The fourth industrial revolution (4iR) technologies offer an opportunity for the construction industry to improve health and safety (H&S) compliance. Therefore, implementing the technologies is of top priority to improve the endless H&S incidents in construction projects, which lead to poor quality of work, late project delivery, and increased labour injury claims. Central to improving the nature of work and other industrial processes, the 4iR technologies have emerged. Concurrent with this trend is the importance of 4iR technologies in enhancing health and safety performance on construction sites. However, the implementation of 4iR technologies in the construction industry is faced with various challenges. Therefore, this paper reports on a study aimed at examining the challenges associated with implementing 4iR technologies in the construction sector in South Africa towards effective management of H&S. The study followed a systematic literature review, data collection using a questionnaire survey and thereafter, descriptive, and inferential analyses were conducted. The findings revealed that the implementation of 4iR technologies is challenged by a lack of adequate relevant skills, the unavailability of training capacities, expensive technologies, and negative perceptions such as fear of job loss by industry professionals. The findings are essential for the advancement of H&S research and implementation. In addition, the findings are important to industry decision-makers in order to elevate their awareness and promote the use of 4iR technologies to manage construction activities. The study implications include the need for the construction industry to collaborate with higher education institutions to conduct research and include 4iR in the curriculum.
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