This study has assessed the current health and safety practices used in constructingrnhigh rise buildings in Addis Ababa. The study has given weight to health and safetyrnissues which have been ignored by the construction society.rnThe study used descriptive design. Questionnaires were distributed to 85% of thernemployees of the case company. A sample of fifty employees of the case company wasrntaken. A total of six people including the managers were interviewed to get generalrninformation about the project. The researcher had own observation to the projectrnsites using an observation checklist.rnDescriptive statistical analysis was the major technique used to analyse the datarncollected from the questionnaires. The data were entered to Excel and interpreted andrnanalysed by SPSS version 20 software programme. Triangulation was used to analysernthe data collected from the questionnaire, interview and researcher’s ownrnobservation all together.rnThe researcher recommended that every real estate company should have in-housernhealth and safety policy, appointed personnel, suitable facilities, and PPEs for allrnworkers on the site, and should include health and safety obligations in thernagreements while contracting external contractors.