Abstract
Lack of stringent measures in safety and construction laws has been attributed to poor performance
in Health and Safety (H&S) in the construction industry. The review of literature in the existing
body of knowledge becomes paramount in order to continue with the research on the subject
matter. The review will enable the road map for the development of the conceptualised integrated
H&S compliance model for the Ghanaian construction industry. The conceptualised model theory
form the bases of the discussion in this paper. A total number of fifteen studies relevant to accident
causation theories were selected out of the total number of thirty studies reviewed, through a
rigorous process. The assessment of H&S compliance model for the study was carried out through
the combination of objective and subjective attributes. The Domino Theory form the basis for
theoretical and conceptual framework of this paper. The study adopted various constructs from
Accident Root Causes Tracing Model (ARCTM) and Domino theory. The hypothesised integrated
holistic H&S compliance model is presented in this paper based on an in-depth review of the
previous models. Government support and contractor’s organisational culture serve as variable
constructs identified as gaps in H&S compliance research. Discussions also included the integrated
holistic model and the variables of the model, identification of the model and justification for the
selected variables. The paper presented the hypothesised integrated holistic H&S compliance
model. The gaps identified in H&S compliance research served as the variable constructs. They
are government support and contractor’s organisational culture.