Serious accidents within the construction industry continue to represent an unacceptable global problem. The aim of this study was to consider the types of actors, factors, and relationships that are identified in construction investigations in a sample of Australian organizations. Based on a thematic analysis approach, we examined the actors, contributory factors, and corrective actions identified within 100 construction accident investigation reports. The extent to which these aligned with the principles of contemporary accident causation theory and the benefits associated with adopting a system-wide approach were then assessed. Overall, the results demonstrate that accident analysis in construction has not moved beyond a human error focus and does not presently identify multiple actors and contributory factors or the interactions between them.The findings of the study offer important implications for the industry and highlight the opportunity for the adoption of systems theory-based approaches to construction accident investigation and analysis.