Rapid urbanisation and weak regulatory enforcement have intensified the incidence of building collapse in Lagos, posing significant threats to urban health and safety. This study examines the spatial dynamics, socio-economic drivers, and public health implications of building collapse across 17 Local Government Areas between 2018 and 2022. A mixed-method approach integrating Geographic Information Systems (GIS) and survey data from 429stakeholders was employed. Spatial analysis using the Average Nearest Neighbour (ANN) revealed a statistically significant clustered pattern of collapse incidents (z= -4.1521; p < 0.01), confirming non-random distribution. High-risk concentrations were identified in Lagos Island, Mushin, Ebute-Meta, and Ikeja areas characterised by high population density (exceeding 20,000 persons/km2), informal construction, and limited regulatory oversight. Approximately 27% of surveyed buildings were non-compliant with the 2019 Lagos State Building Control Regulations, while structures aged 30 – 59 years dominated vulnerable zones. Survey findings indicate widespread awareness (95.5%) of collapse incidents, with 50.9% of respondents directly experiencing or witnessing events. Reported impacts included fatalities (79.7%), property loss (70.4%), physical injuries (63.3%), displacement (56.6%), and psychological distress (52.1%). ANOVA results confirmed significant spatial variation in perceived health impacts (p < 0.05) and government response effectiveness (p<0.05). Although 79.7% acknowledged existing safety policies, only 38.4% considered enforcement effective. The findings demonstrate that building collapse in Lagos is both a spatially clustered infrastructural failure and a public health crisis, underscoring the need for strengthened regulatory enforcement, spatial risk mapping, and health-sensitive urban planning
interventions. Ibadan Planning Journal, Vol. 12 No. 1 (2026): Ibadan Planning Journal