Construction Industry
Stop Construction Injuries from Becoming Recordables. Stop Recordables from Becoming the Mod Rate That Loses You the Bid.
Construction is the third most dangerous industry in the US — and the one where a single recordable injury doesn’t just cost you the claim. It costs you three years of elevated mod rate, higher insurance premiums, and prequalification failures on bids you should win. HealthcareLive puts a board-certified specialist at every job site in under 10 minutes — triaging injuries before supervisors decide to send workers to the ER, documenting every incident completely, and building the prevention program that stops the next one before it happens.
Board-certified triage <10 min — any job site
–90% direct medical spend reduction
83.6% resolved without outside care
3-year mod rate projection included
Post-accident drug screening — chain of custody
#3
Most dangerous US industry by total fatalities — construction accounts for 1 in 5 worker deaths nationally, with the Fatal Four responsible for 65% of all construction fatalities in 2023
3 Years
How long a single recordable injury compounds your experience modification rate. Every OSHA 300 entry this year affects your insurance premiums and bid prequalification scores through 2027
$104,800
Loaded cost of a single workers’ comp claim without HealthcareLive — surgery + indemnity + productivity loss + replacement labor. With HCL: $502 average per injury. 83.6% resolved without outside care
12×
ROI on workers’ comp spend when HealthcareLive manages both injury triage and workers’ comp program — including productivity savings, indemnity cost reduction, and mod rate protection
Trusted by leading orthopedic groups across the country
Trusted by leading orthopedic groups across the country
Atlantic Orthopaedic
Campbell Clinic
EmergeOrtho
Proliance Surgeons
Tulsa Bone & Joint
Slocum Orthopedics
OrthoCincy
Rebound Orthopedics
The Construction Healthcare Problem
Every construction employer is managing the same four problems. Most are managing them with solutions built for a different industry.
Construction employers don’t have a “healthcare problem” — they have a triage decision problem. Without a clinical resource immediately available, a foreman defaults to sending the worker to the ER. That ER visit creates an OSHA recordable that will compound your mod rate for three years, even when the injury was a minor sprain that a board-certified specialist would have managed conservatively.
The ER Default Problem
Foremen send workers to the ER because it's the only option they have
Without an immediate clinical triage resource, every injury becomes an ER visit — and every ER visit that requires treatment becomes an OSHA recordable.
The Dispersed Workforce Problem
12 active job sites — every one is a healthcare access gap
A construction company with 12 active sites doesn’t have an occupational health clinic near each one. The site in the suburbs might be 45 minutes from the nearest urgent care.
HealthcareLive puts a board-certified specialist at every site simultaneously.
The Subcontractor Problem
Sub injuries show up in your mod rate even when you're not the employer of record
GCs are often liable for subcontractor injuries on their sites — and sub injury rates affect OSHA recordable counts and safety prequalification scores.
A triage platform can extend to subs at your sites with no additional IT infrastructure.
The Documentation Problem
Incident documentation assembled after the fact is a workers' comp defense liability
The OSHA 300 entry, incident report, and first medical record should all be created at the moment of injury — not reconstructed by HR the next morning.
HealthcareLive creates the board-certified clinical record at T+5 minutes.
The HealthcareLive Construction Solution
A board-certified specialist at every job site, on every smartphone, in under 10 minutes — with OSHA documentation, mod rate protection, and drug screening.
Triage in <10 minutes at any job site — no clinic required
Any foreman, superintendent, or safety manager can initiate triage on a smartphone. Board-certified specialist on video in under 10 minutes.
83.6% of injuries resolved without outside care — rate protected
Only 10% of HCL-managed injuries require outside care. Every injury that doesn’t reach the ER is a recordable that doesn’t compound your mod rate for three years.
Post-accident drug screening — ordered from the injury record, chain of custody intact
Post-accident screen ordered in the same HealthcareLive platform managing the injury triage — no handoff, no documentation gap.
Daily Stretch & Flex before every shift — MSDs before they start
Pre-shift movement programs targeting the back, shoulder, knee, and wrist injuries that account for the majority of construction recordables.
