Exploring the Role of PPE Knowledge, Attitude, and Correct Practices in Safety Outcomes on Construction Sites
Publication: Journal of Architectural Engineering
Volume 27, Issue 4
Abstract
Despite alarming injury and fatality rates, construction workers continue to neglect the appropriate use of personal protective equipment (PPE). This research explores safety outcomes concerning knowledge, attitude, and practice in PPE use on Trinidad's construction sites. A questionnaire survey of 100 respondents and 20 interviews with site workers revealed that knowledge of action and attitude were better predictors than practice on the propensity of construction workers to be involved in near-misses and accidents. The research explains why there were no significant differences between safe work practices and the occurrence of near-misses or accidents. In addition, it was found that workers' attitudes toward PPE use were not mediated by on-site experience, but they were more related to their age and if they believed their safety was the responsibility of their supervisor. The research concludes that knowledge of action varied among educational groups; however, there was no significant difference between PPE training and workers with knowledge of PPE usage and calls for changes in the current educational program content and delivery. This research identifies accident causation factors and recommends measures for construction companies to achieve improved safety performance and reduce the risk of accidental injury or death.
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References
Abdelhamid, T. S., and J. G. Everett. 2000. “Identifying root causes of construction accidents.” J. Constr. Eng. Manage. 126 (1): 52–60. https://doi.org/10.1061/(ASCE)0733-9364(2000)126:1(52).
Adler, M., and E. Ziglio. 1996. Gazing into the oracle: The Delphi method and its application to social policy and public health. London: Jessica Kingsley.
Ahmed, S. M., S. Azhar, R. Farooqui, and K. Panthi. 2015. “Addressing the issue of compliance with personal protective equipment on construction worksites: A workers’ perspective.” Accessed August 12, 2020. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.488.260&rep=rep1&type=pdf.
Akintayo, W. 2013. “Knowledge, attitude and practice on the use of personal protective equipment by traditional resist fabrics workers in Abeokuta, Nigeria.” Kuwait Chap. Arabian J. Bus. Manage. Rev. 33 (856): 1–11.
Alaloul, W. S., A. S. I. B. Ismail, S. Ammad, and S. Saad. 2020. “Health and safety for infrastructure projects: PPE adaptation and barriers.” In Proc., 2020 2nd Int. Sustainability and Resilience Conf.: Technology and Innovation in Building Designs (51154), 1–8. Piscataway, NJ: IEEE.
Alhakami, A. S., and P. Slovic. 1994. “A psychological study of the inverse relationship between perceived risk and perceived benefit.” Risk Anal. 14 (6): 1085–1096. https://doi.org/10.1111/j.1539-6924.1994.tb00080.x.
Allen, M., and R. Dibie. 2019. “Analysis of the effectiveness of the occupational safety and health policy in three industries in Trinidad and Tobago.” J. Public Admin. Governance 9 (4): 46–74. https://doi.org/10.5296/jpag.v9i4.15606.
Ammad, S., W. S. Alaloul, S. Saad, and A. H. Qureshi. 2020. “Personal protective equipment (PPE) usage in construction projects: A scientometric approach.” J. Build. Eng. 35: 102086. https://doi.org/10.1016/j.jobe.2020.102086.
Andersen, L. P., L. Nørdam, T. Joensson, P. Kines, and K. J. Nielsen. 2018. “Social identity, safety climate and self-reported accidents among construction workers.” Constr. Manage. Econ. 36 (1): 22–31. https://doi.org/10.1080/01446193.2017.1339360.
Asgedom, A. A., M. Bråtveit, and B. E. Moen. 2019. “Knowledge, attitude and practice related to chemical hazards and personal protective equipment among particleboard workers in Ethiopia: A cross-sectional study.” BMC Public Health 19 (1): 440. https://doi.org/10.1186/s12889-019-6807-0.
