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Designers have a key role to play in the Prevention through Design (PtD) practices in construction projects. Nonetheless, previous studies indicated that the issue of competencies to perform and sustain such practices over time is of a significant concern. This study aims to explore the key attributes of designers' competencies for PtD practices in construction.

By using the Scopus database, a total of 86 papers related to PtD in construction published in peer-reviewed journals were reviewed and analysed using the well-established systematic literature review (SLR) methodology.

The review indicates that in order to be competent in PtD implementation, designers need to be equipped with tacit and explicit knowledge, technical and soft skills and experience related to PtD. Furthermore, the review identifies attributes of these competencies. Additionally, a framework that links key PtD elements/principles with the PtD competencies is presented.

The findings would enable contribution to the industry by providing the necessary references for design organisations to improve their designers' PtD competencies and hence, be able to meet their responsibility under relevant occupational safety and health (OSH) legislative framework.

This study extends the PtD literature in the construction context by providing deeper insights into the conceptualisation of relationship between competent designers and PtD elements. The novelty also lies in the consolidation of PtD competency attributes for designers in construction that could act as a reference for any future developments related to PtD competency assessment for designers.

With the rapid development of digital information and modelling software applications for construction, questions have arisen about their impact on construction safety. Meanwhile, recognition that designers can help reduce risks involved in construction, operation and maintenance via a prevention through design (PtD) approach (also known as design for safety) highlights the significance of digital technologies and tools to PtD. Thus, this paper aims to provide a systematic review of a wide range of digital technologies for enhancing PtD.

A five-stage systematic literature review with coding and synthesis of findings is presented. The review covers journal articles published between 2000 and 2020 related to the applications of various digital technologies, such as building information modelling (BIM), 4D, databases, ontologies, serious games, virtual reality and augmented reality, for addressing safety issues during the design phase in construction.

Analysis of the articles yielded a categorisation of the digital applications for PtD into four main areas: knowledge-based systems; automatic rule checking; hazard visualization; and safety training for designers. The review also highlighted designers’ limited knowledge towards construction safety and the possibility to address this by using gaming environments for educating designers on safety management and using artificial intelligence for predicting hazards and risks during design stage in a BIM environment. Additionally, the review proposes other directions for future research to enhance the use of digital technologies for PtD.

This paper contextualises current digital technology applications for construction health and safety and enables future directions of research in the field to be identified and mapped out.

The prevention through design (PtD) initiative places a duty on designers to originate designs that are inherently safe for construction, maintenance, occupation and demolition. In the UK, legislation has been introduced creating a new statutory role called the principal designer (PD) to ensure that PtD occurs during the design process. To realize this objective, PDs under the regulations must have appropriate skills, knowledge and experience (SKE) of occupational safety and health risks as they relate to construction products. However, there is a paucity of knowledge, in the extant literature and in practice, regarding what specifically constitutes PDs’ SKE of PtD and how to measure the same.

The study undertook a systematic review of meanings of SKE and carried out content analyses to provide robust conceptualizations of the constructs SKE. This underpinned the development of nomological networks to operationalize the constructs SKE in respect of PDs’ ability to ensure PtD.

PDs’ SKE of PtD are presented as multidimensional constructs that can be operationalized at different levels of specificity in three theoretical models.

The models indicated in this study can assist project clients to clarify the PtD SKE of prospective PDs in the procurement process. Correspondingly, PDs can look to these frameworks to identify their SKE gaps and take steps to address them.

This study contributes to the PtD literature by providing theoretical frameworks to clarify the PtD SKE of PDs. The study provides a basis for future research to empirically test the attributes of these as they relate to PDs’ competence to ensure PtD.

Given the complexities in improving safety in the construction industry globally, which is exacerbated by the complex safety environment in developing countries (DCs), prevention through design (PtD) has been established to improve occupational safety and health (OSH) where applied. However, it has received very little attention in DCs and the extant literature with limitations. Using Nigeria as a case study, the current study advances the understanding of PtD in DCs by investigating the critical barriers to PtD and other potential OSH responsibilities of designers in the construction industry.

Twenty-eight semi-structured interviews and e-interviews of architects, builders and civil engineers in Nigeria were analysed using the six-phase thematic analysis. To improve the trustworthiness of the research, triangulation, peer-debriefing, refining the interview protocol and thick detailed description were done.

