A Framework Supporting Health and Safety Practices in the United Arab Emirates' Construction Projects - MDPI

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A Framework Supporting Health and Safety Practices in the
United Arab Emirates’ Construction Projects
Abdelrahman Abdalla Alhelo, Radhi Alzubaidi * and Hamad Rashid

                                           College of Engineering, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
                                           * Correspondence: ralzubaidi@sharjah.ac.ae

                                           Abstract: The construction business in the UAE has seen a significant increase in the type, amount,
                                           and complexity of structures, with safety and health being one of the most important tasks in order
                                           for projects to continue. A lack of sufficient health and safety rules in the construction industry is
                                           one of the key difficulties, based on which the aim of the current research is to develop an integrated
                                           framework for optimising H&S in the UAE’s construction industry. To meet this aim of the study,
                                           the present study conducted an exhaustive investigation of all current health and safety standards
                                           in the UAE construction industry across all Emirates. A total of 63 interviews were performed
                                           with construction and consulting organisations in Abu Dhabi, Dubai, and Sharjah to investigate the
                                           existing status and efficacy of safety and health standards in the UAE construction industry and to
                                           identify areas for improvement. Despite the fact that H&S laws and regulations are enforced across
                                           the UAE, the findings demonstrated that they are neither standardised nor universal. In addition,
                                           the findings revealed that there is no one entity accountable for implementing the safety and health
                                           standards. In accordance with this, a precise and innovative structure for the formation of a federal
                                           body to serve as the industry’s single H&S regulator is suggested.

                                           Keywords: health and safety; construction industry; framework; standardized policies; stratified sampling

                                           1. Introduction
                                                 Both the economy and people’s daily lives rely heavily on the work performed in
Citation: Alhelo, A.A.; Alzubaidi, R.;
                                           the construction business, making it imperative. The construction industry accounts for
Rashid, H. A Framework Supporting
Health and Safety Practices in the
                                           6–8% of the worldwide GDP [1]. Expenditure by governments and businesses hit USD11
United Arab Emirates’ Construction
                                           trillion in 2017, and experts predict it will rise to USD14 trillion by 2025 [2]. (McKinsey,
Projects. Sustainability 2023, 15, 1587.   2021). Occupational catastrophes, workplace mishaps, and workplace injuries claim the
https://doi.org/10.3390/su15021587         lives of over 2.8 million individuals annually, resulting in significant societal and fiscal
                                           costs [3]. (ILO, 2019). The construction sector has experienced the greatest mortality rate in
Academic Editor: Antonio Caggiano
                                           occupational injuries over the last few decades, outpacing all other sectors [4,5]. (Rikhotso,
Received: 1 December 2022                  Morodi, & Masekameni, 2022; Zhang, Zhang, Xu, & Chen, 2019). Several nations have
Revised: 29 December 2022                  instituted initiatives in an effort to lower fatality and incident statistics during the design
Accepted: 11 January 2023                  process of the construction process [6] (Xu, Cheung, Manu, Ejohwomu, & Too, 2023).
Published: 13 January 2023                       Due to the prevalence of fatalities and injuries, the construction industry has devel-
                                           oped a reputation for being the most hazardous workplace. The construction industry
                                           consistently rates among the top five most hazardous when resolving problems with worker
                                           safety and health on the job. A survey indicated that, in 2010–2011, 27% of occupational
Copyright: © 2023 by the authors.          deaths occurred in the construction industry. In 2016–2017, this proportion increased from
Licensee MDPI, Basel, Switzerland.
                                           3% to 38%, representing the majority of occupational deaths. Variation in H&S performance
This article is an open access article
                                           and application of regulations is mostly attributable to a lack of importance placed on
distributed under the terms and
                                           H&S concerns and the perceived burden of having H&S procedures in place. In emerging
conditions of the Creative Commons
                                           nations, inadequate precautions have been taken to reduce accidents on construction sites.
Attribution (CC BY) license (https://
                                           It may be argued that if H&S standards are not adequately applied in the construction
creativecommons.org/licenses/by/
4.0/).
                                           industry, more incidents and accidents concerning occupational health and safety will

Sustainability 2023, 15, 1587. https://doi.org/10.3390/su15021587                                        https://www.mdpi.com/journal/sustainability
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                                occur, hence delaying the completion of many projects. It has been demonstrated that
                                extensive safety measures and ensuring compliance with H&S requirements are crucial to
                                the success of the sector as a whole. When properly implemented, the occupational health
                                and safety regulations will ensure the success of construction projects while creating a safe
                                working environment for the employees. An enabling H&S policy provides the framework
                                for this to occur [7] (Eyiah, Kheni, & Quartey, 2019), which is largely missing from the sector.
                                There is no federal health and regulation organisation in the UAE. Each emirate has developed
                                their regulations, and implementation and responsibility of these regulations are connected
                                with different offices. Based on this, the proposed research focused on developing an
                                effective framework that can promote effective health and safety practices in the UAE‘s
                                construction projects, developed as a federal organisation.

