General Medical and Surgical Hospitals · North Carolina

Duke University Hospital

Durham, NC · ~11,048 workers · 9 years of OSHA Injury Tracking Application data.

C
Average Safety Record
8.3
Avg TCR
7.5
Industry avg
2
Fatalities
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The verdict

Duke University Hospital runs at 111% of its industry's injury rate - about level with the typical General Medical and Surgical Hospitals workplace, earning a grade C.

Duke University Hospital: 8.3 TCR = 111% of General Medical and Surgical Hospitals BLS 7.5 · 9y Form 300A (see methodology below)

Duke University Hospital safety composite

Duke University Hospital scores strongest on total case rate (tcr) (safer than 15% of same-industry peers) and weakest on fatalities (safer than 0%), 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).

F

10/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 8.33 per 100 workers

Safer than 15% of industry peers

DART rate
F 4.83 per 100 workers

Safer than 12% of industry peers

Fatalities
F 2

Safer than 0% 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

Duke University Hospital: 6.7 → 9.4 TCR

Peak year 2022 @ 13.8 TCR · DART/TCR 0.58× in 2024

Duke University Hospital's TCR rose 2.8 from 6.7 in 2016 to 9.4 in 2024. Peak filing year was 2022 at 13.8 TCR. In 2024, DART was 0.58× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 622110 · Durham, NC ABOVE-IND · LARGE

Grade C · TCR 8.3 · 111% of ind

  • DART 4.8 DART
  • RANK #162/175
  • PHOTO Methodist Hospital T…
  • BOOK 9y book
  • INJ 5,103 inj
  • SIZE ~11,048 FTE

Nearest TCR peer: Methodist Hospital Texsan (0.0 TCR gap)

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

Duke University Hospital in the TCR neighbourhood

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

TCR

What this shows Duke University Hospital averages 8.3 TCR (111% 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

Duke University Hospital TCR series: 2016=6.7 · 2017=7 · 2018=6.3 · 2019=5.6 · 2020=8.3 · 2021=8.1 · 2022=13.8 · 2023=9.7 · 2024=9.4 · BLS 7.5

Where Duke University Hospital falls in its industry

6,862 General Medical and Surgical H establishments

Safer than 15% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to North Carolina alone (the establishments it most directly competes with for workers and contracts): ranked #162 safest of 175 General Medical and Surgical H employers in North Carolina.

Duke University Hospital (11,048 employees, TCR 8.3) 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 05,00010,00015,000 05101520 Average employees Total Case Rate Duke University Hospital
Duke University Hospital (11,048 employees, TCR 8.3) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

Duke University Hospital has more employees than the General Medical and Surgical Hospitals median and a higher 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
2024 9.4 4.8 646 378 0
2023 9.7 5.2 608 391 0
2022 13.8 9.6 579 780 0
2021 8.1 4.0 567 256 0
2020 8.3 4.2 532 304 0
2019 5.6 1.7 512 12 0
2018 6.3 1.9 560 6 0
2017 7.0 1.6 577 17 2
2016 6.7 1.6 522 22 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · NC · Durham

6,862 General Medical and Surgical Hospitals employers nationwide with a credible TCR · 16,981 rated employers in North Carolina with headcount on file · 530 employers in Durham, NC · 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 Methodist Hospital Texsan 8.3 TCR
NAICS-TCR Medical Plaza - 5525 Grossmont Center Drive 8.3 TCR
NAICS-TCR 2643-16280001-162801 8.3 TCR
NAICS-TCR ALLEGIANCE SPECIALTY HOSPITAL OF NORTH LITTLE ROCK 8.3 TCR
STATE-SIZE UNC Health Care 11,237 FTE
STATE-SIZE NC State University 11,491 FTE
STATE-SIZE WFBMC - Winston Campus 13,298 FTE
STATE-SIZE 1101-Carolinas Medical Center (1101) 8,444 FTE
CITY-NEAR Duke University 23,871 FTE
CITY-NEAR BCBSNC Telecommuters 3,033 FTE
CITY-NEAR Wolfspeed - Durham, NC 3,013 FTE
CITY-NEAR GSK/ViiV Pharma Field Sales 2,700 FTE
NAT-TCR The Oaks at Bethesda 8.3 TCR
NAT-TCR Legacy Steel 8.3 TCR
NAT-TCR Flex-Strut, Inc. 8.3 TCR
NAT-TCR Hearth and Home at EL Camino 8.3 TCR
NAT-SIZE University of Kentucky - Main Campus - Fayette County 11,013 FTE
NAT-SIZE NYU Langone Hospital - Long Island 11,183 FTE
NAT-SIZE 2636-California.San Jose 11,308 FTE
NAT-SIZE UC Santa Barbara 10,779 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: 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.