Traditional construction safety management is associated with high accident and fatality rates, which often lead to the loss of precious lives and financial resources. To counter this, safety managers and construction stakeholders have turned to innovative means of safeguarding workers at construction sites. Among the emerging safety tools, Wearable Technologies (WTs) stand out specifically because of their capability to capture and transfer real-time on-site data, thereby fostering a proactive approach to construction safety management. Although existing studies have proven that WTs can significantly improve construction site safety, a critical investigation of the trends in the application and implementation of these devices to enhance construction safety monitoring is missing in the literature. This study fills this gap by conducting a comprehensive review of papers on WTs in construction safety, employing a multi-step methodological approach that combines a literature review and bibliometric analysis. This study identified and analyzed forty-eight relevant articles. The findings reveal that most WTs are embedded with sensors, such as electrocardiography (ECG) and photoplethysmography (PPG) for heart rate monitoring, electroencephalogram (EEG) for fatigue level monitoring, inertial measurement unit (IMU) for motion data collection, and global positioning system (GPS) for location tracking. This study also shows that WTs are typically embedded in head-mounted devices (such as safety helmets), wristbands, or smart garments (such as smart vests). In contrast, some insole sensors for detecting awkward working postures are embedded in footwear-like safety boots. Moreover, this study provides a novel contribution to the body of knowledge by providing a thorough analysis of the evolution of WTs for enhancing construction safety over the years. Finally, the study serves as a valuable reference for both academic researchers and industry stakeholders, as it helps mitigate accidents and enhance overall worker safety.