Shift work, health, the working time regulations and health assessments.
Shift work and night work in particular have been associated with sleep difficulties, general malaise, fatigue, peptic ulceration, ischaemic heart disease, cigarette smoking and adverse pregnancy outcome.
The medical conditions previously regarded as making individuals unsuitable for shift work show wide ranging patho-physiological activity and there is no published evidence for any such condition to be regarded an absolute reason to exclude an individual from shift work.
The fulfilment of the legal obligations of the Working Time Regulations 1998 is neither prescribed nor constrained in any way.
It is advisable therefore to build on existing health procedures where they are in effect.
Periodic health questionnaires can offer health professionals an opportunity to detect any disorder likely to be aggravated by shift work or by a combination of shift work, job demands and workplace conditions.
A further purpose of the questionnaire is the assessment of ability to undertake shift work duties.
However, health questionnaires are neither sensitive nor specific enough to be used to select applicants or employees for shift work, since they do not consistently predict tolerance of shift work or subsequent health problems.
Whether employers should offer anything more than a simple questionnaire will depend on the culture of the company and accessibility of health services. (...)
Mots-clés Pascal : Médecine travail, Travail posté, Travail nocturne, Condition travail, Rythme travail, Toxicité, Morbidité, Homme, Législation, Royaume Uni, Europe, Evaluation, Santé, Aptitude à l'emploi, Surveillance, Article synthèse
Mots-clés Pascal anglais : Occupational medicine, Shift work, Night work, Working condition, Working rhythm, Toxicity, Morbidity, Human, Legislation, United Kingdom, Europe, Evaluation, Health, Fitness for purpose, Surveillance, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0279657
Code Inist : 002B30B03. Création : 16/11/1999.