                                2. Literature Review
                                2.1. The Role of Regulation in OHS Management
                                     Accidents continue to occur in the construction industry, causing harm to workers,
                                equipment, and the surroundings [8,9] (Cagno, Micheli, Jacinto, & Masi, 2014; Nowrouzi-
                                Kia, Nadesar, & Casole, 2019). Accidents still occur even though substantial money has
                                been invested in addressing occupational health and safety dangers. Evidence suggests
                                that the construction business has a much greater accident rate than other industries [10]
                                (Loosemore & Malouf, 2019). The number of people injured or killed by accidents in the
                                construction business is significantly higher than in most other global industries. Even
                                though [11] HSE (2018) observed 1.77% mortality annually, [12] CPWR (2022) estimates
                                that the rate of accidents and deaths has increased by at least 41% in the past few years.
                                     Defining criteria for a safe and healthy working environment is crucial, and regula-
                                tion remains one of the most effective. Nevertheless, depending on the jurisdiction, such
                                prohibitions’ effectiveness, comprehensiveness, and breadth may vary greatly. Specifically,
                                occupational safety and health regulations are becoming more focused on accounting for
                                the increasingly complex nature of labour in the modern, industrialised economy [13]
                                (Chen, Hou, Zhang, & Li, 2020). Even with the displayed event figures, the goal of reaching
                                zero accidents and illnesses remains challenging to achieve. One way to boost OHS’s contri-
                                bution to the success of businesses is to enact legislation that improves OHS performance.
                                Old and ineffective regulations result in excessive bureaucracy, red tape, compliance issues,
                                and increased compliance costs [14] (Lingard, Warmerdam, & Shooshtarian, 2019). As
                                a result, this validates the need for research evaluating occupational health and safety
                                regulations as a foundation for more effective regulation. This is of the utmost relevance in
                                nations where the industry is accelerating but occupational health and safety standards
                                are weak and unorganised. The study by [14] Linguard et al. (2019) outlines that when
                                the unification of the legislations and regulations of the H&S policies is carried out, it
                                leads to a better and more effective sector that is able to manage the H&S of its employees
                                effectively. Furthermore, the role of the climate and overall culture of the organisation is of
                                paramount importance to ensuring that the H&S standards and guidelines are accepted by
                                the employees [15] (Gümüş, Ayhan, & Gümüş, 2022).
                                     In many nations, occupational health and safety standards apply “across the board,”
                                and in others, there are additional conditions for managing specific industries by their
                                particularities. One such industry is the construction industry, which is characterised
                                by an abundance of moving parts and presents many inherent risks. For instance, the
                                European Union member states have passed their countries’ Construction (Design and
                                Management) Regulations of 2015 (CDM Regulations). Experts and organisations have
                                been focusing on the responsibilities designers play in workplace health and safety issues
                                as stakeholders [16,17] (Öney-Yazıcı & Dulaimi, 2014; Sacks et al., 2015). It is evident that
                                insufficient implementation of occupational health and safety standards leads to a rise in
                                the incidence of accidents; hence, it is crucial that the appropriate rules guide designers, as
                                well as onsite workers.
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                                      Workplace health and safety concerns can be attributed equally to employers, employ-
                                ees, and regulatory agencies [18] (da Silva & Amaral, 2019). Institutional frameworks and
                                occupational health and safety regulations are the primary instruments governments utilise
                                to eliminate all occurrences of accidental injury. Occupational health and safety regulations
                                guarantee that all employees work in risk-free workplaces. Employers, whether individuals
                                or major organisations, must minimise or mitigate workplace safety and health risks in
                                their operations by implementing the necessary precautions. Employees are responsible
                                for ensuring their health and safety by advocating for and enforcing the upkeep of a safe
                                and healthy workplace [7] (Eyiah et al., 2019).

                                2.2. Compliance with H&S Rules and Regulations
                                      Even though there are indications of a paradigm shift in OHS management [19]
                                (Leamon, 2001) from a regulatory compliance strategy to a voluntary compliance strat-
                                egy, the less developed nations are still far behind. Compliance with OHS legislation
                                and regulations is subordinate to OHS management. Compliance with OHS laws and
                                regulations is a secondary concern because the most effort is spent on meeting contract
                                health and safety conditions. Ineffective regulatory institutions result in a lack of fear of
                                punitive fines for violating occupational health and safety standards and legislation, which
                                leads to a low level of compliance [7] (Eyiah et al., 2019). According to [20] Jaselskis et al.
                                (1996), the fear of being prosecuted or subjected to disciplinary measures if the employees
                                reporting for portraying irresponsibility motivates proactive occupational health and safety
                                management.
                                      Since then, numerous authors of OHS best practices [20] (Jaselskis et al., 1996) have
                                demonstrated the importance of top-level management commitment in enhancing health
                                and safety results. In the construction sector, proactive occupational health and safety
                                management is motivated by construction managers’ conviction that compliance with
                                occupational health and safety standards is both necessary and right, as well as their
                                sincere desire to boost employee morale and productivity [21] (Grill & Nielsen, 2019).
                                According to [7] Eyiah et al. (2019), construction management prioritises profits over
                                occupational safety and health. More evidence is needed to support proactive occupational
                                health and safety management by management [7] Eyiah et al. (2019), as compliance with
                                occupational health and safety standards and regulations is frequently confined to contract
                                specifications on H&S. Compliance with H&S laws and regulations and to achieve safe and
                                healthy construction sites may need to be improved by a lack of employee empowerment,
                                particularly among site managers and union representatives, on H&S issues. According
                                to [22] Casey, Griffin, Flatau Harrison, and Neal (2017), social repercussions go beyond
                                the pressure of job security and can alter workers’ emotional state and, subsequently, their
                                health and safety awareness level. Many researchers came with the same conclusion. There
                                is an inverse link between regulatory institutions’ confidence in their capacity to administer
                                H&S laws and H&S-related conventions and the chance that regulated enterprises will
                                take action to enhance their own H&S practices [23] (Salguero-Caparrós, Pardo-Ferreira,
                                Martínez-Rojas, & Rubio-Romero, 2020). This is because regulatory institutions are more
                                likely to enforce OHS rules and ILO conventions when confidence in their ability to do so
                                is high. Companies are unlikely to “go the additional mile” to incorporate safety measures
                                beyond what is necessary for contracts to ensure compliance with OHS regulations because
                                there are no penalties for noncompliance with OHS laws and no incentive to maximise
                                safety spending.
                                      Furthermore, [24] Roddy (2014) conducted a case study on one of the international
                                construction companies operating in the UAE and Indonesia to evaluate its performance
                                in terms of health and safety. He discovered that stricter enforcement by the municipality
                                in UAE had raised safety standards to a level where the company is outperforming its
                                Indonesian counterpart. However, the H&S regulations in the UAE are scattered and
                                non-uniform. In the UAE, the Ministry of Human Resources and Emiratization, the Abu
                                Dhabi Centre for Occupational Safety and Health, and Dubai Municipality, among others,
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                                are organisations that regulate H&S implementation in the UAE. These three organisations
                                have various different mandates and different principles that make it challenging for firms
                                within the construction industry to implement appropriate practices for ensuring H&S in
                                the UAE’s construction industry. Thus, it is necessary to evaluate the current state of the
                                UAE’s construction industry in terms of H&S and underline key steps that can be taken
                                towards the improvement of harmony and unification of the H&S rules and regulations.
                                     Overall, to better understand the overall occupational H&S legislations that are needed
                                and how they might be applied to tackle the current challenges within the sector, this study
                                focused on the context of the UAE based on highlighted gaps and lack of OHS regulatory
                                policies in the UAE’s construction projects. In addition, there has not been any research
                                conducted that specifically addresses the gaps and flaws in the UAE’s health and safety
                                legislation and regulations. More importantly, no prior research has aimed to provide a
                                framework that encourages the optimisation of H&S in the UAE’s construction industry.
                                With that in mind, this research has been designed to provide a comprehensive understand-
                                ing of the most significant aspects of the United Arab Emirates’ construction sector in terms
                                of the need for more uniformity in H&S legislation and policies, the inconsistencies and
                                issues with the current H&S legislation and policies, and the effects this has on the UAE’s
                                construction industries.

