Prioritizing Occupational Health and Safety Protocols in Pakistan's Construction Industry: A DEMATEL-Based Causal Analysis
DOI:
https://doi.org/10.33411/IJIST/1952Keywords:
Occupational health and safety, Construction industry, DEMATEL, Pakistan, Sustainable construction, Safety managementAbstract
Construction continues to be one of the most dangerous industries for employment, especially in developing countries, where the lack of enforcement of occupational health and safety (OHS) regulations has helped to create frequent workplace accidents and occupational illnesses. Although the construction industry has a considerable role in the economic development of Pakistan, limited research on prioritizing the OHS protocols within the local context has been done. The purpose of this study is to find out critical issues of OHS that affect construction projects in Pakistan and to examine their relationship using the decision-making trial and evaluation laboratory (DEMATEL) approach. A thorough literature review was conducted to determine possible safety factors and then further confirmed by discussions with knowledgeable construction professionals. A structured questionnaire was used for collecting data from the engineers and project managers working with the contractors registered with Pakistan Engineering Council (PEC), out of which 160 valid questionnaires were obtained. The internal consistency (Cronbach's alpha) is 0.836, and the agreement among experts (Kendall's W= 0.188 and = 79.211, df = 9, and p< 0.001) was used to verify the reliability and consistency of the data collected and then to establish the causal relationship between the factors identified by applying the DEMATEL technique. The results suggest that the main driving (cause) factors for the occupational health and safety performance are eight-hour work shifts, permanent and temporary workforce management, and overall safety management practices. The highest prominence (7.163) and strongest net causal influence (1.6234) is for "eight-hour work shift," followed by permanent/temporary workforce management. Social welfare, PPE, child labor, compliance with the minimum wage, employee insurance, inclusion of persons with disabilities, and first aid facilities are all in the effect group and are largely dependent upon improvements in the driving factors. The results confirm that enhancing management and organizational safety approaches can lead to multiple safety outcomes in the downstream system. The study adds value to the existing construction safety literature by developing a prioritized decision support system for OHS management in Pakistan. The results provide lessons for contractors, project managers, and policymakers who can use them to make better decisions about how limited resources can be used more efficiently to ensure safer, more sustainable construction and support the national development agenda.
References
Saman Aminbakhsh, Murat Gunduz, “Safety risk assessment using analytic hierarchy process (AHP) during planning and budgeting of construction projects,” J. Safety Res., vol. 46, pp. 99–105, 2013, doi: https://doi.org/10.1016/j.jsr.2013.05.003.
Ali Bavafa, Amir Mahdiyar, “Identifying and assessing the critical factors for effective implementation of safety programs in construction projects,” Saf. Sci., vol. 106, pp. 47–56, 2018, doi: https://doi.org/10.1016/j.ssci.2018.02.025.
Muhammad Waseem Khan, Yousaf Ali, “Occupational health and safety in construction industry in Pakistan using modified-SIRA method,” Saf. Sci., vol. 118, pp. 109–118, 2019, doi: https://doi.org/10.1016/j.ssci.2019.05.001.
R. A. Haslam, S. A. Hide, “Contributing factors in construction accidents,” Appl. Ergon., vol. 36, no. 4, pp. 401–415, 2005, doi: https://doi.org/10.1016/j.apergo.2004.12.002.
H. Zahoor, A. P. C. Chan, R. Masood, R. M. Choudhry, A. A. Javed, and W. P. Utama, “Occupational safety and health performance in the Pakistani construction industry: stakeholders’ perspective,” Int. J. Constr. Manag., vol. 16, no. 3, pp. 209–219, Jul. 2016, doi: 10.1080/15623599.2015.1138027.
Muhammad Rafique, Saira Ahmed, “Impact of Safety Climate on Safety Behaviour in Construction Projects: Mediating Mechanism and Interacting Effect,” J. Constr. Dev. Ctries., vol. 26, no. 2, pp. 163–181, 2021, doi: 10.21315/jcdc2021.26.2.8.
Thanet Aksorn, B. H.W. Hadikusumo, “Critical success factors influencing safety program performance in Thai construction projects,” Saf. Sci., vol. 46, no. 4, pp. 709–727, 2008, doi: https://doi.org/10.1016/j.ssci.2007.06.006.
Aminu Darda’u Rafindadi, Madzlan Napiah, “Significant factors that influence the use and non-use of personal protective equipment (PPE) on construction sites—Supervisors’ perspective,” Ain Shams Eng. J., vol. 13, no. 3, p. 101619, 2022, doi: https://doi.org/10.1016/j.asej.2021.10.014.
Syed Ammad, Wesam Salah Alaloul, “Personal protective equipment (PPE) usage in construction projects: A scientometric approach,” J. Build. Eng., vol. 35, 2021, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S2352710220337189
A. Ebekozien, “Construction companies’ compliance to personal protective equipment on junior staff in Nigeria: issues and solutions,” Int. J. Build. Pathol. Adapt., vol. 40, no. 4, pp. 481–498, Dec. 2022, doi: 10.1108/IJBPA-08-2020-0067.
