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  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">IEREK Press</journal-id>
      <journal-id journal-id-type="publisher-id">10.21625</journal-id>
      <journal-title>IEREK Press</journal-title><issn pub-type="ppub">2537-0154</issn><issn pub-type="epub">2537-0162</issn><publisher>
      	<publisher-name>IEREK Press</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.21625/archive.v4i1.698</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <Keywords><Keyword>Health and Safety </Keyword><Keyword>Mega Construction Projects</Keyword></Keywords>
      </article-categories>
      <title-group>
        <article-title>Health and Safety Considerations in Mega Construction Projects</article-title><subtitle> </subtitle></title-group>
      <contrib-group><contrib contrib-type="author">
	<name name-style="western">
	<surname>Waheed</surname>
		<given-names>Waad </given-names>
	</name>
	<aff>Department of Arcitecture,Faculty of Engineering, Ain Shams University, </aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Khodeir  </surname>
		<given-names>Laila </given-names>
	</name>
	<aff>Associate Professor, Department of Arcitecture, Faculty of Engineering, Ain Shams University, British University in Egypt</aff>
	</contrib></contrib-group>		
      <pub-date pub-type="ppub">
        <month>02</month>
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>23</day>
        <month>02</month>
        <year>2020</year>
      </pub-date>
      <volume>4</volume>
      <issue>1</issue>
      <permissions>
        <copyright-statement>© 2020 The Authors. Published by IEREK press. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/).</copyright-statement>
        <copyright-year>2020</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p></license>
      </permissions>
      <related-article related-article-type="companion" vol="2" page="e235" id="RA1" ext-link-type="pmc">
			<article-title>Health and Safety Considerations in Mega Construction Projects</article-title>
      </related-article>
	  <abstract abstract-type="toc">
		<p>
			The construction industry is considered one of the most hazardous industries especially in Mega projects, not only in developing countries but also throughout the world due to its unique nature. The hazards of this industry make it very essential to pay more attention to construction safety and to improve the safety performance of construction companies. However, safety is not a luxury but a necessity, and may be considered an important function to be used against unnecessary loss. International Mega Construction projects are likely to become increasingly common in the engineering and construction industry. A Mega-project as a high impact technically complex project which requires careful advanced planning, large projects are defined as those with construction work valued in excess of US $1billion. On such projects, there may be 60 large contracting organizations and 30 to 40 consulting companies. The construction workforce could total 45,000 personnel delivering over 10 million man hours of effort per month at peak periods, so there is a need of guidance material that can be used to improve the management of health and safety(H&S) throughout these type of projects. Thus the aim of this paper is to identify the H&S considerations that are related to Mega Construction Projects. To achieve the aim of this paper a literature review analysis has been performed where more than hundred research paper that have been published from 1998, to 2018 have been analyzed. Findings of this paper have managed to identify the nature of mega construction projects, the root causes of accidents and the consequence of poor health and safety management in mega construction projects. This paper is considered of value to construction project officers and Project managers working in mega construction projects in Egypt and MENA region.
