The construction industry is recognized as one of the most hazardous industries globally. Moreover, the rising trend of urbanization in many developing countries has ushered in a new era of high-rise construction, thus increasing the frequency of hazards related to working at height. Accident records in Saudi Arabia reveal that the construction industry accounted for 46.4% of industrial accidents, while fall-related injury accounted for 27% of the recorded injuries. Scaffolding is the most common access equipment used to work at height. Thus, the first stage in controlling the risks of falls from a height may be to identify the causes of scaffold accidents. This study presents 36 causes of scaffold accidents classified into five relevant groups, which have been identified through a thorough review of the extant literature. Additionally, the causes have been arranged in a survey designed based on a Likert scale of importance. Subsequently, 120 copies were administered to construction professionals in the Eastern Province of Saudi Arabia, with a 75% response rate. The Relative Importance Index (RII) was adopted to analyze the feedback. The results revealed that the top three causes of scaffold accidents include: “insufficient bracing/anchorage” (RII of 0.927), “scaffolding erected by incompetent professionals” (RII of 0.926), and “missing/faulty guardrails” (RII of 0.919). This study is of potential benefit to concerned stakeholders in the construction industry.
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