D. Almaskati, S. Kermanshachi, A. Pamidimukkala, K. Loganathan, and Z. Yin, “A Review on Construction Safety: Hazards, Mitigation Strategies, and Impacted Sectors,” Build. 2024, Vol. 14, Page 526, vol. 14, no. 2, p. 526, Feb. 2024, doi: 10.3390/BUILDINGS14020526.
A. O. Alejo, C. O. Aigbavboa, and D. O. Aghimien, “Emerging Trends of Safe Working Conditions in the Construction Industry: A Bibliometric Approach,” Build. 2024, Vol. 14, Page 2790, vol. 14, no. 9, p. 2790, Sep. 2024, doi: 10.3390/BUILDINGS14092790.
H. Sarvari, D. J. Edwards, I. Rillie, and J. J. Posillico, “Building a safer future: Analysis of studies on safety I and safety II in the construction industry,” Saf. Sci., vol. 178, p. 106621, Oct. 2024, doi: 10.1016/J.SSCI.2024.106621.
T. T. Pham, H. Lingard, and R. P. Zhang, “Factors influencing construction workers’ intention to transfer occupational health and safety training,” Saf. Sci., vol. 167, p. 106288, Nov. 2023, doi: 10.1016/J.SSCI.2023.106288.
J. J. H. Liou, T. T. Vo, J. J. H. Liou, and T. T. Vo, “A Novel Fuzzy Delphi DEMATEL-RANCOM approach to assess root causes of construction accidents,” J. Civ. Eng. Manag., vol. 32, no. 5, pp. 753–768, Jul. 2026, doi: 10.3846/JCEM.2026.27482.
“(PDF) Demand and awareness of construction safety practices in Pakistan.” Accessed: Jul. 16, 2026. [Online]. Available: https://www.researchgate.net/publication/291047209_Demand_and_awareness_of_construction_safety_practices_in_Pakistan
W. Zhang and Y. Deng, “Combining conflicting evidence using the DEMATEL method,” Soft Comput. 2018 2317, vol. 23, no. 17, pp. 8207–8216, Aug. 2018, doi: 10.1007/S00500-018-3455-8.
I. Park, J. Kim, S. Han, and C. Hyun, “Analysis of Fatal Accidents and Their Causes in the Korean Construction Industry,” Sustainability, vol. 12, no. 8, p. 3120, 2020.
J. Amissah, E. Badu, P. Agyei-Baffour, E. K. Nakua, and I. Mensah, “Predisposing factors influencing occupational injury among frontline building construction workers in Ghana,” BMC Res. Notes, vol. 12, no. 1, p. 728, 2019.
A R A Hamid, M R A Noor Azmi, E Aminudin, R P Jaya, R Zakaria, A M M Zawawi, K Yahya, Z Haron, “Causes of fatal construction accidents in Malaysia,” IOP Conf. Ser. Earth Environ. Sci., 2019, doi: 10.1088/1755-1315/220/1/012044.
A. Lette, A. Ambelu, T. Getahun, and S. Mekonen, “A survey of work-related injuries among building construction workers in southwestern Ethiopia,” Int. J. Ind. Ergon., vol. 68, pp. 57–64, 2018.
S. Al-Khaburi and O. Amoudi, “Analysis of accident causes at construction sites in Oman,” Jordan J. Civ. Eng., vol. 12, no. 2, 2018.
“(PDF) Safety Practices and Causes of Fatality in Building Construction Projects: A Case Study for Bangladesh.” Accessed: Jul. 16, 2026. [Online]. Available: https://www.researchgate.net/publication/311789328_Safety_Practices_and_Causes_of_Fatality_in_Building_Construction_Projects_A_Case_Study_for_Bangladesh
“(PDF) Key factors contributing to accident severity rate in construction industry in Iran: a regression modelling approach / Primjena regresijskog modela u analizi ključnih čimbenika koji pridonose težini nesreća u građevinskoj industriji u Iranu.” Accessed: Jul. 16, 2026. [Online]. Available: https://www.researchgate.net/
publication/301533998_Key_factors_contributing_to_accident_severity_rate_in_construction_industry_in_Iran_a_regression_modelling_approach_Primjena
_regresijskog_modela_u_analizi_kljucnih_cimbenika_koji_pridonose_tezini_nesr
L. Wong, Y. Wang, T. Law, and C. T. Lo, “Association of Root Causes in Fatal Fall-from-Height Construction Accidents in Hong Kong,” J. Constr. Eng. Manag., vol. 142, no. 7, p. 04016018, Feb. 2016, doi: 10.1061/(ASCE)CO.1943-7862.0001098.
Ratri Parida, Pradip Kumar Ray, “Factors Influencing Construction Ergonomic Performance in India,” Procedia Manuf., vol. 3, 2015, doi: 10.1016/j.promfg.2015.07.284.
