According to annual report from the Social Security Organization (SOCSO) between years 2009 and 2011, metal industry has the highest reported number of accidents compared to the other manufacturing industry in small and medium enterprises (SMEs). Therefore, the aim of this study is to investigate the actual causes of problems that lead to the accidents involving metal industries within SMEs. In this study, checklist through site visits has been used to collect the data. The overall result reveals that the main causes of accident are due to organization failure, human factor, machine failure and surrounding environment