Eastern State Hospital
Open-data reference.
MEDICAL LAKE, WA | Psychiatric and Substance Abuse Hospitals
~973 avg employees | 6 years of OSHA data
Eastern State Hospital has an average TCR of 12.8, which is 336% of the industry average (3.8) for Psychiatric and Substance Abuse Hospitals. This is significantly worse than average.
Safety Insights for Eastern State Hospital
Eastern State Hospital operates an establishment with approximately 973 full-time equivalent workers in MEDICAL LAKE, WA, classified under the Psychiatric and Substance Abuse Hospitals industry (NAICS 622210). Across 6 years of mandatory OSHA Injury Tracking Application (ITA) reporting, this employer has accumulated 459 recordable injuries, 49 occupational illnesses, and 1 workplace fatality. The average Total Case Rate (TCR) of 12.8 injuries per 100 full-time workers per year provides the anchor metric for the F letter grade (Failing Safety Record).
Benchmarked against the Bureau of Labor Statistics industry average of 3.8 for Psychiatric and Substance Abuse Hospitals, Eastern State Hospital's workforce experiences 336% of the typical injury burden. This ratio matters because TCR already normalizes for hours worked — a 200,000-hour exposure base equals roughly 100 full-time workers — so establishments with very different headcounts can be compared directly. A TCR above the benchmark flags a higher-than-typical risk profile for jobseekers, insurers, and enforcement agencies to examine.
Multi-year trend analysis is the single most reliable signal here: a one-year spike could reflect a single severe event, whereas sustained elevation across 6 reporting cycles points to systemic hazard exposure. Readers evaluating Eastern State Hospital as an employer, contractor, investment, or regulatory target should examine the yearly DART rate (days away, restricted, or transferred), the fatality count of 1, and any year-over-year deterioration shown in the table below. All figures come directly from employer-submitted OSHA Form 300A summaries — there is no modeling, estimation, or third-party adjustment layered on top of the government data.
Verify This Employer with OSHA
All injury, illness, and fatality figures on this page are sourced from Eastern State Hospital's own mandatory OSHA Form 300A summaries. Cross-check the underlying establishment record directly against the federal source — name, NAICS classification, recordable case totals, and inspection history are all searchable on OSHA's Establishment-Specific Injury and Illness Data system.
Verify on OSHA Establishment SearchSource: U.S. Department of Labor — OSHA Establishment-Specific Injury and Illness Data. NAICS 622210 — Psychiatric and Substance Abuse Hospitals.
DART Rate — Transparent Calculation (2024)
DART (Days Away, Restricted, or Transferred) is computed by OSHA as incidents × 200,000 ÷ hours worked. The 200,000-hour denominator equals roughly 100 full-time workers, which lets establishments of very different sizes be compared directly.
49 DART incidents × 200,000 ÷ 1,337,331 hours worked = 7.33 DART
Methodology: 29 CFR 1904 — OSHA Form 300A recordkeeping
Cross-Validating Context — Establishment vs Industry vs State
| Benchmark | TCR | Source |
|---|---|---|
| Eastern State Hospital (this establishment) | 12.77 | OSHA ITA Form 300A, 6-year avg |
| Mental health hospitals industry avg | 3.80 | BLS IIF, NAICS 622210 |
| Washington state avg (all industries) | 9.09 | OSHA ITA, state-level rollup |
Industry benchmarks: Bureau of Labor Statistics — Injuries, Illnesses, and Fatalities (IIF) program
Reportable Incident Timeline
Year-by-year reportable incidents (recordable injuries + illnesses + fatalities) submitted by Eastern State Hospital to OSHA's Injury Tracking Application. Each row anchors to OSHA's inspection records search where you can pull the underlying inspection case numbers and citations for that establishment-year.
- 2024: 65 reportable incidents · 62 injuries, 3 illnesses, 0 fatalities — OSHA inspection records (case numbers)
- 2023: 70 reportable incidents · 67 injuries, 3 illnesses, 0 fatalities — OSHA inspection records (case numbers)
- 2022: 104 reportable incidents · 68 injuries, 36 illnesses, 0 fatalities — OSHA inspection records (case numbers)
- 2021: 73 reportable incidents · 67 injuries, 5 illnesses, 1 fatality — OSHA inspection records (case numbers)
- 2020: 99 reportable incidents · 97 injuries, 2 illnesses, 0 fatalities — OSHA inspection records (case numbers)
- 2019: 98 reportable incidents · 98 injuries, 0 illnesses, 0 fatalities — OSHA inspection records (case numbers)
Source: OSHA Inspection Information System (IMIS) — inspection case-number records
Year-by-Year Safety Data
| Year | TCR | DART | Injuries | Illnesses | Fatalities |
|---|---|---|---|---|---|
| 2024 | 9.7 | 7.3 | 62 | 3 | 0 |
| 2023 | 11.3 | 9.5 | 67 | 3 | 0 |
| 2022 | 18.2 | 15.2 | 68 | 36 | 0 |
| 2021 | 9.8 | 7.9 | 67 | 5 | 1 |
| 2020 | 13.7 | 9.8 | 97 | 2 | 0 |
| 2019 | 13.9 | 10.6 | 98 | 0 | 0 |
Frequently Asked Questions
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Read our methodology — how this data is sourced, computed, and verified.