The profile and function of the health and safety coordinator in civil engineering works has till now received insufficient attention. This paper first analyzed all public contracts between 2008 to 2016 in Spain related to health and safety. We then proceeded to assess a case study of a company focused on health and safety coordination in the period 2012 to 2015 and the results of a survey of the views of different stakeholders. We then used the knowledge acquired, objective results, and lessons learned to develop recommendations related to the profile, main functions, and best practices for the performance of health and safety coordination