In the aftermath of the September 11th attack, design of tall buildings particularly in the aspect of safety systems and structural robustness, arguably the most crucial issues that is deliberated till to date. Concerning the safety systems specifically on evacuation egress, many novels and innovative evacuation solutions for high rise buildings that have been researched and put forward, for instances Platform Rescue Systems (PRS), Controlled Descent Devices (CDD) and Escape Chutes. Still, the practicability of the existing proposed egress systems to be implemented in the real-life situation and its compliance with the tall building design legislation remain unknown. For developing countries such as Malaysia and United Arab Emirates, tall buildings play a role as an iconic landmark. While countries like China and Hong Kong, tall building is needed due to the scarcity of land and high populations. As more than one hundred tall structure exists in the world, and will be increasing by 2020; therefore, it is urgently needed that existing engineering practices in designing tall building to be reviewed with respect to evacuation egress. The main objective of this paper is to create awareness among developers, consultants and contractors that proper evacuation egress in tall building design and development is a must. This paper provides a comprehensive review of the existing engineering practices on tall building evacuation planning systems and design. Furthermore, the effectiveness of the currently proposed systems and its consideration amongst structural and safety engineers are also reported.