Complete benefits for your full-time workforce
Health, dental, vision, MSK care, and wellness coaching on the same platform managing your job site injury program.
OSHA Fatal Four + Mod Rate Protection
The four injury types that kill construction
workers — and how the ones that aren't fatal
still destroy your mod rate.
OSHA’s Fatal Four account for 65% of construction fatalities. But the injuries that dominate your
OSHA 300 log — back strains, shoulder injuries, knee conditions, lacerations — are the ones that
don’t make headlines. They make mod rate entries. And every one that reaches the ER without a
clinical triage alternative compounds your experience modification rate for three years.
OSHA 300 log — back strains, shoulder injuries, knee conditions, lacerations — are the ones that
don’t make headlines. They make mod rate entries. And every one that reaches the ER without a
clinical triage alternative compounds your experience modification rate for three years.
Fatal Four #1
Falls
Construction fatalities. Also the #1 source of non-fatal construction injuries — slip, trip, and fall events are the most common daily injury type at ground level, scaffolding, and ladder work
HCL triage: immediate clinical assessment, fracture vs. sprain determination, ER routing only when clinically indicated — not as default. Stretch & Flex: balance and stability work for fall risk reduction.
Fatal Four #2
Struck-By
Non-fatal struck-by events — tools, materials, vehicles — are the second most common daily construction injury type and a significant source of soft-tissue and musculoskeletal claims
HCL triage: immediate severity assessment after any struck-by event — distinguishing minor bruising from internal injury, head trauma screening, and post-accident drug screen ordered from same record.
Fatal Four #3
Electrocution
Electrocution events on construction sites often involve immediate medical response needs — and documentation requirements following electrical incidents are among the most stringent OSHA imposes
HCL triage: immediate post-electrical event assessment, documentation for OSHA Severe Injury Reporting (SIR) requirements, and coordination with emergency services when clinically indicated.
Fatal Four #4
Caught-In/Between
Caught-in/between events — equipment, cave-ins, rotating machinery — produce some of the highest-severity non-fatal injuries in construction and require immediate clinical assessment
HCL triage: immediate severity triage for any entrapment or crush event, emergency services coordination, OSHA 300 documentation from T+5 minutes.
The Mod Rate Compounding Problem
A recordable in Year 1 doesn't just cost you the claim. It costs you three years of elevated insurance premiums and bid prequalification penalties.
The experience modification rate (EMR) is calculated using your claims history for the three most recent complete policy years — a rolling 36-month window. Every recordable injury you have today compounds your insurance cost and bid competitiveness through 2027. For GCs bidding on government contracts with prequalification requirements, a mod rate above 1.0 can disqualify a bid outright. A mod rate above 1.25 eliminates most federal and large private contract opportunities.
Year 1
0.88
Year 2
1.14
Year 3
1.31
The 3-year window means it takes three years of improved performance to fully repair a bad claims year. Every recordable prevented this year is compounding in your favor for the next three. HealthcareLive clients see an average mod rate reduction of 0.15–0.20 points in the first full program year.
A back strain on a job site doesn’t have to cost $104,800. HealthcareLive closes the default ER path at the point of triage.
Without HCL
Back strain — day one
Foreman sends to ER — no clinical resource available
ER visit: $1,389
ER treatment → OSHA recordable + workers’ comp claim Claim opened
3-week specialist wait. Off work during wait.
Indemnity: $3,600
Surgery recommended. Pre-auth, surgery, recovery. Surgery: $28,000+
Recordable compounds mod rate for 3 years.
Mod impact: $60,000+
Mod impact: $60,000+
~$104,800
With HealthcareLive
Same strain — same day
Foreman opens HealthcareLive on phone — 45 seconds.
T+0 minutes
T+0 minutes
Board-certified specialist on video — full clinical assessment. T+5 minutes
Grade I lumbar strain. Conservative care plan. Modified duty.
No recordable created
No recordable created
MSK virtual pathway. Worker returns to modified duty same day.