		</p>
		</abstract>
    </article-meta>
  </front>
  <body><sec>
			<title>1. Introduction</title>
				<p >Mega construction projects (MCPs) feature huge edifice
and venues with strong symbolic significance or a larger scheme with complex
contents which is encountered at the top-end of the construction industry’s
spectrum of activities. Mega projects are multicultural projects that involve
different designers, contractors, subcontractors, and suppliers from all over
the world, they have to work together and cooperate to achieve success and to
accomplish the objectives from megaprojects and gain the benefits associated
with these types of the projects represented in their ability to achieve a
strong connection with a region's or even the society's prosper and stability
as many countries use these type of projects to stimulate the development of
relevant industries and increase employment.</p><p >There is no doubt that safety and health management are
very important challenge that face mega projects, so we have to consider it
carefully while approaching mega projects. Safety management is an underrated
challenge that wasn’t studied carefully in the literature. Special considerations have to be given to
safety just to keep it into high standards, this reflect on the labor and
engineers participating in the projects. Strong and rigorous regulations have
to be devised and applied properly to increase the safety factors associated
with the project. This impacts different aspect of the project from the cost of
the project up to the execution time. </p><p >The construction industry especially in the field of mega
projects has been in a deep need for approaching and reconsidering the new
challenges to achieve a safe working environment as they suffer from a lot of tedious and
unordinary work due to their unique nature. Effective construction safety
considerations require a clear vision,
systematic methodology and sustained commitment to improve the whole process
from the very early design stage throughout the whole other project stages
focusing on every individual participating in the mega construction project to
avoid their vulnerable to accidents. As a result, advanced and more rigorous
considerations are to be devised to
guarantee and improve the safety performance of mega projects which reflects on
safety precautions in the projects.</p><p >Health and safety regulations in MCPs is one of the
greatest risk presents enormous challenges to directors, construction managers
and safety supervisors of the organizations involved in the construction
process. Studies found that poor health and safety management in construction
projects costs the construction industry millions of pounds each year due to
the undesired consequences resulting from poor management systems. This cost is
represented in loss of lives, medication and insurance. (Griffith and Howarth 2001)
have found out that the record of health and safety in construction sector is
the second worst of any other industrial sectors. This is due to its unique,
complex, and hazardous workplaces. So considerations and efforts must be
excreted in order to increase the levels of safety, besides the development of
new efficient tools and mechanisms to avoid these losses. </p><p >1.1.
Aim and Methodology</p><p >The main objective of this paper is to identify
considerations, that could help in achieving efficient health and safety management
in mega construction projects. Any organization associated with the
construction , need to apply adequate standards, structures and processes to
support the right behaviors and acts by all the involving construction
structure which related to health and safety. In this paper, Mega construction
projects have been studied . Specifically,
A literature review on different topics related to MCPs including the
definitions, characterstics, factors affecting, challenges facing, and benefits
of MCPs have been provided. Also factors contributing to accidents in MCPs and
types of construction accidents have been covered, and finally this research
studied the standards of occupational health and safety management system.</p>
			</sec><sec>
			<title>2. Literature review</title>
				<p >The following part is intended to review more than
hundred research papers, thesis and books that published from 1998, to 2018 and
tackled the topic of this research which provided different topics related to
mega construction projects . </p><p ><bold>1. </bold></p><p >1.1.
The Nature of Mega Construction
Projects</p><p >In this subsection, different aspects of MCPs which
include a list of definitions , characteristics, factors, challenges and
benefits of mega have been introduced .</p><p >1.1.1.
Definition of Mega Construction Projects</p><p >In the construction communities, one could hear the
terminology ”Mega Construction Project” (MCP). The first question that could
raise up to your mind is simple, when do we call a certain project a mega
project? There are different approaches one can follow to define the mega projects.
The literature is rich in this discipline, the divergences between different
definitions depends on the researchers’ perspective and their approaches in
analyzing these projects. In Table 1, we are providing a brief
summary for the different seven approaches that can be followed to define mega
projects. In every approach, we are listing number of authors who followed that
approach and some quotations from their publications that support this
definition.</p><p >Table
1. Approaches of MCPs Definitions.
“Source: Authors based on literature sources”</p><table-wrap><label>Table</label><table>
 <tr>
  <td>
  Author
  </td>
  <td>
  Definition
  </td>
  <td>
  Critical
  analysis of the definition
  </td>
 </tr>
 <tr>
  <td>
  (Crosby 2017)
  (Sun, et al., 2011)
  (Marrewijk, 2007)
  </td>
  <td>
  “Mega construction projects are usually
  described as substantial investment (more than 1 billion dollars) long
  schedule (over two years) public infrastructures, which usually have long
  life time of 50 years and more, and generate multiple social impact and invested
  or commissioned by governments”
  </td>
  <td>
  Project
  nature, Objective, Location, Duration and the Cost of the project ( PN.O.L.D.C)
  Approach .
