some technologies can monitor vehicle
operators for indicators of wakefulness, such as percent eyelid closure (PERCLOS) and head
orientation, while alertness can be monitored at the neurological level using hard hats lined

Disclaimer
The findings and conclusions in this report are those of the author(s) and do not necessarily represent the views of the National
Institute for Occupational Safety and Health. Mention of any company or product does not constitute endorsement by NIOSH.
References are available from the authors.
Bauerle et al. Page 2

with electroencephalogram (EEG) activity tracking. While such systems could likely offer
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some utility in addressing fatigue, one criticism of using a stand-alone technology-centric


approach is that the technology is usually meant to detect and mitigate worker fatigue that
has already occurred and, therefore, does not necessarily prevent or mitigate fatigue from
actually happening. Critics argue for a more comprehensive or systems approach that is
work-centric and that aims to identify the root cause and outcomes of workplace fatigue.
While the U.S. National Institute for Occupational Safety and Health (NIOSH) has
previously developed fatigue- and shiftwork-related training materials targeting specific
occupations (Centers for Disease Control and Prevention, 2017), no work to date has
focused specifically on addressing fatigue in the mining industry by using a comprehensive
data-driven approach.

This article aims to concisely review what is and is not known about worker fatigue in
mining. To accomplish this, three main research questions are used to frame this review:
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1. What is fatigue, and why does it happen?

2. Why are fatigued workers more likely to be injured?

3. What are the most effective ways to reduce worker fatigue?

The basics of worker fatigue


What is fatigue?
As a concept, worker fatigue is difficult to nail down. This is mostly because fatigue is what
researchers call a “latent factor construct,” meaning that fatigue is more of an idea that
cannot be directly measured but instead must be inferred through several observable
characteristics (for a detailed discussion of latent factor modeling, see Everitt, 1984).
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Adding to its complicated nature, fatigue manifests itself through several different types of
characteristics (Shen et al., 2006):

• Psychological (weariness, lack of motivation, stress-induced actions).

• Physiological (loss of strength and stamina, energy consumption).

• Cognitive (slowed reaction time, forgetfulness).

• Behavioral (eyelid closure or head nodding, slower speech, decreased


productivity).

Combining these characteristics with the dynamic nature of fatigue itself (i.e., which
consists of daily fluctuations) can make fatigue very difficult to assess and manage. Further
still, fatigue and sleep are widely studied across a variety of disciplines — epidemiology,
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internal medicine, neurology, nursing, otolaryngology, pediatrics, psychiatry, psychology,


public health, and pulmonology, not to mention somnology, the scientific study of sleep
(Altevogt and Colten, 2006) — all of which paradoxically contribute to a rich, conceptual
understanding of fatigue, but to little consensus or a clear management strategy. The
complexity of fatigue is also reflected in how it is surveyed and reported: fatigue and
sleepiness are often hard to distinguish due to self-reported “tiredness” underlying and

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conflating both symptoms (Shen et al., 2006), and no standard mechanism exists to record
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fatigue or sleep-related accidents, crashes or injuries (Altevogt and Colten, 2006).

Generally speaking, Frone and Tidwell’s (2015) three-factor conceptualization of fatigue is


most often referenced by researchers, which states the following (pp. 274–275):

1. Fatigue involves equal parts of both “extreme tiredness” and “reduced functional
capacity;” i.e., fatigue is a subjective feeling that can lead to an objective
decrease in performance.

2. Fatigue can manifest physically, mentally, and/or emotionally; i.e., muscle


tiredness, mind “fogginess,” emotional exhaustion, etc.

3. Fatigue is “temporally tied to the workday;” i.e., there is a connection between


worker fatigue and the time of day at work.
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What is the burden of fatigue?


Fatigue is a serious symptom that is prevalent across a variety of occupations and industries
(World Health Organization, 1990). The U.S. Centers for Disease Control and Prevention,
(CDC, 2015) estimates that one in three adults does not get enough sleep, labeling fatigue as
a public health problem. Fatigue has been estimated to put roughly 130 million U.S. workers
at risk for an occupational injury (Lombardi et al., 2010) and is estimated to cost the U.S.
economy upward of $411 billion annually (Hafner et al., 2016). Working more than 12 hours
a day has been associated with a 37 percent increase in injury hazard rates and a 23 percent
increase when working more than 60 hours a week (Dembe et al., 2005). Compared to
workers who sleep between seven and eight hours a night, workers who sleep less than six
hours are at a 1.79 to 2.65 times greater risk for occupational injuries (Lombardi et al.,
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2010). In this same vein, one meta-analysis aggregating 27 observational studies found that
workers with sleep problems had on average a 1.62 times higher risk of being injured, and
that approximately 13 percent of work injuries could be attributed to sleep problems (Uehli
et al., 2014).

