Adventure tourism became one of the typologies with the highest demand in the world, however the inadequate practice of some of these activities has caused irreparable accidents in the physical integrity of tourists. Therefore, this research identified the causes of risk in adventure tourism activities in Colombia, adapting a qualitative methodology of a descriptive type. Semi-structured interviews were also conducted with key players in the sector. It was found that the departments of Santander, Magdalena, Valle and Antioquia are the main territories where accidents occur in this typology, simultaneously it was identified that the activities with the highest accident rate are paragliding, horseback riding and trekking. Despite the fact that there are extensive regulations in the adventure segment, which since 2015 is mandatory, deficiencies continue to occur in the tourist operation, putting the integrity of the user at risk.