The construction industry has a distressingly poor safety record, whether measured in absolute terms or alongside other industries. The level of construction safety in a country is influenced by factors such as variations in the labour forces, shifting economies, insurance rates, legal ramifications and the stage of technological development. Yet the problem is a world-wide one, and many of the ways of tackling it can be applied across countries. Effective tools include designing, preplanning, training, management commitment and the development of a safety culture. The introduction and operation of effective safety management systems represents a viable way forwards, but these systems are all too rarely implemented. How can this be done? Should we go back to prescriptive legislation? This book considers these questions by drawing together leading-edge research papers from the proceedings of an international conference conducted by a commission (W099) on Safety and Health on Construction Sites of CIB, the international council of building research organisations.