A NIOSH study in the transportation industry found that shorter sleep duration, sleeping
soon after the end of a work period, and less sleep between 1 a.m. to 5 a.m. were related to
higher rates of unsafe driving behaviors in subsequent work periods, increasing the risk of
incurring an adverse event by approximately 1.8 times that of individuals with adequate
sleep (i.e., drivers averaging at least eight hours of sleep per night and were asleep between
1 and 5 a.m. for 80 percent of nights) (Chen et al., 2016). Based on this research, long work
hours and extended work shifts have been associated with injuries, illnesses and
performance detriments (Caruso et al., 2004), and that both work time and travel time
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(including commute time) have been inversely associated with average sleep duration
(Basner et al., 2007).

Why does fatigue happen?


Fatigue is the body’s response to a depletion of resources required to handle the immediate
task at hand. While perhaps overly simplistic, it can be helpful to think of fatigue as a
mechanical balance scale, with “things that replenish” on one end and “things that deplete”

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Bauerle et al. Page 4

on the other end. The more weight on one end, the more that needs to be accommodated on
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the other end. That is to say, the more depleted one is of energy (fatigued), the more
resources will be needed to replenish and balance the scale. Further, the types of
replenishment needed will depend on the type of fatigue affecting the worker (physical,
mental, etc.). What remains to be seen, however, is how much these different items or factors
weigh on one side of the scale versus the other, how much the weights differ from person to
person, job to job, or task to task and if the type of fatigue (e.g., cognitive, physical,
sleepiness, etc.) matters for the type or weight of the factors that replenish. For example, a
nap may be an ideal countermeasure for fatigue due to a lack of sleep, but may not
appropriately counterbalance mental or emotional fatigue in the same way as a work break
or a day off of work.

Some convincing research indicates that in order to manage fatigue, sleep is most effective
(Dawson and McCulloch, 2005; Darwent et al. 2015). In their meta-analysis of 152 sleep
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studies of workers in organizations, Litwiller et al. (2017) attempted to conceptualize the


nature of sleep and how it affects the organizational environment. Their analyses of sleep
quality and sleep quantity revealed notable correlations, concluding that important
differences exist between the quality and quantity of sleep and that sleep quality was more
strongly associated with areas of subjective well-being, such as anxiety, general strain, work-
family conflict and job satisfaction. Probing the relationship further, Henderson and Horan
(2017) found an overall positive correlation between sleep and work performance. This
relationship between sleep and work performance was even stronger for studies that looked
at sleepiness as opposed to the number of hours slept (Henderson and Horan, 2017).
Additionally, in a meta-analysis focusing on cognitive variables, Lim and Dinges (2010)
found that short-term sleep loss led to significant differences in speed and accuracy across
various cognitive domains.
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Why are fatigued workers more likely to be injured?


Although there appears to be a wealth of literature suggesting that fatigue and sleepiness are
associated with injuries in the workplace, there is also some confusion regarding why fatigue
and sleepiness are associated with workplace injuries. Several biomathematical models of
fatigue and performance (Mallis et al., 2004) have been developed that use various inputs,
such as sleep and work schedules, to predict injury risk. A good deal of these models seem
to be at least partially influenced by Borbély’s (1982) two-process model of sleep regulation,
which attempts to model the timing and intensity of sleep. According to this model, there are
two separate biological systems or processes that regulate sleep: circadian rhythms (i.e., a
24-hour internal biological ”sleep-clock”) and sleep-wake homeostasis (i.e., a mechanism
that regulates sleep intensity based on the balance between any given person’s amount of
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time spent awake versus time spent asleep) (Borbély et al., 2016).

This model was adapted by Akerstedt et al. (2004) in their three-process model of alertness,
which split Borbély’s sleep-wake homeostasis into two separate processes and aimed to
predict subjective alertness from circadian influences: time spent awake — expenditure —
and time spent asleep — recovery. Finally, along the same lines, Johns (1993) proposed a
four-process model of sleep and wakefulness, with two sleep drives (influenced by circadian

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rhythms and time spent awake) and two wake drives (influenced by REM sleep and
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cognition). These models get fairly complicated and intricate, but the bottom line appears to
be that less sleep (quantity and quality) leads to slower reaction time and, thus, increases the
risk for injuries.

