Ambulance services, air or ground · Alabama

Shoals Ambulance

Florence, AL · ~500 workers · 3 years of OSHA Injury Tracking Application data.

F
Failing Safety Record
12.6
Avg TCR
3.8
Industry avg
0
Fatalities
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The verdict

Shoals Ambulance runs at 331% of its industry's injury rate - far more dangerous than the typical Ambulance services, air or ground workplace, earning a grade F.

Shoals Ambulance: 12.6 TCR = 331% of Ambulance services, air or ground BLS 3.8 · 3y Form 300A (see methodology below)

Shoals Ambulance safety composite

Shoals Ambulance scores strongest on dart rate (safer than 68% of same-industry peers) and weakest on total case rate (tcr) (safer than 29%), 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).

D

48/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 12.57 per 100 workers

Safer than 29% of industry peers

DART rate
C 2.21 per 100 workers

Safer than 68% 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

Shoals Ambulance: 5.7 → 7.4 TCR

Peak year 2020 @ 24.7 TCR · DART/TCR 0.18× in 2021

Shoals Ambulance's TCR rose 1.7 from 5.7 in 2019 to 7.4 in 2021. Peak filing year was 2020 at 24.7 TCR. In 2021, DART was 0.18× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 621910 · Florence, AL ABOVE-IND · MID

Grade F · TCR 12.6 · 331% of ind

  • DART 2.2 DART
  • RANK #12/15
  • PHOTO Positive Mobility In…
  • BOOK 3y book
  • INJ 67 inj
  • SIZE ~500 FTE

Nearest TCR peer: Positive Mobility Inc DBA Positive Medical Transport (0.0 TCR gap)

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

Shoals Ambulance in the TCR neighbourhood

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

TCR

What this shows Shoals Ambulance averages 12.6 TCR (331% of the Ambulance services, air or ground BLS benchmark).

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

Shoals Ambulance TCR series: 2019=5.7 · 2020=24.7 · 2021=7.4 · BLS 3.8

Where Shoals Ambulance falls in its industry

976 Ambulance services, air or gro establishments

Safer than 29% of graded establishments in this industry, whose median TCR is 8.3.

More dangerous than peersSafer than peers

Narrower to Alabama alone (the establishments it most directly competes with for workers and contracts): ranked #12 safest of 15 Ambulance services, air or gro employers in Alabama.

Shoals Ambulance (500 employees, TCR 12.6) among 29 same-industry peers, split at the industry median of 72 employees and a TCR of 8.3 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 0200400600 0510152025 Average employees Total Case Rate Shoals Ambulance
Shoals Ambulance (500 employees, TCR 12.6) among 29 same-industry peers, split at the industry median of 72 employees and a TCR of 8.3

Shoals Ambulance has more employees than the Ambulance services, air or ground median and a higher 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
2021 7.4 2.2 10 0 0
2020 24.7 5.7 42 1 0
2019 5.7 0.8 15 0 0

OSHA ITA peer cross-reference

Establishment peer ledger

621910 · AL · Florence

976 Ambulance services, air or ground employers nationwide with a credible TCR · 7,418 rated employers in Alabama with headcount on file · 112 employers in Florence, 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 Positive Mobility Inc DBA Positive Medical Transport 12.6 TCR
NAICS-TCR A220 - EMS Chambersburg 12.6 TCR
NAICS-TCR Buncombe County-Emergency Services 12.6 TCR
NAICS-TCR San Mateo ALS Operations 12.6 TCR
STATE-SIZE INTUITIVE RESEARCH AND TECHNOLOGY 501 FTE
STATE-SIZE Tuscaloosa Plant 498 FTE
STATE-SIZE Essity Professional Hygiene Barton 498 FTE
STATE-SIZE 8100 Debone Koch Foods of AL 497 FTE
CITY-NEAR Florence 6,258 FTE
CITY-NEAR North Alabama Medical Center 1,596 FTE
CITY-NEAR Southwire Florence 400 FTE
CITY-NEAR American Wholesale Book Company 393 FTE
NAT-TCR Maple Park Village 12.6 TCR
NAT-TCR Houston & Harris PCS, Inc. 12.6 TCR
NAT-TCR North Florida Shipyards, Inc. 12.6 TCR
NAT-TCR Lawry's Carvery-South Coast Plaza 12.6 TCR
NAT-SIZE Danone North America 500 FTE
NAT-SIZE Health One Buffalo 500 FTE
NAT-SIZE Wegmans Fairmount 039 500 FTE
NAT-SIZE Original Tommy's 500 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: 2021, 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.