Internal Assessment and Control Plan for Extended Working Hours
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Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.
Internal Assessment and Control Plan for Extended Working Hours
With SafetyCulture you can
With SafetyCulture you can
Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.
Use this fatigue management approval form to evaluate worker fitness and authorize shifts exceeding 14 hours. The checklist guides supervisors through fatigue risk assessment, signs of physical, emotional, and cognitive fatigue, sleep and work history, and required breaks. Capture reasons for extended hours, review alternatives, classify risk level, and record supervisor and department approvals. Reinforces minimum 10 hours off site and a maximum 16 hour shift limit; adapt to your site policies.
This Fatigue Management Plan helps teams assess hazard factors such as extended hours, high risk tasks, environmental hazards, training and supervision, and lifestyle risks. It guides the creation of controls including modified hours, roster changes, breaks, reducing fatigue critical tasks and exposure, training, increased supervision, lifestyle changes, and health assessment and monitoring. A formal approval step authorizes work in line with company policy. Designed for heavy vehicle operations under the Heavy Vehicle National Law, it supports transport operators, depots, and drivers working extended shifts to manage fatigue and maintain safety.
To be completed by personnel working over fatigue hours or traveling over safe fatigue hours