  </td>
 </tr>
 <tr>
  <td>
  (Mok, Shen and Yang
   2015)
  </td>
  <td>
  “MCP often involve various stakeholders of
  diverse occupational and professional backgrounds who have different levels
  and types of interests in the project”
  </td>
  <td>
  Stakeholder
  Approach according to the stakeholder
  and performing organization structure.
  </td>
 </tr>
 <tr>
  <td>
  (Flyvbjerg, Bruzelius
   and Rothengatter 2003)
  </td>
  <td>
  “ many countries take mega project as an
  important tool to lift the status in global political and economic systems.”
  </td>
  <td>
  Economic
  Business Approach focused on defining mega construction projects as an
  important tool to lift the status of economic systems.
  </td>
 </tr>
 <tr>
  <td>
  (Flyvbjerg,
   Bruzelius and Rothengatter 2003)
  </td>
  <td>
  “ the world of megaproject preparation and
  implementation is a highly risky one where things happen only with a certain
  probability and rarely turn out as originally intended.
  </td>
  <td>
  Risk
  Approach depends on defining them as
  including many risk factors that can cause delays or failures during the
  project life cycle.
  </td>
 </tr>
 <tr>
  <td>
  (Albishri, 2015)
  </td>
  <td>
  “ mega-project’s process contains project
  phase transitions and milestones which connect, by providing spatial and
  temporal platforms, the interests of project actors, interest groups and
  constructors”.
  </td>
  <td>
  Project
  Process and Technical Requirements (PP.TR ) Approach .
  </td>
 </tr>
 <tr>
  <td>
  (Mok, Shen and Yang
   2015)
  </td>
  <td>
  “ MCP play three major roles in the strategic
  development of a society: (1) satisfying human, economic and societal needs;
  (2) elevating a country's social image; and (3) delivering leading
  international events”.
  </td>
  <td>
  Political,
  Society and Environment (P.S.E )Approach
  </td>
 </tr>
 <tr>
  <td>
  (Gerald, 2009)
  </td>
  <td>
  “complexity is something’ undesirable that
  made a project unique, more complicated and more difficult to execute, manage
  and control or even an ‘excuse’ for mistakes.
  </td>
  <td>
  Complexity
  Approach leans on investigating the
  complexity and constraints associated with the project and their
  consequences.
  </td>
 </tr>
</table></table-wrap><p >Different approaches for defining mega construction
projects have been introduced. It can be noticed that some approaches have
received more attention in the literature
than other approaches. For instance PN.O.L.D.C and Complexity are the
most common approaches in defining mega construction projects.</p><p >1.1.2.
Characteristics of Mega
Construction Projects</p><p >In this sub subsection, different features and characteristics
of mega projects have been studied . These features are the reason behind the
existence of different approaches for defining mega projects. This Research
also detailed every feature with supported literature. Table 2 summarizes these
characteristics and the relevant literature<bold>.</bold></p><p >Table
2. Characteristics of Mega
Construction Projects with respect to different approaches. “Source: Authors
based on literature sources”</p><table-wrap><label>Table</label><table>
 <tr>
  <td>
  Approach
  </td>
  <td>
  Author
  </td>
  <td>
  Characteristics of the
  Approach
  </td>
 </tr>
 <tr>
  <td>
  P N.O.L.D.C
  Approach
  
  </td>
  <td>
  (Mackhaphonh and Jia
   2017)
  (T. Zidanea,
   Johansenb and Ekambaramb 2013)
  (Othman 2013)
  (Diaz Orueta and S.
   Fainstein 2009)
  (Marrewijk 2006)
  </td>
  <td>
  A large-scale system is
  usually perceived to be large and made up of a large number of system
  components with complex interconnections among these components.
