Safety performance is concerned to promote and maintain physical, mental and social health of employees. The condition in developing countries like Pakistan is worst relating to workplace safety. The objective of this study was to give the conceptual analysis of trust as moderator on the relationship between safety management practices and safety performance in construction sector of Pakistan. The framework suggested that organizations which provide safety management practices and workers which have trust on top management perform work safely and improve safety performance. The study illustrates the future directions and gives recommendations to organizations to improve safety at workplace.