While the aforementioned work is meaningful, it does not provide a definitive starting point
for explaining the hows and whys behind miner fatigue and workplace injuries. The famous
psychology researcher Kurt Lewin once said that, “there is nothing more practical than a
good theory” (1952, p. 169), taken to mean that solving real-world problems requires taking
informed ideas which may suggest potentially fruitful new avenues of dealing with a
situation (Vansteenkiste and Sheldon, 2006). Taken from the field of occupational health
psychology, the following are three examples of high-level theories that support and
integrate several fatigue-related risk factors, which may suggest avenues for addressing
miner fatigue:
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Situation awareness
Situation awareness (SA) is a cognitive process that exists in a three-phase hierarchical
pattern: perceiving elements in the environment (e.g., there is a boulder in the middle of the
road up ahead), comprehension of the current situation based on this perception (e.g., that
boulder is a threat to my safety), and projection of future status (e.g., if I slow down or go
around the boulder, I could avoid a collision) (Endsley, 1995). Given this, SA may explain
fatigue-related injuries where compromised or depleted cognitive ability could lead to a
breakdown in any one of these steps (e.g., failure to notice the boulder, identify the boulder
as a threat, or how to take corrective action to avoid colliding with the boulder).

Ego depletion
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Ego depletion, self-control, or self-regulation all refer to the idea that willpower is inherently
depleting from a mental resource viewpoint, that people have only a finite amount of this
resource, and that self-control diminishes naturally over time (Baumeister et al., 1998). From
this perspective, engaging in safety-related behavior (e.g., taking extra precautions, doing
safety checks, conducting equipment inspections, etc.) is an ego-depleting task. If a worker
is already in a depleted state (i.e., fatigued), there may not be a sufficient amount of mental
resources for the worker to engage in self-regulatory actions and poor decision-making may
result. This is somewhat connected to the Conservation of Resources Theory (Hobfoll,
1989), which argues that stress is the result of loss of physical or psychological resources,
and that stress is itself resource depleting.

Job demands-resources model


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The job demands-resources model (JDR) of worker stress and health asserts that two major
categories of job aspects interact to affect work and health outcomes: job demands (e.g.,
physical, psychological, social or organizational aspects that are associated with certain
physical/psychological costs) and job resources (e.g., physical, psychological, social or
organizational aspects that are functional to achieving work goals or reducing job demands
and their associated costs) (Bakker and Demerouti, 2007). Injury, therefore, could result

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from too many demands (i.e., complex environmental stimuli and/or physical fatigue) and
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not enough resources (i.e., opportunities for recovery, sleep).

Worker fatigue in mining


What do we know about worker fatigue in mining?
Although the theories presented provide a general and practical framework for how fatigue
may lead to injuries and incidents, it appears from the readily available literature that
relatively little is known about the hows and whys of worker fatigue in mining from a
scientific perspective. The following section is divided into two parts: first, an overview of
the available peer-reviewed scientific literature on worker fatigue in mining is presented,
followed by a section reviewing various other documents (e.g., reports, secondary data, case
studies, industry recommendations, and trade publications) that pertain to worker fatigue in
mining.
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Empirical research
A review of readily available empirical scientific articles (i.e., research using recorded
observations and data analysis), which specifically investigated some aspect of fatigue in a
sample of mine workers shows that large differences are apparent among studies regarding
study design, research questions and methods used. Although this review demonstrates large
differences among study design, research questions and methods used, as one author aptly
stated, there is no silver bullet or smoking gun when it comes to a “one-size-fits-all”
approach to addressing worker fatigue in mining (Legault, 2011). From Finnish steel mill
plants to fly-in-fly-out (FIFO) Australian mining operations to Iranian industrial mineral
worker groups, clearly the cultural, logistical, and environmental factors at play are vastly
different. It appears that this complexity is further demonstrated in the results, such that most
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naturalistic observations of shift schedule changes had both positive and negative
consequences for workers and were dependent on a number of other factors at play. That
being said, some general trends are apparent and are discussed in the subsections that follow.

