This study focused on the significance of underground mining in Pakistan, resulting in the employment of operational staff to undertake the primary tasks of this sector, such as explosions, rock excavation, mineral research, mining-supporting walls, and mine compactivity. Occupational accidents and illnesses arise due to the activities mentioned above because the working circumstances are not optimal. The decision-matrix risk-assessment (DMRA) approach, in which incidents are evaluated according to their severity and probability, was also utilized to improve working conditions, including public health and environment protection. To assess the risks and to select which actions should continue in the same manner, we highlighted hazards that need control measures and, as the last option, those that must be stopped. By taking into account the results of the study, corrective actions were proposed that can help avoid the occurrence of the presented accidents through applying occupational safety and health regulations issued by the Department of Minerals and Mines, which is a governmental entity responsible for both the issuing and the compliance to those regulations. The current study also outlined the requirements that must be reported under mining-related laws.