  Capital asset in order to plan, design, finance and build.
  Located in remote and or
  inhospitable large areas.
  Long duration but program
  urgency
  Project with a total budget
  more than $1 billion
  </td>
 </tr>
 <tr>
  <td>
  Stakeholder Approach
  </td>
  <td>
  (Kardes, et al. 2013)
  (Jia, Chen, et al.
   2011)
  </td>
  <td>
  The construction of MCPs
  involves many stakeholders that exists
  complicated interest relationship and
  Ineffective communications between them.
  </td>
 </tr>
 <tr>
  <td>
  Economic Business Approach
  </td>
  <td>
  (Flyvbjerg 2014)
  </td>
  <td>
  They are keep the economic
  viability of the country as a whole by making large amount of money
  Attracting visitors and
  investment to help in achieving community benefits, this is due to their
  heavy and delegated impacts.
  </td>
 </tr>
 <tr>
  <td>
  Risk Approach
  </td>
  <td>
  (Gyoo Kim 2011)
  (Flyvbjerg, Bruzelius
   and Rothengatter 2003)
  </td>
  <td>
  Increase of costs and the
  duration which are often due to
  inadequate estimates of the initial cost.
  </td>
 </tr>
 <tr>
  <td>
  PP.TR
  Approach
  </td>
  <td>
  (Flyvbjerg 2014)(T. Zidanea, Johansenb and Ekambaramb 2013)
  (Kardes, et al. 2013)
  </td>
  <td>
  High design knowledge and
  Quality front-planning with unprecedented integration effort.
  Professional technological skills and highly trained employees especially in
  the field of the project management
  Logistical support.
  </td>
 </tr>
 <tr>
  <td>
  P.S.E
  Approach
  </td>
  <td>
  (Othman 2013)
  (Jia, Chen , et al.
   2011)(Bornstein 2010)
  </td>
  <td>
  Attract external capital and redefine a city as a whole.
  A higher quality of life for
  residents.
  Undervalued environmental
  impacts
  </td>
 </tr>
 <tr>
  <td>
  Complexity Approach
  </td>
  <td>
  (Thomas and Mengel
   2008)
  (Duy Long, et al.
   2004)
  </td>
  <td>
  They distinguished by their
  huge size and unique nature, these bring more complexity to them.
  They are susceptible to the risk of increase in budget and schedule
  overruns which adds an additional complexity to the projects.
  </td>
 </tr>
</table></table-wrap><p >Characteristics of mega construction projects make them
special projects with unique nature which need an efficient management with a lot of effort in different directions
starting from resolving conflicts and contradictions to resources allocation,
managing schedules and human power required to accomplish these types of
projects and lead them to success.</p><p >1.1.3.
Factors Affecting Mega
Construction Projects</p><p >In this sub subsection, The most common and highly
considered factors that affect mega
construction projects have been discussed. These features have been obtained by
conduction a wide literature survey. It’s important to note that there are some
factors with great importance and they
need to be considered by most of the projects. On the other hand, there are
some features of less importance and they are considered based on the project
itself. </p><p >For instance. The contract term is an important factor
that affects the projects because it is involved in every single detail in the
project starting from determining the owner of the project up to the flow of
funds and the role of every single individual participating in the project.</p><p >Risk management system has been found to be as important
as the contract itself. Risk management allows for smooth accomplishment of the
required tasks without delay and cost efficiently. Failure in managing the risk
could case unexpected delays or increase in the estimated cost of the project.
Technology is a crucial factor as well, engaging new technologies has a huge
impact on the performance of mega projects. Nevertheless, project’s member need
to allocate sufficient time and resources to plan and execute the integration
of new or unproven technologies. </p><p >Communications management is a factor that shouldn’t be
forgotten since good communication skills lead to the success of the project.
