Construction is one of the most physically demanding professions in the United States, and unfortunately, one of the most dangerous when it comes to workplace injuries. In California where infrastructure and development projects are constant, construction workers face a particularly high risk of musculoskeletal disorders (MSDs), especially back injuries. These types of injuries can result in lost income, long-term disability, and even legal battles over workers’ compensation.
If you’re a construction worker dealing with a back injury or looking to prevent one, this guide will provide you with everything you need from risk factors and prevention strategies to California-specific legal protections and compensation processes.
The Scope of Back Injuries in Construction
California construction workers should be aware that they work in the industry that has the highest incidence of work-related back injuries of any industry in the country. As reported by Fox News, musculoskeletal disorders among construction workers make up 25 percent of all workplace injuries, and 40 percent of these are back injuries.
A musculoskeletal disorder affects the worker’s joints, muscles, nerves and/or tendons and often is a very painful condition that takes days, weeks or even months to recover from. Construction workers took an average of eight days off work to recover from back injuries in 2014, resulting in lost wages of over $46 million.
Workers Most at Risk for Back Injuries
Virtually all construction workers are at risk for suffering an on-the-job back injury since their jobs usually require them to continually lift, carry, and work with heavy equipment, tool,s and materials. The following types of workers, however, are particularly at risk for sustaining a back injury:
- Bricklayers and stonemasons
- Drywall installers
- Roofers
- Floor and wall tile installers
- Jackhammer operators
The problem is not only the weight of the tools and materials, but also the contortions and repetitive motions that a construction worker’s body must go through to manipulate them. Such constant motions put ever-increasing stress on the worker’s back, eventually leading to a musculoskeletal disorder that can cause extreme pain and possibly a permanent disability.
An Illustrative Example: The Hidden Load of a Bricklayer
The stress to a worker’s back from lifting even relatively light materials, such as bricks daily adds up over time. The Center for Construction Research and Training gives the following sobering example of what a bricklayer lifts, even though his bricks weigh only 38 pounds. The point is, he lifts one an average of 200 times per day. Here are the results:
- He lifts 3.8 tons in one day, more than the weight of a truck, SUV or limousine.
- He lifts 19 tons in one week, the approximate weight of a Greyhound bus or mobile home.
- He lifts 950 tons in one year; in other words, a drilling rig.
With such enormous weights involved, construction workers should make every attempt to minimize the amount of stress they put on their backs while at work.
Common Symptoms of Musculoskeletal Back Injuries
Recognizing early symptoms can help prevent a minor injury from becoming chronic. Look out for:
- Sharp or dull lower back pain
- Muscle tightness or spasms
- Numbness or tingling (sciatica)
- Limited range of motion
- Weakness in legs or arms
Conditions may include herniated discs, soft tissue injuries, repetitive strain injuries (RSIs), or chronic lower back pain.
Causes of Back Injuries in Construction Work
Physical and Environmental Factors:
- Repetitive bending and twisting
- Carrying heavy materials without assistive devices
- Working in awkward postures for long periods
- Use of heavy vibrating machinery (e.g., jackhammers)
Poor Safety Practices:
- Lack of training
- Ignoring job safety analysis (JSA)
- Inadequate use of ergonomic equipment
Prevention Through Ergonomics and Training
Construction workers and employers must adopt proactive ergonomic practices to reduce injury risks.
Ergonomic Tools & Engineering Controls
- Adjustable scaffolding and work platforms
- Mechanical hoists and lift-assist carts
- Anti-fatigue flooring
- Vibration-dampening gloves and handles
Workplace Training
- Stretching programs before shifts
- Task rotation to avoid repetitive strain
- Onsite safety education and risk assessment plans
California-Specific Laws and OSHA Regulations
In California, workers are protected not only by federal OSHA regulations, but also by Cal/OSHA, which often imposes stricter standards for workplace safety.
Key Legal Protections Include:
- Mandatory safety training programs
- Ergonomic assessments for high-risk roles
- Employer liability for unsafe working conditions
- Protection from retaliation after filing a claim
If an employer fails to follow these regulations, workers may be eligible to pursue additional legal action beyond standard workers’ compensation.
Workers’ Compensation in California: What You Need to Know
How to File a Workers’ Comp Claim:
- Report the injury immediately to your employer
- Get medical attention from a provider listed by your employer’s insurance
- Submit a DWC-1 Claim Form to begin the compensation process
- Keep documentation (photos, doctor’s notes, witness statements)
- Consult an attorney if the claim is denied or delayed
What You May Be Eligible For:
- Medical treatment (including surgery, physical therapy)
- Temporary or permanent disability benefits
- Vocational rehabilitation services
- Mileage reimbursement for medical travel
- Compensation for lost income
Treatment and Recovery Options
Treatment varies by injury severity but can include:
- NSAIDs and pain management injections
- Physical therapy and chiropractic care
- TENS therapy or acupuncture
- Back braces or ergonomic supports
- Surgery for severe conditions like spinal fractures
In long-term cases, an Independent Medical Examination (IME) may be required to determine disability status.
Long-Term Financial and Emotional Impact
Back injuries can result in:
- Ongoing medical costs
- Loss of employment opportunities
- Depression or anxiety due to chronic pain
- Legal disputes over disability classification or settlement amounts
For some, the financial burden can exceed tens of thousands in lost wages and treatment costs, especially if the claim is denied by insurance.
Role of Employers and Unions in Injury Prevention
Employer Responsibilities
- Maintain OSHA-compliant job sites
- Provide ergonomic tools and training
- Monitor workloads and shift lengths
Role of Unions
- Advocate for safer working conditions
- Negotiate injury protection in collective agreements
- Help workers file claims or escalate disputes
Emerging Technology for Injury Prevention
Modern solutions are entering construction to reduce injury risks, including:
- Wearable exoskeletons to reduce spinal strain
- AI-powered safety monitoring tools
- Real-time posture analysis devices
- Smart helmets that detect impact force
FAQs About Construction Back Injuries
What are the most common causes of back injuries in construction?
Lifting heavy loads, repetitive motions, and poor ergonomics are primary causes.
How does workers’ comp work in California?
File a DWC-1 form, get a doctor’s report, and follow through with your employer’s insurance. Legal help may be necessary if denied.
Can I be fired after reporting a workplace injury?
No. California law protects workers from retaliation for reporting or filing injury claims.
What should I do if my workers’ comp claim is denied?
Contact a workers’ compensation attorney to appeal. You may need to gather further evidence or attend an IME.
Is my employer required to provide lifting tools or safety training?
Yes. Cal/OSHA mandates safety equipment and ergonomic training for high-risk tasks.
Speak to a Construction Injury Attorney in California
If you or someone you know is suffering from a construction-related back injury, you don’t have to navigate the complex legal and medical process alone. At Hussain & Gutierrez, we specialize in workers’ compensation and personal injury law in California.
We help injured construction workers:
- File successful workers’ comp claims
- Fight denied or delayed benefits
- Secure compensation for pain, treatment, and lost wages
Schedule your free consultation now and protect your rights.