The implementation of Occupational Health and Safety Management systems remains a significant concern, particularly in the context of multi-storey building construction projects. Within the realm of these complex endeavors, the management of work-related accidents during formwork operations is of paramount importance. This research employs a rigorous methodology involving questionnaire distribution and interviews, complemented by advanced analytical tools such as the Frequency Adjusted Importance Index (FAII) and Bow Tie Analysis. The study focuses on the Indonesian Development University’s high-rise building project, systematically assessing potential hazards associated with formwork activities. Furthermore, this research evaluates the inherent risk levels and proposes comprehensive control measures to mitigate these hazards effectively. By shedding light on the intricate interplay between safety management and high-rise construction, this study contributes to the enhancement of occupational safety and health practices in the construction industry, ultimately promoting safer and more efficient work environments.