Health and safety management in developing countries: a study of construction SMEs in Ghana

The construction industry plays a significant role in the economy of developing countries. The sector is, however, also one of the most hazardous with frequent accidents and health‐related problems. The health and safety practices of construction small and medium‐sized enterprises (SMEs) in Ghana are examined with a view to improving the health and safety performance of the sector. A survey questionnaire was administered to owner/managers of SMEs, with a response rate of 32% of the sampling frame. Few of the SMEs adopted proactive health and safety practices. However, health and safety practices identified as being particularly associated with firm characteristics were: accident investigation procedures; accident reporting procedures; use of health and safety posters; documentation of method statements; and health and safety inductions. The diversity of health and safety practices associated with different size categories of SMEs and constraints to improving health and safety are highlighted. A positive change is needed in the attitudes of owner/managers which takes into account size‐related constraints in order to improve the health and safety performance of Ghanaian SMEs.