What Control Measures Should I Use? Applying the Total Worker Health Hierarchy of Controls to Manage Workplace Fatigue

Details

• Personal Author:
  Dawson D ; Pandalai S ; Sprajcer M ; Wong IS
• Description:
  Increased fatigue risk has been associated with safety-critical events such as work-related injuries. While control measures are needed to reduce these risks, the wide range and complexities of fatigue risk management strategies can make it difficult for organizations to prioritize efforts given limited resources and time. Given these challenges, the aims of this commentary are two-fold. The first is to conceptualize fatigue risk management strategies within the Total Worker Health (TWH) Hierarchy of Controls, a conceptual framework used to prioritize strategies to advance worker safety, health, and wellbeing. As an extension to the traditional Hierarchy of Controls, the TWH version presents strategies in order of effectiveness, ranging from "eliminate," "substitute," "redesign," "educate," and "encourage" categories. The second aim of this paper is to use the TWH Hierarchy of Controls to identify control measures which reflect the level of fatigue risk for adverse safety and health outcomes. [Description provided by NIOSH]
• Subjects:
  Fatigue Occupational Health Risk Assessment Safety
• Keywords:
  Author Keywords: Fatigue Risk Fatigue Risk Management System Hierarchy Of Controls Occupational Fatigue Risk Management Safety Management Total Worker Health TWH Wellbeing Workplace Health And Safety
• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Chicago Region [OSHA] ; Colorado ; Denver Region [OSHA] ; Ohio
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSI - Division of Science Integration
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  217-224
• Volume:
  68
• Issue:
  3
• NIOSHTIC Number:
  nn:20070466
• Citation:
  Am J Ind Med 2025 Mar; 68(3):217-224
• Contact Point Address:
  Imelda S. Wong, Centers for Health, Work & Environment, Colorado School of Public Health, CU Anschutz, Aurora, Colorado
• Email:
  imelda.wong@alumni.ubc.ca
• Federal Fiscal Year:
  2025
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:60d3c36859121bf1fc873c46d9afe63930cfd18abbc3c1c451fe1c4eb3d44c0d62b033dffdc697f4fda50866228f39e6df4075eeecae3b93f355e7dc22c32308
• Download URL:
  https://stacks.cdc.gov/view/cdc/208668/cdc_208668_DS1.pdf
• File Type:
  [PDF - 657.42 KB ]