This study explored the extent to which health and safety (H&S) are considered in the procurement of public sector projects in Ghana. This is based on the background that procurement decisions have implications for project H&S management. The enormous size of public procurement projects offers opportunities for public clients to influence the behaviour of the construction market including the promotion of H&S through procurement. To date, no study has fully assessed the extent of H&S

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... ons in procurement decisions for public sector construction projects in Ghana. To fill this gap, this research has provided an evidence-based assessment of H&S considerations in the various stages of the procurement process for public sector projects in Ghana. Through a questionnaire survey, data were collected from construction industry professionals in Ghana. The data were subjected to statistical analysis to evaluate the extent of H&S considerations. The findings suggest that H&S is given low priority in the procurement of public projects, because clear project objectives relating to H&S are not set, and adequate consideration is not given to H&S at the various procurement stages. Based on the findings, this research has made recommendations to promote H&S in public procurement in Ghana.