The study's findings question the extant general knowledge and understanding of PtD among clients and designers and its technical aspect among designers where it is skewed to structural safety and omitted in universities' curricula. This explains the inconclusive findings of existing studies on why there is a high level of awareness of PtD but a low level of implementation. There is little client support for PtD, and designers have limited influence on clients in terms of it. The fear of liability from PtD is exacerbated by the limited legal system and lack of adequate legislation in the country. The demotivating attitudes of clients and contractors towards designers in terms of PtD are also reported, just as there are project delivery barriers such as traditional procurement not supporting PtD as design and build procurement does.

For the sustainable growth in the practice of PtD, the increased and improved quality of education and awareness of PtD is needed but this must focus on instilling a robust understanding of it among designers based on the local context. This educational requirement can be supported by statute.

Through qualitative data, the findings explain and offer insight into the inconclusive findings in the extant studies on PtD in Nigeria. Also, it contributes to improving health and safety by advancing the understanding of the critical barriers to PtD and other potential OSH responsibilities of designers in D Nigeria's construction using qualitative data.

The research aims to explore the interaction between design decisions that reduce occupational health and safety (OHS) risk in the operation stage of a facility's life cycle and the OHS experiences of workers in the construction stage.

Data was collected from three construction projects in Australia. Design decisions were examined to understand the reasons they were made and the impact that they had on OHS in the construction and operation stages.

The case examples reveal that design decisions made to reduce OHS risk during the operation of a facility can introduce new hazards in the construction stage. These decisions are often influenced by stakeholders external to the project itself.

The results provide preliminary evidence of challenges inherent in designing for OHS across the lifecycle of a facility. Further research is needed to identify and evaluate methods by which risk reduction across all stages of a facility's life cycle can be optimised.

The research highlights the need to manage tensions between designing for safe construction and operation of a facility.

Previous research assumes design decisions that reduce OHS risk in one stage of a facility's life cycle automatically translate to a net risk reduction across the life cycle. The research highlights the need to consider the implications of PtD decision‐making focused on one stage of the facility's life cycle for OHS outcomes in other stages.

The prevention through design (PtD) concept has been widely recognized as one of the most effective approaches to eliminate or reduce construction site hazards. It encourages engineers and architects to consider occupational safety and health during the planning and design phases. Nevertheless, the implementation of PtD is often inhibited because designers lack adequate knowledge about construction safety and the construction process, and limited design-for-safety tools and procedures are available for designers to use. The purpose of this paper is to provide designers a tool for assessing construction risks during early phases of multistory building projects at an activity level and on a daily basis in a 4D environment. By using the tool, proactive measures could be taken in the design and planning phase to reduce site hazards.

The proposed method consists of four steps including risk quantification at a design element level, 4D model integration with risk values, risk assessment, and design alternative selection and model acceptance. A case study was carried out to test and verify the proposed method.

The proposed tool has the capability to assess the safety risk for an entire multistory project and visualize safety risk in a particular time period, work space and task prior to construction. It benefits designers in conducting risk assessments and selecting design alternatives concerning safety. Contractors could also utilize the visualization and simulation results of the 4D model for site safety planning so that a range of risk mitigation strategies could be implemented during construction.

The study provides an innovative PtD tool targeting designers as primary end-users. The proposed tool helps designers assess construction risks and has potential to incorporate the top levels of the hierarchy of risk controls.

The equability of environment, social and economic elements becomes a major issue to be achieved as to attain sustainability in the development of a construction project. As to cater to social sustainability, the Guidelines on Occupational Safety and Health in Construction Industry (Management) also known as OSHCIM has been introduced by the government to improve safety practices amongst Malaysia’s construction practitioners. The basic principle adopted in OSHCIM is Prevention through Design (PtD), which enhances the elimination of hazards during project design stages. This concept is inspired from the implementation of Construction (Design and Management) (CDM) Regulations in the United Kingdom. The concept has also been adopted and practised in many developed countries including Australia and Singapore. The aim of this study is to identify the dominant accident causes in Malaysian construction industry. In this study, the secondary data were gathered from the Department of Occupational Safety and Health (DOSH) accident statistics. A content analysis and frequency distribution analysis were adopted to determine causal factors that contribute to the fatality. The findings show the existence of design-related causal factors, which is also incorporated with other causes of accidents. This is true as every accident occurs due to more than one factor. Thus, these inputs will recommend further exploration to determine the design-related causal factors. This may help the industrial players, including stakeholders, practitioners and researchers, to have more focussed efforts and resources in ensuring the success of OSHCIM’s implementation to reduce the accident statistics in Malaysia.