No lost time
No lost time
Full duty in 5–7 days. Complete clinical record in dashboard.
No indemnity. No replace.
No indemnity. No replace.
No OSHA recordable. No mod rate impact. No bid penalty. Mod rate protected → 3 yrs
$502 avg.
The Mod Rate Compounding Problem
Every product in the HealthcareLive platform,
mapped to construction's specific injury,
compliance, and workforce challenges.
HealthcareLive is a virtual-first platform — every solution works from any smartphone, tablet, or computer at any
job site. On-site specialist programs are available at your highest-volume sites or permanent facilities and benefits
available for your full-time workforce.
Core Construction Product · Virtual-First
Remote Injury Care · Board-Certified Triage <10 Min at Any Site
The primary injury response platform for every job site in your portfolio. A board-certified specialist on any smartphone, before the superintendent decides whether to call 911 or send the worker to the ER. The clinical decision that protects your mod rate starts here.
Job site deployment: any smartphone, any site, any trade. Works on cellular — no job site WiFi required. Superintendent or safety manager initiates in under 60 seconds.
- Board-certified specialist <10 min — any site, any time zone
- 83.6% of injuries resolved without outside care — no ER, no recordable
- OSHA 300 documentation created at T+5 min — board-certified, timestamped
- Post-accident drug screen ordered from injury record — chain of custody intact
- 40% faster return to full duty vs. standard care
Daily Prevention · Pre-Shift
Stretch & Flex · Pre-Shift MSD Prevention
Daily structured movement programs before every shift — led by a foreman using the digital library or delivered by an on-site specialist at high-volume sites. 300+ routines matched to construction roles: framers, ironworkers, concrete finishers, operators, and laborers.
Job site deployment: foreman leads digital session on job site tablet or screen. Role-specific routines for every construction trade. Participation tracked per site, per shift.
- –28% MSD frequency reduction — construction trades specifically
- 300+ routines: back, shoulder, knee, wrist — top construction injury zones
- Early symptom detection → automatic triage routing before recordables
- Fleet dashboard: participation rate per site, per shift, per trade
High-Volume Sites · On-Site Deployment
On-Site Programs · Specialist at Your Largest Sites
Dedicated occupational health specialist deployed at your highest-volume job sites and permanent facilities — delivering daily pre-shift prevention sessions, immediate injury triage, ergonomic assessments, and return-to-work management in person.
Construction deployment: on-site at 200+ worker job sites or permanent facilities (shop, yard, office). Virtual-first everywhere else.
- Daily group prevention sessions before every shift — all trades
- Immediate on-site triage — specialist physically present at the incident
- Ergonomic risk assessment for high-risk trades and task types
- Return-to-work coordination with project supervisors and HR
MSK · Recovery · Return-to-Work
Virtual MSK & Muscle-Joint Care
Construction workers with musculoskeletal injuries — back strain, shoulder injury, knee or wrist conditions — enter a fully virtual orthopedic care pathway managed by board-certified specialists. Workers stay on modified duty while recovering.
Job site deployment: mymobility digital recovery app — worker follows care pathway on their phone between shifts. No clinic visits required for most MSK injuries.
- 100 digital care pathways — every construction MSD type covered
- 40% faster return to full duty — worker back on site faster
- Modified duty coordination with superintendent and HR
- Avoids 3-week specialist wait that drives lost time claims
24/7 · Non-Injury Medical
Virtual Urgent Care · 24/7
Construction workers access a board-certified provider in under 20 minutes for non-injury medical needs — illness, infection, respiratory, skin conditions — from any job site or home location. Eliminates urgent care visits that consume workday hours.
Job site deployment: any smartphone, any time. Crew member uses HCL app for non-injury medical needs — not just injury triage. Reduces absenteeism from untreated illness.
- Provider in under 20 minutes — prescription and ca
- 96% of urgent care visits resolved without requiri
- Reduces absenteeism from untreated illness and delays
- Fleet dashboard: participation rate per site, per shift, per trade
Post-Accident · DOT · SAMHSA
Drug Screening & Compliance
Post-accident, pre-employment, random pool, and reasonable suspicion screening — ordered through the same platform managing your job site injury triage. Post-accident screen ordered from the injury record in under 2 minutes, chain-of-custody documentation starts at the incident report.
