More than 76% of occupational accidents occur in small and medium sized enterprises(SME) employing less than 50 workers, due to the lack of safety and health systems, and carelessness of workers and owners. Timely Technical Guidance(TTG) project of Korea Occupational Safety & Heath Agency(KOSHA) for SME was initiated to analyze and inform accident causes just after accidents occur. Improvement direction of TTG project is suggested through situation and performance analysis on TTG services conducted in 2012. KOSHA provided TTS services on 15,571 SMEs(suffering at least one accident in 2012), through which the working day losses from recurrence resulted in 19.0%p, 14.5%p and 31.3%p decreases in manufacturing, services and construction businesses, respectively.