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
El Paso Emergency Squad El Paso, IL B 1.9
RuralMed, LLC Farina, IL A 1.9
Lancaster EMS - Willow Valley Willow Street, PA A 1.9
Excelsior Ambulance Lake City VA Lake City, FL A 1.8
EMS New Canaan, CT A 1.8
Grace Behavioral Health Operations Phoenix, AZ A 1.8
Morrisonville-Schuyler Falls Volunteer Ambulance S Morrisonville, NY A 1.8
Med Life Bastrop, LA A 1.7
North East Ambulance Service, Inc. Ravenna, OH A 1.7
Transportation Shreveport, LA A 1.7
Texoma Station Sherman, TX A 1.7
Finger Lakes Ambulance EMS Clifton Springs, NY A 1.7
Primary Care Ambulance Corp Staten Island, NY A 1.6
Redcom Communications Santa Rosa, CA A 1.6
Temple Health System Transport Team Philadelphia, PA A 1.6
Port ColumbusOperations Columbus, OH A 1.5
Springfield Communications Springfield, MA A 1.5
VRECC ValleyCom Communications Modesto, CA A 1.5
Lancaster EMS - Quarryville Quarryville, PA A 1.5
Life Flight Operations Salt Lake City, UT A 1.5
Flight - 05 Wetumpka, AL A 1.5
Willie Goss Enterprises, Inc Jackson, MS A 1.4
Vandergrift Fire Department No. 2 Vandrgrift, PA A 1.4
Medic 980 Houston, TX A 1.4
Ambulance Laclede County Lebanon, MO A 1.4
Metro Aviation Inc Shreveport, LA A 1.4
Acadian - Disaster Relief Lafayette, LA A 1.4
Medic 93 Houston, TX A 1.3
HQ Fort Lauderdale, FL A 1.3
SCH Scotia, NY A 1.3
Southeast Division ManagmentOperations Miami, FL A 1.3
606 West Potter Avenue Kirksville, MO A 1.2
RM Fire Yuma AdminOperations Yuma, AZ A 1.2
Pima Fire RescueOperations Tucson, AZ A 1.2
Echo Hose Hook & Ladder Ambulance Corps Inc. Shelton, CT A 1.2
Station 84 San Francisco, CA A 1.2
Classic Aviation North Salt Lake, UT A 1.1
Menomonee Falls WI Menomonee Falls, WI A 1.1
Ambulance South Barry County Cassville, MO A 1.1
LifeFlight Eagle Kansas City, MO A 1.1
Circleville Headquarters Station Circleville, OH A 1.0
Birmingham Pelham, AL A 1.0
Southwest EMS Overhead Fleet Mesa, AZ A 1.0
IMC Life Flight Operations Salt Lake City, UT A 1.0
Tri-Community Ambulance Service Monongahela, PA A 0.9
On Time Transport Roselle, NJ A 0.9
Bellefonte Emergency Medical Services Bellefonte, PA A 0.9
Security-AK Juneau, AK A 0.9
Medic 94 Houston, TX A 0.9
Maui Contract Operations Kahului, HI A 0.9
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Safety grades are a transparent derived index PlainSafetyScore computes from public OSHA and BLS data, not an official OSHA rating. Read our methodology - how this data is sourced, computed, and verified.

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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.