The use of building information modelling (BIM) methodology has been increasing in the architecture, engineering, construction and operation sector, driven to a new paradigm of work with the use of three-dimensional (3D) parametric models. However, building information modelling (BIM) has been mostly used for as-built models of a building, not yet been widely used by designers during project and construction phases for occupational risks prevention and safety planning. This paper aims to show the capacity of developing tools that allow adding functionalities to Revit software to improve safety procedures and reduce the time spent on modelling them during the design phase.

To reach this objective, a structural 3D model of a building is used to validate the developed tools. A plugin prototype based on legal regulations was developed, allowing qualitative safety assessment through the application of job hazard analysis (JHA), SafeObject and checklists. These tools allow the automated detection of falls from height situations and the automated placement of the correspondent safety systems.

Revit application programming interface allowed the conception and addition of several functionalities that can be used in BIM methodology, and more specifically in the prevention of occupational risks in construction, contributing this paper to the application of a new approach to the prevention through design.

This paper is innovative and important because the developed plugins allowed: automated detection of potential falls from heights in the design stage; automated introduction of safety objects from a BIM Safety Objects Library; and the intercommunication between a BIM model and a safety database, bringing JHA integration directly on the project. The prototype of this work was validated for fall from height hazards but can be extended to other potentials hazards since the initial design stage.

The construction industry is considered one of the most dangerous industries especially in developing countries such as Egypt. Although safety in Egypt is regulated by mainly four pivotal legislations, namely, Law No. 12 (2003) and Ministerial Decrees No. 211, 126 and 134, construction accident records in Egypt are high. Accordingly, this paper aims to develop a framework to activate the health and safety regulations in the Egyptian construction industry.

To achieve this aim, a research methodology consisting of a literature review and a survey questionnaire was developed to accomplish three objectives. First, a literature review was used to identify the causes of site accidents and strategies adopted in different countries to improve and enforce safety, safety roles of stakeholders. Second, a survey questionnaire was conducted with a representative sample of large- and medium-sized construction firms in Egypt to examine their perception of the causes of site accidents. Finally, a framework was developed to activate the health and safety regulations in the Egyptian construction industry.

The research identified 16 causes of construction site accidents. These causes were classified into three categories based on the party responsible for the occurrence of site accidents, namely, workers, organization management and government. Results of data analysis showed that “lack of housekeeping” and “lack of governmental inspection for safety” were ranked the highest causes of site accidents in the Egyptian construction industry, whereas “inefficiency of old safety equipment or no safety equipment at all” and “reluctance to input resources for safety” were ranked the least causes.

This research provides valuable information about the nature of the construction industry with a particular focus on site accidents, causes and impacts of construction site accidents. The study highlighted the safety roles of the Egyptian Governmental bodies in Egypt to improve and enforce safety. The research tackled a topic that received scant attention in construction literature especially in the Egypt context. The framework presented in this paper represents a synthesis that is important and adds value to the knowledge in a manner that has not previously occurred in the Egyptian construction industry.

Design for safety (DfS), also known as prevention through design (PtD), is a concept that mitigates accidents and hazards through considerations during the design stage of building projects. The literature provides much information on this concept, but such information is only limited to a few developed countries such as the UK, the USA and Australia. There is limited insight into DfS implementation in the construction industry of several countries, including countries in the Gulf Cooperation Council (GCC) such as Kuwait. Therefore, this study investigates DfS implementation among design professionals in the Kuwait construction industry.

The study used a questionnaire survey to obtain data from design professionals. The data were analysed using descriptive and inferential statistics (i.e. analysis of variance and t-test).

The results revealed that DfS awareness among design professionals is very high; there is a very high willingness among design professionals to apply the concept, and design professionals generally view DfS implementation as important. Despite these, the frequency of implementation of DfS practices is generally moderate. In addition, the results revealed that though there is a high interest in DfS training among the design professionals, their actual engagement in training is low. The results also suggest some association between the frequency of engagement in the DfS practices and designers' DfS awareness, training and education. DfS related regulations, industry guidance, formal education and training are considered by design professionals to have the greatest influence on DfS implementation in Kuwait.

These emerging findings both mirror and contradict aspects of the outcomes of previous DfS studies in other countries. Furthermore, the findings from this study provide insights into a less investigated area regarding work-related health and safety in the GCC region. It offers new and additional information and insights into the current state-of-the-art DfS implementation in the construction industry in Kuwait. In view of the findings, joined-up efforts by government, industry and academia are needed to enhance DfS implementation by design professionals in Kuwait.