                                3. Methodology
                                      The qualitative technique is the most appropriate for this study. To determine the
                                results, this method investigates the attitudes, perspectives, and activities of a larger sample
                                group in addition to other established criteria [25] (Debnath et al., 2020). In addition, it
                                utilises data to form conclusions about the topic of the research, thus revealing certain
                                study tendencies. In light of the qualitative method’s ability to identify a variety of trends,
                                the present research may use it to examine the most important parts of the UAE’s construc-
                                tion sector in terms of the need for more uniformity in H&S legislation and policies. A
                                stratified purposeful sampling strategy was used wherein particular specific cases were
                                selected as part of the sample from the larger population. For instance, construction firms
                                were purposely selected from three emirates (Abu Dhabi, Dubai, and Sharjah), as some
                                regulations for safety and health were found and high-rise buildings are more concentrated.
                                As shown in Tables 1 and 2 outline the parameters of the stratified sampling employed in
                                the study.

                                Table 1. Stratified sampling for construction companies.

                                                                       Population
                                         (Number of Construction Companies Eligible to Work in High Rise Buildings)
                                                     Excellent                                                  Total Number
                                    Emirate                            First Category      Second Category
                                                     Category                                                   of Companies
                                  Abu Dhabi             141                   123                 59                323
                                     Dubai              118                   138                 266               522
                                    Sharjah              25                   272                 46                343
                                                                      Total                                         1188
                                                                        Stratified Sampling
                                                   Emirate (Strata)                        Strata sample size      Total
                                                      Abu Dhabi                                   8.2               8.2
                                                        Dubai                                     13.2              13.2
                                                        Sharjah                                   8.7               8.7
                                                                      Total                                         30.1
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                                    Table 2. Stratified sampling for construction companies.

                                                                          Population
                                             (Number of Consultancy Companies Eligible to Work in High Rise Buildings)
                                                               Excellent                                     Second           Total Number
                                         Emirate                                     First Category
                                                               Category                                     Category          of Companies
                                        Abu Dhabi                 56                      68                  264                 588
                                          Dubai                   109                     95                  225                 429
                                          Sharjah                 265                     42                   38                 345
                                                                             Total                                                1362
                                                                               Stratified Sampling
                                               Emirate (Strata)                             Strata sample size                   Total
                                                    Abu Dhabi                                         13                           13
                                                     Dubai                                            9.4                         9.4
                                                     Sharjah                                          7.6                         7.6
                                                                             Total                                                 30

                                          The semi-structured interview technique was then selected as the main data collection
                                    tool. A total of 30 construction firms and 30 consultant firms were to be sampled. Analysis
                                    of the results was conducted by the use of a framework analysis. Each interview was
                                    launched referring to the answers of a set of questions for both practitioners. Interviews
                                    were fully recorded with the consent of participants. A pre-structured list of interview
                                    questions, as given in Tables 3 and 4, was developed and used to drive the conversation
                                    during interviews. These data were collected from local authorities in each emirate.

                                    Table 3. Themes and sub-themes of the construction sector.

