The examination should cover -
- any difficulties the employee may be having in adapting to night-work routines;
- any health problems that the employee is manifesting;2
- any psychological, emotional and social stresses experienced by the employee, strategies that may help the employee cope with night work and educational input on the risks of shift work;
- insomnia and symptoms of sleep deprivation such as irritability and chronic fatigue;
- use of medication, the effectiveness of which depends upon circadian (daily body) rhythms;
- diet and use of caffeinated drinks, alcohol, sleeping pills, and cigarettes.