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The effective measurement method of safety and health management performance is essential to promote the level of safety and health for the construction companies. Thus the purpose of this study is to suggest the rational direction of the measurement method of safety and health management performance for the construction companies. The required data was collected through the comparative analysis of current measurement method ie, BS8800, OHSAS, KOSHA2000, ISRS etc and questionnaire survey of the managers in charge of safety and health management engaged in the large construction companies and in the institutes of safety organizations. Through the pilot application of the safety and health management criteria developed, it is proved that the current safety index calculated by the modified injury rate of construction companies has little correlation with the major elements of safety and health management systems. The recommendations are as follows; The measurement method of safety and health performance are to be focused 1) on the root cause of accidents ie, management systems, 2) on the supports of head office to sites, and 3) on the management and support of subcontractors' safety and health management.