Construction Industry is a high risk industry and widely recognized as one of most hazardous occupation in the world. The statistic of accidents in Malaysia give us a picture that Malaysian construction industry is one of the dangerous sectors that need a drastic overhaul from the current site safety practices. This paper describes a review of the accident causes occurred in construction site by various researchers during the last twenty (20) years. This paper discusses the accident causes in Malaysia construction works and entire world. The data collected shows that variety of accident causes in construction industry either in Malaysia or other country.