Abstract: This research developed a risk management framework based on ISO 31000:2009 for the Thai massage industry. The Thai massage standard is regulated by Thai Ministry of Public Health. Nevertheless, this standard should include a risk management for reassessing the current ones. The risk perspective was characterized by customer, massage staff, service, competitor and place. Next, risks were identified by interviewing the spa operators and in some cases, the spa service operator also. The required number of sample interviewees were calculated using Yamane’s formula in a finite population. A draft version of the framework included 23 Key Risk Indicators (KRIs). After a consistency check by two specialists, two KRIs were eliminated, leaving 21 KRIs in the study framework. The risk level of each indicator was determined by multiplying the likelihood, impact and detection scores; each of these three dimensions were rated on a five-point scale. Of the 21 KRIs, four were extremely high risks, three were high, six moderate and eight low. At the step of risk treatment, one indicator shall be accounted in terminate type, seventeen indicators were carried in treat type. Treatment was selected potential action for others. During all steps were done along with appropriate active communication and oversight.