General medical and surgical hospitals · Alabama

North Alabama Shoals Hospital

Muscle Shoals, AL · ~295 workers · 2 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
9.6
Avg TCR
7.5
Industry avg
0
Fatalities
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The verdict

North Alabama Shoals Hospital runs at 128% of its industry's injury rate - more dangerous than the typical General medical and surgical hospitals workplace, earning a grade D.

North Alabama Shoals Hospital: 9.6 TCR = 128% of General medical and surgical hospitals BLS 7.5 · 2y Form 300A (see methodology below)

North Alabama Shoals Hospital safety composite

North Alabama Shoals Hospital scores strongest on fatalities (safer than 52% of same-industry peers) and weakest on total case rate (tcr) (safer than 9%), 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

24/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 9.57 per 100 workers

Safer than 9% of industry peers

DART rate
F 3.56 per 100 workers

Safer than 20% 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

−0.5

2023→2024

North Alabama Shoals Hospital injury rate improved

North Alabama Shoals Hospital's TCR fell 0.5 from 9.8 in 2023 to 9.3 in 2024. Peak filing year was 2023 at 9.8 TCR. In 2024, DART was 0.37× this establishment's average TCR (severity share of cases).

2023=9.8 · 2024=9.3

OSHA ITA Form 300A scorecard

Establishment book 622110 · Muscle Shoals, AL ABOVE-IND · MID

Grade D · TCR 9.6 · 128% of ind

  • DART 3.6 DART
  • RANK #54/65
  • PHOTO Southwest Medical Ce…
  • BOOK 2y book
  • INJ 38 inj
  • SIZE ~295 FTE

Nearest TCR peer: Southwest Medical Center (0.0 TCR gap)

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

North Alabama Shoals Hospital in the TCR neighbourhood

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

TCR

What this shows North Alabama Shoals Hospital averages 9.6 TCR (128% 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

North Alabama Shoals Hospital TCR series: 2023=9.8 · 2024=9.3 · BLS 7.5

Where North Alabama Shoals Hospital falls in its industry

6,862 General medical and surgical h establishments

Safer than 9% of graded establishments in this industry, whose median TCR is 5.2.

More dangerous than peersSafer than peers

Narrower to Alabama alone (the establishments it most directly competes with for workers and contracts): ranked #54 safest of 65 General medical and surgical h employers in Alabama.

North Alabama Shoals Hospital (295 employees, TCR 9.6) 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 North Alabama Shoals Hospital
North Alabama Shoals Hospital (295 employees, TCR 9.6) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

North Alabama Shoals Hospital has fewer 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 9.3 3.6 18 3 0
2023 9.8 2.0 20 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

622110 · AL · Muscle Shoals

6,862 General medical and surgical hospitals employers nationwide with a credible TCR · 7,418 rated employers in Alabama with headcount on file · 63 employers in Muscle Shoals, AL · 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 Southwest Medical Center 9.6 TCR
NAICS-TCR LewisGale Hospital Mongomery 9.6 TCR
NAICS-TCR San Joaquin General Hospital 9.6 TCR
NAICS-TCR 2004-00001450 9.6 TCR
STATE-SIZE Toray Composite Materials America, Inc. 295 FTE
STATE-SIZE SEOYON E HWA INTERIOR SYSTEMS ALABAMA, LLC. 295 FTE
STATE-SIZE 726 295 FTE
STATE-SIZE Robbie D. Wood, Inc. 295 FTE
CITY-NEAR North American Lighting - Muscle Shoals 1,616 FTE
CITY-NEAR NAL MUSCLE SHOALS PLANT 1,610 FTE
CITY-NEAR North American Lighting - Alabama 1,488 FTE
CITY-NEAR Constellium Muscle Shoals LLC - Alloys Operations 1,113 FTE
NAT-TCR Highmark Companies 9.6 TCR
NAT-TCR Ctwat - Waterbury 9.6 TCR
NAT-TCR Ildct - Decatur Center 9.6 TCR
NAT-TCR Txmyk - Mykawa 9.6 TCR
NAT-SIZE Royston LLC 295 FTE
NAT-SIZE Hoist Material Handling 295 FTE
NAT-SIZE Caltrol, Inc. 295 FTE
NAT-SIZE Regional West Physicians Clinic 295 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. 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.