Barro-Torres, S., T. M. Fernández-Caramés, H. J. Pérez-Iglesias, and C. J. Escudero. 2012. “Real-time personal protective equipment monitoring system.” Comput. Commun. 36 (1): 42–50. https://doi.org/10.1016/j.comcom.2012.01.005.
Biggs, H. C., V. L. Sheahan, and D. P. Dingsdag. 2007. “Risk management and injury prevention: Competencies, behaviours, and attitudes to safety in the construction industry.” Aust. J. Rehabil. Couns. 13 (2): 63–67. https://doi.org/10.1375/jrc.13.2.63.
Borrego, M., E. P. Douglas, and C. T. Amelink. 2009. “Quantitative, qualitative, and mixed research methods in engineering education.” J. Eng. Educ. 98 (1): 53–66. https://doi.org/10.1002/j.2168-9830.2009.tb01005.x.
Chan, A. P., F. K. Wong, M. Yam, D. Chan, J. Ng, and C. Tam. 2005. From attitude to culture: Effect of safety climate on construction safety. Hong Kong: Construction Safety Research Group, Hong Kong Polytechnic Univ.
Choudhry, R. M., and D. Fang. 2008. “Why operatives engage in unsafe work behavior: Investigating factors on construction sites.” Saf. Sci. 46 (4): 566–584. https://doi.org/10.1016/j.ssci.2007.06.027.
Choudhry, R. M., D. Fang, and S. M. Ahmed. 2008. “Safety management in construction: Best practices in Hong Kong.” J. Prof. Issues Eng. Educ. Pract. 134 (1): 20–32. https://doi.org/10.1061/(ASCE)1052-3928(2008)134:1(20).
Choudhry, R. M., D. Fang, and H. Lingard. 2009. “Measuring safety climate of a construction company.” J. Constr. Eng. Manage. 135 (9): 890–899. https://doi.org/10.1061/(ASCE)CO.1943-7862.0000063.
Copeland, J. 2014. Top 4 causes of construction deaths: Steps to prevent these tragedies. Philadelphia, PA: ARBILL Safety Blog.
Creswell, J. W., and V. L. P. Clark. 2017. Designing and conducting mixed methods research. Thousand Oaks, CA: SAGE.
DeCamp, W., and K. Herskovitz. 2015. “The theories of accident causation.” In Security supervision and management, edited by S. J. Davies, C. A. Hertig, and B. P. Gilbride, 71–78. Amsterdam, Netherlands: Butterworth–Heinemann.
DeJoy, D. M. 1989. “The optimism bias and traffic accident risk perception.” Accid. Anal. Prev. 21 (4): 333–340. https://doi.org/10.1016/0001-4575(89)90024-9.
DeJoy, D. M. 1990. “Toward a comprehensive human factors model of workplace accident causation.” Prof. Saf. 35 (5): 11–16.
Denzin, N. K., and Y. S. Lincoln. 2008. Strategies of qualitative inquiry. Thousand Oaks, CA: SAGE.
EASHWEP (European Agency for Safety, Health at Work, and European Parliament). 2004. Promoting health and safety in European small and medium-sized enterprises (SMEs): SME funding scheme 2002–2003. Luxembourg: Office for Official Publications of the European Communities.
Edward Steinmueller, W. 2000. “Will new information and communication technologies improve the ‘codification’ of knowledge?” Ind. Corporate Change 9 (2): 361–376. https://doi.org/10.1093/icc/9.2.361.
Elsler, D., J. Takala, and J. Remes. 2017. An international comparison of the cost of work-related accidents and illnesses. Bilbao, Spain: European Agency for Safety and Health at Work.
Emmons, J. 2007. “A dedicated commitment to safety by the owner and contractor will keep risks and construction costs in check.” Accessed May 2, 2019. https://www.buildings.com/article-details/articleid/3645/title/why-contractor-safety-is-important-for-an-owner.
Field, A. 2009. Discovering statistics using SPSS. London: SAGE.
