The Central African Region is known as one of the most troubled and unsafe regions in Africa. But more recently the Central African Region has been growing and developing, with many projects underway involving huge local and foreign construction companies. Despite this fact, workers in the Central African Region often encounter unsafe working conditions and must confront many kinds of hazards. Therefore, the aim of this study is to identify the safety management situation in Central African construction sites, by focusing on the countries of Rwanda and DR Congo. Through our research, it was found that the two countries studied in the Central African Region are very similar with regard to their safety management systems, with some exceptions. In addition, it was revealed that both these countries in the Central African Region had good safety performance. This study will help to illuminate the situation of safety systems on construction sites in the Central African Region, and can be used by companies advancing into the Central African Region’s construction market.