Internal and external factors influencing time-related injury risk in continuous shift work.

Time-related accident risk in shift work may be attributed to internal factors, such as fatigue, level of performance, sleep propensity, and to some external factors, like shift system, physical and social environment. Six hundred and sixty-eight events in the metallurgical industry have been analysed in terms of time of day, time on task, consecutive day of the shift block, day of the week, and season. The injury rate was similar on all shifts but more severe accidents happened in the nighttime. Somewhat more injuries occurred in the second half of the shift, in the second part of a shift block, and in summer compared with winter. There were fewer injuries at weekends.