Abstract: In order to deeply explore coal mine accident causative factors and configuration paths, and prevent coal mine accidents from happening. Taking 40 cases of coal mine accidents as the research objects, we use the grounded theory to identify the causative factors of coal mine accidents, construct a coal mine accident causative model based on the TOE (Technology-Organization-Environment) framework, and apply the fuzzy set qualitative comparative analysis (fsQCA) method to find out the configuration paths and the core conditions of the causative factors of coal mine accidents; based on the configuration types and core conditions, recommendations for preventing coal mine accidents are proposed. The results show that only safety management in the organizational factor and unsafe environment in the environmental factor are necessary conditions for the causation of coal mine accidents. There are eight causative configuration paths of coal mine accidents, and safety monitoring dominant, safety management dominant, organizational management integrated, organizational and environmental joint, and safety cognitive deficient concluded based on the core conditions in each configuration paths.