Construction work is the complexity of work involving building materials, equipment, the application of technology, and labor. The Construction Sector is the largest contributor to the accident rate in Indonesia. percent. To reduce the occurrence of occupational accidents and occupational diseases, it is necessary to identify, assess and analyze the safety and health risks of the construction sector. This study aims to analyze the risks of work at the height that causes work accidents. This research was conducted observationally on the construction of skyscrapers buildings in the period April to June 2021. This research is carried out through the stages of risk assessment identification and preparation of risk priorities, root cause analysis of risk priorities, and formulation of recommendations for risk control and occupational hazards working at height. The results of the study found hazards that threaten the safety and health of workers based on risk assessments with categories of 41.18% low risk, 52.94% moderate risk, and 5.88% high risk