Days off, time in bed, sleep time, and restful sleep are not the same
Sleep would seem to be a much easier way of determining if a worker is fatigued. Just
figuring out on average how much sleep miners get per night, and anything less than the
magic number of seven or eight hours means they are fatigued, correct? Suppose we learn
that a particular mine worker went to bed at 9 p.m. and awoke at 4 a.m. We might notate this
as the mine worker having received seven hours of sleep recovery. However, suppose we
also learn that the worker woke up three or four times during the night and got out of bed
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each time for approximately 30 minutes. Is seven hours of sleep still a fair number to use, or
would five hours be more accurate? Scenarios such as this show why sleep researchers have
multiple ways of dividing up hours slept to determine actual recovery time (see Reed and
Sacco, 2016, for an overview):

• Time-in-bed (TIB).

• Total sleep time (TST).

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• Sleep efficiency (SE; i.e., usually some ratio of TST vs. TIB).
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• Duration of sleep episode (DSE).

• Sleep onset latency (SOL; i.e., time between full wakefulness and sleep).

• Wake after sleep onset (WASO; i.e., time awake after initial sleep onset but
before the final awakening).

• Time attempting to sleep after final awakening (TASAFA).

• Ratio of sleep time spent in rapid-eye-movement (REM) sleep stage to nonrapid-


eye-movement (NREM) stages.

While it may not be necessary or advisable to track each of these factors for any given sleep
or fatigue monitoring system, it is important to understand the general differences between
these concepts as sleep is the main recovery method for fatigue. Additionally, some research
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on mining populations suggests that mine workers may have poorer sleep quality and less
sleep efficiency compared to age-matched norms, with around 40 to 60 minutes less of TIB
and TST prior to starting a day shift (Legault et al., 2017).

As in other industries, mine worker sleep deficit appears to result in negative cognitive
outcomes
A good deal of the literature included in this section assessed reaction time using the
Psychomotor Vigilance Test (PVT), which assesses reaction time continuously over a five-or
10-minute period, and reaction time has been shown to be affected by sleep loss in lab
studies. In general, some of the studies we reviewed demonstrated substantively slower
reaction times near the end of the shift, especially across consecutive work days, which was
even more pronounced for night shift workers (Ferguson et al., 2011; Legault et al., 2017;
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Muller et al., 2008). Of particular note, Muller et al. (2008) looked at reaction times in
miners working consecutive 12-hour shifts (10 consecutive day shifts, five days off, eight
consecutive night shifts, five days off, etc.), and how reaction times of these miners
compared to the reaction times of participants with a blood alcohol level of 0.05 percent.
They found that day-shift workers achieved this poorer level of reaction time after eight
consecutive shifts (i.e., with two shifts left in current rotation), while night-shift workers
reached this level after four consecutive shifts (i.e., with four shifts left in current rotation).

Along these lines, researchers reviewed 263 safety incidents from Australian surface and
underground operations and, after using a standardization classification procedure,
concluded that incidents due to “skill-based errors” (i.e., error in an operator’s execution of a
routine task) were almost four times more likely to involve an operator who had an “adverse
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physiological state” (i.e., fatigue, illness, etc.) (Lenne et al., 2012).

Mine workers seem generally resilient and can adapt, but resiliency has its limits
Many of the studies featured an assessment of miners before and after the implementation of
a shift schedule change to determine the effect on sleep and fatigue (Brake and Bates, 2001;
Duchon et al., 1997; Hossain et al., 2004; Rosa et al., 1996). Generally speaking, it appeared
that most of these transitions occurred with relatively little incident and on average, workers

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were able to adapt and self-regulate to their new conditions. As an example of this self-
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regulation in action, miners stationed in hot areas, compared to miners working in cool
underground locations, showed relatively large spikes in physical fatigue during the first half
of their shifts and thereafter engaged in self-regulation to manage this fatigue by slowing
down their work pace, thereby lowering heart rate and fatigue levels for the remainder of
their shifts (Brake and Bates, 2001).

However, such resiliency appears to have its limits. For example, in a 2009 study using U.S.
Mine Safety and Health Administration (MSHA) and Bureau of Labor Statistics (BLS) data,
researchers were able to determine the independent effects of fatigue caused by Daylight
Savings Time on underground mine worker injuries (Barnes and Wagner, 2009). Results
indicated that, while the Monday after Daylight Savings Time resulted in only a 40-minute
average sleep deficit, this deficit led to on average 3.6 more injuries and 2,600 more days
lost due to injuries on that Monday compared to any other calendar day of the year. Two
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things about this study are worth noting. First, using a sample exclusively of underground
miners, the authors argued that they were able to parse out any effects that actual exposure to
daylight had on these trends, strengthening their argument that this 40-minute sleep deficit
increased worker fatigue, and therefore increased injury frequency and severity. Second, a
mere 40-minute sleep difference was sufficient to observe such a substantive increase in
average injury frequency and severity (as measured by average days lost per injury). This is
somewhat concerning, given that anecdotally it is fairly easy to lose less than an hour of
sleep on any given night.

