Construction: The UK's Highest-Risk Industry for Height Falls
Construction is, and has been for decades, the sector in which falls from height are most likely to kill. In 2024/25, construction recorded 35 worker fatalities — the same number as the total UK falls from height death toll — and over the five-year period 2020/21 to 2024/25, falls from height were responsible for over half of all construction deaths. The construction fatal injury rate is 4.8 times the all-industry average.
This is not a problem unique to the current generation of workers or the current regulatory regime. Falls from height have dominated construction fatality statistics for as long as reliable data has been collected. Despite the Work at Height Regulations 2005, improved fall protection equipment, CITB training programmes, and sustained industry focus, the construction industry continues to bear a disproportionate share of the UK's falls from height toll.
For the broader context see our Falls from Height Statistics UK: The Definitive Guide.
Key Facts & Figures (Overview)
- 35 construction worker fatalities in 2024/25 — the highest of any industry, though down from 51 in 2023/24
- Falls from height were responsible for over half of all construction deaths over the five-year period 2020/21–2024/25
- The construction fatal injury rate: approximately 4.8 times the all-industry average
- Falls from height accounted for 33% of all specified non-fatal injuries in construction in 2023/24
- Slips, trips and falls on the same level accounted for 30% of specified non-fatal construction injuries
- An estimated 4,050 non-fatal injuries to construction employees in 2023/24 — with falls from height the dominant specified injury cause
- 78,000 construction workers suffered from a work-related illness in 2023/24
- An estimated 2.5 million working days were lost in the construction sector in 2023/24 from work-related ill health and injury
- Self-employed workers accounted for nearly 45% of fatal injuries in construction over a five-year period — substantially above the all-industry average
- The average age of construction fatality victims skews significantly older — workers aged 60 and over are disproportionately represented
- 95% of construction fatalities are male workers
- The construction industry employs approximately 6% of the UK workforce yet accounts for a substantially higher proportion of annual workplace fatalities
Construction Falls: The Dominant Cause
No other hazard category comes close to falls from height as a cause of construction worker deaths. The five-year data confirms the pattern:
- Falls from height: approximately 50% of construction fatalities
- Being struck by a moving object: approximately 11%
- Being trapped by something collapsing: approximately 11%
- Being struck by a moving vehicle: significant contributor, particularly on site roadways
This concentration — where a single hazard type accounts for half of all deaths — is unusual among high-risk industries and reflects the structural characteristics of construction work: the industry routinely requires workers to work at height on dynamic, changing sites where fall protection systems must be continuously planned, erected, modified, and maintained.
Why Construction Falls Are So Common
The nature of the work: Construction intrinsically requires workers to build structures from ground level upwards — meaning they must work at progressively greater heights as the building rises, in environments where the permanent fall protection features of the finished building (guardrails, balustrades, floor plates) do not yet exist.
Dynamic site conditions: Unlike a factory where hazards are relatively stable, a construction site changes every day. Yesterday's safe floor may have been penetrated for a stairwell today; yesterday's secure edge may now be an open void. Fall protection measures must be constantly updated to reflect the current state of the site.
Multiple contractors: Construction sites typically involve multiple employers and self-employed contractors working simultaneously, each with their own training, equipment, and understanding of site safety procedures. Coordinating fall protection across a multi-employer site requires robust principal contractor oversight.
Time pressure: Construction is a time-pressured industry where delays have direct financial consequences. Time pressure is a well-documented risk factor for safety shortcuts — and fall protection measures are among the most commonly compromised when shortcuts are made.
Self-employment: Nearly 45% of fatal construction injuries involve self-employed workers — who are less likely to be trained, supervised, or equipped with appropriate fall protection than employed workers.
Non-Fatal Construction Falls
Non-fatal falls from height in construction cause thousands of serious injuries every year:
- 4,684 non-fatal falls from height were reported across all industries in 2024/25 under RIDDOR — construction accounts for the largest single-industry share
- Falls from height accounted for 33% of all specified injuries (fractures and amputations) in construction in 2023/24
- Non-fatal fall injuries include spinal injuries, traumatic brain injuries, multiple fractures, and injuries that result in permanent disability and inability to return to work
- The Access Industry Forum notes that many victims of non-fatal construction falls never return to their previous occupation
Construction Sites: The High-Risk Activities
Within construction, certain activities carry particularly elevated height risk:
Roof work — consistently the highest-risk construction activity for falls from height. See our Roof Work Accident Statistics UK guide.
Scaffolding erection and dismantling — the phases when edge protection and working platforms are being installed or removed. See our Scaffold Accident Statistics UK guide.
Steel erection and structural work — working on unguarded structural steel at height, often before floor plates and permanent edge protection are installed.
Formwork and falsework — complex temporary structures supporting concrete pours, combining the hazards of height work with the time pressure of concrete scheduling.
Demolition — removing structural elements progressively, with each removal potentially creating new unguarded edges and voids.
Flat roof construction — deceptively straightforward in appearance but involving significant edge risk across a large horizontal area.
Legal Duties on Construction Sites
The Work at Height Regulations 2005 apply fully to all construction activities. The Construction (Design and Management) Regulations 2015 (CDM) add specific requirements:
Designers must consider the constructability of their designs from a height safety perspective — eliminating or reducing height risks through design choices wherever reasonably practicable.
Principal Designers must plan, manage, and coordinate health and safety throughout the pre-construction phase, including height risk.
Principal Contractors must prepare and maintain a Construction Phase Plan that addresses height safety, and must ensure that all contractors understand and comply with site fall protection arrangements.
Contractors must plan, manage, and monitor their workers' activities with respect to falls from height, and must comply with the Construction Phase Plan.
Written by Working at Height Experts
This guide was produced by the team at Working at Heights Course, a UK provider of RoSPA and CPD-accredited online working at height training. For related data see our Falls from Height Statistics UK: The Definitive Guide, Working at Height Statistics UK, Scaffold Accident Statistics UK, Roof Work Accident Statistics UK, and Work at Height Regulations Statistics UK.
Sources & References
- HSE – Work-Related Fatal Injuries in Great Britain 2024/25 – https://press.hse.gov.uk/2025/07/02/latest-annual-work-related-fatalities-published/
- HSE – Construction Statistics in Great Britain 2024 – https://www.hse.gov.uk/statistics/industry/construction/
- HSE – Kind of Accident Statistics in Great Britain 2025 – https://www.hse.gov.uk/statistics/assets/docs/kinds-of-accident.pdf
- Roofing Today – HSE 2024 Statistics Reveal Biggest Cause of Construction Fatalities – https://roofingtoday.co.uk/hse-2024-statistics-reveal-biggest-cause-of-construction-fatalities/

