The construction industry remains among the most hazardous, with workers in horizontal transportation infrastructure facing additional risks from dynamic work zones, live traffic exposure, and variable environmental conditions. Immersive technologies such as Virtual Reality (VR) and Augmented Reality (AR) offer new approaches to accident analysis and prevention, yet their applications toward improving occupational safety in transportation construction have not been comprehensively reviewed. This paper presents a systematic review of 54 studies published between 2016 and 2025 collected from two online databases (Transportation Research International Documentation and Web of Science). This review synthesizes how immersive technologies contribute to occupational risk assessment, safety training, and real-time hazard monitoring in the construction of roads, bridges, tunnels, and work zones. Each study is classified across two dimensions: the immersive medium (VR, AR, etc.) and the operational context within the construction lifecycle (onsite tools, offsite monitoring and planning, simulation-based analysis, and workforce education). This dual classification is the first to systematically map immersive technology applications for occupational safety, specifically within horizontal transportation infrastructure. The findings of this review demonstrate the unique use cases of each immersive medium, revealing that VR is primarily used for controlled experimentation and full-immersion remote analysis, whereas AR and handheld devices are preferred for field-deployed applications. Despite these promising capabilities, widespread adoption remains limited by hardware constraints, challenging field conditions, and organizational resistance. This suggests that future work should focus on safety systems tested in real-world settings and rigorously evaluated by domain experts to enable their integration into standard workplace risk management practices.
Neece et al. (Wed,) studied this question.