Evidence suggests that high exposure to the hazards is among the most important factors causing ocular injuries and visual problems at the workplace. Individual studies show variations in prevalence, but high prevalence is reported in Asian countries. Very little is currently known about ocular injuries and visual problems of workers in construction industries in Malaysia. This study was conducted to determine the factors causing the ocular injuries and visual problems of the construction workers. Data were obtained from a cross-sectional study using purposive sampling method on 385 (770 eyes) workers. The comprehensive ocular assessment was done by using Reichert Portable Slit Lamp and a questionnaire was designed to ascertain the environmental hazards and behavior factors. Out of 770 eyes examined, 42.5% (n=327 eyes) had ocular injuries. The chemical, tools and dust exposures were among the major causes of ocular injuries and visual problems to the construction workers. There were significant differences found between the occurrence of ocular injuries to chemical (p=0.002), tools (p=0.005) and dust exposure (p=0.050). Poor knowledge on personal protective eyeglasses (PPE) (62.9%, n=242), low compliancy to wearing PPE (48.3%, n=186) and poor awareness on the environmental ocular hazards (47.0%, n=181) were observed. Our finding indicates that high prevalence of ocular injuries among construction workers, and the need to improve on the awareness, closed monitoring of occupational safety and health and identification for visual rehabilitation and return to work program