Due to the specific manufacturing processes in offshore engineering， work at height is highly prevalent， particularly during the assembly phases of large structures such as modules and jackets， where the frequency of work at height and multi-level crossover operations， as well as the potential fall height， are continuously increasing. This paper provides a classified review of current domestic and international research on work-at-height safety. It systematically examines the definition and identification criteria of work at height and proposes comprehensive preventive measures based on domestic and international regulatory standards and engineering practices. These measures encompass multiple aspects， including engineering technology， management， personnel， and physical protection. To ensure the inherent safety of scaffolding， the paper discusses different types of scaffolding and their selection during construction， aiming to provide a safety management framework for work at height in the offshore engineering manufacturing industry. This framework is designed to effectively reduce accident rates and ensure operational safety.