My family (with me being the first exception) is all blue collar and I understand that construction is uniquely taxing physically but from my parents and people younger I've never heard horror stories about lost fingers or anything like that you're used to from very old people who work in trades. It's definitely possible to do these jobs safely and with good pay nowadays and safety regulations as well as better tools have aided a lot.
A lot of it I feel has to to with culture. If you have a guild system or something comparable that values the crafts and make sure payment and standards are met it's very different from letting people work themselves into the ground.