These are often linked to sedentary work, irregular hours, and limited access to healthy food. Fatigue and sleep disorders also play a significant role.
Mental health is equally critical. Stress, anxiety, loneliness, and low mood - often driven by isolation and time pressure - can affect concentration and decision-making.
“Mental health often shows up as distraction,” Davies explains. “If a driver is preoccupied, their attention isn’t fully on the road. It can also reduce tolerance, leading to impatience or reactive behaviour.”
True fitness to drive goes beyond physical health. Mental and physical wellbeing are closely linked, and both must be managed together to ensure safe operation.
Creating a culture where drivers feel comfortable raising concerns is key. “It starts with psychological safety,” says Davies. “Drivers need to know they can speak up without fear of blame or negative consequences. Managers must be approachable and focus on doing the job safely - not just getting it done.”
The industry is beginning to respond. Recent guidance from National Highways and the Road Haulage Association reflects a growing focus on driver wellbeing, though there is still progress to be made.
With Mental Health Awareness Week approaching, Davies’ message is clear: “Prioritise mental health as both a moral responsibility and a safety imperative. By supporting drivers and embedding structured management practices, operators can create safer, more effective operations.”
Ultimately, managing driver fitness, health, and competence should become standard practice and be handled with the same consistency and importance as vehicle safety.
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