Abstract
OSH plays a significant role in construction project success. Therefore, the aim of this study is to explore the influence of total quality management (TQM) application in improving occupational safety and health (OSH) within the context of Saudi construction companies. Factors were identified from structured literature reviews of previous relevant empirical studies. Then, these factors were theoretically framed into the concept of a triple bottom line (TBL), which includes three main dimensions: social, environmental, and economic. Thus, a semistructured interview survey was used to investigate these factors to address the performance of OSH in construction companies that implement TQM. A grounded theory was used to analyze and determine these factors. Accordingly, fourteen effective factors are identified. The survey findings indicate that the most influenced factors are the control of occupational accidents/injuries, the enhancement of workforce safety, the improvement of management pledges toward OSH, and the development of work culture toward OSH. These findings are vital in exploring the influence of TQM application in Saudi construction companies for the management of improving the performance of OSH, thereby helping to reduce the level of work injuries in the construction field and boosting the safety and health of workers for construction projects.