Industry profile · NAICS 621910

Ambulance Service

Workplace injury rates across 1,060 OSHA-reporting establishments in this industry, 2016–2024.

1,060
Employers
9.4
Avg TCR
3.8
BLS benchmark
25,461
Injuries

The industry picture

Employers in Ambulance Service average 9.4 recordable injuries per 100 workers, 2.5 times the BLS national benchmark of 3.8.

9.4
avg TCR · reporting employers
3.8
BLS national benchmark
1,060
employers reporting
25,461
recordable injuries

OSHA-reporting establishments skew toward larger, higher-hazard sites, so the reporting average runs above the BLS all-establishment benchmark.

What Ambulance Service Safety Data Reveals

The Ambulance Service sector (NAICS 621910) encompasses 1,060 distinct employer establishments currently reporting to OSHA's Injury Tracking Application. Across this cohort, workers have logged 25,461 recordable injuries during the 2016–2024 reporting window, producing an industry-weighted average Total Case Rate (TCR) of 9.4 injuries per 100 full-time workers per year. Because OSHA's ITA mandates submission from establishments with 250+ employees plus all high-hazard industries at 20+ employees, this dataset represents a structural slice of U.S. workplace risk rather than a voluntary sample.

The Bureau of Labor Statistics publishes a separate national benchmark TCR of 3.8 for this NAICS code, derived from the BLS Survey of Occupational Injuries and Illnesses. Comparing the two, the ITA-reported rate of 9.4 is higher than the BLS benchmark, a gap that typically widens when the industry contains many large, high-exposure establishments required to file ITA reports. Employers in the table below are sorted so you can see how far individual establishments deviate from both the industry average and the national benchmark.

The practical value of industry-level safety data is threefold. First, jobseekers can gauge whether a prospective employer is better or worse than its industry peers, not just absolute injury counts, which tilt toward larger payrolls. Second, insurers and workers' compensation carriers use sector TCR as a baseline for experience-modification adjustments. Third, safety professionals benchmark their own programs against the cohort median. Use the grade-sorted employer list below to identify specific establishments within Ambulance Service that outperform or underperform the sector average, and click through to each record for year-by-year injury, illness, and fatality breakdowns.

Employers in this industry, by injury rate

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Employer LocationGradeAvg TCR
Mecklenburg Ems Agency Charlotte, NC F 8.2
Bozeman Operations Bozeman, MT F 8.2
796_1230 Lehighton, PA F 8.1
Alamogordo Operations Alamogordo, NM F 8.1
Essex Ambulance Association Incorporated Essex, CT F 8.1
Willmar Willmar, MN F 8.1
Acadian - Southeast Texas District Beaumont, TX F 8.1
CareFlite Grand Prairie, TX F 8.1
Athens Athens, OH F 8.1
EMS Ambulance Aiken, SC F 8.0
Empress Ambulance Services Inc. North Poughkeepsie, NY F 8.0
Paratech - Madison North Madison, WI F 8.0
Henry County Medical Center EMS Paris, TN F 8.0
Ambulance Transportation Milwaukee, WI F 8.0
Overton County Ambulance Service Livingston, TN F 7.9
ND,Fargo-Sanford Ambulance-Ambulance Services Fargo, ND F 7.9
Washington County/Johnson City EMS Johnson City, TN F 7.8
San Francisco Operations San Francisco, CA F 7.8
United Ambulance Service of Cambridge Inc. Cambridge, OH F 7.8
Greece Ambulance Rochester, NY F 7.7
Iowa City IA Iowa City, IA F 7.7
Midwest Medical Transport Company - Brown Deer Station Milwaukee, WI F 7.7
Medic 1 Ambulance Benton Harbor, MI F 7.7
C&S Ambulance Services, Inc Vandrgrift, PA F 7.7
Hemet Operations Hemet, CA F 7.6
Stewarts Ambulance Service, LLC Meredith, NH F 7.6
Elmore County - 02 Wetumpka, AL D 7.5
Riverside Communications Riverside, CA D 7.5
Pierce CountyOperations Fife, WA D 7.5
Acadian - Tennessee District Memphis, TN D 7.5
Gallup Operations Gallup, NM D 7.5
Emergency Ambulance Service, Incorporated Brea, CA D 7.5
Community EMS Inc Operations Marlborough, MA D 7.5
Acadian - Capital District Baton Rouge, LA D 7.5
Westchester Operations New Rochelle, NY D 7.5
Oklahoma City Operations Oklahoma City, OK D 7.4
LVHN-EMS Holly Hazleton, PA D 7.4
Hunters Ambulance Meriden, CT D 7.4
Superior Air-Ground Ambulance Mansfield, OH D 7.4
Northshore Ems LLC Bogalusa, LA D 7.4
Palm Beach Operations Lake Worth, FL D 7.4
Hamilton County EMS (Emergency Medical Services) Chattanooga, TN D 7.4
Pocono Mountain Regional EMS Tobyhanna, PA D 7.3
Superior Air-Ground Ambulance Service of Ohio Grove City, OH D 7.3
LifeLine Ambulance Skokie, IL D 7.3
Life EMS Inc.-Ionia Ionia, MI D 7.3
Platinum Nine Holdings, LLC dba Northwest Ambulance Everett, WA D 7.3
Dayton Operations Dayton, OH D 7.3
Acadian - Orleans District Harrahan, LA D 7.3
Empress Ambulance Service LLC (North) Poughkeepsie, NY D 7.3
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Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainSafetyScore Editorial

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Working in Ambulance Service?

This sector averages 9.4 against a BLS benchmark of 3.8 - but individual employers span the full A-to-F range.

Sector figures use the credible-subset mean across reporting employers; a benchmark is not any single establishment's measured rate.

Every figure and grade on PlainSafetyScore is computed directly from OSHA's published Injury Tracking Application data and BLS industry benchmarks, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these safety grades, or report a data error. Data current as of 2016-2024 OSHA ITA release.