The usage of technology in the construction sector has gradually increased over time. To leverage the benefits of smart wearables for health and safety in the workplace, the study evaluated the drivers and barriers to the adoption of these devices. Respondents on forty (40) commercial building construction sites in Lagos state, including clients, contractors, site workers, and health and safety officers, were surveyed using a well-structured questionnaire through the use of purposive sampling. Descriptive statistics and factor analysis were employed to analyze the obtained data. The results revealed that stakeholders are willing to adopt the usage of the device and the prevailing drivers include the device's ability to enhance the safety of workmen on the construction site, the ability to monitor the health of personnel on site, and its functionality while the top-rated barriers as revealed by the study are age of users, cost of maintenance, and time for additional training. This research gives insights into the drivers and barriers for the adoption of smart wearable devices for construction health and safety in a developing country. The findings reveal that industry stakeholders are eager to accept the device. This research will encourage collaboration between the government and industry stakeholders to facilitate the device's adoption through adequate planning put in place by the government. This will allow international partners to expand the internet services needed for the devices to function.