Introduction: The phenomenon that construction workers do not use personal protective equipment (PPE) is a major reason for the high occurrence frequency of accidents in the construction industry. However, little efforts have been made to quantitatively examine the factors influencing construction workers’ acceptance of PPE. Method: In the current study, a PPE acceptance model for construction workers (PAMCW) was proposed to address the noted need. The PAMCW incorporates the technology acceptance model, theory of planned behavior, risk perception, and safety climate for explaining construction worker acceptance of PPE. 413 construction workers participated in this study to fill out a structured questionnaire. The PAMCW was analyzed using structural equation modeling. Results: Results provide evidence of the applicability of the technology acceptance model and theory of planned behavior to the PPE acceptance among construction workers. The positive influence of safety climate and risk perception-severity on attitude toward using PPE was significant. Safety climate positively influences perceived usefulness. Risk perception-worry and unsafe was found to positively affect intention to use PPE. Practical Applications: Practical suggestions for increasing construction workers’ use of PPE are also discussed.