The frequency of occupational accident in small medium industries decreased from 2008 in general, but fluctuated each year,
which shows that improvement is needed in handling safety and health of the employees. It is believed that safety climate perception
and occupational safety health management system (OSHMS) influence occupational accident in an organization. A safety audit
checklist and self-administered questionnaire was distributed to the involved small medium industries. The findings show that safety
climate perception was high in small medium industries while OSHMS show low compliance. Findings also showed that there were
significant relationships between safety climate perception and OSHMS with occupational accident in the organizations (p