Construction-specific: DOT drug testing for CDL operators on site. Post-accident chain of custody starts at the HCL injury report — no handoff gap between injury documentation and screen order.
- Post-accident screen ordered from injury record in <2 min — no gap
- DOT 49 CFR Part 40 compliant for CDL-operating site equipment operators
- SAMHSA-certified labs + licensed MRO review on every screen
- 20,000+ collection sites — workers can collect near any job site
Complete Benefits · Full-Time Field & Office Workforce
HealthcareLive Benefits Bundle — Health, Dental, Vision & More for Your Full-Time Construction Workforce
Construction employers have historically struggled to offer competitive healthcare benefits to their full-time field workforce. HealthcareLive Benefits is built for this. Health, dental, vision, MSK care, and wellness coaching on the same platform managing your job site injury program. One enrollment, one renewal, one platform for the full-time crew you need to retain.
Construction application: full-time field workers, project managers, estimators, and office staff — the workforce you're competing to retain in a tight labor market.
- Health, dental, and vision for full-time field and office workforce
- MSK care included — the injury type that drives most construction claims
- Wellness coaching for the mental health and physical demands of field work
- Virtual Urgent Care 24/7 — crew uses it for injury and illness from same app
- Single enrollment, single renewal — HR manages one platform for all programs
The Mod Rate Compounding Problem
What managing healthcare across 12 active job sites actually looks like — when it works.
The defining operational challenge for mid-size and large construction companies is that your healthcare problem is distributed across every job site you’re running simultaneously. The injury at the bridge project 40 miles from your office, the one at the downtown high-rise where your super is up on the 18th floor — all need a clinical triage resource in under 10 minutes. HealthcareLive is one platform deployed across all of them from the moment your workers arrive on site.
No clinic infrastructure. No proximity requirement. Any superintendent, foreman, or safety manager who has the HealthcareLive app on their phone is immediately connected to a board-certified specialist — which means your triage capability scales exactly with your project portfolio without adding headcount.
Live scenario — Ironworker shoulder injury, Highway 45 Bridge, 9:12 AM
9.12
Ironworker reports shoulder pain after overhead lift — Pier 6 work platform
Superintendent opens HealthcareLive on phone. Incident documented in 45 seconds: mechanism, body zone, initial pain level. Timestamp locked.
9.16
Board-certified specialist connected — clinical assessment begins
Superintendent opens HealthcareLive on phone. Incident documented in 45 seconds: mechanism, body zone, initial pain level. Timestamp locked.
9.24
Clinical determination: Grade II AC strain — conservative care, modified duty
Specialist assigns care plan: anti-inflammatory protocol, modified duty (no overhead work for 72 hrs), virtual MSK follow-up in 48 hrs. No ER needed. No OSHA recordable created.
9.26
Post-accident drug screen ordered — from the injury record, 2 clicks
Screen ordered from the open injury record. Nearest collection site routing sent to the two crew members present at the incident. Chain-of-custody clock starts at T+14 minutes.
9.28
Complete record in employer dashboard — safety director notified
Incident report, triage record, clinical assessment, care plan, drug screen order, and modified duty recommendation all in employer dashboard. Mod rate: protected.
$502 avg. cost · No ER · No recordable · Drug screen ordered · Complete documentation — all from a smartphone at Pier 6
HCL vs. ER Default — 9 Differences
Why routing injured workers to the ER instead of HCL triage costs you 200× more and creates recordables that compound for 3 years.
Construction Sub-Sectors
HealthcareLive serves every segment of the
construction industry — from general
contracting to specialty trades to heavy
civil and residential.
Each construction sub-sector has a distinct injury profile, workforce structure, and
regulatory context. HealthcareLive’s platform adapts to all of them — virtual-first
for every job site, on-site at your highest-volume facilities.
regulatory context. HealthcareLive’s platform adapts to all of them — virtual-first
for every job site, on-site at your highest-volume facilities.
