Abstract: Construction Health and Safety management is an issue of great concern to the Ghanaian economy. In spite of its contribution to the economy, the Ghanaian construction industry has poor safety record. The research aims at establishing a model for the management of Health and Safety practices on Ghanaian construction sites. The main objectives of the study is to establish the status of health and safety management in the construction industry, the role of clients, designers and the top management of contractors in H&S management, to establish the current trends in H&S management, to establish the role and impact of construction clients and their potential construction and influence on project H & S management, to develop a model for H & S management improvement in the Ghanaian Construction industry and to validate the conceptualized model for H&S management improvement by comparing the new model with existing models. Data will be collected using Delphi and field questionnaire survey. Structural equation modeling and Nvivo will be used to analyse the field questionnaire and Delphi surveys respectively. The study is ongoing Phd study and so no findings are available at this stage