Francis, J. J., M. Johnston, C. Robertson, L. Glidewell, V. Entwistle, M. P. Eccles, and J. M. Grimshaw. 2010. “What is an adequate sample size? Operationalising data saturation for theory-based interview studies.” Psychol. Health 25 (10): 1229–1245. https://doi.org/10.1080/08870440903194015.
Gray, M. 2004. “The social construction of the service sector: Institutional structures and labour market outcomes.” Geoforum 35 (1): 23–34. https://doi.org/10.1016/j.geoforum.2003.07.001.
Hallowell, M. 2010. “Safety risk perception in construction companies in the Pacific Northwest of the USA.” Constr. Manage. Econ. 28 (4): 403–413. https://doi.org/10.1080/01446191003587752.
Hamid, A. R. A., M. Z. A. Majid, and B. Singh. 2008. “Causes of accidents at construction sites.” Malays. J. Civ. Eng. 20 (2): 242–259.
Harrell, M. C., and M. A. Bradley. 2009. Data collection methods: Semi-structured interviews and focus groups. Santa Monica, CA: Rand National Defense Research Institute.
Harvey, E. J., P. Waterson, and A. R. Dainty. 2018. “Beyond ConCA: Rethinking causality and construction accidents.” Appl. Ergon. 73: 108–121. https://doi.org/10.1016/j.apergo.2018.06.001.
Heinrich, H., D. Petersen, and N. Roos. 1980. Industrial accident prevention. New York: McGraw-Hill.
Hinze, J. 1981. “Human aspects of construction safety.” J. Constr. Div. 107 (1): 61–72. https://doi.org/10.1061/JCCEAZ.0000949.
Hoepfl, M. C. 1997. “Choosing qualitative research: A primer for technology education researchers.” J. Technol. Educ. 9 (1): 47–63. https://doi.org/10.21061/jte.v9i1.a.4.
Hollnagel, E. 2014a. “Is safety a subject for science?” Saf. Sci. 67: 21–24. https://doi.org/10.1016/j.ssci.2013.07.025.
Hollnagel, E. 2014b. Safety-I and safety–II: The past and future of safety management. Farnham, UK: Ashgate.
HSE (Health and Safety Executive). 2002. Strategies to promote safe behavior as part of a health and safety management system. Bootle, UK: HSE.
ILO (International Labour Office). 2005. Prevention: A global strategy promoting safety and health at work. Geneva: ILO.
Izudi, J., V. Ninsiima, and J. B. Alege. 2017. “Use of personal protective equipment among building construction workers in Kampala, Uganda.” J. Environ. Public Health 2017: 7930589. https://doi.org/10.1155/2017/7930589.
Kadiri, Z., T. Nden, G. Avre, T. Oladipo, A. Edom, P. Samuel, and G. Ananso. 2014. “Causes and effects of accidents on construction sites (A case study of some selected construction firms in Abuja F.C.T Nigeria).” IOSR J. Mech. Civ. Eng. 11 (5): 66–72. https://doi.org/10.9790/1684-11516672.
Kaslow, F. W. 2006. Handbook of family business and family business consultation: A global perspective. London: Routledge.
Khosravi, Y., H. Asilian-Mahabadi, E. Hajizadeh, N. Hassanzadeh-Rangi, H. Bastani, and A. H. Behzadan. 2014. “Factors influencing unsafe behaviors and accidents on construction sites: A review.” Int. J. Occup. Saf. Ergon. 20 (1): 111–125. https://doi.org/10.1080/10803548.2014.11077023.
Kimeto, S. 2014. “Evaluation of occupational safety and health awareness and practices among workers at Kenya tea development agency factories in Kenya.” M.Sc. thesis, Jomo Kenyatta Univ. of Agriculture and Technology.
Klumb, P. L. 1995. “Cognitive failures and performance differences: Validation studies of a German version of the cognitive failures questionnaire.” Ergonomics 38 (7): 1456–1467. https://doi.org/10.1080/00140139508925202.
