Problem: Construction risk management is challenging. Method: We combined data on injuries, costs, and
hours worked, obtained through a Rolling Owner-Controlled Insurance Program (ROCIP), with data from
focus groups, interviews, and field observations, to prospectively study injuries and hazard control on a large
university construction project. Results: Lost-time injury rates (1.0/200,000 hours worked) were considerably
lower than reported for the industry, and there were no serious falls from height. Safety was considered in
the awarding of contracts and project timeline development; hazard management was iterative. A top-down
management commitment to safety was clearly communicated to, and embraced by, workers throughout the
site.Discussion and Impact: A better understanding of how contracting relationships, workers' compensation,
and liability insurance arrangements influence safety could shift risk management efforts from worker
behaviors to a broader focus on how these programs and relationships affect incentives and disincentives for
workplace safety and health.