Health and safety management practices on road construction projects of Addis Ababarncity face a significant policy implementation and awareness creation gap that result inrnthe occurrence of injuries and accidents. Research has shown that there are differentrnstated polices on construction projects and different Road construction projects keeprnfacing health and safety issues. This study identified health and safety practices in roadrnconstruction projects and stated the main causes of accident in road constructionrnprojects as well proposed a measure to mitigate. Considering the situation in roadrnconstruction the research asks what is the general look of safety and health managementrnin Addis Ababa City road construction projects. Based on a review of the literature andrnthe existing situation in Addis Ababa City Road Construction the Methodology isrndesigned in a descriptive way that includes both qualitative and quantitative researchrnapproach on 18 projects undertaken by foreign and local contractors. A survey questionrndistributed to Clients, Consultants, and Contractors, by using Convenience Sampling.rnAnalysis of the responses demonstrated that on Local contractors all the health andrnsafety management Measuring criteria are below 50% except Health and safetyrnequipment. The result indicates that health and safety management are not given enoughrnattention towards management, supervision, workspace and policy implementation,rnawareness creation and environmental protection in the road construction industry.rnMajor causes of road construction injuries are stated as dust, excavation, noise,rnvibration and traffic accidents. On this basis, recommendation is given that Client,rnContractors, and Consultant must give enough attention in awareness creation, supervisernpolicy implementation, equipped workers and produce a conduced environment. Furtherrnresearch is needed to identify strategies and implementation procedures on the healthrnand safety of road construction projects.rnKey words: