OhioBWC - Employer - Form: (Safety Management Self-Assessment) - Introduction

Safety Management Self-Assessment (SH-26)

Employers participating in many of BWC's rebate programs must submit the Safety Management Self-Assessment (SH-26). This assessment is intended to help employers evaluate their safety and claims management systems and identify opportunities for improvement.

The person(s) in the organization most familiar with the current safety and claims management process should complete this form. The estimated time to complete this assessment is 15 minutes.

The SH-26 contains 11 safety and health categories considered critical to an effective safety and health process. In most categories, you will be asked to rate your company's performance on five statements. The rating scale is provided below.

Rating scale: 1 = Strongly disagree; 2 = Disagree; 3 = Agree; 4 = Strongly agree; NS = Not sure
Rate your company's performance in each statement as honestly as possible. No safety culture is perfect; therefore, you should view this as a continuous improvement process.
Note: You may need to consult others at your company such as the president, CEO, owner, plant manager, human resources personnel, safety director, supervisors, shift leaders, safety committee members, maintenance department, etc., to accurately and effectively rate all the statements. We recommend only one company official enter the data and submit the form online.

Required information
You must answer all of the survey questions.

If you have all the required information on hand, simply click the start button to begin.