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 6 of 22
Employer LocationGradeAvg TCR
Sierra Medical Services Alliance (SEMSA) Reno, NV F 13.2
Wood's Ambulance, Inc. - Main Base Gardner, MA F 13.1
Marion County Fire District No.1 Salem, OR F 13.1
Elbert Muncy III Barstow, CA F 13.1
Erlanger KYOperations Erlanger, KY F 13.0
Greenwich EMS Headquarters Riverside, CT F 12.9
Chattanooga LGA TN Operations Chattanooga, TN F 12.9
Amcare Medical Systems Inc Saint Albans, VT F 12.9
Hillsborough Operations Tampa, FL F 12.9
New Cumberland Ambulance Service Inc. New Cumberland, WV F 12.9
Medic Ems Davenport, IA F 12.9
NextFleet Remount Center Fleet Mineral Wells, TX F 12.8
Community Ambulance Services Zanesville, OH F 12.8
Medical Transport - Northern Virginia Woodbridge, VA F 12.8
PriorityOne Indianapolis, IN F 12.8
Vital Operations Worcester, MA F 12.8
Priority Ambulance - Operations Knoxville, TN F 12.8
Main - 001 Sterling Heights, MI F 12.8
Hampton Roads Operations Hampton, VA F 12.8
A227 - EMS Upper Allen Mechanicsburg, PA F 12.7
Brainerd Ambulance Brainerd, MN F 12.7
Yolo County Operations West Sacramento, CA F 12.7
EmergyCare Erie, PA F 12.7
SWARA Pinal CountyOperations Casa Grande, AZ F 12.7
Cowlitz Operations Kelso, WA F 12.7
SWA Maricopa IFTOperations Maricopa, AZ F 12.7
Abbott St Louis Operations St Louis, MO F 12.7
San Mateo ALS Operations Burlingame, CA F 12.6
Buncombe County-Emergency Services Asheville, NC F 12.6
A220 - EMS Chambersburg Chambersburg, PA F 12.6
Positive Mobility Inc DBA Positive Medical Transport Sebring, FL F 12.6
Shoals Ambulance Florence, AL F 12.6
Central Emergency Medical Services Roswell, GA F 12.5
Plymouth Volunteer Ambulance Corps Terryville, CT F 12.5
Regional Ambulance Service, Inc Rutland, VT F 12.5
Canonsburg Ambulance Canonsburg, PA F 12.5
Sierra Ambulance Oakhurst, CA F 12.4
Careplus Ambulance Merrimack, NH F 12.4
Cumberland Goodwill Fire Rescue EMS Inc. Carlisle, PA F 12.4
Uwchlan Ambulance Corps Exton, PA F 12.4
Lake Valley EMS Amsterdam, NY F 12.4
Ohio Ambulance Solutions Cleveland Euclid, OH F 12.4
Seattle Operations Seattle, WA F 12.3
Santa Clarita Valley Operations Valencia, CA F 12.3
Madison County EMS Richmond, KY F 12.3
Station 1 Watertown, NY F 12.3
Atlantic Ambulance Livingston, NJ F 12.2
TransStar KY Operations Prestonsburg, KY F 12.2
Sandy SpringsOperations Roswell, GA F 12.2
RM Santa Clara County 911Operations San Jose, CA F 12.2
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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.