In the following table 6, we are summarizing the factors that have been
discussed in the considered literature. </p><p >There is also another way to classify the factors of mega
projects. Specifically, factors can be classified into Qualitative and
Quantitative . To classify a certain feature as a Qualitative and Quantitative,
one need to differentiate between these two classes. Qualitative factors are
factors that can be intangibles which are not purely numbers driven but they
are as important as crunching the numbers., however, Quantitative factors are
the ones that are related to actual numbers, financial metrics and ratios.</p><p >Thus, after
studying the factors affecting mega construction projects, it is important to
note that despite the many factors affecting mega construction projects, we can
derive that risk management, contracts and technology are the most important
factors affecting mega construction projects.</p><p >1.1.4.
Challenges of Mega Construction
projects</p><p >Overcoming the challenges that hinder the development of
(MCPS) is very crucial for many large
construction companies, but they first need to identify these challenges and
prioritize them in order to minimize their impact on the progress of the
project and smooth the project flow. Some of the challenges that face mega
projects will be discussed and elaborated. Fig 1 shows the challenges iceberg
which face mega construction projects from the very early stages. In Table 3,
we are summarizing these challenges</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image002.jpg"/></fig><p >Figure 1. The challenges of the MCPs “Source: Authors based on literature sources”</p><p >Table 3.Challenges of Mega construction Projects with respect to
different approaches “Source: Authors based on literature sources”</p>

<table-wrap><label>Table</label><table>
 <tr>
  <td>
  Approach
  </td>
  <td>
  Author
  </td>
  <td>
  Challenges
  of the Approach
  </td>
 </tr>
 <tr>
  <td>
  P N.O.L.D.C
  Approach
  </td>
  <td>
  (Gupta 2015)
  (He, et al. 2014)
  (T. Zidanea,
   Johansenb and Ekambaramb 2013)
  (Jia, Chen, et al.
   2011)
  </td>
  <td>
  Challenges due to
  the unique nature that conclude to increase of the size of the project.
  Difficult to define
  and achieve the program objectives and their alignment with the
  organizations' strategies.
  Unfamiliar location
  .
  Schedule overruns
  Huge and expensive
  cost
  </td>
 </tr>
 <tr>
  <td>
  Stakeholder
  Approach
  </td>
  <td>
  (Mackhaphonh and JIA
   2017)
  (Gupta 2015)
  (Othman 2013)
  </td>
  <td>
  Variety of cultural
  differences and backgrounds
  Complexity
  organization
  lack of efficiency,
  effectiveness behavior and performance especially in project management
  process
  Inadvisable
  communication skills which decrease the required coordination to achieve the
  project objectives
  </td>
 </tr>
 <tr>
  <td>
  Economic Business
  Approach
  </td>
  <td>
  (C.Esty 2004)
  </td>
  <td>
  Challenges
  associated with bad performing project could have a negative impact on the
  society due to their fail to achieve the intended financial and operating
  objectives.
  </td>
 </tr>
 <tr>
  <td>
  Risk Approach
  </td>
  <td>
  (Flyvbjerg,
   Bruzelius and Rothengatter 2003)
  </td>
  <td>
  Efforts to reduce
  the possible harm that may occur such as an increase in the project’s cost,
  unplanned elongation in the execution duration of the project.
  </td>
 </tr>
 <tr>
  <td>
  PP.TR Approach
  </td>
  <td>
  (Othman 2013)
  (Sun and Zhang 2011)
  </td>
  <td>
  Lack of design
  knowledge and experience on practicing good skills and concepts that improve
  chances of success on the project.