                                Theme                                                             Sub-Theme
                                                                               Non-uniform HSE practices carried out onsite
                                                                            Variation in adherence to established HSE standards
   Theme 1: Current HSE regulations are not-uniform
                                                                    Role of government organisations in enforcing H&S regulations
                                                                            Non-uniform understanding of the impact of culture
   Theme 2: Inconsistency in conducting training and                       Non-uniform persons assigned to conduct HSE training
                 inspection programs                                    Inspections are not carried out by a uniform person or party
                                                                                 Multiple causes of hazards and accidents
   Theme 3: Scattered and non-standardised process of                   Providing first aid for minor incidents and reporting them
                 accident management                                                    Accident reporting is carried out
                                                                                     An incident investigation is conducted
                                                                                       H&S impacts performance and cost
                   Theme 4: Impact of H&S                                  Appropriate H&S improves the wellbeing of employees
                                                                                         Manage reputation and delays
                                                                                Government policy needs to be strengthened
        Theme 5: Improvement of H&S procedures                                          Frequent training and monitoring
                                                                                         Instilling H&S into the culture
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                                        Table 4. Consultant firms’ themes and sub-themes.

                                Theme                                                          Sub-Theme
                                                                             H&S guidelines are provided to the contractor
                                                                            H&S risk register is prepared by the consultants
   Theme 1: H&S guidelines are considered during the
                                                                              The design adheres to the safety guidelines
                    design stage
                                                                   H&S regulations are implemented during construction phase only
                                                                           Designers are asked to follow the H&S regulations
                                                                          Non-standardised and poorly coordinated approach
       Theme 2: Routine inspections are carried out                                 No uniform personnel assigned
                                                                           Variation in formal training programs are present
                                                                                    No involvement of consultants
 Theme 3: Accident occurrence management process is                                More focus on incident reporting
           scattered and not-standardized                                    Carry out detailed investigation and reporting
                                                                                            Inform stakeholders
      Theme 4: Role of government organisations in                   Government organisations only provide guidance and training
               enforcing H&S regulations                                           No guidance or support provided
                                                                   Appropriate H&S will enhance the quality of life and create a good
                                                                                       working environment
              Theme 5: Impact of H&S policies
                                                                        Prevents delays and enhances the success of the project
                                                                                             Builds confidence
                                                                                   Enforcement of H&S regulations
                                                                                    Integration of H&S into culture
             Theme 6: Improving H&S systems
                                                                                   Regular inspections by authorities
                                                                                        Provide training to staff

