Accident Prevention Program


K-ISH 28 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. 7360
Email
Regular mail:
Kansas Department of Labor
Industrial Safety and Health Division
417 SW Jackson ST.
Topeka, Kansas 66603-3327