General Contracting
High Volume · Multi-Site · Subcontractor Complexity
GCs managing 10–50 active job sites simultaneously need triage capability that scales across every project without adding clinical headcount. HealthcareLive deploys across your entire project portfolio — one platform, one dashboard, every site covered from day one of mobilization.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
Specialty Trades
High MSD + Electrical Exposure
Electrical, plumbing, HVAC, roofing, and mechanical contractors have high rates of overhead work, repetitive motion MSDs, and electrocution risk. Specialty trade crews often work across many job sites simultaneously with small crew counts — the virtual-first model is the only practical triage solution.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
Heavy Civil & Infrastructure
Highest Severity · Remote Locations
Highway, bridge, tunnel, and heavy earthwork contractors operate in the most remote job site locations with the highest injury severity profile in construction. A worker injured at a remote bridge project may be 30–60 minutes from the nearest medical facility. Virtual triage is most critical for heavy civil employers.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
Residential & Multifamily
High Volume · High Turnover
Production home builders and multifamily developers run high-volume, high-turnover workforces across many simultaneous sites — often with subcontractor-heavy crews that create complex liability structures. The virtual-first model eliminates the healthcare infrastructure cost that makes occupational health programs uneconomical at typical residential margins.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
Industrial & EPC Construction
Large Crews · Prequalification Pressure
Engineering, procurement, and construction (EPC) contractors and industrial builders work under the most stringent prequalification and mod rate requirements of any construction segment. A mod rate above 1.0 eliminates many large industrial contracts. HealthcareLive manages injury outcomes with the precision required to protect bid eligibility on major industrial projects.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
Demolition & Renovation
Highest Hazard Exposure
Demolition contractors and renovation teams face the highest concentration of hazardous material exposure (asbestos, lead, silica) alongside the traditional construction injury risk profile. Post-incident documentation requirements for hazmat exposure events are among the most stringent OSHA imposes — HealthcareLive creates the board-certified record from the moment of exposure event documentation.
Remote Injury Care
On-Site (HQ/Yard)
Stretch & Flex
Benefits
Drug Screening
OSHA Compliance
The OSHA reporting standards, recordkeeping requirements, and drug testing obligations construction employers need — built into the platform.
Construction employers face some of the most complex OSHA recordkeeping and reporting requirements of any industry. HealthcareLive creates the board-certified clinical record from T+5 minutes after the injury — establishing the care timeline, the incident severity determination, and the OSHA recordability assessment from the moment the triage call is complete.
OSHA 300 Log — Work-Related Injury Recordkeeping
Construction employers with 10+ employees must maintain OSHA 300 logs for all recordable injuries and illnesses. HealthcareLive triage creates the clinical determination — injury type, severity, and treatment pathway — that informs recordability assessment from the moment of triage, not after HR assembles the file the next morning.
Board-certified recordability assessment at T+5 min
300A Summary — Annual Posting & Electronic Submission
Construction establishments with 250+ employees (or 20–249 in high-hazard industries) must submit OSHA 300A data electronically annually. HealthcareLive’s employer dashboard provides the complete recordable injury data required for 300A preparation — with clinical documentation supporting every entry.
Complete recordable data in employer dashboard
Severe Injury Reporting — 24-Hour Notification
Hospitalizations, amputations, and losses of an eye must be reported to OSHA within 24 hours. HealthcareLive’s clinical record — created at the moment of triage — establishes the care timeline and injury severity documentation that supports the SIR submission and protects the employer through any subsequent OSHA investigation.
Clinical record supports SIR submission
29 CFR 1926 — OSHA Construction Safety Standards
Construction-specific OSHA standards under 29 CFR 1926 cover fall protection, scaffolding, excavation, electrical safety, and PPE. HealthcareLive specialists are trained in construction-industry injury assessment under these standards, ensuring triage determinations align with OSHA construction definitions.
Construction-specific triage standards
Post-Accident Drug Testing — The Construction Compliance Gap
Every construction injury that could be drug-related needs a post-accident screen ordered immediately — from the same record as the injury report.
