Earth and rock dams are subject to risks caused by uncertainties during operation and management, and the health condition of earth and rock dams in service must be determined in a timely manner to properly protect them. In order to evaluate the health condition of earth and rock dams easily, quickly, reliably and quantitatively, this paper proposes a health evaluation method based on the ANP unconfirmed measure theory, and gives specific evaluation steps.First, the risk evaluation index system of earth and rock dams was constructed from six aspects: engineering quality, operation and management, diffuse top damage, infiltration damage, destabilization damage, and other factors. Then, the risk value of the evaluation index is determined using the unconfirmed measure model by integrating multiple types of information such as numerical calculation, inspection and inspection, and test and inspection, and the index is weighted using ANP. Finally, a project is used as an arithmetic example to verify the scientific applicability of the method in the risk evaluation of earth and rock dam projects, which provides an important reference for the risk control and management of earth and rock dam projects.