The construction industry is a hazardous field, with a high risk of accidents due to the nature of the work involved. These accidents range in severity from minor to major injuries and even fatalities, leading to a growing need for occupational health and safety measures. This study therefore aimed to identify and evaluate the accident prevention practices utilized in the construction industry in Zambia. The study used a mixed-method approach that included semi-structured interviews and a survey questionnaire, with a sample population consisting of National Council for Construction (NCC) - registered local contractors in grades 1 and 2, including both employers (contractors) and employees (workers) working on construction projects in Lusaka, Zambia. The study found that common accident prevention practices in the Zambian construction industry included safety training and orientation, the provision and proper use of personal protective equipment (PPE), safety inspections, strict safety enforcement, and the provision of safe working conditions and environments. The research is essential in providing useful information for policymakers, stakeholders, and practitioners in the construction industry in Zambia, by identifying effective accident prevention practices that can be adopted to improve safety in the workplace.