When a construction injury happens and the post-accident drug screen is managed through a separate vendor from the injury documentation, the gap between “injury reported” and “screen ordered” creates a documentation vulnerability. A foreman who doesn’t know who to call, a safety director who was in a meeting, or an HR manager who manages the screen through a different portal — any of these create the timestamp gap that plaintiff’s counsel uses in contested workers’ comp claims.
HealthcareLive Drug Screening is ordered from the same injury record managing the triage — in under 2 minutes, with chain-of-custody documentation starting at the injury report timestamp.
Post-Accident
Pre-Employment
Random Pool
DOT (CDL Operators)
Return-to-Duty
Reasonable Suspicion
Construction Outcomes
Documented results from construction
and high-physical-demand employers using
HealthcareLive — on OSHA recordables,
workers' comp costs, and mod rate.
HealthcareLive is a virtual-first platform — every solution works from any smartphone, tablet, or computer at any
job site. On-site specialist programs are available at your highest-volume sites or permanent facilities and benefits
are available for your full-time workforce.
–90%
Direct medical spend reduction
$502 avg. per injury vs. $6,000+ industry average — and significantly less than the $104,800 loaded cost of a claim that reaches surgery, indemnity, and productivity loss
83.6%
Injuries resolved without outside care
Every injury resolved without ER or specialist referral is a potential OSHA recordable that doesn’t compound your mod rate. HCL clients report avg. –40% OSHA recordable rate in first full program year
40%
Faster return to full duty
Workers managed through HCL’s virtual MSK care pathway return to full duty 40% faster than the standard specialist referral pathway — reducing lost time, replacement labor cost, and project schedule impact
12×
ROI on workers' comp spend
HCL + workers’ comp program ROI — including medical spend reduction, indemnity savings, productivity recovery, and 3-year mod rate improvement value compounding across the project portfolio
Based on aggregate outcomes across HealthcareLive employer clients in construction and adjacent high-physical-demand industries, 2022–2025. ROI varies by workforce size, project type, injury frequency, and existing workers’ comp program structure. Sources: HealthcareLive internal data; BLS; OSHA; NCCI.
Berkshire Hathaway — Industrial Operations
Heavy industrial · 10,000+ workers across multiple facilities and construction projects
“We were running 14 active construction and industrial projects simultaneously — every one of them a potential mod rate event if we didn’t have a triage resource at the site. HealthcareLive gave every foreman a board-certified specialist in their pocket. Our OSHA recordable rate dropped 40% in the first year. The mod rate followed.”
–40%
OSHA recordable rate — year one
12×
ROI on workers’ comp program
$502
Avg. cost per injury — HCL managed
Safety & Risk Management Leadership
Berkshire Hathaway Industrial Operations
“Our foremen used to send every injured worker to the ER because that was the only option they had. Every ER visit was a recordable. Now they call HealthcareLive first. 83% of those calls don’t become ER visits, don’t become recordables, and don’t become mod rate events. Our OSHA recordable rate dropped 40% in year one.”
Robert Kamara
VP Safety, General Contractor · 1,800 workers, 22 active sites
“Our mod rate was 1.19 going into the year we brought HealthcareLive in. Two years later we’re at 0.91. That is the difference between winning prequalification on three contracts we’re chasing right now and being disqualified before the bid opens. HealthcareLive paid for itself in the first contract we qualified for.”
Robert Kamara
VP Safety, General Contractor · 1,800 workers, 22 active sites
“Our foremen used to send every injured worker to the ER because that was the only option they had. Every ER visit was a recordable. Now they call HealthcareLive first. 83% of those calls don’t become ER visits, don’t become recordables, and don’t become mod rate events. Our OSHA recordable rate dropped 40% in year one.”
Robert Kamara
VP Safety, General Contractor · 1,800 workers, 22 active sites
Construction-Specific Questions, Answered
The objections Safety Directors, VPs of Safety, Risk Managers, and CFOs raise — addressed fully.
