The purpose of this study is to analyze the importance of smart safety and health activity elements in order to increase the execution power and effectiveness of smart safety and health activities at construction sites. To this end, in this study, the elements of smart safety and health activities were derived from the technical, educational, and management levels, and AHP(Analytic Hierarchy Process) survey data were collected and analyzed for safety-related experts at construction sites. As a result of the relative importance analysis of the elements of smart safety and health activities, the priority of smart experience education programs was the highest, and smart risk assessment system, smart safety control system operation, smart worker safety management, smart work site management, smart technology specialized training instructors, smart risk area access management, safety and health management system, smart education certification system, smart equipment management, and smart non-face-to-face education were sequentially high. The results of this analysis can be evaluated as the most effective way to prevent and act on safety accidents in construction sites and situations using Augmented Reality(AR) and VR(Virtual Reality), and it needs to be introduced first. In addition, in order to prevent and reduce various industrial accidents at construction sites, it suggests that smart safety and health activities at the enterprise level, such as smart experience education, risk assessment, and integrated safety management systems, are needed rather than smart safety and health activities at the individual level.