Fall can be recognized as an abnormal or action of losing an upright motion which will cause people especially elderly to suffer from pain and more seriously can affect one’s health. Being able to detect fall is key parameter to decrease the risk of severe injury to the seniors. There are such existing fall detectionproducts on the market to assist elderly so that immediate response could be taken. However, due to complexity system, high cost and employing outside technology, these products initiate limitations such as maintenance and system enhancement. In this project, a fall detection device and system is developed using local technology, simple and cost effective. The prototype system consist of accelerometer sensing circuit, microcontroller with wireless signal transmission, Global System for Mobile Communications (GSM) notification alert for mobile phone and graphical user interface (GUI) to obtain real-time monitoring. The simple fall detection algorithm is developed to ensure false detection could be minimized. The overall performance of the developed device and system is proven reliable and practical.