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

Page 13 of 22
Employer LocationGradeAvg TCR
ASMC CAS St 10 Indiana, PA D 6.6
Ambulance and Medical Examiner Building Iowa City, IA D 6.5
Station 54 Oakland, CA D 6.5
Oswego County Ambulance & Hearse Serv, Inc. Fulton, NY D 6.5
Livingston Station Livingston, TX D 6.5
Chester Ambulance Chester, CT D 6.5
CCPA-Cape Cape Girardeau, MO D 6.4
Lincoln Park Lincoln Park, MI D 6.4
WhidbeyHealth EMS Coupeville, WA D 6.4
FXE Fort Lauderdale, FL D 6.4
Med1 NC Services, LLC. Lumberton, NC D 6.4
MedTrust Medical Transport -CHS Hanahan, SC D 6.3
Critical Systems, Inc Leominster, MA D 6.3
LeRoy Emergency Ambulance Service, Inc. Le Roy, IL D 6.3
Bay City Bay City, MI D 6.3
Jeannette EMS Inc. Jeannette, PA D 6.3
Trans Am Ambulance Service Olean, NY D 6.3
Starnet Emergency Services -DBA- Westchester EMS Mount Kisco, NY D 6.3
Life EMS Inc.-Allegan Allegan, MI D 6.2
Acadian - North Central Texas District Austin, TX D 6.2
Life EMS Inc.-Ottawa Allendale, MI D 6.2
Emergency Services Jacksonville, NC D 6.2
County of Harnett-Emergency Management Lillington, NC D 6.1
Tower Health Urgent Care West Reading, PA D 6.1
Allina Health Emergency Medical Services St Peter St. Peter, MN D 6.1
Kurtz Paramedic Service Operations New Lenox, IL D 6.1
Alabama - 01 Montgomery, AL D 6.1
Guilford County Emergency Services - Fire Greensboro, NC D 6.1
East Texas Medical Center Emergency Medical Services (Collin County) Wylie, TX D 6.1
Mayo Clinic Ambulance (Gold Cross-Eau Claire) Altoona, WI D 6.1
AlphaOne Ambulance Medical Services Inc. Sacramento, CA D 6.0
District II, Metro 1, Makiki Honolulu, HI D 6.0
Galax-Grayson EMS Galax, VA D 6.0
Acadian - Central LA District Alexandria, LA D 6.0
Midwest Medical Transport Company - Lincoln Station Lincoln, NE D 6.0
Lapeer County EMS Station 7 Imlay City, MI D 6.0
SouthBridge Emergency Medical Services, Inc. Bridgeville, PA D 5.9
Life EMS Inc.-Oceana County Hart, MI D 5.9
Myrtle Beach Myrtle Beach, SC D 5.8
Ems Stations Burgaw, NC D 5.8
Mercy Health Lifestar Ambulance Toledo, OH D 5.8
Fremont NE Fremont, NE D 5.8
Adair County Ambulance Service Taxing District Columbia, KY D 5.8
Lifeline Medical Transport Ventura, CA D 5.8
United Medical Response Division 5 Mount Vernon, IL D 5.8
City of Highland EMS Highland, IL D 5.8
Troy - 03 Troy, AL D 5.7
Des Moines IA Des Moines, IA D 5.7
Nashua 911 Operations Nashua, NH D 5.7
Lapeer County EMS Station 5 Lapeer, MI D 5.7
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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.