  Lack of
  technological knowledge and application requirement
  </td>
 </tr>
 <tr>
  <td>
  P.S.E Approach
  </td>
  <td>
  (Mok, Shen and Yang
   2015)
  (Flyvbjerg 2014)
  (Othman 2014)
  </td>
  <td>
  Political
  imperatives and authority misuse
  Public acceptance
  is against the social impact
  lack of considering
  environmental requirements, preserving historical sites, and natural reserve
  </td>
 </tr>
 <tr>
  <td>
  Complexity Approach
  </td>
  <td>
  (Giezen 2012)
  </td>
  <td>
  Managing
  complexities that bring a lot of
  difficulties and challenges in implementing and constructing
  </td>
 </tr>
</table></table-wrap>

<p >Mega construction projects face different challenges and
each challenge has its own impacts and concerns. Thus, we cannot conclude that
some challenges are more important or have huge impacts than other challenges
and every challenge has to be considered independently and inclusively for each
project.</p><p >1.1.5.
Benefits of Mega Construction
projects</p><p >Mega projects have become a key part of the wider project
ecosystem due to their impacts on their surroundings. Fulfilling business,
social and environmental objectives for a huge number of stakeholders by
creating a product or a service, to serve to the community or to yield benefits
are the main benefits of the mega construction projects. In this subsection,
different benefits based on the approaches we have selected before will be
introduced in order to show the importance of constructing these types of
projects Table 4 summarizes all these benefits.</p><p >Table
4. Benefits of Mega Construction
Projects with respect to different approaches
“Source: Authors based on literature sources”</p>

<table-wrap><label>Table</label><table>
 <tr>
  <td>
  Approach
  </td>
  <td>
  Author
  </td>
  <td>
  Benefits of the
  Approach
  </td>
 </tr>
 <tr>
  <td>
  P N.O.L.D.C
  Approach
  </td>
  <td>
  (Jia,
   Chen , et al.)
  (Diaz
   Orueta and S. Fainstein)
  </td>
  <td>
  Benefits of
  projects that don’t have a direct impact or return
  These projects
  impact the society and the country in a way
  Benefits and value
  of mega construction projects
  </td>
 </tr>
 <tr>
  <td>
  Stakeholder
  Approach
  </td>
  <td>
  (Gupta 2015)
  (Flyvbjerg)
  (Duy Long, et al.
   2004)
  </td>
  <td>
  Cooperation between
  stakeholders and different governmental agencies
  Experience exchange
  between different participating parties
  New and efficient
  communication tools could be invented.
  </td>
 </tr>
 <tr>
  <td>
  Economic Business
  Approach
  </td>
  <td>
  (Flyvbjerg, 2014)
  (C.Esty 2004)
  </td>
  <td>
  There is
  significant cash flow between different governmental agencies.
  The cooperation
  between governmental agencies and the private sector leads to a significant
  improvement to the economic status of the society while strengthening it.
  </td>
 </tr>
 <tr>
  <td>
  Risk Approach
  </td>
  <td>
  (Kimiagari and
   Keivanpourb 2018)
  (Gyoo Kim 2011)
  
  </td>
  <td>
  Developing new management techniques and tools that
  aim at keeping the construction process smooth and flawless which helps the
  project to satisfy its deadline and hence maintain its objective which
  typically leads to the project’s success.
  </td>
 </tr>
 <tr>
  <td>
  PP.TR Approach
  
  </td>
  <td>
  (Zhou, Whyte
   and Sacks 2012)
  (Zidane, Johansen and
   Ekambaram 2012)
  </td>
  <td>
  New knowledge and
  tools.
  New technologies.
  Knowledge transfer
  </td>
 </tr>
 <tr>
  <td>
  P.S.E Approach
  </td>
  <td>
  (Bornstein 2010)
  (C.Esty 2004)
  </td>
  <td>
  Brings harmony
  between different agencies in the country
  Bring comfortable
  life for residents.
  Projects that
  target the environment To achieve sustainable projects.
  </td>
 </tr>
</table></table-wrap>

<p >Mega construction projects have a lot of positive impacts
on different life aspects. However, the most remarkable and recognizable ones
are their social and economic impacts.</p><p >1.2.
The Root Causes of Accidents in
Mega Construction Projects </p><p >The construction industry is considered as one of the
most dangerous and hazardous industries in
the world due to the high number of persons who have died on the construction
sites and the other many who suffered from occupational diseases. </p><p >1.2.1.
