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The unique nature, complicated design, hazardous activities and complex work environment involved in the high-rise construction projects constitute significant risks worldwide. In the Indian context, construction safety management in high-rise construction projects is crucial due to the presence of significant occupational risks and hazards at the workplace. Occupational hazards lead to accidents that severely affect human health and result in substantial financial losses.

The study aims to present a hybrid risk assessment method (RAM) and the technique for order of preference by similarity to ideal solution (TOPSIS) method to detect and evaluate occupational risks in different construction activities through a questionnaire survey approach.

Aroundsix types of construction activities and corresponding ten risks are identified and evaluated during the study. Based on the calculation of risk scores, the findings imply that “roof work activities,” “finishing work,” “mechanical, electrical and plumbing work (MEP)” are hazardous construction activities, while, among the corresponding ten risks, “workers falling from height” is the most prominent risk among the majority of activities. Other risks include “risk due to fire and electric accidents” and “struck by falling objects,” which are the major risks in high-rise construction projects.

Theoriginality of the paper lies in its activity-based risk assessment and ranking of hazards in high-rise construction projects. By integrating theoretical insights with practical applications, the study attempts to enhance occupational safety and reduce accidents on construction sites, thereby significantly contributing to both academia and industry practices.