Medical Transport · Hawaii

Big Island Hawaii Operations

Name: Big Island Hawaii Operations Workplace Safety Data
Creator: PlainSafetyScore
License: https://creativecommons.org/publicdomain/zero/1.0/

Hilo, HI · ~32 workers · 2 years of OSHA Injury Tracking Application data.

Compiled by PlainSafetyScore · August 25, 2026

D
Poor Safety Record: 5.5
Avg TCR: 3.8
Industry avg: 0
Fatalities

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The verdict

Big Island Hawaii Operations runs at 145% of its industry's injury rate - more dangerous than the typical Medical Transport workplace, earning a grade D.

Big Island Hawaii Operations: 5.5 TCR = 145% of Medical Transport BLS 3.8 · 2y Form 300A (see methodology below)

Big Island Hawaii Operations safety composite

Big Island Hawaii Operations scores strongest on total case rate (tcr) (safer than 68% of same-industry peers) and weakest on dart rate (safer than 31%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).

51/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR): C 5.5 per 100 workers

Safer than 68% of industry peers
DART rate: F 7.4 per 100 workers

Safer than 31% of industry peers
Fatalities: D 0

Safer than 51% of industry peers

Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).

Rising injury rate

Big Island Hawaii Operations: 3.6 → 7.4 TCR

Peak year 2020 @ 7.4 TCR · DART/TCR 1.35× in 2020

Big Island Hawaii Operations's TCR rose 3.8 from 3.6 in 2019 to 7.4 in 2020. In 2020, DART was 1.35× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 621910 · Hilo, HI ABOVE-IND · SMALL

Grade D · TCR 5.5 · 145% of ind

DART 7.4 DART
RANK #4/7
PHOTO MetroAtlanta Ambulan…
BOOK 2y book
INJ 3 inj
SIZE ~32 FTE

Nearest TCR peer: MetroAtlanta Ambulance Service (0.0 TCR gap)

Read with this employer → · Industry book → · Hawaii employers → · Look up another →

This site

5.5
MetroAtlanta A

5.5
Yellow Ambulan

5.5
Town of Elling

5.5
Fountain Hills

5.5

What this shows Big Island Hawaii Operations averages 5.5 TCR (145% of the Medical Transport BLS benchmark).

Big Island Hawaii Operations TCR series: 2019=3.6 · 2020=7.4 · BLS 3.8

Where Big Island Hawaii Operations falls in its industry

976 Medical Transport establishments

Safer than 68% of graded establishments in this industry, whose median TCR is 8.3.

Grade D

More dangerous than peersSafer than peers

Narrower to Hawaii alone (the establishments it most directly competes with for workers and contracts): ranked #4 safest of 7 Medical Transport employers in Hawaii.

Big Island Hawaii Operations (32 employees, TCR 5.5) among 29 same-industry peers, split at the industry median of 72 employees and a TCR of 8.3

Big Island Hawaii Operations has fewer employees than the Medical Transport median and a lower injury rate than the industry's median TCR of 8.3. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.

Year-by-Year Safety Data

Year	TCR	DART	Injuries	Illnesses	Fatalities
2020	7.4	7.4	2	0	0
2019	3.6	3.6	1	0	0

OSHA ITA peer cross-reference

Establishment peer ledger

621910 · HI · Hilo

976 Medical Transport employers nationwide with a credible TCR · 2,022 rated employers in Hawaii with headcount on file · 88 employers in Hilo, HI · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel	Establishment	Place	Metric
NAICS-TCR	MetroAtlanta Ambulance Service	MARIETTA, GA	5.5 TCR
NAICS-TCR	Yellow Ambulance KY Operations	LOUISVILLE, KY	5.5 TCR
NAICS-TCR	Town of Ellington-6 EVAC	ELLINGTON, CT	5.5 TCR
NAICS-TCR	Fountain Hills FireOperations	MESA, AZ	5.5 TCR
STATE-SIZE	California & Hawaii Foliage Growers	PAPAIKOU	32 FTE
STATE-SIZE	01 - KIUC - Eleele Power Plant	ELEELE	32 FTE
STATE-SIZE	Construction	KAILUA-KONA	32 FTE
STATE-SIZE	Keauhou Lane	HONOLULU	32 FTE
CITY-NEAR	Hilo Medical Center	Hilo	1,389 FTE
CITY-NEAR	Hawaii Police Department	Hilo	666 FTE
CITY-NEAR	WM 2473	Hilo	505 FTE
CITY-NEAR	2682 - Hawaii-Hilo	Hilo	453 FTE
NAT-TCR	Brian Center Health & Rehabilitation/Yanceyville	Yanceyville, NC	5.5 TCR
NAT-TCR	Everett, Wa	Mukilteo, WA	5.5 TCR
NAT-TCR	Dassault Aircraft Services - Reno	Reno, NV	5.5 TCR
NAT-TCR	West-Mark Service Center - Ceres, California	Ceres, CA	5.5 TCR
NAT-SIZE	Kansas City RLC	Kansas City, KS	32 FTE
NAT-SIZE	Fre 29	Takoma Park, MD	32 FTE
NAT-SIZE	Heresite Manitowoc	Manitowoc, WI	32 FTE
NAT-SIZE	0000000153 Quickchek Food Stores 153	Eatontown, NJ	32 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2020, 2019. This is publicly available government data - not a legal determination of workplace conditions.

Read our methodology - how this data is sourced, computed, and verified.

Data sourced from official public datasets. See our methodology for details.