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The construction industry is recognized as one of the most hazardous industries globally due to the dynamic on site activities and labour-intensive characteristics. The construction tasks are physically and cognitively demanding therefore the construction workers are prone to work fatigue which compromises safety performance. The evaluation of fit for duty, or fitness for work (FFW) aims to determine if workers are at risk of adverse impacts of ill-health, injury or accidents. This systematic review aimed to critically summarize up-to-date measures and evaluation tools that were employed to monitor work fitness or fatigue specifically among construction workers. Adhering with the PRISMA protocol, three databases were searched from the inception to 2022, with a total combination of 37 keywords, concluding to the selection of 20 relevant articles. The Mixed Method Appraisal Tool (MMAT) was used as the guide for the study appraisal. A total of 20 articles were reviewed, published from 2008–2022. Majority of the studies employed experimental design. The review identified the subjective evaluation scales and objective measurement tool. The subjective self-response questionnaires can be categorized into single dimension or multidimension covering both physical and mental fitness; whereas the objective measurement tool can be categorized into physiological metrics, physical and cognitive performance measure. The available scientific evidence has raised the relevant issues for on-site practicality and potentially guide the formulation of evidence-based guidelines for the FFW assessment in the construction industry.

建筑业因施工现场活动动态多变且兼具劳动密集型特征，被公认为全球最高危的行业之一。建筑作业兼具体力与脑力双重负荷，因此建筑工人极易出现工作疲劳，进而损害安全绩效。工作适合度（fitness for work, FFW）评估旨在判断工人是否存在因健康不良、受伤或事故而遭受负面影响的风险。本系统综述旨在批判性总结当前专门用于监测建筑工人工作健康状态或疲劳状况的最新评估方法与工具。本研究遵循《系统评价和荟萃分析优先报告条目》（PRISMA）规程，从3个数据库建库起始至2022年进行检索，共组合使用37个关键词，最终筛选出20篇相关文献。研究采用混合方法评价工具（Mixed Method Appraisal Tool, MMAT）作为文献质量评价的指导框架。本综述共纳入2008年至2022年间发表的20篇文献进行分析，其中绝大多数研究采用实验研究设计。本次综述识别出两类主流评估手段：主观评价量表与客观测量工具。主观自陈问卷可分为单维度与多维度两类，同时覆盖体力与脑力健康状态；而客观测量工具则可分为生理指标、肢体运动与认知绩效测量三大类别。现有科学证据提出了施工现场实用性相关的核心议题，同时有望为建筑业工作适合度评估的循证指南制定提供参考依据。