Kansas.gov

Accident Prevention

Year-End Accident Prevention Report
Reporting instructions
Frequently Asked Questions

By state law K.S.A. 44-5,104, insurance companies and group-funded self-insurance plans providing workers compensation coverage to employers in Kansas are required to provide certain safety services to those they insure.

Accident Prevention Notice for Employers

If you have requested assistance in your safety and health program and your workers compensation carrier denied you assistance, please contact the state Accident Prevention Administrator by phone, by email or by regular mail.

Accident Prevention Notice for Insurance Companies and Group-Funded Self-Insurance Plans

Insurance companies and group-funded self-insurance plans licensed to write workers compensation coverage in Kansas must file form K-ISH 28 (Year-end Accident Prevention Report) with the Kansas Department of Labor annually after the close of the state fiscal year. The period to be covered by the report is from July 1 of the previous year through June 30 of the current year. This report must be received between July 1 and August 31, unless an extension has been requested and granted.

NOTE: The form is automated. Form K-ISH 28 must be submitted online and the Excel spreadsheet, if required, can be downloaded, completed offline, and then submitted online with the K-ISH 28. Effective 2011, we no longer accept hard copies of either the K-ISH 28 form or the Excel spreadsheet; also, we no longer accept homemade forms. If you have questions about the changes, please contact the state Accident Prevention Administrator by phone, by email or by regular mail.

For more information about this report, see Reporting instructions and Frequently Asked Questions.

Contact information:

Phone: (785) 296-4000 ext. 2152
Email
Regular mail:
Kansas Department of Labor
Industrial Safety and Health Division
417 SW Jackson ST.
Topeka, Kansas 66603-3327

Frequently Asked Questions

What does the Accident Prevention Administrator monitor?
Accident Prevention under the Workers Compensation Division of the Kansas Department of Labor monitors insurance company and group-funded self-insurance plan compliance with provisions of K.S.A. 44-5,104.

What information will be gathered under an Accident Prevention inspection?
An inspection ensures insurance companies and group-funded self-insurance plans licensed to write workers compensation coverage in Kansas are providing services when requested by a policyholder, submitting the annual report, using qualified field safety representatives, and printing the notice required under Kansas statute on the front page of every policy delivered or issued for delivery in this state.

Why should I, as an insurance company or group-funded self-insurance plan, participate?
Under Kansas statute K.S.A. 44-5,104, you must maintain accident prevention services and provide such services at the request of a policyholder as a prerequisite for authority to provide such insurance or coverage in the state of Kansas.

How can I submit my completed annual report (K-ISH 28) form?
The form is available online. As soon as you click the [Submit] button, your completed form is automatically sent to our server through a secure Internet connection. We no longer accept paper forms for this report.

If we are not actively soliciting business in the state of Kansas, do we still have to complete the annual report K-ISH 28?
As long as an insurance carrier or group-funded self-insurance plan has a license to write workers compensation in Kansas, the report must be submitted. Complete or update Section I. Check "No" in Section II, and enter your name and title in the Affirmation section as your "signature." If your company or plan should start writing business in Kansas, we will have a record of the business.

Is the website we use to submit our information secure?
Yes, the connection is secure.

Will you accept other forms submitted by a workers compensation carrier?
No, for consistency and to provide what is required in the state statute, we will only accept our automated form K-ISH 28 and the Excel spreadsheet as found on our website.

Whom do I contact about the annual report or with other questions about Accident Prevention Services?
You may contact the Accident Prevention Administrator by phone, by email or or by regular mail.