Nigeria's educational system is gradually degenerating, as the sanctity of education process has been affected by malpractice. The purpose of this paper was to assess re-occurring incidence of examination malpractice in Plateau State College of Health Technology Pankshin, Nigeria. It looked at cases of examination malpractice and students' perception of the causes of examination malpractices. Data were obtained from structured questionnaire issued to second and third year students, and secondary source from the College examination malpractice committee's report. The result indicated that the major types of cheating perpetuated by students are; Copying from each other 43% and Possession of foreign materials 32%. The result also showed that students perceived Poor sitting arrangement during exams 53%, High handedness by some lecturers 47% and Social distraction 49% as reasons that induce cheating. The study concluded that College authority and lecturers' attitude is the major factor that will either encourage or discourage examination malpractice. It recommended Ethical re-orientation, Examination monitoring team and Proper sitting arrangement as what to be put in place to minimize cheating during examination in the College.