Impairment is Safety Risk Often Overlooked
Impairment, which the National Safety Council (NSC) defines as a temporary negative change in a person’s ability to do their work normally or safely, regardless of cause, is often not examined at the same level as other safety risks.
One of the major causes of impairment is fatigue. And for that reason, the NSC recently announced it is offering a grant from its 2026 Work to Zero Fatigue Pilot Grant program to Impairment Science. Inc.
The program is an initiative to advance innovative technologies that can help prevent fatigue-related incidents and injuries in the workplace.
Fatigue is a high safety risk. One study, from NSC, found that workers on night shifts face a 30% greater risk of injury, while employees working 12-hour shifts experience nearly a 40% increase in injury risk.
Other Contributing Factors of Impairment
Fatigue is one example of impairment, but there are other contributing factors including:
Chemical – chemical exposures, substance use;
Physical – exposure to extreme temperatures, fatigue, improper shift scheduling, sleep deprivation;
Psychosocial – violence, harassment, anxiety, depression, stress
Primary ways to detect and measure potential impairment include:
Using risk and contributing factors
- Refers to workplace and worker risk and contributing factors such as substance use, fatigue and stress
- Primarily measured through employee surveys and drug testing
- Indicates the presence of contributing factors, not their impact on the person’s ability to do their job
- Measuring potential contributing factors cannot determine what causes behavior changes
Using neurocognitive tests
- Refers to testing a person’s cognitive and psychomotor performance
- Measured through employee’s communication, memory, attention, processing speed, finger dexterity, balance and more
- These tests capture the person’s function more objectively
- Neurocognitive tests do not provide insights into the factors impacting cognitive impairment
NSC advises EHS leaders to take the following actions:
• Create two-way communication with workers on safety issues
• Focus on addressing contributing factors whenever disclosed by workers
• Train front-line supervisors on identifying the signs of impairment
• Consider impairment in terms of hazard recognition and risk assessment
• Use available data sources, such as EAP usage and shareable data from occupational health providers
• Adopt more proactive fitness for duty assessments for safety-sensitive workers to prevent potential impairment
• Engage workers in different positions and at all levels in safety-related decision-making, such as impairment or drug screening policies
About the Author
Adrienne Selko
Senior Editor
Email [email protected]
Adrienne Selko is also the senior editor at Material Handling and Logistics and is a former editor of IndustryWeek.

