Enhancing construction workers’ health and safety: mechanisms for implementing Construction 4.0 technologies in construction organizations

Purpose The construction industry is notorious for high risks and accident rates, prompting professionals to adopt emerging technologies for improved construction workers’ health and safety (CWHS). Despite the recognized benefits, the practical implementation of these technologies in safety management within the Construction 4.0 era remains nascent. This study aims to investigate the mechanisms influencing the implementation of Construction 4.0 technologies (C4.0TeIm) to enhance CWHS in construction organizations. Design/methodology/approach Drawing upon integrated institutional theory, the contingency resource-based view of firms and the theory of planned behavior, this study developed and tested an integrated C4.0TeIm-CWHS framework. The framework captures the interactions among key factors driving C4.0TeIm to enhance CWHS within construction organizations. Data were collected via a questionnaire survey among 91 construction organizations and analyzed using partial least squares structural equation modeling to test the hypothesized relationships. Findings The results reveal that: (1) key C4.0TeIm areas are integrative and centralized around four areas, such as artificial intelligence and 3D printing, Internet of Things and extended reality; and (2) external coercive and normative forces, internal resource and capability, business strategy, technology competency and management (BST), organizational culture and use intention (UI) of C4.0 technologies, collectively influence C4.0TeIm-CWHS. The findings confirm the pivotal roles of BST and UI as mediators fostering positive organizational behaviors related to C4.0TeIm-CWHS. Practical implications Practically, it offers actionable insights for policymakers to optimize technology integration in construction firms, promoting industrial advancement while enhancing workforce well-being. Originality/value The novel C4.0TeIm-CWHS framework contributes to the theoretical discourses on safety management within the C4.0 paradigm by offering insights into internal strategic deployment and compliance challenges in construction organizations.