The construction industry is regarded as one of the most highly hazardous industries. Workers are vulnerable to numerous injuries every day due to a lack of efficient safety management at their workplaces, and despite every accident being recorded, efforts with minimum impacts are made to improve the workers' safety. Construction laborers often have to perform their activities in severe weather, enduring both extremely hot and cold temperatures, and as a result, they are prone to developing various health issues leading to accidents. This paper aims to identify strategies and recommendations to improve the occupational health and safety of construction laborers who work in extreme environments. To achieve the objectives of this study, a survey was developed and distributed among workers through an online platform, which yielded 27 responses, then the collected data were analyzed, and the results were used to devise ways to improve the safety and health of workers. The survey results revealed that construction field workers are unable to perform in extreme temperatures because of the lack of proper cooling and heating systems and that most of them experience physical fatigue while exerting themselves in extreme heat. Such circumstances can be managed, and the workers' productivity can improve by establishing an efficient plan for rotating the jobs and providing work/rest cycles. The recommendations of this study can be helpful to construction practitioners who strive to improve the physical, mental, and emotional safety and health of those working under extreme temperatures on construction sites.