                                        4. Findings and Analysis
                                        4.1. Results from the Construction Firms
                                             A total of 29 construction firms participated in the interviews. The interviews were
                                        conducted through a semi-structured open-ended questionnaire, which helped the re-
                                        searcher to collect data from individuals working on the UAE‘s construction projects. The
                                        majority of firms (41.4%) operated in Dubai, while the others operated in Abu Dhabi
                                        (34.5%) and Sharjah (24.14%). In addition, 34.5% of the firms possessed at least 6 to 10
                                        different nationalities in their workforce, and about 82.75% of the participants had be-
                                        tween 1 to 10 years of experience in their firm. In addition, more than 55.17% of the
                                        participants had more than 20 years of experience in the construction sector as a whole.
                                        Furthermore, about 75.86% of the organisations maintained all the records of the acci-
                                        dents that occurred in the organisation. Finally, about 51.72% of the firms have had
                                        at least 1 to 5 accidents that occurred in a year. Using a framework analysis, as indi-
                                        cated above, the following themes and sub-themes were developed, as shown in Table 3.
                                        These themes were predicted by the present study according to the results of the interviews.
                                        Theme 1: Current HSE regulations are not-uniform
                                             It was found that, first and foremost, the current HSE methods are not uniform in
                                        that various companies follow various procedures. For instance, some firms reported the
                                        use of PPE for onsite work, while others reported the use of safety training for onsite
                                        work. Participant responses ranged from outlining that they provided basic PPE to all
                                        their staff to conducting monthly meetings and obtaining an undertaking letter from all
                                        the employees before work began. For instance, CN1 stated that their firm strictly adheres
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                                to the risk assessment principles, ensures that basic PPE is followed, legal requirements
                                are met, and that work-based HSE induction and competency is carried out. On the
                                other hand, CN3 stated that in their firm, the PPE provided to the workers must be used
                                and that the scaffolding and cranes need to be certified. Other firms were more focused
                                on safety training and development. For instance, CN5 stated that their firm provides
                                safety induction training and a safety book before and after any project begins. They also
                                stated that they get an undertaking signed by the employees after attending the course. In
                                addition, CN21 stated that their firm performs “Safety Induction, Conducting Safety Classes
                                for Foreman & Chargehands, checking documents every day, closely watching each and every worker,
                                safety Award Celebration, Mock Drill”. Overall, every organisation follows their own process
                                of ensuring that safety and health are managed during onsite work. It is reasonable to
                                conclude that there are no consistent practices that are carried out by construction firms
                                in the UAE, which could potentially reduce the effectiveness of the health and safety of
                                the employees working onsite. Furthermore, there was an increased reliance on safety
                                training and obtaining an undertaking letter from the employees that safety training was
                                conducted. There was little to no evidence of a focus on day-to-day activities that promote
                                safety during onsite work.
                                      Another trend that was evidenced was that there was a significant variation in ad-
                                herence to established HSE standards. Some firms followed the international and local
                                guidelines that were established, while others focused on deriving their own guidelines.
                                For instance, both CN8 and CN9 have stated their firm develops a project-specific HSE
                                plan for every project that needs to be adhered to in the project that is being carried out.
                                This allows them to customise the HSE regulations to apply to specific activities being
                                carried out as part of the project. This has benefits wherein the generalised guidelines
                                may not provide provisions for specific activities that are conducted in the project. Other
                                participants indicated that they use the OSHAD and ISO standards to ensure H&S in the
                                organisation. Furthermore, another set of participants stated that their firm follows the ES-
                                HARP manual or an H&S booklet. Other participants outlined the presence of HSE policies
                                and regulations that enable them to safeguard the health and safety of their employees.
                                      Furthermore, another finding was that the role of governmental organisations in en-
                                forcing H&S regulations was not consistent. First and foremost, there was not a single
                                organisation that provided support to the construction firms as they all relied upon and
                                reported to various organisations. For instance, the regulators that are commonly noted
                                to be involved in regulating the H&S as applied in the organisation were as follows: Abu
                                Dhabi Municipality HSE department, Ministry of Human Resources and Emiratization
                                (MOHRE), Sharjah Municipality, Dubai Municipality (Public Health and Safety Depart-
                                ment), Occupational Safety and Health Abu Dhabi (OSHAD), Ministry of Energy and
                                Infrastructure, IOSH, Police safety, China State, Trakhees, Dubai Development Authority,
                                MUSANADA, and TEKOM. One participant, in fact, stated that the regulatory authority
                                responsible for enforcing H&S regulations on the firm differed from project to project.
                                Since there is no single and consistent authority that oversees the implementation of and
                                adherence to the H&S regulations, the performance outcome of these H&S regulations
                                cannot be outlined. Furthermore, the extent of support provided by these organisations
                                also varies significantly, with some participants stating that enough support was provided
                                and others stating that limited or insufficient support was provided. For instance, more
                                than 21 participants stated that they received sufficient support from government bodies,
                                while the other stated that they did not. The latter group of participants indicated that
                                inspections carried out were rare and that they were only required to ensure that safety
                                equipment was provided and functioning. Furthermore, another participant indicated that
                                the recommendations were provided only during the design stage.
                                      Another finding was that the understanding of the impact of culture, in terms of
                                nationality, habit, and language, was not uniform, with participants being divided on the
                                fact that culture has an impact and culture does not have an impact on H&S outcomes in the
                                firm. About 21 participants stated a resounding ‘Yes’ that culture had an impact, especially
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                                due to the multicultural workforce that is prevalent in the UAE today. On the other hand,
                                the other participants indicated that they did not find the various backgrounds of the
                                individual to play a part in the effectiveness of H&S regulations and that all employees
                                followed their rules and regulations effectively.
                                Theme 2: Inconsistency in conducting training and inspection programs
                                     Results revealed that non-uniform persons are assigned to conduct HSE inspections
                                in construction firms in the UAE. Furthermore, in terms of the inspections that are car-
                                ried out in the organisations, participants’ responses indicated that in some firms, the
                                inspections are carried out by miscellaneous persons, while other participants indicated
                                that training is carried out by HSE managers or officers. For instance, CN23 noted that in
                                their organisation, training is carried out by a “Competent person with 10 years experience and
                                graduate of engineering courses, e.g., Civil, Electrical, Mechanical or other courses relevant to the
                                nature of works to be inspected”. Furthermore, those who indicated that the inspection was
                                carried out by HSE managers or officers also noted that these HSE managers or officers
                                must have the relevant certifications and experience. A similar trend was also noted for the
                                inspections, as they were either carried out by internal employees within the organisation
                                or by a third party.
                                Theme 3: Scattered and non-standardised process of accident management
                                      The participants identified that there are multiple causes of hazards and accidents
                                that can occur in the workplace. For instance, some accidents occur due to height, scaf-
                                folding, fire, and electricity, while others occur from not following the H&S regulations
                                appropriately. For instance, CN20 outlined various causes such as “Working at height,
                                moving objects, lifting operations, material and manual handling, collapse of trench, and electricity.
                                Cause of accidents would be varied- not following plan and procedures, untrained persons, poor
                                supervision, ignorance, unplanned works, work pressure adverse weather conditions etc.” While
                                such accidents can occur in high-risk industries, such as construction firms, not following
                                H&S regulations leads to a higher risk. Creating an unsafe environment for everyone
                                involved by not following the regulations and guidelines is a major factor that can increase
                                the risk of and prevalence of accidents. For instance, CN21 states, “Major cause of accidents
                                are mainly due to the following reasons: (1) Failure to Follow the Safety Rules & Regulation;
                                (2) Negligence of Work; (3) Failure to wear the Safety helmet/glasses/shoes/gloves; (4) Working in
                                an unsafe Condition; and (5) Consuming alcohol/Cigarette at Work”. In addition, CN17 stated
                                that, “Negligence of the workers and the supervision team from Contractor and Consultant side.
                                Accidents should not happen if all concerned performed their duties correctly”. Furthermore, when
                                an accident does occur, regardless of the reasons, it was found that the process of accident
                                management was scattered and non-standardised. For instance, some firms provided first
                                aid for minor accidents and reported them, others carried out appropriate reporting, and
                                others conducted incident investigations.
                                      In terms of providing first aid and reporting, several participants indicated that after
                                providing first aid for minor accidents, appropriate reporting was carried out to the relevant
                                authorities. For instance, CN11 stated that, “First Aid will be initiated, Safety officer will report
                                to the safety manager, if accident requires special consideration, person will be transferred to hospital,
                                in all cases a report will be issued and shared by concern persons”. In addition, other participants
                                also noted that in the case of minor accidents, first aid is provided within the organisation
                                by qualified persons, and then the accident is reported based on the regulations.
                                      In addition, several other participants outlined that accident investigation reporting
                                is carried out. For instance, CN25 stated that, “Preparation of incident report, analysis of
                                root-causes, take necessary precautions to avoid similar incidents”. Similar responses were
                                provided by several other participants, wherein they detailed that an extensive root cause is
                                carried out and appropriate reporting is conducted. This incident investigation was further
                                outlined by the participants wherein several firms carried out an extensive investigation.
                                For instance, CN9 stated that, “We are securing scene of accident and if first aid required we have
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                                approved nurse and first aider who is responsible to provide first aid and make alive injured person.
                                And we are calling to ambulance and police also to transfer injured person to hospital also start
                                investigating incident and identify immediate and root cause to prevent recurrence”.
                                Theme 4: Impact of H&S
                                     The results also found that almost all of the participants viewed the impact of H&S to
                                be positive, wherein H&S was thought to positively impact performance and cost, improve
                                the wellbeing of employees, and manage the reputation of the firm as well as prevent
                                delays of the projects. For instance, CN25 stated that H&S has a tremendous impact on
                                the organisation’s performance. In addition, CN11 stated that following H&S rules and
                                regulations improve the productivity as well as the wellbeing of the employees both within
                                and outside the organisation. Furthermore, the participants also noted that the reputation
                                of the firm and any delays are prevented. For instance, CN22 stated that, “It will help to
                                maintain company reputation, avoid the delay in work progress, avoid the compensation and protect
                                the employees’ life, protection of environment”. Thus, there was an overall consensus that H&S
                                regulations create positive impacts on the organisation and employees as a whole.
                                Theme 5: Improvement of H&S procedures
                                      Finally, in terms of the recommendations that were provided by the participants to
                                improve the H&S procedures, several participants indicated that government policy needs
                                to be strengthened. For instance, one participant, CN17, stated that an H&S policy should
                                be in place prior to the start of any project, and it should be carefully adhered to and
                                presented at the beginning of all project meetings. Furthermore, CN6 also proposed that
                                a dedicated government agency should be responsible for enforcing the implementation
                                of health and safety rules and conducting follow-up inspections by certified personnel.
                                Additionally, businesses must have trained and accredited safety officers and managers.
                                Similarly, another participant in CN7 indicated that authorities must conduct more frequent
                                inspections and site visits, that H&S training must be mandated, that all inspectors must
                                be certified, and that only one government agency should be responsible. Moreover, it
                                was also found that frequent training and monitoring need to be carried out. For instance,
                                CN29 stated that continuous monitoring and training need to be carried out. In addition,
                                CN12 stated that mandatory training needs to be carried out for all the employees in the
                                organisation.
                                      Finally, participants also indicated that instilling H&S into the culture is a crucial
                                step towards improving H&S procedures. For instance, CN13 stated that the attitude that
                                needs to be established in the organisation is that prevention is better than a cure. This
                                was also supported by CN9 who stated that employees need to be encouraged to report
                                unsafe working conditions, a reward scheme should be established, and a frequent regime
                                of training and inspection should be carried out.

