Decisions made before construction can affect safety on the construction site, either positively or negatively. This was observed from past research that identified the link between design decisions and fatalities. The concept of implementing design decisions that positively affect safety falls under the general concept of prevention through design (PtD), which attempts to identify and mitigate hazards early in the design process to eliminate the risks of injury or damage during construction. Prevention through design is practiced in other countries, primarily through legislation. The objective of this paper is to present the results of a survey that was conducted to identify construction industry stakeholders' views on the concept of PtD and gauge the possibility for implementing PtD in the U.S. construction industry through either legislation or other means. Four distinct groups were surveyed: engineers, architects, contractors, and owners. Within this study, PtD was described and introduced to survey participants as design for construction worker safety (DCWS) to differentiate PtD efforts in construction from efforts in other industries. The survey consisted of questions that asked about the industry's knowledge of PtD and the extent of PtD practice in the United States, participants' opinions on designer and owner safety knowledge and perceptions, and obstacles and enablers for designer participation in construction safety. The responses from the various groups were compared to identify the groups that are more receptive to the idea of designer participation in construction worker safety. The results showed that architects were the least receptive to the idea, whereas the other groups were more likely to be supportive, with some hesitations. Architects and engineers identified the existence of economic, legal, and contractual obstacles for designers to practice DCWS, whereas contractors only identified economic obstacles. No enablers were identified by any group. The research contributes additional information that can be used by construction industry practitioners and organizations desiring to expand and optimize PtD implementation in the United States. The research results can be used by project teams to plan for PtD education and training efforts on projects and by construction industry organizations to develop PtD diffusion strategies. (C) 2015 American Society of Civil Engineers.
