2019 Safe, Healthy and Productive Shiftworkers Shiftwork Services - www.shiftwork.co.nz Question Title * 1. What is your role? I am a shiftworker I supervise shiftworkers I am a union representative I am a health and safety representative I look after staff health and wellbeing I am involved with recruiting shiftworkers I am senior management I investigate accidents and incidents Other (please specify) OK Question Title * 2. What industry sector do you work in? Manufacturing Trucking Railways Aviation Marine Health Power company Hospitality Banking Mining Other (please specify) OK Question Title * 3. Which of the following does your employer offer to promote the safety and well-being of shiftworkers? Coaching or clinical services to help with sleep, fatigue and balanced life-style Staff training Roster reviews Health checks Access to a gym Quality food A good work environment Napping room Rehabilitation services Written material Help with personal goal setting and developing a balanced lifestyle Assessment of work stations Nutritional advice Other (please specify) OK Question Title * 4. How concerned are you about fatigue management in your workplace? Extremely concerned Moderately concerned Mildly concerned Not concerned OK Question Title * 5. Please briefly describe any accidents or incidents that you have noted in your workplace where you think fatigue has been a factor? This could include, not paying attention, falling asleep, forgetting things, dropping items, slips, trips and falls, motor vehicle accidents or making poor decisions. OK Question Title * 6. Shiftwork and sleep deprivation can affect physical and mental health as well as safety. Which of the following have you experienced in the past 12 months? Tick as many as you like. Headaches Digestive issues Increased blood pressure Weight gain Feeling down / depressed Poor concentration Muscle pains Poor sleep Taking longer to think Staying awake at work Relationship difficulties Falling asleep whilst driving Other (please specify) OK Question Title * 7. A good roster is important to ensure a safe, healthy and productive workforce. In your opinion how well does the roster meet your expectations? It couldn't be better It is OK Room for improvement Poorly I think the roster requires staff to work unsafe hours. Other (please specify) OK Question Title * 8. What would improve safety, health and productivity of shiftworkers where you work? Tick as many as you like. Staff training about coping with shiftwork Workshops about managing sleep patterns and alertness strategies Roster review to better meet the needs of shiftworkers Review of work environment and impact it has on safety, and productivity Development of Fatigue Risk Management System Individual appointments to help staff manage sleep, mood, fatigue, cognition and balanced lifestyle Surveys to find out the current state of staff well-being Opinion polls about the current or proposed roster Review of your fatigue policy and practices Providing information about coping with shifts when staff are recruited . Other (please specify) OK Question Title * 9. To discuss shiftworker wellbeing please complete your details below. Name Company City/Town Email Address Phone Number OK Question Title * 10. I would like to be kept informed Yes No OK NEXT >>