Leensen, M. C. J., J. C. van Duivenbooden, and W. A. Dreschler. 2011. “A retrospective analysis of noise-induced hearing loss in the Dutch construction industry.” Int. Arch. Occup. Environ. Health 84 (5): 577–590. https://doi.org/10.1007/s00420-010-0606-3.
Loosemore, M., and N. Malouf. 2019. “Safety training and positive safety attitude formation in the Australian construction industry.” Saf. Sci. 113: 233–243. https://doi.org/10.1016/j.ssci.2018.11.029.
Magoro, F. M. 2012. “Knowledge, attitude and practices regarding personal protective equipment amongst Stevens Lumber Mills employees in the Capricorn District of South Africa.” M.Sc. thesis, School of Health Science, Faculty of Health Science, Univ. of Limpopo.
Man, S. S., A. H. S. Chan, and H. M. Wong. 2017. “Risk-taking behaviors of Hong Kong construction workers—A thematic study.” Saf. Sci. 98: 25–36. https://doi.org/10.1016/j.ssci.2017.05.004.
Martin, H., and K. Emptage. 2019. “Knowledge-transfer enablers for successful construction joint ventures.” J. Leg. Aff. Dispute Resolut. Eng. Constr. 11 (3): 04519015. https://doi.org/10.1061/(ASCE)LA.1943-4170.0000313.
Martin, H., and T. Lewis. 2010. “Accident reduction through effective safety behaviour of construction managers in Trinidad.” In Proc., 2nd Int. Conf. on Construction in Developing Countries (ICCIDC): Advancing and Integrating Construction Education Research and Practice. Karachi, Pakistan: NED University of Engineering & Technology.
Martin, H., and T. M. Lewis. 2014. “Pinpointing safety leadership factors for safe construction sites in Trinidad and Tobago.” J. Constr. Eng. Manage. 140 (2): 04013046. https://doi.org/10.1061/(ASCE)CO.1943-7862.0000795.
McKenna, H. P. 1994. “The Delphi technique: A worthwhile research approach for nursing?” J. Adv. Nurs. 19 (6): 1221–1225. https://doi.org/10.1111/j.1365-2648.1994.tb01207.x.
Misnan, M. S., and A. H. Mohammed. 2007. “Development of safety culture in the construction industry: A conceptual framework.” In Proc., 23rd Annual ARCOM Conf., edited by D. Boyd, 13–22. Reading, UK: Association of Researchers in Construction Management (ARCOM).
Molan, M., and G. Molan. 2011. “BFS human behaviour model for traffic safety.” Hum.-Transp. Interact. 23 (3): 205–213.
Muchemi, N. D. 2012. “Impact of occupational heat on the comfort of factory workers: A case study of Kambaa, Ikumbi and Mungania Tea Factories.” Ph.D. thesis. Jomo Kenyatta Univ. of Agriculture and Technology.
Muema, L. M. 2017. “Evaluation of personal protective equipment utilization among construction workers in Mombasa County, Kenya.” Ph.D. thesis, COHES, JKUAT.
Namian, M., A. Albert, C. M. Zuluaga, and E. J. Jaselskis. 2016. “Improving hazard-recognition performance and safety training outcomes: Integrating strategies for training transfer.” J. Constr. Eng. Manage. 142 (10): 04016048. https://doi.org/10.1061/(ASCE)CO.1943-7862.0001160.
Nasab, H. S., R. Tavakoli, F. Ghofranipour, A. Kazemnejad, and A. Khavanin. 2009. “Evaluation of knowledge, attitude and behavior of workers towards occupational health and safety.” Iran. J. Public Health 38 (2): 125–129.
Niskanen, T. 1994. “Safety climate in the road administration.” Saf. Sci. 17 (4): 237–255. https://doi.org/10.1016/0925-7535(94)90026-4.
Nunnally, J. C. 1978. Psychometric theory. New York: McGraw-Hill.
O’Dea, A., and R. Flin. 2001. “Site managers and safety leadership in the offshore oil and gas industry.” Saf. Sci. 37 (1): 39–57. https://doi.org/10.1016/S0925-7535(00)00049-7.
