Abstract
Small and Medium Sized-Enterprise (SMEs) contractors form the bulk, by number, of companies in each industry. SMEs differ significantly from large firms, and these factors affect their compliance level. The study aims to assess the SMEs contractors Health and Safety (H&S) performance in the construction industry. Delphi survey was used for the study. Experts were asked to rate the impact of other factors in predicting SMEs contractors compliance with H&S regulations in Ghana. The rating were based on either the impact was considered to be very high or high. Microsoft EXCEL to analyse the data collected. The output from the analysis was a set of descriptive statistics such as means, median, standard deviations and derivatives of these statistics. The findings from the study shows that changes in company structure, changes in ownership at various stages of growth, lack of H&S experts and short track records of H&S regulations were rated by the experts among the factors that affect the SMEs contractors H&S performance.