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Introduction: construction is one of the most important industries in which many workers start on activity. Sometimes, these industries workers are victims of different occupational accidents and injuries. Therefore, the aim of this study was to determine the frequency and underlying reasons in construction accidents. Materials and methods:In this descriptive -analytical study, all construction workers (n = 347) who encountered with occupational accident were studied in Hamadan city, west of Iran. The data were extracted from health profiles of injured workers by checklist. Data were analyzed with SPSS 16 by applying of Chi square and Logistic regression tests at the significant level of P < 0.05. Results: During 2007-2010, 347 workers encountered with construction accidents and seven of them were died. Finding showed that fall and slip were cause of 36.59% of accidents. Also, carelessness was major predictor factor related to 80.96% of accidents. According to the results, 36.02% of these accidents were happened at 15.00 and 18.00 PM. Conclusion: Develop and discussion about organizing public policies is suggested to implement work safety programs for construction workers.

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