General medical and surgical hospitals · Alabama

Shoals Hospital

Muscle Shoals, AL · ~314 workers · 5 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
10.8
Avg TCR
7.5
Industry avg
1
Fatality
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The verdict

Shoals Hospital runs at 145% of its industry's injury rate - more dangerous than the typical General medical and surgical hospitals workplace, earning a grade D.

Shoals Hospital: 10.8 TCR = 145% of General medical and surgical hospitals BLS 7.5 · 5y Form 300A (see methodology below)

Shoals Hospital safety composite

Shoals Hospital scores strongest on dart rate (safer than 82% of same-industry peers) and weakest on fatalities (safer than 2%), 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

32/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
F 10.84 per 100 workers

Safer than 6% of industry peers

DART rate
B 0.07 per 100 workers

Safer than 82% of industry peers

Fatalities
F 1

Safer than 2% 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

−5.4

2018→2022

Shoals Hospital injury rate improved

Shoals Hospital's TCR fell 5.4 from 5.7 in 2018 to 0.3 in 2022. Peak filing year was 2021 at 30.7 TCR. In 2022, DART was 0.01× this establishment's average TCR (severity share of cases).

2018=5.7 · 2019=0.0 · 2020=17.5 · 2021=30.7 · 2022=0.3

OSHA ITA Form 300A scorecard

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

Grade D · TCR 10.8 · 145% of ind

  • DART 0.1 DART
  • RANK #58/65
  • PHOTO WHMD-Womens Hospital…
  • BOOK 5y book
  • INJ 153 inj
  • SIZE ~314 FTE

Nearest TCR peer: WHMD-Womens Hospital MD (0.0 TCR gap)

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

Shoals Hospital in the TCR neighbourhood

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

TCR

What this shows Shoals Hospital averages 10.8 TCR (145% 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

Shoals Hospital TCR series: 2018=5.7 · 2019=0 · 2020=17.5 · 2021=30.7 · 2022=0.3 · BLS 7.5

Where Shoals Hospital falls in its industry

6,862 General medical and surgical h establishments

Safer than 6% 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 #58 safest of 65 General medical and surgical h employers in Alabama.

Shoals Hospital (314 employees, TCR 10.8) 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 Shoals Hospital
Shoals Hospital (314 employees, TCR 10.8) among 29 same-industry peers, split at the industry median of 492 employees and a TCR of 5.2

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
2022 0.3 0.1 55 12 0
2021 30.7 1.9 61 4 0
2020 17.5 9.7 17 21 1
2019 0.0 0.0 8 0 0
2018 5.7 2.4 12 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 WHMD-Womens Hospital MD 10.8 TCR
NAICS-TCR Prime Healthcare Svcs-Garden City LLC 10.8 TCR
NAICS-TCR Brigham & Women's Faulkner Hospital 10.8 TCR
NAICS-TCR 9292-AHGL001 - HOSPITAL 10.8 TCR
STATE-SIZE McCalla 314 FTE
STATE-SIZE HoneywellAL37 313 FTE
STATE-SIZE Vulcraft of Alabama Inc. 315 FTE
STATE-SIZE Buffalo Rock Company - Birmingham 315 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 Brookdale High Point North AL 10.8 TCR
NAT-TCR 163432-Harrisburg Po 10.8 TCR
NAT-TCR 166768-Rock Falls Po 10.8 TCR
NAT-TCR 173170-Gary in P&Dc 10.8 TCR
NAT-SIZE Belle of Baton Rouge Casino & Hotel 314 FTE
NAT-SIZE Tech Data Groveport 314 FTE
NAT-SIZE Graham Architectural Products 314 FTE
NAT-SIZE 1012 - Omaha Ne Whse 314 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: 2022, 2021, 2020, 2019, 2018. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.