The subject matter of this paper is the Occupational Safety & Health (OSH) implementation during Pre-construction stage. Both in construction and other industries, the consideration of safety and health requirements since the early stages has been widely recognized as a beneficial approach for OSH management, since it is an effective way of either eliminating or reducing hazards at their sources (DOSH, 2008). The objectives of this research are to identify the occupational safety & health elements during pre-construction stage. This research will be focusing on the OSH practices in Malaysian construction industry and will be focusing on the preconstruction. The reason is to show the gaps that should be filled in by the OSH in order to catch up with the current developments that have been happening in other countries. It is important to note that this paper only provide a literature search for this topic. The methodology used was synthesizing literatures from relevant sources.