Dust generated in earthwork construction activities can seriously affect the air quality at a construction site and have adverse effects on the health of construction workers. To accurately and quantitively analyze the distribution characteristics of construction dust and the effect of dust prevention measures during earthwork construction under normal construction and construction with dust control measures, multiple collection points and one meteorological parameter collection point were placed at the construction site. From half an hour before the construction to half an hour after the construction, the particle concentration was recorded once every minute. The monitoring results indicated that there was a significant positive correlation between dust concentration during earthwork construction and the number of soil shipments. The dust concentration was highest at the earth excavation site, followed by the area of the waste truck’s transportation path. Earth excavation primarily resulted in the generation of many coarse particles, the concentration of which was the highest near the excavation site. The average concentration increments of PM2.5 and TSP (total suspended particulate) caused by earthwork construction were 55.06 and 375.17 μg/m3 at the construction site, respectively. The concentration increment of PM2.5 and TSP decreased by 72.01% and 40.16%, respectively, when a spray system and artificial sprinkling were adopted. Through the methodology and results of this study, construction companies can systemically plan their construction work by considering the key equipment to be used and can effectively manage the pollutants found within construction sites.