Tower cranes are indispensable in modern construction, playing a pivotal role in lifting and moving materials across sites; typically, their site life involves erection, use, climbing, and dismantling, requiring interaction between people and plant. Consequently, it involves complicated processes that result in tower cranes collapsing, which substantially impacts construction health and safety (H&S). Ideally, implementing effective H&S practices during tower crane utilisation should limit tower crane accidents in developing countries. However, inadequate knowledge and skills on the part of built environment professionals has been noted to be a major barrier to the adoption and implementation of effective H&S practices. Therefore, formal education and training provide an avenue for learning, and ultimately, to improve H&S practices. The research therefore seeks to determine the extent tower crane H&S is addressed in built environment curricula and compare with what is expected for effective tower crane H&S practices with a view to establishing the knowledge gap. This research aims to assess course curricula content in six public universities across the six geopolitical zones in Nigeria offering all four construction-related programmes, namely Architecture, Building, Civil Engineering, and Quantity Surveying, using content analysis. The knowledge requirements for effective tower crane H&S practices were determined from the literature and validated by construction professionals. The results showed that the Department of Civil Engineering had the highest percentage of inclusion of 48.5%. The study also determined that knowledge relative to the use of innovation and smart technologies, H&S management systems, and physical and mental abilities generally lacking across the various departments’ curricula. The study concludes that the extent to which knowledge of tower crane H&S practices is addressed in the curricula of construction-related programmes in Nigerian universities is below average and needs improvement to effectively implement tower crane H&S practices.