Ambulance services, air or ground · Nevada
Sierra Medical Services Alliance (SEMSA)
Reno, NV · ~284 workers · 8 years of OSHA Injury Tracking Application data.
- F
- Failing Safety Record
- 13.2
- Avg TCR
- 3.8
- Industry avg
- 1
- Fatality
The verdict
Sierra Medical Services Alliance (SEMSA) runs at 346% of its industry's injury rate - far more dangerous than the typical Ambulance services, air or ground workplace, earning a grade F.
Sierra Medical Services Alliance (SEMSA): 13.2 TCR = 346% of Ambulance services, air or ground BLS 3.8 · 8y Form 300A (see methodology below)
Sierra Medical Services Alliance (SEMSA) safety composite
Sierra Medical Services Alliance (SEMSA) scores strongest on dart rate (safer than 40% of same-industry peers) and weakest on fatalities (safer than 1%), 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).
25/100
Percentile-weighted across 3 of 3 measures
- Total Case Rate (TCR)
- F 13.15 per 100 workers
Safer than 26% of industry peers
- DART rate
- D 5.96 per 100 workers
Safer than 40% of industry peers
- Fatalities
- F 1
Safer than 1% 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
−1.7
2017→2024
Sierra Medical Services Alliance (SEMSA) injury rate improved
Sierra Medical Services Alliance (SEMSA)'s TCR fell 1.7 from 11.8 in 2017 to 10.1 in 2024. Peak filing year was 2020 at 22.0 TCR. In 2024, DART was 0.45× this establishment's average TCR (severity share of cases).
2017=11.8 · 2018=9.3 · 2019=8.8 · 2020=22.0 · 2021=9.4 · 2022=18.8 · 2023=14.9 · 2024=10.1
OSHA ITA Form 300A scorecard
Establishment book 621910 · Reno, NV ABOVE-IND · MID
Grade F · TCR 13.2 · 346% of ind
- DART 6.0 DART
- RANK #5/6
- PHOTO McChesney Ave - Brun…
- BOOK 8y book
- INJ 179 inj
- SIZE ~284 FTE
Nearest TCR peer: McChesney Ave - Brunswick (0.0 TCR gap)
Read with this employer → · Industry book → · Nevada employers → · Look up another →
Sierra Medical Services Alliance (SEMSA) in the TCR neighbourhood
Average Total Case Rate among this establishment and nearest same-industry peers
- This site
Sierra Medical Services Alliance (SEMSA)
13.2 TCR
- McChesney Ave
McChesney Ave - Brunswick
13.2 TCR
- McMinn County
McMinn County Operations
13.2 TCR
- Wood's Ambulan
Wood's Ambulance, Inc. - Main Base
13.1 TCR
- Marion County
Marion County Fire District No.1
13.1 TCR
What this shows Sierra Medical Services Alliance (SEMSA) averages 13.2 TCR (346% of the Ambulance services, air or ground BLS benchmark).
Sierra Medical Services Alliance (SEMSA) TCR series: 2017=11.8 · 2018=9.3 · 2019=8.8 · 2020=22 · 2021=9.4 · 2022=18.8 · 2023=14.9 · 2024=10.1 · BLS 3.8
Where Sierra Medical Services Alliance (SEMSA) falls in its industry
976 Ambulance services, air or gro establishmentsSafer than 26% of graded establishments in this industry, whose median TCR is 8.3.
Narrower to Nevada alone (the establishments it most directly competes with for workers and contracts): ranked #5 safest of 6 Ambulance services, air or gro employers in Nevada.
Sierra Medical Services Alliance (SEMSA) 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 |
|---|---|---|---|---|---|
| 2024 | 10.1 | 6.0 | 21 | 1 | 0 |
| 2023 | 14.9 | 10.6 | 23 | 8 | 0 |
| 2022 | 18.8 | 12.2 | 43 | 0 | 0 |
| 2021 | 9.4 | 8.1 | 16 | 13 | 0 |
| 2020 | 22.0 | 10.2 | 19 | 37 | 0 |
| 2019 | 8.8 | 1.9 | 17 | 11 | 1 |
| 2018 | 9.3 | 1.2 | 25 | 5 | 0 |
| 2017 | 11.8 | 3.1 | 15 | 12 | 0 |
OSHA ITA peer cross-reference
Establishment peer ledger
621910 · NV · Reno
976 Ambulance services, air or ground employers nationwide with a credible TCR · 4,574 rated employers in Nevada with headcount on file · 611 employers in Reno, NV · 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 | McChesney Ave - Brunswick | 13.2 TCR |
| NAICS-TCR | McMinn County Operations | 13.2 TCR |
| NAICS-TCR | Wood's Ambulance, Inc. - Main Base | 13.1 TCR |
| NAICS-TCR | Marion County Fire District No.1 | 13.1 TCR |
| STATE-SIZE | Nevada Region | 284 FTE |
| STATE-SIZE | Clearwater Paper Las Vegas LLC | 284 FTE |
| STATE-SIZE | 4370 | 284 FTE |
| STATE-SIZE | 2573-NV048 | 284 FTE |
| CITY-NEAR | Univeristy of Nevada, Reno | 7,263 FTE |
| CITY-NEAR | University of Nevada, Reno | 7,096 FTE |
| CITY-NEAR | Renown Regional Hospital | 3,789 FTE |
| CITY-NEAR | Renown Regional Medical Center 200 | 3,582 FTE |
| NAT-TCR | Courtyard by Marriott Seattle North Everett | 13.2 TCR |
| NAT-TCR | Trader Joe's 0653 Washington | 13.2 TCR |
| NAT-TCR | Price Office | 13.2 TCR |
| NAT-TCR | Harding Metals, Inc. | 13.2 TCR |
| NAT-SIZE | Shop Rite of English Creek | 284 FTE |
| NAT-SIZE | Welding | 284 FTE |
| NAT-SIZE | Ki Mobility - Headquarters (Stevens Point, WI) | 284 FTE |
| NAT-SIZE | Chambers Logistics Terminal | 284 FTE |
Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →
Read our methodology - how this data is sourced, computed, and verified.