Climatic heat stress management systems in Hong Kong’s construction industry : a scoping review

Abstract

Climatic heat stress in Hong Kong’s construction industry has been exacerbated by global climate change in recent times and the city has been taking proactive measures in protecting its workforce. Heat stress management systems refer to integrated frameworks, including policies, technologies, and practices, designed to monitor, mitigate, and prevent heat-related risks to workers’ health and productivity in hot environments. This scoping review investigates the existing heat stress management systems within Hong Kong’s construction industry, analyzing policies and academic research, and highlighting challenges and proposing solutions. A systematic scoping method was used to review and synthesize findings from 49 peer-reviewed articles (updated to 2025) and nine policy documents. This study highlights the interplay between research innovations like AI-driven models and wearable cooling technologies and policy frameworks. The results indicate substantial progress in Hong Kong’s drive to manage heat strain and accidents among construction workers over the years, with advancements in real-time advisory systems and protective equipment, improving worker safety and productivity. However, limited scalability, costs, socio-cultural compliance issues, gaps in addressing equity concerns among vulnerable workers, policy implementation, and other challenges persist. This review underscores the importance of building resilient systems against the escalating heat stress risks by proposing the integration of research-based technological innovation with policies and socio-organizational considerations. It contributes to providing the first updated scoping review post-2020, identifying implementation gaps (e.g., 40% non-compliance rate) and proposing a concrete action framework for future interventions. Recommendations for future research include cross-regional adaptations, cost-effective solutions for medium-sized construction enterprises, and the continuous re-evaluation and improvement of current interventions.