                                4.2. Results from Consultant Firms
                                     A total of 34 consultant firms participated in the interviews. A total of seven consultant
                                firms did not even possess a written H&S policy, while the remaining 27 consultant firms
                                did. Additionally, approximately 65% of the firms maintained all of their records relating
                                to accident reports. The responses of the participants were analysed using a framework
                                analysis, and the following themes and sub-themes emerged.
                                Theme 1: H&S guidelines are considered during the design stage
                                     The findings revealed that several of the participants from the consultant firms indi-
                                cated that H&S guidelines are provided to the contractor and that a risk register is prepared
                                by the consultants. Furthermore, the consultants also ensure that the design adheres to
                                the safety guidelines, and that the designers are asked to follow the H&S regulations.
                                However, some participants indicated that H&S regulations are implemented during the
                                construction phase only. For instance, CL33 stated that their firm provides advice during
Sustainability 2023, 15, 1587                                                                                           10 of 14

                                the pre-tendering stage, “However, we are introducing our advice in our presentation during the
                                Pre tendering stage and kick of meeting identify the requirements)”. In addition, as indicated
                                above, some consultant firms prepare a risk register. For instance, CL1 stated that they
                                are involved in the preparation of an ESHARP to oversee five stages of a project, with the
                                design stage occurring first during business development. The participant further stated
                                that during this stage, the H&S risks are evaluated in depth, with the H&S values being
                                aligned to create a design that is free of failures and reduce all evaluated risks as much as
                                is feasible.
                                      More importantly though, the participants from the consultant firms indicated that it
                                is their responsibility to ensure that the design adheres to the safety guidelines; however,
                                different consultants followed different guidelines. For instance, CL27 stated that they
                                followed the OSHAD-COP No. 20 while CL11 stated that they followed the guidelines
                                of the local Civil Defence and Municipality. Similar responses were outlined by the other
                                participants, which indicates that there is no single design guideline adopted for the
                                implementation of H&S regulations that is being followed by the consultant firms in the
                                UAE. Finally, several consultants held the view that the H&S regulations needed to be
                                applied only during the construction phase and do not necessarily need to be considered
                                at the design stage, with others stating that designers are asked to follow the design
                                safety guidelines.
                                Theme 2: Routine inspections are carried out
                                      The results indicated that while routine inspections are carried out, the inspections
                                are non-standardised and poorly coordinated. For instance, CL2 stated that they conduct
                                inspections at the beginning with a proposal for requiring third-party H&S certification
                                for lifts and scaffolding. Following this, throughout the duration of the project, the firm
                                conducts frequent safety inspections. A further participant, CL13, indicated that HSE
                                inspections are conducted by HSE inspectors. The HSE employs these health and safety
                                professionals to ensure workplace compliance with the law. For example, proactive in-
                                spections may be conducted as part of a health and safety campaign. They might also be
                                reactive, for instance, in response to a complaint or mishap. In addition, CL26 noted that
                                daily inspections of onsite operations are conducted to ensure compliance with all safety
                                regulations. They pay special attention to safety procedures such as the use of PPEs by all
                                onsite personnel, the proper functioning of the condition and safe operation of machinery,
                                the assessment of plants and ongoing site activities, and the construction of temporary
                                diversions. On the other hand, several other participants indicated that they conduct the
                                inspections based on the ESHARP manual and the OSHAD elements, while some others
                                indicated that they carry out the inspections using their own checklists.
                                      Another finding was that there were no uniform personnel assigned to conduct the
                                inspections. For instance, some participants indicated that the site manager conducts
                                the inspections, others mentioned the deployment of special HSE staff that oversee the
                                inspections, while others mentioned that there are dedicated roles and responsibilities
                                that are mentioned and need to be followed as stipulated. Thus, there is no consistent
                                understanding of who the designated persons conducting the inspections should be.
                                      Finally, there is also a variation in the formal training programs that are present. CL3
                                outlined an extensive regime for training, wherein the formalisation of the H&S training
                                programme occurs during the field operations phase. Developing and implementing a
                                training and competence matrix with clear definitions. CL3 also noted on one axis of the
                                training matrix are the names, titles, or job roles of project team members, and on the other
                                are the official H&S compliance and best practice training, H&S work qualifications, and
                                H&S-related certificates of proficiency. The training matrix is generated throughout the
                                PSHEP’s development and is maintained throughout the project’s duration. If qualification
                                or competency recertification or refresher training is necessary, these aspects are included
                                in the training matrix. While one participant outlined an extensive training program,
                                another participant stated that they only provide training for certain projects that they have
Sustainability 2023, 15, 1587                                                                                                  11 of 14

