Alcohol and drugs are used in construction, especially by workers. The risk profile of alcohol and drugs on project sites varies, from catastrophic incidents resulting in great injury and or loss of lives to minor incidents. This paper is based on a study conducted to explore the effects of substance abuse among construction site workers in Bloemfontein, South Africa. A qualitative research method was utilized to obtain information concerning the issues, which engender substance abuse by construction workers. The study reveals that many construction workers use drugs and alcohol as a coping mechanism for financial strains. In addition, these challenges also affect the families of the workers and then, create an enabling environment for 'vicious cycle'. The findings highlight the need to eradicate substance abuse in the sector through its associated socioeconomic impact on construction workers and the society.
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