For Employers

Many large corporations and even smaller business are almost certain to employ workers with serious but untreated sleep disorders. (Sleep apnea, insomnia, narcolepsy, shift worker sleep disorders)

Sleep disorders may lead to sleep loss and have a major impact in the workplace because is may increase medical problems such as obesity, hypertension, heart disease, diabetes. Sleep loss can have an impact on the employee’s ability to make good sound decisions affecting the business as a whole. 

Sleep statistics from the National Sleep Foundation: 

  • 51% of the American workforce report that sleepiness on the job interferes with the amount of work they get done. 
  • 40% admit that the quality of their work suffers when they're sleepy. 
  • 68% say that sleepiness interferes with their concentration and makes handling stress on the job more difficult. 
  • 19% report making occasional or frequent work errors due to sleepiness. 
  • 24% have difficulty getting up for work two or more workdays per week. 
  • 7% of all workers admit to having changed jobs in order to get more sleep. 
  • 68% of shift workers report problems sleeping.

“One estimate of the cost of sleep related workplace productivity is $150 Billion dollars”

Report of the National commission on Sleep Disorders Research submitted to the US Congress and Department of Health and Human services, April 1993. 

Transportation Industry Standards

Drowsy driving is an underreported and underrecognized public safety issue. The role of sleepiness in the overall number of transportation accidents is not fully appreciated. It is estimated that in the United States there are approximately 4,800 fatal truck crashes each year and many more non-fatal crashes. In one study, the National Transportation Safety Board (NTSB) found that fatigue plus alcohol or drugs accounted for a large portion of fatal-to-the-driver accidents. The NTSB also reported a probable cause of fatigue in 50% of accidents that led to a truck driver's death.

Driving while sleepy carries the same consequences as driving under the influence of alcohol and other substances. In fact, if a driver's impairment is determined to be due to sleep deprivation, the driver may be considered negligent, or even reckless, and can be held liable for civil and criminal penalties. However, sleepiness has no reliable objective measurement that can be performed at the site of an accident. Thus, the status of a patient's sleep deprivation must be inferred from the nature of the accident and the operator's prior sleep-wake schedule and travel log.

Over the last 15 years, the Department of Transportation's Federal Motor Carrier Safety Administration (FMCSA) has advanced legislation that governs maximum driving time for long-haul drivers. Currently, New Jersey is the only state that has a specific law under which a sleepy driver can be charged in a fatal crash (Maggie's Law). In January of 2008 an expert panel recommended specific guidelines on obstructive sleep apnea and commercial motor vehicle safety to the FMCSA. In 2012 we adopted many of these recommendations. That guideline also lists the Standards and Guidelines for Sleep Apnea from other U.S. government transportation and safety agencies, as well as from select countries other than the United States. (

Our Sleep Center at Physicians East is keenly aware of the implications for drivers as well as employers in terms of available means of eliminating driver fatigue. At the Physicians East Sleep Center we certainly support a proactive approach to identifying driver fatigue and can develop programs that lessen potential medical and legal liability for individuals and their companies. It is certainly our hope that the processes move ahead whether mandated legally or not.