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Traditional safety approaches that focus solely on accident prevention have failed to address the significant burden of work-related illnesses and musculoskeletal disorders affecting construction workers. Ergonomic interventions are known to improve worker health, safety, and performance, but their systematic integration into construction health and safety management systems remains limited, particularly in developing-country contexts. Existing frameworks provide useful insights, but many are generic, limited to the design phase, or insufficiently attentive to implementation, stakeholder coordination, and long-term sustainability in project-based construction environments. This paper addresses a gap in construction ergonomics research by focusing on the organisational processes through which ergonomics becomes integrated into routine health and safety practice. It develops a staged framework in which integration unfolds through foundation, engagement, implementation, sustainability, and eventual institutionalisation, rather than through a one-step act of adoption. By bringing together theories that are often treated separately, the paper offers a more grounded explanation of ergonomics integration in Nigerian construction firms and presents a process-based model that moves beyond generic or phase-limited approaches.
Ibrahim et al. (Mon,) studied this question.