"Our foremen and supers won't adopt a new technology on the job site."
This is the most common concern before deployment and the first thing employers report has not been an issue after it. HealthcareLive is a phone call with a doctor, initiated from an app that takes 45 seconds to open. When the alternative is losing 3 hours of their day driving to urgent care and sitting in a waiting room, adoption happens naturally. HealthcareLive’s onboarding includes a 30-minute supervisor orientation — two-thirds of clients report 80%+ voluntary adoption within the first 30 days of deployment without any mandated usage requirement.
80%+ voluntary adoption — 30 days · 30-min supervisor orientation · Adoption driven by convenience, not mandate
"We have a clinic relationship / workers' comp carrier panel. Won't this conflict with our existing program?"
HealthcareLive is a triage and care pathway platform — not a replacement for your carrier relationship or your panel clinic. The HealthcareLive triage session is the first clinical contact that determines whether the injury requires referral to your panel clinic, a specialist, or can be managed conservatively. When HL triage determines that outside care is needed, the specialist coordinates the referral to your panel provider. When HCL triage determines the injury can be managed conservatively — which happens 83.6% of the time — the panel clinic visit never occurs, and your relationship with your carrier is unchanged.
First-contact triage only — panel clinic relationship unchanged · Referrals to panel when clinically indicated · 83.6% of cases don’t need the panel
"We have seasonal and project-based workers. Enrollment is too complicated."
HealthcareLive is designed for the enrollment complexity of construction employers — project crews that mobilize and demobilize, seasonal workers, and subcontractor workforces. Enrollment can be tied to project mobilization — every worker on the site roster is enrolled when the project starts and removed when it ends. For subcontractor workers, a guest enrollment option is available that extends triage access to subs at your sites without requiring them to be on your payroll. Pre-employment drug screening is available for new crew from day one of enrollment.
Project-based enrollment tied to mobilization · Guest access for subcontractor workers · Pre-employment screen before first day · No minimum enrollment duration
"Our job sites don't have reliable cellular or WiFi coverage."
HealthcareLive’s video triage protocol is optimized for low-bandwidth connections — including 3G and weak cellular signals that are common on remote construction sites. For sites with no connectivity, the platform supports a documented offline intake protocol: the superintendent completes the incident intake form offline, which uploads automatically when connectivity is restored and is routed to a specialist immediately. The incident timestamp is preserved from the moment of documentation — not from when connectivity is restored.
Low-bandwidth optimized · 3G functional · Offline intake for dead zones · Incident timestamp preserved from documentation moment
"What about workers who don't speak English? Our crews are multilingual."
HealthcareLive supports 300+ languages across all platform touchpoints — including every primary construction workforce language. Spanish-speaking crews are the most common multilingual group in US construction, and HealthcareLive routes Spanish-language triage requests to Spanish-speaking specialists as a standard routing option. For other languages — Portuguese, Polish, Tagalog, Haitian Creole, Mandarin — the platform provides real-time translation as a secondary layer. Every crew member is assessed in their own language. Consent documentation is in their language. The care plan they take home is in their language.
300+ languages · Spanish routing standard · Real-time translation for all others · Consent and care plan in worker’s language
"How quickly can we get this deployed across all our active sites?"
A HealthcareLive construction deployment can be active across all job sites within 10 business days of contract execution. The platform requires no on-site hardware, no IT integration with existing systems, and no clinic infrastructure — it deploys as an app on existing smartphones that your supervisors already carry. The deployment process: (1) Employer dashboard configured — typically 2–3 days. (2) Supervisor orientation — 30-minute virtual session. (3) Drug screening program configured — collection site network mapped. (4) First triage capability available — day one. A Benefits enrollment launch requires 60 days of onboarding lead time.
Active in 10 business days · No hardware, no IT integration · App on existing phones · Supervisor orientation 30 min per site
One Platform. All Solutions.
Every HealthcareLive product available to
construction employers — on one platform,
one dashboard, managed by one safety or
HR team member.
