Best Occupational Health Compliance Platforms for Construction in 2026

Construction remains one of OSHA's most scrutinized industries, and for good reason — it consistently accounts for the highest number of workplace fatalities in the United States. In 2025, OSHA's "Focus Four" hazards (falls, struck-by, caught-in/between, and electrocution) drove the majority of construction citations.

For construction companies, occupational health isn't optional. Between silica exposure monitoring, respirator fit testing, hearing conservation, pre-employment physicals, and post-accident drug testing, compliance demands span the entire project lifecycle — often at remote job sites with no clinic in sight.

Here are the platforms construction companies are using in 2026 to manage that complexity.

What Construction Companies Need

Construction is uniquely challenging for occupational health management:

• Remote job sites: Testing and physicals need to happen where crews are, not just where clinics are located
• Multi-trade compliance: Crane operators, pipe fitters, laborers, and CDL drivers each have different requirements
• Post-accident urgency: DOT and company-policy drug testing must happen within hours of an incident, often in the field
• OSHA silica rule compliance: The 2016 silica standard requires medical surveillance for workers exposed above the action level
• High turnover: Construction's annual turnover rate exceeds 60%, meaning pre-employment screening volume is consistently high
• Union requirements: Many contractors must accommodate specific union health requirements and preferred providers

Top Platforms for Construction Occupational Health

1. BlueHive

Best for: Multi-site general contractors and subcontractors needing nationwide reach

BlueHive's marketplace model connects construction companies to 20,000+ provider locations across all 50 states. This is particularly valuable for contractors working jobs in different cities and states throughout the year.

Why construction companies choose BlueHive:

• Mobile collection services reach active job sites for on-site drug testing, physicals, and surveillance testing
• 24/7 online booking means post-accident testing can be initiated immediately, any time of day
• Same-day appointments with results in 24–48 hours keep new hires from sitting idle
• OSHA silica, noise, and respirator surveillance tracked with automated expiration alerts
• Self-service portal lets union workers and subcontractor employees schedule their own appointments
• No contracts or minimums — scale up for busy seasons and down during winter without penalty

Pricing: Pay-per-service. No setup fees. Drug screens typically $45–65; DOT physicals $85–120. Volume discounts for larger operations.

2. Concentra

Best for: Large commercial contractors in metro areas

Concentra's ~520 owned clinics provide walk-in occupational health services including injury care — a significant benefit when a worker is injured on a metro-area project.

Strengths: Consistent clinical standards, integrated workers' comp, on-site health programs for large projects.

Limitations: Coverage gaps in rural areas and smaller markets where construction projects frequently operate. Limited after-hours availability.

3. WorkSTEPS

Best for: Post-offer employment testing (POET) and functional capacity

WorkSTEPS focuses specifically on post-offer employment testing, providing job-specific functional capacity evaluations that measure whether candidates can physically perform the work.

Strengths: Gold standard for POET testing, job-specific physical demands analysis, injury prediction analytics.

Limitations: Narrow focus — doesn't cover drug testing, OSHA surveillance, or ongoing compliance management. Must be paired with other vendors.

4. DISA Global Solutions

Best for: Drug testing program management for DOT-regulated contractors

DISA specializes in substance abuse program management, DOT compliance, and background screening — all relevant for construction companies with CDL drivers and safety-sensitive positions.

Strengths: Third-party administrator (TPA) for DOT random testing programs, consortium management, electronic chain of custody.

Limitations: Focused primarily on drug testing and background checks. Not a full occupational health platform for OSHA medical surveillance.

5. Cority

Best for: Enterprise construction firms needing EHS + occupational health

Cority's occupational health module integrates with its broader EHS platform, giving large construction firms a unified view of safety incidents, industrial hygiene, and medical surveillance.

Strengths: Enterprise safety management, incident investigation workflows, configurable surveillance protocols.

Limitations: Enterprise pricing ($50K+/year), long implementation cycles, no built-in provider network.

Feature Comparison

Making the Choice

Construction companies rarely need just one of these capabilities — they need most of them. The question is whether to cobble together point solutions (WorkSTEPS for POET + DISA for drug testing + a clinic network for physicals) or use a platform that covers the full spectrum.

For most mid-market construction companies, a marketplace platform like BlueHive offers the broadest capability set with the lowest overhead — no contracts, no minimums, and a provider network large enough to cover wherever your next project takes you.

For enterprise general contractors with dedicated EHS teams, pairing Cority (for surveillance tracking and safety management) with a provider network (for actual testing) may be worth the investment.

For contractors whose primary concern is DOT drug testing, DISA's specialization in TPA services and consortium management may be the most cost-effective choice.

The construction industry can't afford compliance gaps. Every day a position goes unfilled due to screening delays costs real money. Every expired certification is a potential citation. The best occupational health platform for your company is the one that eliminates those gaps without adding complexity to your already demanding operations.

Try BlueHive for your next project →