Occupational Health

European Week for Safety & Health at Work

The theme of European Week for Health and Safety at Work, 14th to 18th October 2002 is ‘stress at work’. As its contribution to the ‘week’ RoSPA is issuing an Alert to raise awareness and start a debate with other health and safety stakeholders, on the issue of stress and its effects on safety.

Although the suggested agenda for H&S week is quite wide, covering violence and bullying at work as well as stress arising from occupational factors, little focus has been achieved so far on the question of stress and accidents.

The aim of RoSPA’s ‘Alert’ on stress and safety is to:

  • remind all people at work about the relationship between stress (both occupational and non-occupational) and its potential impact on human reliability;
  • raise awareness of the relationship between stress and rising accident rates;
  • address stress prevention and coping strategies for those undertaking safety significant work/decision making; and also
  • to enhance understanding of the impact of accidents on mental health and the need for effective rehabilitation.

Traditionally stress has been linked more to ill-health effects rather than safety concerns in the workplace. On the other hand, whether originating within the workplace or outside, it is clear that high levels of stress are likely to be associated with an increase in the frequency of errors (whether slips, mistakes or violations) and that these in turn can increase accident risks. Furthermore, accidents can also lead to post-traumatic stress disorder in those directly affected by them. However the link between stress, error frequency and accident liability is likely to be complex as individuals differ in their reactions and experience of different stressors. RoSPA is currently conducting a literature review on this subject and we would welcome any views or suggestions which may assist us, please contact rbibbings@rospa.com

RoSPA recognises that it is impossible to develop a set of rules on stress and safety which are likely to be both easily understandable and relevant to a wide variety of circumstances. The key challenge is to help stakeholders to achieve proportional and humane responses to safety issues associated with stress (for example, ensuring confidentiality and making job adjustments rather than simply replacing stressed employees whose recovery may in fact depend on remaining at work carrying out their normal duties). The following ‘Alert’ is designed to raise awareness by challenging health and safety professionals, managers and safety representatives to think carefully about stress as a safety as well as a health issue.

Alert: ‘Safety under Stress’

  1. In the UK as many as one in five people are suffering from high levels of work-related stress. Over half a million workers take time off work annually as a result of experiencing stress.
  2. High levels of stress (whether caused by work or arising from other life stressing events such as bereavement, divorce or money worries) can lead not only to ill health but can adversely affect concentration, information processing and the consistency of decision making.
  3. Workers experiencing high levels of stress may be more liable to commit errors in their work (whether slips, mistakes or violations) which in turn can lead to accidents.
  4. When monitoring for signs of stress, all health and safety professionals, managers and safety representatives should review accident and ‘near miss’ trends in their organisations to see whether these are associated with such signs.
  5. They should also consider the possible contribution of stress (both occupational and non-occupational) when investigating the causes of individual incidents.
  6. They should seek to identify jobs, particularly those associated with high consequence risks, where high levels of human reliability are fundamental to safety.
  7. In consultation with safety representatives, they should review risk assessments in such cases to determine whether additional measures are necessary to cope with any potential safety performance impairments due to stress (whether occupational or non-occupational) in origin.
  8. Workers undertaking safety critical work should be a special focus for stress prevention and support.
  9. Consideration of stress as a performance impairment factor should always be taken into account when designing safety critical technology and systems as well as specific jobs and key work procedures.
  10. Appropriate job adaptations to support stressed workers undertaking safety critical work should always be considered as an option before simply replacing them (even temporarily), recognising that their recovery may be assisted by remaining at work carrying out their normal duties.
  11. Training programmes for managers and safety representatives on how to deal with stress should not only address the identification, assessment and management of occupational stress and stressors, but how to tackle the safety impact of non-occupational stress in key staff.
  12. Line managers and safety representatives need to develop attitudes and skills which will enable them to recognise the signs of stress and deal sympathetically with those affected.
  13. Staff experiencing stress need re-assurance that any adjustments to their work for safety reasons will not lead to unfair discrimination.
  14. Similarly, organisations need to have arrangements in place to counsel support, and rehabilitate staff who have suffered mental trauma as a result of accident involvement, whether as a casualty or a witness.

Useful sources of information:

The following resources can be found in: www.hse.gov.uk/pubns/stresspk.htm

  • Work related stress: a short guide
  • Work-related stress - myths and facts
  • Work-related stress - some of the causes
  • Work-related stress - the consequences
  • Work-related stress - findings of recent research
  • Work-related stress - the future
  • Tackling work-related stress - a guide for employees

Campaign on stress - http://www.hse.gov.uk/campaigns/stress/main.htm

Other HSE publications
Available from HSE books HSE Books, PO Box 1999, Sudbury, Suffolk, United Kingdom CO10 2WA.

  • Tackling work-related stress: a guide to improving employee health and well being HSG218
  • Managing work-related stress: a guide for managers and teachers in schools.
  • Mental well being in the workplace: A resource pack for management training and development
  • Reducing error and influencing behaviour HSG48

European Agency for Safety & Health at Work
More resources are available from the European Agency website: http://osha.eu.int/ew2002/

RoSPA
Press Release: RoSPA WARNING: SAFETY UNDER STRESS! - October 11, 2002.

Others
EEF guide on managing stress
Available to download from www.eef.org.uk
TUC Stress MOT
To help safety reps to assess how well workplaces are managing stress. Available from www.tuc.org.uk

RoSPA is a registered charity: Registered Charity No: 207823
Patron: Her Majesty the Queen

RoSPA Head Office: Edgbaston Park, 353 Bristol Road, Edgbaston, Birmingham B5 7ST, UK
Telephone: 0121 248 2000 Fax: 0121 248 2001 Email: help@rospa.com

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