Contributing Factors to Accidents
in Mega Construction Projects </p><p >Accidents avoidance requires the development of a clear
understanding of the factors involved in the causation of these accidents.
Accidents and their causes have been studied in literature which reveals that
there are common factors that mostly cause most of the accidents occurring in
mega construction projects. One of the most important approaches in identifying
the root causes of accidents in Mega construction projects is based on
information aggregation. Figure 2. shows the factors causing accidents based on
the previous studies. </p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image003.png"/></fig><p >Figure 2. The root causes of accidents in Mega
construction projects. “Source: Authors”</p><p >In this part factors affecting accidents in Mega
construction sites have been discussed and analyzed. By identifying these root
causes, proper measures and considerations can be developed to approach the
root causes of accidents and prevent their occurrence. This study is so
critical and represents one of the main component of this research. Since we
are interested in studying health and safety in Mega construction projects. </p><p >1.2.2.
Types of Construction Accidents</p><p >Analyzing the accidents is very crucial in order to
orientate safety practitioners and adopt appropriate measures in all
construction stages that include different scenarios of accidents and to
develop new, and concrete safety regulations that could prevent possible
accidents. Figure 3 summarizes the main types of Accidents</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png"/></fig><p >Figure 3.The main types of Accidents “Source: Authors”</p><p >Identification of the accident types raise our ability in
developing methods and procedures to prevent these accidents. Predicting the
type of accidents is critical since we can utilize these predictions to provide
the workers with efficient ways to apply health and safety considerations. </p><p >1.3.
The Consequences of Poor Health
and Safety Management in Mega Construction Sites</p><p >Over the last 20 years, there has been an increase on the
rate of accidents occurring in construction projects, this increase is due to
the increase on the construction and expansion capacity along with the poor
health and safety regulations that fail to manage the tremendous number of workers, large and heavy
plants, huge amount of material, complicated construction
operation and multi-interface between different entities.</p><p >1.3.1.
Standards of Occupational Health
and Safety Management System.</p><p >Quality ratings of previous studies have discussed the
standards of the safety management systems in construction industry and they
concluded to divide them into two main categories. The first category includes
standards related to organization level, while the other category is linked to
standards related to the project level. Figure 4 summarizes the categories
representing the occupational health and safety management systems and show
different trends in each category, this categorization has been studied in the
work of Chia-Fen Chi.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image005.png"/></fig><p >Figure 4. Health and Safety considerations based on
literature review “Source: Authors”</p><p >The Advantages of applying the standards of occupational
health and safety management system in their organization and project levels at
Mega construction Projects are including a safer workplace, improved
employee behaviors, reduced costs related with accidents and compensation and
stakeholder confidence.</p>
			</sec><sec>
			<title>3. Findings</title>
				<p >In this paper, extensive literature reviews governing
different aspects of MCPs have been conducted. The results of this literature
review are summarized in different charts. Figure 5. shows the approaches that
have been tackled in literature from 1998 to 2018 to define Mega construction Projects. it
could be observed that the definition based on approach PN.O.L.D.C and
Complexity approach are the most
comprehensive definitions, and thus this research shall adopt them. The
chronological ranking of these ordering is shown in Figure 6.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image002.png"/></fig><p >Figure 5. Percentage of Agreement among authors about
the Definition of MCPs. “Source: Authors”</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image004.png"/></fig><p >Figure 6. Period of 31 papers that showed the
agreement about definition of MCPs.
