The study examined the state of health and safety risk management practices in the building sector of the construction industry with the objective to examine the health and safety risk management processes adopted by the construction industry in Nigeria; the study adopted the survey and case study research design. It employed the use of Delphi’s technique in the distribution of questionnaire and made use of chi-square analytical technique for the analysis of gathered data. The findings revealed that most of the parties involved in construction projects do not have any significant health and safety risk management process in place. Various improvement strategies have been suggested.