Falls from Height in the Construction Industry: A Critical Review of the Scientific Literature

Int J Environ Res Public Health. 2016 Jun 28;13(7):638. doi: 10.3390/ijerph13070638.

Abstract

Globally, falls from height (FFH) are a substantial public health jeopardy and are among the important leading causes of serious and fatal injuries for construction workers. A comprehensive understanding of the causal factors in FFH incidents is urgently required; however, the literature appears to lack a scientific review of FFH. In this study, 297 articles that contribute to the topic of fall incidents were reviewed. Seventy-five (75) articles met the criteria for relevance and were aggregated in a database to support a critical review. A synthesis of macro-variables approach was adopted rather than a structured meta-analysis. Such a method of analysis provides the flexibility to combine previous studies' findings. The most common factors associated with FFH are risky activities, individual characteristics, site conditions, organizational characteristics, agents (scaffolds/ladders) and weather conditions. The outcomes contributed to identifying the most significant research area for safety enhancement by improving engineering facilities, behaviour investigations and FFH prevention methods.

Keywords: construction accidents; construction activities and prevention strategies; fall from height.

Publication types

  • Review

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Accidents, Occupational / statistics & numerical data*
  • Construction Industry* / statistics & numerical data
  • Humans
  • Public Health
  • Safety