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In the construction industry, poor health and safety performance often results from prioritizing shareholder interests, particularly profit maximization over the needs of key stakeholders such as workers. This leads to unsafe working conditions, negatively affecting employee well-being and the project's overall success. Conversely, prioritizing stakeholder interests such as worker safety, welfare, and engagement fosters a culture of inclusivity and shared value, resulting in enhanced health and safety performance and sustainable returns for shareholders. Despite a large body of research on stakeholder orientation in areas such as sustainability, innovation, higher education and water management, the impact of stakeholder orientation on construction health and safety performance remains underexplored. Thus, this study aims to explore the impact of stakeholder orientation on health and safety performance by employing a systematic literature review. A total of 628 publications from Scopus and Google Scholar were reviewed to identify 42 relevant studies. Through content analysis, six dimensions of stakeholder orientation were revealed: norms, values, artifacts, information generation, information dissemination, and responsiveness to information. The dimensions were categorized into organizational culture and organizational behaviour. Based on the identified dimensions, a conceptual framework was developed to demonstrate the influence of stakeholder orientation on health and safety performance. The study findings will guide decision-makers in developing safety policies that incorporate a stakeholder-oriented approach to enhance workplace safety and reduce accident rates in construction projects. This study contributes to the domain of construction health and safety research by offering in-depth insights into how prioritizing stakeholder interests impacts health and safety performance, resulting in organizational growth.
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Agyemang et al. (2026) studied this question.
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