Jantanee Dumrak, Sherif Mostafa, “Factors associated with the severity of construction accidents: The case of South Australia,” Constr. Econ. Build., vol. 13, no. 4, pp. 32–49, 2013, doi: 10.5130/ajceb.v13i4.3620.
Quintin Williams, Michele Ochsner, “The impact of a peer-led participatory health and safety training program for Latino day laborers in construction,” J. Safety Res., vol. 41, no. 3, pp. 253–261, 2010, doi: https://doi.org/10.1016/j.jsr.2010.02.009.
A. López, J. Aisa, A. Martinez, and D. Mercado, “Injection moulding parameters influence on weight quality of complex parts by means of DOE application: Case study,” Measurement, vol. 90, pp. 349–356, 2016.
Chia Wen Liao, Yeng Horng Perng, “Data mining for occupational injuries in the Taiwan construction industry,” Saf. Sci., vol. 46, no. 7, pp. 1091–1102, 2008, doi: https://doi.org/10.1016/j.ssci.2007.04.007.
D. Langford, S. Rowlinson, and E. Sawacha, “Safety behaviour and safety management: its influence on the attitudes of workers in the UK construction industry,” Eng. Constr. Archit. Manag., vol. 7, no. 2, pp. 133–140, Jun. 2000, doi: 10.1046/J.1365-232X.2000.00137.X.
J. T. Spector, Y. J. Masuda, N. H. Wolff, M. Calkins, and N. Seixas, “Heat Exposure and Occupational Injuries: Review of the Literature and Implications,” Curr. Environ. Heal. reports, vol. 6, no. 4, pp. 286–296, Dec. 2019, doi: 10.1007/S40572-019-00250-8.
A. Binazzi et al., “Evaluation of the impact of heat stress on the occurrence of occupational injuries: Meta-analysis of observational studies,” Am. J. Ind. Med., vol. 62, no. 3, pp. 233–243, Mar. 2019, doi: 10.1002/AJIM.22946.
S. Chen, K. Demachi, and M. Tsunokai, “A Real-Time Automated Approach for Ensuring Proper Use of Personal Protective Equipment (PPE) in Construction Site,” Lect. Notes Civ. Eng., vol. 98, pp. 1115–1126, 2021, doi: 10.1007/978-3-030-51295-8_77/SAVE-RESEARCH.
Y. Huang and S. Han, “Explaining social insurance participation: the importance of the social construction of target groups in China,” Policy Stud., vol. 43, no. 3, pp. 578–598, May 2022, doi: 10.1080/01442872.2020.1865529.
D. G. Owusu-Manu, F. A. Ghansah, A. Darko, and R. O. Asiedu, “Service quality of insurance in complex project deals in the construction industry in Ghana,” Int. J. Build. Pathol. Adapt., vol. 39, no. 2, pp. 344–367, Mar. 2021, doi: 10.1108/IJBPA-09-2019-0078.
Natasha B. Scott, Nicola S. Pocock, “The Health Impacts of Hazardous Chemical Exposures among Child Labourers in Low- and Middle-Income Countries,” Int. J. Environ. Res. Public Health, vol. 18, no. 10, p. 5496, 2021, doi: 10.3390/ijerph18105496.
R. Gould, C. Mullin, S. Parker Harris, and R. Jones, “Building, sustaining and growing: disability inclusion in business,” Equal. Divers. Incl. An Int. J., vol. 41, no. 3, pp. 418–434, Apr. 2022, doi: 10.1108/EDI-06-2020-0156.
V. Getuli, P. Capone, A. Bruttini, and T. Sorbi, “A smart objects library for BIM-based construction site and emergency management to support mobile VR safety training experiences,” Constr. Innov., vol. 22, no. 3, pp. 504–530, Jun. 2022, doi: 10.1108/CI-04-2021-0062.
“SPSS for Windows Step-by-Step: A Simple Guide and Reference, 14.0 update (7th Edition) | Request PDF.” Accessed: Aug. 03, 2026. [Online]. Available: https://www.researchgate.net/publication/234827666_SPSS_for_Windows_Step-by-Step_A_Simple_Guide_and_Reference_140_update_7th_Edition
“Calculating, Interpreting, And Reporting Cronbach’s Alpha Reliability Coefficient For Likert-Type Scales.” Accessed: Jul. 16, 2026. [Online]. Available: https://www.researchgate.net/publication/31591315_Calculating_Interpreting_And_Reporting_Cronbach’s_Alpha_Reliability_Coefficient_For_Likert-Type_Scales
A. Gabus and E. Fontela, “Perceptions of the world problematique: communication procedure, communicating with those bearing collective responsibility,” 1973.
H. C. Seo, Y. S. Lee, J. J. Kim, and N. Y. Jee, “Analyzing safety behaviors of temporary construction workers using structural equation modeling,” Saf. Sci., vol. 77, pp. 160–168, Aug. 2015, doi: 10.1016/J.SSCI.2015.03.010.
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