The planning of high-rise structures right from the project inception stages involves various challenges and risks. With great heights comes a greater risk and risks manifolds when safety is at stake. Safety being one of the apex importance’s in high rise construction projects. Lack of safety measures and health precautions results not only in casualties, injuries and diseases due to accidents, incidents and potential health hazards but has impacts on families, communities, commerce and economy. The safety risks have adverse effect on the productivity of work, quality standards and causes time overrun thereby creasing the project cost. Deficiency in safety and health measures include loss of client's property, loss of goodwill of the personnel or companies involved in the project causing their blacklisting. For executing the projects within scheduled time and cost constraints, it is of utmost importance that hazards, near misses, incidents, accidents and fatalities are reported and root cause of same may be identified to mitigate in upcoming activities of the project. Operating machineries, plants, equipment considering all safety parameters, reducing lost time injuries and increasing safe man hours are of prime importance to safety officers, project managers and client’s representatives in high rise construction projects. All efforts have been made to identify, analyse critical safety risks, find gaps and suggest mitigation strategies for safety risk in high rise construction projects.