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 14 of 22
Employer LocationGradeAvg TCR
Ambulance Services of Dyersburg Dyersburg, TN D 5.7
EMS Martinsville, IN D 5.7
Metro West Ambulance Hillsboro Hillsboro, OR D 5.7
EMS Administration Honolulu, HI D 5.7
Midwest Medical Transport Company - Madison Madison, WI D 5.7
Medfleet LLC Hudson, FL D 5.6
A-MMED Ambulance, Inc dba A-MED Ambulance Service Gretna, LA D 5.6
Temple TX Operations Temple, TX D 5.6
St Louis MO Maryland Heights, MO D 5.6
United Medical Response Division 3 Herrin, IL D 5.6
Nelson County EMS Bardstown, KY D 5.6
Cherokee County SC Operations Gaffney, SC D 5.6
Com-Care Inc Hartford, KY D 5.5
Fountain Hills FireOperations Mesa, AZ D 5.5
Big Island Hawaii Operations Hilo, HI D 5.5
MetroAtlanta Ambulance Service Marietta, GA D 5.5
Yellow Ambulance KY Operations Louisville, KY D 5.5
Town of Ellington-6 EVAC Ellington, CT D 5.5
Heartland EMS, INC - Corporate Cochran, GA D 5.5
Hart County Ambulance Service Munfordville, KY D 5.5
Alameda Station Hayward, CA D 5.4
Orange County - Emergency Services Hillsborough, NC D 5.4
Ventura Operations Moorpark, CA D 5.4
LifeCare Ambulance Memphis, TN D 5.4
Medics of Palm Beach Operations Lake Worth, FL D 5.4
TransAm Olean, NY D 5.4
LVHN-EMS West End Effort, PA D 5.4
Bay Medic Transportation Inc Concord, CA D 5.4
Denver Communications Arvada, CO D 5.4
ATS Medical Services Loves Park, IL D 5.3
Lexington Operations Lexington, KY D 5.3
Acadian - Houston District Humble, TX D 5.3
Superior Air Ground Ambulance Service of Wisconsin, Inc. Elmhurst, IL D 5.2
Mercy Flight, Inc Buffalo, NY D 5.2
SD,Sioux Falls-Maverick Air Center-Ambulance Services Sioux Falls, SD D 5.2
Ems Springfield Springfield, MO D 5.2
MedTrust Medical Transport- LEX West Columbia, SC D 5.2
Superior Air Ground Ambulance Service of Indiana, Inc Elmhurst, IL D 5.2
Pacific West Ambulance Newport, OR D 5.2
Rancho Cucamonga Communications Rancho Cucamonga, CA D 5.1
Town of Watertown Ambulance Service Inc. Watertown, NY D 5.1
Marengo Rescue Squad District Marengo, IL D 5.1
Acadian - Hub City District Lafayette, LA D 5.1
Rockford Ambulance Inc Rockford, MI D 5.1
Morongo Basin Ambulance Joshua Tree, CA D 5.1
Grant County Operations Moses Lake, WA D 5.1
South Star Ambulance Service Augusta, GA D 5.1
San Benito Hollister Operations Hollister, CA D 5.1
Donald Martens and Sons Ambulance Service - Brooklyn Base Cleveland, OH D 5.0
NEMT Stat Air Coop Glasgow, MT D 5.0
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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.