“Source: Authors”</p><p >Figure 7. shows
mega construction projects and their relation with the finance, time,
stakeholder management, economical business, risk assessment, project process, political
rules, environmental legislations, social surroundings and complexity. It’s
clear that Mega projects composed of many individual project groups, e.g.,
government, numbers of investment companies and the residents with different
culture backgrounds, manners, political systems and languages that adds an
additional complexity to mega projects, are the most common shared
characteristics among authors.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image006.png"/></fig><p >Figure 7. Degree of agreement among authors about the
characteristics of MCPs depends on the previous approaches. “Source: Authors”</p><p >Figure 8. shows the factors affecting mega construction
projects, and the chronological ranking of this study is shown in Figure 9. Technology,
risk management, and contracts are the most important factors impacting mega
construction projects and effect their performance.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image008.png"/></fig><p >Figure 8. Degree of agreement among
authors about the Factors affecting
MCPs.“Source: Authors”</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image010.png"/></fig><p >Figure 9. Period of 18 papers that showed the agreement
about factors affecting MCPs. “Source: Authors”</p><p >Challenges facing mega construction projects are shown in
Figure 10. It is important to note that there exists a gap in the literature
covering the challenges facing mega construction projects from safety perspective.
Finally, the benefits associated with mega construction projects have been
studied and the literature interest is shown in Figure11.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image012.png"/></fig><p >Figure 10. Degree of agreement among authors
about the Challenges of MCPs depends on previous approaches.“Source:
Authors”
</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image014.png"/></fig><p >Figure 11. Degree of agreement among authors
about the benefits of MCPs depends on previous approaches. “Source: Authors”</p><p >Figure12. shows that the most common accidents occurring
in mega construction project is falling and caught in/between. This ranking is
very crucial in developing health regulations for safety in construction
projects. The chronological ranking of the contributing literature is shown in
Figure 13.</p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image016.png"/></fig><p >Figure 12. Degree of agreement among
authors about the main types of accidents.“Source: Authors” </p><fig><label>Figure</label><graphic xlink:href="file:///C:/Users/Hawk/AppData/Local/Temp/msohtmlclip1/01/clip_image018.png"/></fig><p >Figure 13. Period of 21 papers that showed the degree of
agreement about accident types. “Source:
Authors”</p>
			</sec><sec>
			<title>4. Conclusion</title>
				<p >In this paper, A comprehensive study for MCPs have been
conducted, this study covers different perspectives. Various existing
definitions for MCPs have been explored. This Research shows that there are
some approaches received more attention than others. For instance, P.N.O.L.D.C
Approach and Complexity Approach are the most common approaches in defining
MCPs. By adopting every approach followed in defining mega construction
projects, the characteristics of mega construction projects have been studied
in accordance with the adopted approaches. Factors affecting mega construction
projects have been discussed. The Research presents that technology, risk
management, and contracts are the most important factors impacting mega
construction projects. It’s important to shed a light on the fact that
accidents have not been considered as a factor affecting mega construction
project. However, accidents are very important factor affecting mega
construction projects, some projects could be halted sue to since they are very dangerous and thus
that is why our research paper considered as very important due to the crucial
topic it tackled .Then this research moves to describe the challenges facing
MCPs based on the same approaches and It has been observed that there is a gap
in the literature covering the challenges facing mega construction projects
from safety perspective. Finally, the benefits associated with mega
construction projects have been studied to explain why MCPs have become a key
part of the wider project ecosystem and their impacts on their surroundings. </p><p >In a complete turn over for the research focus, the
accidents and their root causes in mega construction projects have been
introduced, this can be fully justified due to the existence gap in the
literature as we have shown earlier. This is very crucial for the research
since this study has shown that health and safety regulations are not well
studied nor covered in the literature. So, this research is motivated, However,
it is important to note that these findings are limited, as the research was
mainly based on literature review, and that it is recommended to do further
analysis to case studies to validate the results of the paper</p><p>



Consequently, different
types of accidents have been studied. It has been shown that falls and caught
in/between are the most common accidents occurring in mega construction
projects. Then a general safety consideration to be used as a draft by
construction project officers and Project managers working in mega construction
projects in Egypt and MENA region have been suggested, these considerations are
extracted from the literature.</p>
			</sec><sec>
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