Creating opportunities for recovery appears important


Despite these limits on resiliency, creating ways in which mine workers can adequately
recover appears to be important for counteracting the negative effects of fatigue. Total sleep
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time (TST) was overall higher on days off regardless of shift type in one study (Paech et al.,
2010), indicating the importance of using non-work time to recover. One way to do this, as
some have argued, is to improve on-site lodging (Duchon et al., 1997). However, others
warn that eliminating the need to commute does not necessarily translate into more sleep.

Reduced pressure on nonwork time appears not to have converted into a predicted increase
in total sleep time…the current findings suggest therefore that live-in camp environments are
not, in and of themselves, conducive to increased total sleep time during each non-work
period (Ferguson et al., 2010, p. 73)

Others found that, while a “forward shift rotation” (i.e., day shift, off, afternoon shift, off,
night shift, off, etc.) seemed to be superior for sleep quality than backward rotations. Longer
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shift hours and more continuous shift days per shift cycle were particularly detrimental to
the sleep of those rotating on to night shift (Hossain et al., 2004).

Nonempirical research (inferred data, case studies, recommendations)


While the precise burden of fatigue on the mining industry has not been specifically
evaluated (i.e., beyond anecdotal evidence), there are some data suggesting that fatigue may
be a particular issue for mine workers. For example, the mining industry continues to lead

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other industries in average weekly hours worked (BLS, 2017), specifically working an
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average of 45.8 hours per week in 2015 (BLS, 2016). This is at least four to five hours more
on average per week than the construction, logging, and oil and gas industries. Workers in
the mining industry also have, on average, the longest commutes of nearly any other industry
(American Community Survey, 2014). According to MSHA data (2016), for all active mines
with >20 employees (n=1,583), 50.2 percent of operations used shifts longer than eight
hours (81,534 employees), and 18.2 percent had shifts longer than 10 hours (47,580
employees). Undergroud metal mines were observed to most frequently employ shifts longer
than 10 hours (57.6 percent of operations relating to 3,912 employees).

As a case study in this burden of fatigue, Locke (2014) reports that, in the coal mine areas of
central Queensland in the Bowen Basin, it is common for some of the mine sites to arrange
four consecutive 12-hour shifts, with workers having to commute 300 km (186 miles) each
way after every shift. Assuming an average speed of 90 kph (~56 mph), this would equate to
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a 3-hour and 20-minute commute each way. This leaves a measly 5 hours and 20 minutes for
any pre- and post-work activities, childcare, home maintenance, leisure time and perhaps
most importantly, sleep.

In trying to address this burden, several solutions and recommendations have been proposed.
More than a decade ago, several human factors researchers in mining attempted to have
mining subject matter experts rate and rank various aspects of fatigue management
technologies (FMTs) to determine what features these technologies should have under ideal
conditions. Results from these ratings and rankings demonstrated that, overall, experts
recommend that FMTs should ideally contain features such as: the ability to process
multiple inputs, use several methods of alerting operators/supervisors/dispatch, mining field
validation, individual user customization, and rely on relatively little input from the user
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(Edwards et al., 2007). Taking a low-tech approach, Eiter et al. (2014) in their case study
conducted an applied human factors systems assessment of fatigue risk at a surface mine and
saw successful improvement after some minor work schedule changes and widening of haul
truck routes.

While not necessarily evidence-backed, several sources have provided recommended best
practices for mining fatigue management systems. On an individual (i.e., non-
organizational) level, Locke (2014) has listed several recommendations for managing
fatigue:

• Obtain at least seven hours of sleep per day over 24 hours.

• After a night shift, avoid exposure to bright light (e.g. wear sunglasses, stay
indoors).
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• Avoid alcohol and caffeine prior to sleep, as these can disrupt subsequent sleep.

• Keep the bedroom dark, quiet and cool to facilitate sleep.

• Begin recovery sleep as soon as practically possible after a night shift.

• Take a 30-minute to two-hour nap prior to night shift to supplement the main
sleep period.

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On a more operational level, in a review of the New South Wales mine safety
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recommendations, several suggestions for mine shift scheduling were created (Wran and
McClelland, 2005) as follows:

Maximum of:

• 14 working hours per 24-hour period.

• 60 hours of weekly working time.

• 48 hours of weekly working time averaged per year.