Okoye, P. U., J. U. Ezeokonkwo, and F. O. Ezeokoli. 2016. “Building construction workers' health and safety knowledge and compliance on site.” J. Saf. Eng., 5 (1): 17–26. https://doi.org/10.5923/j.safety.20160501.03.
Oluwafemi, F. S., A. Abiola, A. M. Akingbade, C. O. Faeji, and I. O. Oni. 2017. “Knowledge of occupational hazards, attitude and practice of occupational safety measures among construction workers in different building sites located in Ibeju-Lekki local Government area of Lagos State, Nigeria.” J. Health Allied Sci., 16 (4): 1–6. http://eprints.abuad.edu.ng/id/eprint/620.
OSHA (Occupational Safety and Health Administration). 2002. Materials handling and storage. Washington, DC: OSHA.
OSHA (Occupational Safety and Health Administration). 2005. Construction personal protective equipment (PPE). Washington, DC: OSHA.
OSHA (Occupational Safety and Health Administration). 2018. Commonly used statistics. Washington, DC: OSHA.
Oxford Dictionary. 2019a. “Knowledge.” Accessed August 12, 2020. https://www.oed.com/viewdictionaryentry/Entry/90670.
Oxford Dictionary. 2019b. “Practice.” Accessed August 12, 2020. https://www.oed.com/viewdictionaryentry/Entry/90670.
Patton, M. Q. 1999. Qualitative evaluation and research methods. Newbury Park, CA: SAGE.
Peckitt, S. J. 2001. “Construction industry safety culture: a comparative study of Britain and the Caribbean.” Ph.D. thesis, Aston Business School, Aston Univ.
Peckitt, S. J., A. I. Glendon, and R. T. Booth. 2004. “Societal influences on safety culture in the construction industry.” In Construction safety management systems, edited by S. Rowlinson, 14–48. London: Spon Press.
Peters, E., K. Subar, and H. Martin. 2019. “Late payment and nonpayment within the construction industry: Causes, effects, and solutions.” J. Leg. Aff. Dispute Resolut. Eng. Constr. 11 (3): 04519013. https://doi.org/10.1061/(ASCE)LA.1943-4170.0000314.
Petersen, D. 1989. Techniques of safety management: A systems approach. New York: Aloray.
Provan, D. J., D. D. Woods, S. W. A. Dekker, and A. J. Rae. 2020. “Safety II professionals: How resilience engineering can transform safety practice.” Reliab. Eng. Syst. Saf. 195: 106740. https://doi.org/10.1016/j.ress.2019.106740.
Reason, J. 1990. Human error. Manchester, UK: Cambridge University Press.
Ringen, K., J. Seegal, and A. England. 1995. “Safety and health in the construction industry.” Annu. Rev. Public Health 16 (1): 165–188. https://doi.org/10.1146/annurev.pu.16.050195.001121.
Shamsuddin, K., M. Ani, A. Ismail, and M. Ibrahim. 2015. “Investigation the safety, health and environment (SHE) protection in construction area.” Int. Res. J. Eng. Technol. 2 (6): 624–636.
Shappell, S. A., and D. A. Wiegmann. 2000. The human factors analysis and classification system. Oklahoma City, OK: US Dept. of Transportation, Federal Aviation Administration.
Sheppard, C. R. 1999. “How large should my sample be? Some quick guides to sample size and the power of tests.” Mar. Pollut. Bull. 38 (6): 439–447. https://doi.org/10.1016/S0025-326X(99)00048-X.
Siu, O.-L., D. R. Phillips, and T.-W. Leung. 2003. “Age differences in safety attitudes and safety performance in Hong Kong construction workers.” J. Saf. Res. 34 (2): 199–205. https://doi.org/10.1016/S0022-4375(02)00072-5.
Suter, A. H. 2002. “Construction noise: Exposure, effects, and the potential for remediation; a review and analysis.” AIHA J. 63 (6): 768–789. https://doi.org/10.1080/15428110208984768.
