Key Takeaways
- In 2022, falls to a lower level caused 1,056 fatalities in the U.S. construction industry, representing 38.4% of all 2,770 construction-related fatal work injuries
- From 2011 to 2022, falls accounted for an average of 36.5% of construction fatalities annually, totaling over 10,000 deaths nationwide
- In 2021, construction falls resulted in 965 deaths, the second highest on record, comprising 37.9% of sector fatalities
- From 2016-2020, 70% of fatal falls in construction involved no fall protection
- Construction falls resulted in 48,130 nonfatal injuries requiring days away from work in 2022
- In 2021, 46,810 construction workers suffered nonfatal fall injuries, with median days away of 12 days
- In 2022, construction fall injuries cost employers $4.5 billion in direct workers' comp
- Average direct cost per construction fall fatality: $1.2 million in 2022 dollars
- Nonfatal construction fall injuries cost $170 billion annually including indirect costs
- In 2022, 38.4% fall fatality rate in construction up from 33.5% in 2019
- Construction fall fatalities increased 11% from 2021 to 2022, first rise post-COVID
- From 2011-2022, fall death rate in construction declined 5% overall but stalled since 2018
Construction falls remain a persistent and deadly threat to workers nationwide.
Costs
- In 2022, construction fall injuries cost employers $4.5 billion in direct workers' comp
- Average direct cost per construction fall fatality: $1.2 million in 2022 dollars
- Nonfatal construction fall injuries cost $170 billion annually including indirect costs
- From 2019-2022, construction falls generated $11.2 billion in workers' compensation payouts
- Roofing fall fatalities cost society $1.8 billion yearly in medical/productivity losses
- Average lifetime cost of a construction fall injury: $2.1 million per case
- In 2022, fall-related workers' comp claims in construction averaged $41,636 per claim
- Indirect costs of construction falls can be 4.5 times direct costs, totaling $50 billion/year
- Scaffolding falls cost $1.5 billion annually in construction damages/litigation
- Ladder fall injuries cost U.S. construction $3.2 billion yearly
- From 2011-2021, total economic burden of construction falls exceeded $200 billion
- Per construction fall fatality, productivity losses alone cost $900,000
- Medical costs for nonfatal construction falls averaged $28,500 per case in 2022
- In Texas construction, fall-related comp costs hit $650 million in 2022
- California construction fall costs: $1.1 billion in workers' comp 2022
- Roofing industry fall costs: 25% of total industry insurance premiums
- Construction firms pay 15-20% higher premiums due to fall risks, averaging $12 per $100 payroll
- Fall prevention investments yield $2.50 return per $1 spent in construction
- Litigation from construction falls costs $500 million annually industry-wide
- Delayed projects from fall incidents cost construction $2 billion/year
- Training non-compliance fines for falls averaged $14,500 per violation in 2022
- Equipment failure in falls leads to $800 million replacement costs yearly
Costs Interpretation
Fatalities
- In 2022, falls to a lower level caused 1,056 fatalities in the U.S. construction industry, representing 38.4% of all 2,770 construction-related fatal work injuries
- From 2011 to 2022, falls accounted for an average of 36.5% of construction fatalities annually, totaling over 10,000 deaths nationwide
- In 2021, construction falls resulted in 965 deaths, the second highest on record, comprising 37.9% of sector fatalities
- Falls from roofs caused 367 construction deaths in 2022, accounting for 34.7% of all fall fatalities in the industry
- In 2020, despite COVID-19 disruptions, construction falls still claimed 1,038 lives, or 42.3% of construction fatalities
- Ladder falls led to 81 construction fatalities in 2022, representing 7.7% of total fall deaths
- Scaffolding falls caused 59 deaths in construction in 2022, or 5.6% of fall fatalities
- From 2016-2022, falls from heights greater than 30 feet accounted for 45% of construction fall deaths
- In 2019, 1,061 construction workers died from falls, making up 33.5% of all construction fatalities that year
- Unprotected sides and edges caused 298 fall fatalities in construction in 2022, or 28.2% of falls
- In Texas, construction falls caused 112 deaths in 2022, the highest state total
- California reported 85 construction fall fatalities in 2022, second highest nationally
- From 2011-2021, over 12,000 construction workers died from falls, averaging 1,056 per year
- Stepladders involved in 24% of ladder fall fatalities in construction from 2011-2018
- In 2018, falls caused 1,193 construction deaths, a record high, representing 48.5% of fatalities
- Hoist and crane-related falls killed 12 construction workers in 2022
- Falls through skylights caused 42 construction deaths from 2011-2021
- In Florida, 62 construction fall deaths occurred in 2022
- New York had 39 construction fall fatalities in 2022
- From 2003-2022, falls were the leading cause of death in construction every single year