The value of the platform is that every solution shares the same injury record. A triage event
and a post-accident drug screen share one timestamp. A worker in virtual MSK recovery has
the same record as the original triage. Prevention participation data and injury frequency data
are in one dashboard.
and a post-accident drug screen share one timestamp. A worker in virtual MSK recovery has
the same record as the original triage. Prevention participation data and injury frequency data
are in one dashboard.
Any site · Any phone · <10 min
Remote Injury Care
Board-certified triage at any job site — before the foreman decides to send the worker to the ER. The OSHA documentation and mod rate protection starts here, at T+5 minutes.
Pre-shift · Every trade · –28% MSD
Stretch & Flex
Daily pre-shift movement programs for every construction trade — stopping MSDs before they generate OSHA 300 entries. 300+ routines matched to job role and body zone risk.
200+ worker sites · On-site deployment
On-Site Programs
Dedicated occupational health specialist at your highest-volume job sites and permanent facilities — in person where the headcount justifies it, virtual everywhere else.
MSK · Recovery · 40% faster RTW
Virtual MSK Care
100 digital care pathways for construction MSDs — workers recover while staying on modified duty. 40% faster return to full duty vs. the standard specialist referral pathway.
24/7 · Any condition · 300+ languages
Virtual Urgent Care
Non-injury medical needs — illness, infection, respiratory — managed virtually in under 20 minutes. Reduces absenteeism and unplanned project coverage gaps across all active sites.
Post-accident · DOT · SAMHSA
Drug Screening
Post-accident screen ordered from the injury record in under 2 minutes — chain-of-custody starts at injury report timestamp. 20,000+ collection sites near any job site.
Full-time workforce
HealthcareLive Benefits
Health, dental, vision, MSK care, and wellness coaching for your full-time field and office workforce — on the same platform managing job site injury care.
All sites · Real-time · Mod rate
Employer Dashboard & Mod Rate Tracking
Every job site, every injury, every drug screen, every prevention session in one dashboard — with mod rate projection, OSHA recordable tracking, and 300A preparation data.
SOC2 Type II
HIPAA Compliant
OSHA 300 / 300A
SAMHSA-Certified Labs
300+ Languages
86.6 NPS Score
Virtual-First · Any Shift
Talk to a Construction Specialist
Get your 3-year mod rate projection, OSHA recordable cost model, and job site deployment plan — before your first conversation with our construction team.
In a 30-minute call, a HealthcareLive construction specialist will review your injury history, current workers’ comp program, active job site portfolio, and drug testing setup — and build a mod rate projection, recordable cost model, and deployment recommendation tailored to your operation.
3-year mod rate projection — with and without HCL
Based on your current claim history and workforce size, we’ll project the mod rate trajectory with HCL in place — and quantify the bid competitiveness improvement in year 1, 2, and 3 of the program.
OSHA recordable cost model — your numbers
How much are your current recordables costing you in medical spend, indemnity, productivity loss, replacement labor, and mod rate premium impact? We’ll build the model before the call.
Job site deployment plan — all active projects
Which sites need virtual triage coverage, which qualify for on-site deployment, how to structure drug testing across your project portfolio, and a 10-day deployment timeline.
2026 construction employer injury cost benchmark report
Industry-specific injury cost benchmarks by construction segment, OSHA recordable rates, mod rate trends, and workers’ comp cost data — sent after the call for your CFO conversation.
Talk to a Construction Specialist
For Safety Directors, VPs of Safety, Risk Managers, CFOs, and HR leaders in construction. We’ll build your mod rate projection and deployment plan before the call.
No spam. HIPAA & SOC2 compliant. We’ll build your 3-year mod rate projection, recordable cost model, and site deployment plan before the call — so the first conversation is immediately productive.
Every recordable injury you prevent today protects your mod rate — and your bids — for three years.
Put a Board-Certified Specialist at Every Job Site Before the Next Injury Becomes a Recordable That Costs You a Bid.
No spam. HIPAA & SOC2 compliant. We’ll build your 3-year mod rate projection, recordable cost model, and site deployment plan before the call — so the first conversation is immediately productive.
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