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The impact of Prevention through Design (PtD) practises in improving OSH in the construction sector has been recognised by scholars and industry practitioners. Even though there is now a significant body of PtD literature, the context of profiling the designers’ PtD competence in developing countries, such as Malaysia, remains elusive. Due to the recent implementation of PtD-based guideline in Malaysia, the Occupational Safety and Health in Construction Industry (Management) (OSHCI(M)), the need to recognise the characteristics of a competent designer in fulfilling OSHCI(M) requirements is important and timely. To address this gap, a two-pronged research approach was adopted. First, 135 practitioners were selected using purposive sampling to participate in the questionnaire survey. This is followed by discussions with practitioners who have experiences in OSHCI(M) projects, to further validate the survey …