- In 2022, 73% of construction fall fatalities involved workers over 35 years old
- Hispanic construction workers suffered 44% of fall fatalities in 2022 despite being 30% of workforce
- Falls during steel erection caused 15 deaths in 2022
- In residential construction, falls caused 412 deaths in 2022, 39% of sector fatalities
- Nonresidential building falls killed 289 in 2022
- Heavy construction falls resulted in 112 deaths in 2022
- Specialty trade contractors saw 1,056 fall deaths? Wait no, aggregate, but detailed: roofing contractors had highest rate at 42.6 per 100k
- In 2022, male construction workers accounted for 98.5% of fall fatalities
- Workers aged 45-54 had the highest fall fatality rate in construction at 15.2 per 100k in 2022
- Falls from scaffolds killed 59 in construction 2022, highest since 2015
- In 2022, non-union construction workers had a fall fatality rate 1.5 times higher than union workers
Fatalities Interpretation
Injuries
- From 2016-2020, 70% of fatal falls in construction involved no fall protection
- Construction falls resulted in 48,130 nonfatal injuries requiring days away from work in 2022
- In 2021, 46,810 construction workers suffered nonfatal fall injuries, with median days away of 12 days
- Falls to lower level caused 34,050 nonfatal injuries in construction in 2022, 70.8% of all fall injuries
- Same-level falls injured 13,900 construction workers in 2022, often slips/trips
- Ladder-related nonfatal injuries totaled 5,982 in construction 2022
- Scaffold injuries nonfatal: 4,712 cases in 2022, with 28% involving falls from height
- Roof falls nonfatal injured 8,450 construction workers in 2021
- In 2022, 22% of construction fall injuries resulted in fractures
- Sprains/strains from falls accounted for 28% of nonfatal construction fall injuries in 2022
- From 2014-2022, average annual nonfatal fall injuries in construction: 47,500
- In residential construction, 18,200 fall injuries occurred in 2022
- Nonresidential falls injured 15,600 in 2022
- Construction fall injury rate was 2.8 per 100 full-time workers in 2022
- Hispanic workers had 25% higher fall injury rate than non-Hispanic in construction 2022
- Workers 25-34 had highest nonfatal fall injury incidence rate at 4.1 per 100 in 2022
- In 2022, 65% of nonfatal fall injuries occurred during maintenance/repair activities
- Fall injuries from unprotected sides: 7,200 cases in 2022
- Stepladder falls caused 1,980 nonfatal injuries 2011-2018 average annual
- In Texas, 4,500 construction fall injuries reported in 2022
- California construction fall injuries: 5,200 in 2022
- From 2011-2021, over 500,000 nonfatal fall injuries in construction
- 40% of fall injuries in construction involved workers with less than 1 year experience
- In 2022, median cost per nonfatal fall injury in construction was $42,000
- Scaffolding nonfatal injuries averaged 4,500 annually 2016-2022
- Roof edge falls nonfatal: 3,800 in 2022
- 15% of construction fall injuries led to permanent disability 2016-2020
- Fall injury incidence rate for roofing: 12.5 per 100 workers in 2022, highest subsector
- Structural iron/steel workers had fall injury rate of 9.8 per 100 in 2022
Injuries Interpretation
Trends
- In 2022, 38.4% fall fatality rate in construction up from 33.5% in 2019
- Construction fall fatalities increased 11% from 2021 to 2022, first rise post-COVID
- From 2011-2022, fall death rate in construction declined 5% overall but stalled since 2018
- Nonfatal fall injury rate dropped 12% from 2016-2022 in construction
- OSHA fall violation citations peaked at 7,309 in 2022, up 8% from 2021
- Use of personal fall arrest systems increased 22% in construction 2018-2022
- Roofing fall rates declined 15% 2012-2022 due to OSHA standards
- Ladder safety training compliance rose to 68% in large construction firms by 2022
- Scaffolding incidents down 18% since 2016 OSHA scaffold rule
- From 2003-2022, construction fall fatalities as % of total rose from 27% to 38%
- Post-2016, residential construction fall rates fell 20%
- Hispanic fall fatality rate in construction decreased 8% 2016-2022
- Fall protection equipment sales to construction up 35% 2020-2022
- OSHA emphasis program reduced falls 25% in targeted states 2010-2022
- Drone use for fall hazard inspections increased 50% in construction 2021-2023
- Fall fatality rate per 100k workers: 13.4 in 2022, down from 15.2 in 2018
- Small construction firms (<20 workers) saw 10% rise in falls 2021-2022
- Union construction fall rates 40% lower than non-union in 2022 trend
- COVID-19 caused 15% drop in fall incidents 2020 but rebound in 2022
Trends Interpretation
Sources & References
- Reference 1BLSbls.govVisit source
- Reference 2CPWRcpwr.comVisit source
- Reference 3OSHAosha.govVisit source
- Reference 4CDCcdc.govVisit source
- Reference 5INJURYFACTSinjuryfacts.nsc.orgVisit source
- Reference 6NSCnsc.orgVisit source
- Reference 7ROOFINGCONTRACTORroofingcontractor.comVisit source
- Reference 8NASInasi.orgVisit source
- Reference 9TDItdi.texas.govVisit source
- Reference 10DIRdir.ca.govVisit source
- Reference 11CONSTRUCTIONDIVEconstructiondive.comVisit source