                                developed awareness campaigns for H&S. Furthermore, another participant stated that
                                they have a team onsite that provides regular training as per the requirements. On the
                                other hand, several participants stated that they did not have any formal training programs
                                implemented with regard to H&S training.
                                Theme 3: Accident occurrence management process is scattered and not-standardized
                                      First and foremost, it was identified that there was no involvement of the consultants
                                in the process of accident management, wherein several participants stated that it is the
                                contractor’s responsibility. Some of the participants, such as CL3, stated that they have
                                an accident management plan, but this is briefed to the construction firms. For instance,
                                CL3 stated, “We do have Incident response plan for appropriate actions to take in the event of an
                                accident, security incident, medical emergency or an occurrence requiring an evacuation. The plan
                                detail how to act during the event of an incident to follow the incident response protocol to concerned
                                personnel. The incident investigation will be conducted to identify the root cause and contributing
                                factors that lead to incident and adequate corrective and preventive actions will be taken to prevent
                                recurrence of the incident. Any incident occurring in the project is reported within 4 hours via
                                phone/email and a formal written notification is sent to the client within 24 hours. Later, a well
                                detailed investigation report is compiled using our corporate template and sent to the client and
                                corporate office within 7 days”.
                                      Another participant, CL27, stated that they have the Integrated SHEQ Management
                                System (ISMS) and the Online H&S reporting tool, which is used to report the incidents
                                that have occurred onsite. Several other participants indicated that they are not involved
                                in the process of accident management and have more of a focus on incident reporting. A
                                total of 18 participants from the consultant firms indicated that they place an emphasis on
                                safety reporting as per the contract conditions and recommendations.
                                      Furthermore, only two participants stated that they carry out extensive investigation
                                and reporting following an incident. For instance, CL26 outlined the process of incident
                                management to include “Inspection, informing the line manager soon, recording all data and
                                causes of the issue, submitting an initial report with the target time as per the issue case, and
                                informing the concerned Authorities”. In addition, CL29 also stated that they carry out a
                                detailed investigation with the aim of being more cautious and preventing any such events
                                from recurring in the future. Furthermore, other participants seek to inform the stake-
                                holders, followed by carrying out an accident investigation and root cause analysis. For
                                instance, CL19 outlined, “Notify the appropriate and responsible stakeholders (client/government
                                department). Visit the scene of the accident to gather some facts and interview the witnesses about
                                the contributory factors as part of initial findings before we embark on the Full incident and accident
                                investigation”.
                                Theme 4: Role of government organisations in enforcing H&S regulations
                                     The participants outlined several organisations that oversee their H&S process. For
                                instance, some of the organisations outlined Municipality of Sharjah, Roads and Transport
                                Authority, Municipality Engineers/Respective Free Zone Engineers, Dubai Municipal-
                                ity/JAFZA, OSHAD, DDA, Dubai Civil Defense. Furthermore, a total of 28 participants
                                noted that the government organisations only provide guidance and training and are not
                                involved any further. Only one participant, CL3, outlined that the regulating authority is
                                deeply involved in the safety management wherein, several safety alerts, circulars, and
                                procedures are developed and communicated accordingly. Furthermore, several partici-
                                pants noted that no guidance or support is provided by the government organisations that
                                they are affiliated with. Overall, it can be concluded that there is no single authority that
                                manages the H&S implementation and that the support from these organisations is topical
                                at best.
                                Theme 5: Impact of H&S policies
Sustainability 2023, 15, 1587                                                                                             12 of 14

