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Purpose: The purpose of this study is to identify industrial accidents, worker disease status, health manager status, and overseas construction industry safety and health systems in the construction industry. Method: The research method is descriptive research through secondary data such as statistical data surveys, research reports, and thesis research. Result: As a result of the study, the construction industry in 2023 had the highest number of deaths among all industries at 2.18%, disease disasters increased by 0.10%p in 23 years compared to the previous year in 22 years, and the average age of those working in the construction industry was 53.1 years old, and an aging trend is expected in the future. The 22-year seniority status of health managers in the construction industry was 79.10% in the manufacturing industry and 20.90% in the construction industry. Overseas systems related to the construction industry include the OSHA Voluntary Protection Program (VPP) in the United States, the Construction Design and Management Regulations (CDM) in the United Kingdom, and the Occupational Safety and Health Act of the Ministry of Health, Labor and Welfare in Japan. Conclusion: In conclusion, in order to prevent industrial accidents and diseases in the construction industry, it is necessary to prevent and improve the risk of safety accidents through construction site tours and risk assessments based on the national safety and health system and legal system. In addition, it is necessary to develop health management programs for vulnerable workers, including the elderly, and programs to promote worker health, such as prevention and management of job stress and musculoskeletal diseases.