General medical and surgical hospitals · California

Brain and Spine Institute

Fresno, CA · ~21 workers · 4 years of OSHA Injury Tracking Application data.

A
Excellent Safety Record
1.4
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

Brain and Spine Institute runs at 18% of its industry's injury rate - far safer than the typical General medical and surgical hospitals workplace, earning a grade A.

Brain and Spine Institute: 1.4 TCR = 18% of General medical and surgical hospitals BLS 7.5 · 4y Form 300A (see methodology below)

Brain and Spine Institute safety composite

Brain and Spine Institute scores strongest on total case rate (tcr) (safer than 93% of same-industry peers) and weakest on fatalities (safer than 52%), 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).

B

82/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
A 1.37 per 100 workers

Safer than 93% of industry peers

DART rate
A 0 per 100 workers

Safer than 91% of industry peers

Fatalities
D 0

Safer than 52% 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%).

TCR Δ

−5.5

2020→2023

Brain and Spine Institute injury rate improved

Brain and Spine Institute's TCR fell 5.5 from 5.5 in 2020 to 0.0 in 2023. Peak filing year was 2020 at 5.5 TCR. In 2023, DART was 0× this establishment's average TCR (severity share of cases).

2020=5.5 · 2021=0.0 · 2022=0.0 · 2023=0.0

OSHA ITA Form 300A scorecard

Establishment book 622110 · Fresno, CA AT/BELOW-IND · SMALL

Grade A · TCR 1.4 · 18% of ind

  • DART 0.0 DART
  • RANK #35/662
  • PHOTO Avera Dells Area Hos…
  • BOOK 4y book
  • INJ 1 inj
  • SIZE ~21 FTE

Nearest TCR peer: Avera Dells Area Hospital (0.0 TCR gap)

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

Brain and Spine Institute in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Brain and Spine Institute averages 1.4 TCR (18% of the General medical and surgical hospitals BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Brain and Spine Institute TCR series: 2020=5.5 · 2021=0 · 2022=0 · 2023=0 · BLS 7.5

Where Brain and Spine Institute falls in its industry

6,862 General medical and surgical h establishments

Safer than 93% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to California alone (the establishments it most directly competes with for workers and contracts): ranked #35 safest of 662 General medical and surgical h employers in California.

Brain and Spine Institute (21 employees, TCR 1.4) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 02,0004,0006,000 05101520 Average employees Total Case Rate Brain and Spine Institute
Brain and Spine Institute (21 employees, TCR 1.4) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Brain and Spine Institute has fewer employees than the General medical and surgical hospitals median and a lower injury rate than the industry's median TCR of 5.2. 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
2023 0.0 0.0 0 0 0
2022 0.0 0.0 0 0 0
2021 0.0 0.0 0 0 0
2020 5.5 5.5 1 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · CA · Fresno

6,862 General medical and surgical hospitals employers nationwide with a credible TCR · 51,834 rated employers in California with headcount on file · 981 employers in Fresno, CA · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.

Rel Establishment Metric
NAICS-TCR Avera Dells Area Hospital 1.4 TCR
NAICS-TCR Bozeman Health Deaconess Hospital 1.4 TCR
NAICS-TCR 900 Centenial Voorhees 1.4 TCR
NAICS-TCR 1855-CTBRI16 1.4 TCR
STATE-SIZE Poso Ridge,LLC 21 FTE
STATE-SIZE Fonseca & Fonseca, Inc. 21 FTE
STATE-SIZE TELESIS ONION CO., INC. 21 FTE
STATE-SIZE Mayflower Farms Inc 21 FTE
CITY-NEAR County of Fresno 7,553 FTE
CITY-NEAR Ag Force LLC 6,430 FTE
CITY-NEAR Community Regional Medical Ctr 5,549 FTE
CITY-NEAR Community Regional Medical Center 4,921 FTE
NAT-TCR Mankato Motor Company 1.4 TCR
NAT-TCR Austen Riggs Center 1.4 TCR
NAT-TCR Aerospace Business Groups : Niles 1.4 TCR
NAT-TCR GEI 1.4 TCR
NAT-SIZE FSIoffice - Columbia 21 FTE
NAT-SIZE Fof King Machine of Alabama Lls 21 FTE
NAT-SIZE Com-Tech Mechanical, Inc. 21 FTE
NAT-SIZE Murfreesboro 885 21 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: 2023, 2022, 2021, 2020. 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.