                                      The findings revealed that there is a positive impact of H&S that is perceived by the
                                participants. For instance, some of the participants indicated that the use of appropriate
                                H&S will enhance the quality of life and create a good working environment. In other
                                words, it was understood that good and effective project performance enables people to
                                operate safely and efficiently without endangering anyone’s life. For instance, CL21 stated,
                                “The H&S helps to create good environmental conditions to works in a safe field and improve the
                                productivity of staff ”. Furthermore, other participants also noted that the implementation of
                                appropriate H&S prevents delays and enhances the success of the project. One participant,
                                for example, mentioned the importance of health and safety in projects, noting that a project
                                with poor H&S data is certain to fail. There is a hidden price to pay for each and every
                                failure. The client, the project consultant, and the contractor might all suffer reputational
                                harm as a result of the incident, which would result in additional indirect costs such as
                                medical bills, insurance claims, reinstatement fees, the price of a new hire, and time. When
                                a project is finished without any injuries that resulted in lost time, it is considered a success
                                on several levels: no one was hurt, no extra money had to be spent, and most significantly,
                                the reputation of the company and its employees was enhanced by the satisfaction of
                                its workers. In addition, some of the participants also noted that the use of appropriate
                                H&S builds confidence. For instance, CL16 stated, “Increases the confidence and engagement
                                of staff ”.
                                Theme 6: Improving H&S systems
                                      The participants were also asked to provide recommendations that can improve the
                                H&S systems in the UAE. The first and foremost recommendation was that the H&s
                                regulations need to be enforced significantly. For instance, one participant, CL1, stated
                                that “H&S Code has to be implemented and forced. H&S training should be forced in construction
                                and consultants companies and can be done by third party specialists. Environmental H&S policy
                                should be applied”. A similar sentiment was also echoed by the other participants. Further, in
                                enforcing the H&S regulations, the participants also indicated that government authorities
                                also need to regulate the implementation of H&S regulations more effectively. In other
                                words, one participant, CL4 recommended that the government authority have regular site
                                inspections that are conducted at random to ensure that an effective implementation of the
                                rules and regulations is carried out.
                                      Another recommendation was to ensure that the principle of H&S is deeply integrated
                                into the culture of the organisation. One participant, CL27, stated that there is a need
                                to conduct regular H&S workshops for project managers and engineers, conduct H&S
                                awards and hold competitions between projects, as well as conduct audits and inspection
                                visits from governmental organisations. Finally, another recommendation was to enhance
                                the training provided. The whole site’s workforce needs greater training and direction to
                                promote a culture of H&S. It was also recommended to pay special attention to the most
                                common sources of harm, such as the lack of safety footwear or the lack of guard rails at
                                elevated work stations. Finally, it was suggested to incorporate cutting-edge health and
                                safety guidelines and regulations and boost expertise through education and instruction.

                                5. Discussion and Conclusions
                                     Overall, the analysis presented above has revealed that there are several limita-
                                tions in the manner in which H&S rules and regulations are applied. Furthermore,
                                the most evident and overlapping result was that there is no single, unified body that
                                oversees the application of the H&S regulations and that companies only do the bare
                                minimum. In addition, the local authority organisations that do exist provide insuffi-
                                cient support and oversight to the firms, which results in a relatively weaker H&S pol-
                                icy implementation. In order to mitigate this, both consultants and construction firms
                                outlined the need for the presence of a single entity that can manage and oversee the
                                H&S regulation of the UAE as a whole. In line with the above, a framework is out-
                                lined and depicted below as the likely steps that can promote better H&S regulations
Sustainability 2023, 15, 1587                                                                                                          13 of 14

                                     in the UAE and enhance the safety outcomes of the workforce as shown in Figure 1.
                                     The present study will provide the requested support for implanting health and safety regul-
                                     ations to all construction firms and will also reduce the number of accidents onsite; moreover,
Sustainability 2023, 15, x FOR PEER REVIEW                                                                                   14 of 15
                                     a number of inspectors will be involved in visiting these sites.

                                  Figure 1. Integrated framework for optimising H&S in the UAE’s construction industry.
                                  Figure 1. Integrated framework for optimising H&S in the UAE’s construction industry.

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                                  Author Contributions:
                                  Author   Contributions: Conceptualization,
                                                             Conceptualization, A.A.A.
                                                                                 A.A.A. and
                                                                                          and R.A.;
                                                                                               R.A.; methodology,   A.A.A., R.A.
                                                                                                     methodology, A.A.A.,    R.A. and
                                                                                                                                   and H.R.;
                                                                                                                                         H.R.;
                                  validation   A.A.A.  and R.A.; formal  analysis, A.A.A.,  R.A. and H.R.; data  curation A.A.A.;  writing—
                                  validation A.A.A. and R.A.; formal analysis, A.A.A., R.A. and H.R.; data curation A.A.A.; writing—
                                  original draft
                                  original  draft preparation,
                                                  preparation,A.A.A.
                                                               A.A.A.andandR.A.;
                                                                            R.A.;writing—review
                                                                                   writing—reviewand andediting,
                                                                                                         editing,A.A.A.
                                                                                                                   A.A.A. and
                                                                                                                        and    R.A.;
                                                                                                                             R.A.;    visuali-
                                                                                                                                    visualiza-
                                  zation,
                                  tion,   A.A.A.
                                        A.A.A.  andand  R.A.;
                                                     R.A.;    supervision,
                                                           supervision, R.A.R.A.
                                                                             andandH.R.H.R. All authors
                                                                                        All authors havehave
                                                                                                          readread  and agreed
                                                                                                               and agreed  to thetopublished
                                                                                                                                     the pub-
                                  lished version
                                  version          of the manuscript.
                                           of the manuscript.
                                  Funding: This
                                  Funding: This research
                                                research received
                                                         received no
                                                                  no external
                                                                     external funding.
                                                                              funding.
                                  Conflicts of
                                  Conflicts of Interest:
                                                Interest: The
                                                          The authors
                                                              authors declare
                                                                      declare no
                                                                              noconflict
                                                                                 conflictof
                                                                                         ofinterest.
                                                                                            interest.

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