<p>This research probes into the convoluted realm of occupational safety within the context of borehole drilling, with a purpose of examining risk factors contributing to accident occurrence at borehole drilling sites in Manoti ward 1, of Gokwe South District. This research was conducted to specifically answer this research question “What are the primary occupational hazards and risks that are contributing to accident occurrences at borehole drilling sites, specifically Zimbabwe National Water Authority (ZINWA) borehole sites”. The researchers utilized a descriptive research design with both qualitative and quantitative techniques. The researcher’s self-administered 130 questionnaires to borehole drilling employees using a simple random sampling technique and 125 employees responded to the survey, making the response rate (96%). The study results indicated that, all ZINWA employees, reported that they are exposed to physical hazards, hence physical hazards accounted for (100%), followed by ergonomic hazards at (92%), psychological hazards at (80%), chemical hazards specified by (72%), electrical hazards at (52%) and lastly geologic hazards at (32%). The main risk factor contributing to accident occurrences include operating poorly serviced machines. Musculoskeletal disorders related accidents were most reported type of accident by ZINWA employees, accounting for (78%). In conclusion, ZINWA borehole drilling employees are exposed to occupational hazards and risks that results in consequential accidents. Therefore, effective hazard identification and risk assessments are recommended to support the achievement of Sustainable Development Goal (SDG) 6 on Clean Water and Sanitation, particularly targets 6.1, 6.2, 6.3, 6.4, 6.5, 6.6, 6.A, and 6.B, as well as the Presidential Borehole Scheme target and the Presidential Rural Horticulture Transformation Programme.</p>