Build & Thrive

Opening Your Eyes to Fatigue in Construction with Dr David Garley

Jennie Armstrong Season 2 Episode 4

Sleep is often treated as a personal problem - something people just need to “sort out” in their own time. In this episode of Build & Thrive, host Jennie Armstrong sits down with GP and sleep specialist Dr David Garley, Director of The Better Sleep Clinic, to explore why sleep is actually a critical health and safety issue for construction.

Drawing on his clinical work with patients and organisations - from major employers to elite sports teams - Dr Garley unpacks how poor sleep and fatigue drive accidents, long-term illness and performance problems. Together, Jennie and David look at what this means for construction employers: from shift patterns and long hours, to workers away from home, to the “badge of honour” culture around pushing through tiredness. Most importantly, they explore what can realistically be done - at both organisational and individual level - to help people sleep better and work more safely.

What we cover:

  • The difference between tiredness, sleepiness and fatigue - and why it matters for risk on site
  • How poor sleep links to heart disease, diabetes, mental health and even dementia - in real-world, practical terms
  • Why construction workers may have particularly high rates of insomnia and obstructive sleep apnoea - and the signs leaders should look for
  • The hidden safety impact of fatigue: from an eight-fold rise in industrial accidents to one in five road collisions involving poor sleep
  • What a sensible workplace sleep strategy looks like: anonymous assessment, targeted education, and clear referral routes for proper diagnosis and treatment
  • Practical steps supervisors, H&S teams and workers themselves can take to protect sleep around shift work, long hours and life outside of work

Throughout the conversation, Dr David Garley makes a clear case that sleep is not a luxury or a sign of weakness - it is one of the three core pillars of performance alongside nutrition and exercise. For construction leaders who care about safety, productivity and long-term health, bringing sleep into the conversation is no longer optional.


🎧 https://www.buzzsprout.com/2431164 (or search your podcast app)

📺 https://www.youtube.com/playlist?list=PLEoibJLDuFnnT3qSQw37LKPG6xlyvCj7B 


Episode Links:

Jennie Armstrong: https://www.linkedin.com/in/jenniearmstrong/ 

Construction Health & Wellbeing: https://constructionhealth.co.uk/ 


The Better Sleep Clinic:


Dr David Garley:


GKR Scaffolding (sponsor): https://gkrscaffolding.co.uk/ 


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