Tam, C. M., S. X. Zeng, and Z. M. Deng. 2004. “Identifying elements of poor construction safety management in China.” Saf. Sci. 42 (7): 569–586. https://doi.org/10.1016/j.ssci.2003.09.001.
Tam, V. W. Y., and I. W. H. Fung. 2008. “A study of knowledge, awareness, practice and recommendations among Hong Kong construction workers on using personal respiratory protective equipment at risk.” Open Constr. Build. Technol. J. 2 (1): 68–81. https://doi.org/10.2174/1874836800802010069.
Tanko, B. L., and N. Anigbogu. 2012. “The use of personal protective equipment (PPE) on construction sites in Nigeria.” In Proc., 4th West Africa Built Environment Research Conf., 1341–1348. Abuja, Nigeria: West Africa Built Environment Research (WABER) Conference.
Tanko, B. L., C. T. Low, and J. E. Idiake. 2020. “Compliance with the use of personal protective equipment (PPE) on construction sites in Johor, Malaysia.” Int. J. Real Estate Stud. 14 (1): 123–138.
Uff, J., and D. Thornhill. 2010. Report of the commission of enquiry into the construction sector of Trinidad and Tobago. Port of Spain, Trinidad: Ministry of Finance.
Ulang, N. M., N. Salim, F. Baharum, and N. A. Salim. 2014. “Construction site workers’ awareness on using safety equipment: Case study.” MATEC Web Conf. 15: 01023. https://doi.org/10.1051/matecconf/20141501023.
Vitharana, V. H. P., and T. Chinda. 2019. “Structural equation modelling of lower back pain due to whole-body vibration exposure in the construction industry.” Int. J. Occup. Saf. Ergon. 25 (2): 257–267. https://doi.org/10.1080/10803548.2017.1366119.
Vitharana, V. H. P., G. H. M. J. S. De Silva, and S. De Silva. 2015. “Health hazards, risk and safety practices in construction sites—A review study.” Engineer: J. Inst. Eng. 48 (3): 35–44. https://doi.org/10.4038/engineer.v48i3.6840.
Vroom, V. H. 1964. Work and motivation. New York: Wiley.
Wilkins, J. R. 2011. “Construction workers’ perceptions of health and safety training programmes.” Constr. Manage. Econ. 29 (10): 1017–1026. https://doi.org/10.1080/01446193.2011.633538.
Wilson, H. A. 1989. “Organizational behaviour and safety management in the construction industry.” Constr. Manage. Econ. 7 (4): 303–319. https://doi.org/10.1080/01446198900000030.
Wong, T. K. M., S. S. Man, and A. H. S. Chan. 2020. “Critical factors for the use or non-use of personal protective equipment amongst construction workers.” Saf. Sci. 126: 104663. https://doi.org/10.1016/j.ssci.2020.104663.
Woods, D., S. Dekker, J. L. Ri, and N. Sarter. 2010. Behind human error. Aldershot, UK: Ashgate.
Yip, B., S. Rowlinson, T. Kvan, and H. Lingard. 2005. “Job burnout within the Hong Kong construction industry: A cultural perspective.” In Proc., CIB W92/T23/W107 Int. Symp. on Procurement Systems, 8–10. Kanata, ON, Canada: International Council in Building and Construction (CIB).
Zhang, S., K. Sulankivi, M. Kiviniemi, I. Romo, C. M. Eastman, and J. Teizer. 2015. “BIM-based fall hazard identification and prevention in construction safety planning.” Saf. Sci. 72: 31–45. https://doi.org/10.1016/j.ssci.2014.08.001.
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Journal of Architectural Engineering
Volume 27 • Issue 4 • December 2021
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© 2021 American Society of Civil Engineers.
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Received: Feb 11, 2021
Accepted: Jun 17, 2021
Published online: Jul 22, 2021
Published in print: Dec 1, 2021
Discussion open until: Dec 22, 2021
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