Highway construction workers face a high risk of serious injury or death. Image-based training materials depicting hazardous scenarios are essential for engaging safety instruction but remain scarce due to ethical and logistical barriers. This study develops and evaluates a generative AI methodology for producing synthetic visualizations of highway construction hazards from OSHA Severe Injury Report narratives. Two modes were developed: a single-pass approach yielding one image per incident, and a temporal approach producing a four-stage sequence. A sample of 75 incident records yielded 750 images, evaluated using CLIP-based semantic retrieval and expert assessment across dimensions such as educational utility, fidelity, and alignment. Single-pass images achieved 81.1% educational acceptability with fidelity and alignment scores of 4.14/5 and 4.07/5, respectively, while temporal sequences achieved 60.9% acceptability with comparable alignment (3.94/5) but lower fidelity (3.51/5). CLIP-based retrieval revealed that both modes produce images with statistically significant retrieval capabilities. This is among the first studies to leverage modern autoregressive image generation models for visualizing construction hazards from reported severe injuries and to generate temporally sequenced hazard imagery, and a new multi-dimensional evaluation framework was developed to support future research in this domain. The work enables safety trainers to pair narrative storytelling with visual learning material without photographing real-world hazards, and the framework could be applied to datasets across diverse domains, enabling synthetic image generation tailored to new application areas.