The issue of handling occupational safety and health is an important aspect of construction projects around the world. The purpose of this study is to find the dominant risk aspects that affect occupational safety and health accidents in high rise building projects. This study used a survey method through questionnaire with analytical hierarchy process (AHP) type. Respondents at minimum must have relevant education background in the construction sector and had at least 3 – 4 years of work experience in the construction sector of high-rise building projects in the Greater Jakarta area. Through literature study, there were 3 aspects with its own sub-criteria that was analysed in this research. Those 3 aspects are Technical Aspects (A), Human Resource Aspects (B), and Unexpected Events aspects (C). With technical Aspects (A) has seven sub-criteria, Human Resource Aspects (B) has six sub-criteria, and Unexpected Events aspects (C) has seven sub-criteria. These variables were compiled into an analytical hierarchy process type questionnaire. The survey used an online media, which is the use of Google Drive (Google Sheets), where each respondent filled in the questionnaire in Google Sheets, stored in an online database. The data from the questionnaire were analysed using a program called Expert Choice to determine which aspects have the highest scored and then each aspect was ranked based on the score. Each sub-criteria of the aspects were also analysed and was ranked based on the score. Based on the results of the analysis carried out, the dominant risk aspects that affect work accidents in high rise building construction projects is human resources (Criteria B).