Minimum of:

• One, 24-hour continuous period of rest per week.

• 30-minute breaks every 5.5 hours.


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Finally, beyond shift-scheduling recommendations, several reports voice recommendations


based on other organizational and systems factors. Specifically, Idea (2007) argues that any
fatigue risk management program should recognize that fatigue is a natural consequence of
the long, laborious work inherent in mining and therefore should avoid shifting 100 percent
of the responsibility of fatigue management entirely on the individual worker:

“More effective approaches to fatigue management that recognize the responsibilities of


employers, as well as employees, have benefits broader than just [Occupational Health and
Safety]. The potential of more family-friendly working arrangements to aid the recruitment
and retention of skilled workers at a time of serious labour shortages [is] well recognized...
[We recommend that] industry should adopt a ‘no blame’ approach to reporting fatigue,
responding to reports by addressing work-related causes not by penalizing tired workers.
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Along these lines, Hutchinson (2014) too advocated for a systems approach to fatigue
management:

“Although procedures and policies to promote fatigue management [are] central, it is


absolutely critical we instill the right mind set and embed positive safety behaviors and
attitudes in regards to fatigue management throughout our organizations. This should
include an open and just reporting system for fatigue hazards, prompt feedback from
management; and worker flexibility and ownership for safety.”

What are the most effective ways to reduce worker fatigue in mining?
Future directions and conclusions
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In short, the current state of knowledge for addressing fatigue in mining is relatively unclear.
Few studies have attempted to address the complex nature of fatigue in complex and
dynamic work such as mining. A helpful model or theory that represents this idea is
Reason’s (1990) accident causation model, or more commonly referred to as the “swiss
cheese model.” In the model, any given organization’s preventative mechanisms or controls
designed to counteract adverse events (e.g., incidents, injury, etc.) in the workplace are
represented as slices of Swiss cheese. The holes in each cheese slice represent varying

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weaknesses in any given control. The general idea of the model is that a weakness in one
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system can at times be compensated or covered by the provisions in another system or


control, but opportunities for adverse events occur when a weakness of each control are
sequentially exploited, i.e., the holes in the layers of Swiss cheese align. In this sense, the
model is used to highlight errors or weaknesses on a systems level and if additional controls
or interventions are needed between any two layers to account for potential flaw alignment.
For a mining example, low tire thread on any given vehicle may not by itself cause any
particular incident to occur in an otherwise safe environment. However, if we add in high-
volume traffic, rainy weather conditions, and a distracted driver to this scenario, these factors
may synergistically combine to create a scenario ideal for an incident to occur (Circadian
Technologies, 2014).

Despite the complexity and uncertainty regarding addressing mine worker fatigue, there are
fruitful opportunities based on the current review that could create exciting avenues for
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future research aimed at advancing knowledge on this ambiguous issue, while at the same
time develop real solutions that can aid industry in improving fatigue-related issues.

Systematic review of broader scientific literature


Our review earlier represents a short, brief overview of readily available literature on worker
fatigue in mining which, as we found, appears somewhat limited. One opportunity here is a
“deeper dive” that looks at worker fatigue in mining and other similar industries to provide
more specific and targeted answers to the three questions we posed earlier in our
introduction. Such a review could aid in creating a working model or theory of mine worker
fatigue, where the theories presented earlier are compared against the wealth of scientific
evidence from other similar tasks, jobs or industries. From here, common sources and
outcomes of mine worker fatigue could be identified and investigated in tandem, while using
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associations between sources and outcomes to propose potential intervention strategies.

Assessing fatigue interventions


As with most health and safety interventions, a one-size-fits-all approach is likely not
feasible nor recommended, especially for a complex industry like mining that maintains a
wide range of environments, workers, jobs and tasks. Therefore, there is a need to
understand how effective specific interventions for managing mine worker fatigue may be
under different working conditions, and if the effectiveness of these interventions depends
on the type of fatigue, the type of mine, and the individual differences from worker to
worker. Furthermore, obtaining an understanding of the differences among interventions
with regard to start-up costs, technological needs, and return on investment would be
especially beneficial for smaller or more resource-limited operations. While the Edwards et
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al. (2007) study represents a well-designed method meant to solicit expert opinion on
fatigue-monitoring features, much of the technological landscape has changed substantially
in the past 10 years, and an update may be required.

Looking beyond sleep and physical work


In a systematic review of 24 studies on the role of the work environment in worker sleep
quality, results indicated that social support at work, job control and organizational justice

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Bauerle et al. Page 12

were related to fewer sleep disturbances, while high work demands, job strain, bullying and
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effort-reward imbalance were related to more sleep disturbances (Linton et al., 2015). While
most research discussed in the current review treats lack of sleep and fatigue nearly
synonymously, it is dangerously erroneous to conclude that more sleep by itself with no
other investigation into other contributing factors will prevent fatigue in all circumstances.
Extraneous factors in mining that may contribute to fatigue or recovery — such as
leadership, safety culture, reporting systems, work/life balance, commuting time and
opportunities for recovery — should also be studied. The health and safety of workers
extend beyond the physical work environment. Investigating how factors such as the social
work environment, safety culture, and work/life balance contribute to or mitigate fatigue —
in concert with more comprehensive knowledge of the relationships between sleep quality/
quantity, physical exertion, and mine worker fatigue — would make for excellent
opportunities in better understanding fatigue in mining. As mentioned above in the
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recommendations by Idea (2007) and Hutchinson (2014), fatigue is likely a systems issue,
and the various levels of the work system in mining should be evaluated for how each level
independently or interactively contributes to mine worker fatigue.

To conclude, while much is not known about the specific nature or extent of mine worker
fatigue, the current review suggests potential paths forward based on what is known about
fatigue in general and in consideration of common conditions and contributing factors
prevalent in mining. These opportunities have the potential to begin to characterize the
complexities of fatigue in mining and hope to offer support aimed at improving the health
and safety of the mine workers.

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“It is recommended that the whole fatigue test problem be stated in a form the nature of
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which may be indicated by the following suggestions: that the term fatigue be absolutely
banished from precise scientific discussion, and consequently that attempts to obtain a
fatigue test be abandoned.”

Bernard Muscio, Pioneer Australian Philosopher and Industrial Psychologist, in a


1921 Report to the Cambridge Industrial Fatigue Research Board
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Table 1

Summary of Empirical Articles on Mining Worker Fatigue


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Source Subjects Fatigue Measure Outcome/ Findings


Comparison
Measure
Barnes and 576,292 mining injuries Number of hours of Frequency and - Results indicate that, compared to
Wagner, 2009 in the U.S. from 1983– sleep (as per severity of injuries other calendar days during the year,
2006 as per MSHA American Time Use the Monday after Daylight Savings
injury database Survey) and injuries Time results in a 40-minute average
occurring on sleep deficit leading to 3.6 more
Daylight Savings injuries and 2,600 more days lost
Time beginning and due to injuries in the mining sector.
ending days

Brake and Bates, 45 underground miners HR monitoring; Thermal stress - Compared to “control” workers
2001 cycle ergometer used levels before and engaged in stationary work in
to assess physical after a major cooler locations underground,
cardiovascular change to the workers in hot areas showed the
fatigue working-in-heat greatest spikes in physical fatigue
protocol during the first half of their shifts
(based on heart rate recovery tests).
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- Authors suggest that self-pacing


may have played a role in keeping
heart rate and fatigue levels in
check during shifts.

Duchon, Smith, 30 underground metal Self-reported General - Workers had overall improved sleep
Keran, and mineworkers in western sleepiness, sleep differences quantity and quality after the shift
Koehler, 1997 Canada diaries, and switching from an change.
continuous heart rate 8h 7-on-2-off shift
recording to a 12h 4-on-4-off - On average, workers had somewhat
schedule. higher perceived fatigue and
slightly slower reaction times on the
last day of the 12-h shift schedule.
Authors advocate for customized
break schedules and periodic
reevaluations.
- Authors state that improved on-site
lodging and individual differences
did play a role in findings.
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Ferguson, Baker, 29 FIFO mining Actigraphy, daily General - Total sleep time on day (6.1 hrs)
Lamond, operators (various; work/sleep diary, differences by shift and night (5.7 hrs) shifts
Kennaway, and Australia) self-report pre/post type (day/night) significantly less than sleep on days
Dawson, 2010 sleep (Samn-Perelli and days off off (7.3 hrs).
Fatigue Scale)
- Pre-sleep self-reported fatigue
highest for night shifts.
- Post-sleep self-reported fatigue
lowest for day shifts.
- Recovery value (difference between
pre- and post-sleep self-reported
fatigue ratings) lowest for day
shifts; equally high(er) for night
shift and days off.
- “Reduced pressure on non-work
time appears not to have converted
into a predicted increase in total
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sleep time…the current findings


suggest therefore that live-in camp
environments are not, in and of
themselves, conducive to increased
total sleep time during each non-
work period.” (p. 73).

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Bauerle et al. Page 18

Source Subjects Fatigue Measure Outcome/ Findings


Comparison
Measure
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Ferguson, Paech, 35 mining operators Daily sleep and work Response time, - Timing of test was significant
Dorrian, Roach, diaries; activity timing of test, predictor of response time: end-of-
and Jay, 2011 monitors; palm- sleep history, and night shifts were associated with
based psychomotor prior wake significantly slower response times
vigilance tests than the start of night shifts. This
(palmPVT) was also true for the start or end of
day shifts.
- Number of hours slept during the
previous 24 hrs leading up to the
test was strongest predictor of
response time.

Halvani, Zare, 137 shift workers and Piper Fatigue Scale Difference in shift - Shift workers with a reported
and 130 non-shift workers and Epworth type and incidents incident scored as having higher
Mirmohammadi (Iranian Industrial Sleepiness Scale levels of fatigue than shift workers
(2009) Mining) with no incident.
- There was not a significant
difference in the number of
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incidents related to sleepiness


between shift workers and non-shift
workers.
- Fatigue, over sleepiness, was better
at predicting workplace incidents.

Hossain et al., 58 underground miners Subjective sleep Reaction time; - Workers reported significantly less
2004 (Canada) scales, sleep change from 5- to sleep quality in 1 month and 1 year
actigraphy, and sleep 7-day per week follow-up questionnaires after the
diaries operation and 8-hr shift schedule change.
backward to 10-hr
forward rotating - More reaction time errors on the
schedule post-change nightshifts.
- Forward-rotation demonstrated an
overall better rotation schedule.

Legault, Clement, 19 underground nickel Self-report Cognitive (PVT, - 61% of participants had overall
Kenny, miners (Ontario, Canada) (Pittsburgh & executive function “poor” sleep quality.
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Hardcastle, and Epworth Sleepiness [BRIEF-A])


Keller, 2017 scales), actigraphy - Average overall SE = 84.6%,
significantly less than age-matched
norms.
- Significantly less TIB & TST prior
to day shift (~40 to 60 min).
- Best PVT scores @ midnight on
night shift; worst PVT scores @ ~6
p.m. on night shift.

Lenne, Salmon, 263 “safety incidents” Descriptions of Interactions of - “Adverse mental/physiological


Liu, and Trotter from Australian surface “adverse mental and various incident states” present in 25% of incidents.
(2012) and underground physiological states” causal factors at
operations in incident report text various levels - Incidents involving an “adverse
(individual, physiological state” (fatigue,
supervisory, illness, etc.) were almost 4 times
organizational, more likely to also contain a “skill-
etc.) using Human based error” (error in operator’s
Factors Analysis execution of routine task).
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and Classification
- Given higher association between
System (HFACS)
incidents with adverse
physiological states, skill-based
errors, and supervisory violations
(existing rules willfully disregarded
by supervisors), authors argue for

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Bauerle et al. Page 19

Source Subjects Fatigue Measure Outcome/ Findings


Comparison
Measure
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supervisory-level fatigue
interventions in mining.

Muller et al., 52 production staff at an Sleep diaries and Reaction time - Significant performance and sleep
2008 Australian FIFO minerals subjective fatigue (Mackworth Clock quality measurements were
operation (Swedish Vigilance task) observed after eight consecutive 12-
Occupational Fatigue hour shifts.
Inventory)
- In terms of reaction time tests, on
average, day shift participants
demonstrated reaction times
indicative of a blood alcohol level
of 0.05% before starting their ninth
consecutive shift.
- Results were more pronounced for
night shift workers: reaction times
after their first four consecutive
shifts were consistent with blood
alcohol levels of 0.05%.
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Paech et al., 2010 51 Australian open pit Sleep diaries and Sleep quality and - Total Sleep Time (TST) was overall
mine workers actigraphy quantity higher on days off, which remained
differences across relatively constant across shift
shift types and types.
rotations
- Across all rotating shift types, the
longest TST occurred after the first
night shift.
- The number of consecutive shifts
did not appear to impact sleep
duration.

Rosa et al., 1996 208 Finnish steel mill Sleep actigraphy and Pre- and post- - Improvements in sleep quality,
workers sleep diaries measurements of quantity, and reaction time were
implementing a 1- observed for day shifts, but results
hour starting time were inconsistent for evening and
delay night shifts.
- Authors note that participants in
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evening and night shifts reported


that the shift changes negatively
affected social/family obligations.
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