National ranking · OSHA ITA
The most dangerous employers in America
Establishments with the highest average Total Case Rate relative to their industry benchmark, every one a grade D or F.
- 100
- Employers ranked
- 30.0
- Worst avg TCR
- 100
- Graded F
The verdict
Every employer on this list carries a D or F. The most dangerous, Governor Juan F. Luis Hospital and Medical Center, runs at 30.0 injuries per 100 workers - 4.0× its industry's benchmark.
- 30.0
- worst TCR · Governor Juan F. Luis Hosp
- 4.0×
- industry rate (worst)
- 100
- of 100 graded F
- 2016–2024
- OSHA filing years
Ranked by each establishment's average Total Case Rate across all reported years, OSHA Injury Tracking Application Form 300A.
According to the U.S. Occupational Safety and Health Administration (OSHA), more than 497,000 employer establishments filed Form 300A injury summaries between January 2016 and December 2024. The ranking below surfaces the establishments whose average Total Case Rate runs furthest above their own industry benchmark - every one graded D or F. Each figure is computed directly from the federal Injury Tracking Application; see our methodology for how each grade is derived.
Concentration: these 100 establishments are 0.02% of the 497,821 employers in the full OSHA dataset, yet account for 0.14% of all 9,567,950 recorded injuries and 0.03% of all 6,770 recorded workplace fatalities nationwide.
| # | Employer | Location | Industry | Benchmark | Grade | Avg TCR |
|---|---|---|---|---|---|---|
| 1 | Governor Juan F. Luis Hospital and Medical Center | Christiansted, VI | General medical and surgical | 7.5 | F | 30.0 |
| 2 | 048 Juvenile Detention Center | Peoria, IL | Detention centers | 3.2 | F | 30.0 |
| 3 | Kemper Moving Systems | Huntsville, AL | General freight trucking, lo | 4.5 | F | 30.0 |
| 4 | EWR - Ground Ops | Newark, NJ | Transportation | 4.5 | F | 30.0 |
| 5 | Change Academy at Lake of the Ozark | Lake Ozark, MO | Mental health facilities, re | 3.8 | F | 30.0 |
| 6 | ARMM Logistics Corp | Burlingame, CA | Postal delivery services, lo | 4.5 | F | 30.0 |
| 7 | TenFour Logistics LLC | Painesville, OH | General freight trucking, lo | 4.5 | F | 30.0 |
| 8 | The Shook Home | Chambersburg, PA | Nursing homes | 6.5 | F | 29.9 |
| 9 | 287083-Saint Ann Po | Saint Ann, MO | Mail and Parcel Delivery | 4.5 | F | 29.9 |
| 10 | 6458-ZPOR | Troutdale, OR | Local Messengers and Local D | 4.5 | F | 29.9 |
| 11 | Golf Coast League / Clearwater Threshers | Clearwater, FL | Baseball clubs, professional | 3.1 | F | 29.9 |
| 12 | Wilmington School - School | Wilmington, MA | Alcoholism rehabilitation fa | 3.8 | F | 29.8 |
| 13 | Wawna - Wenatchee | Wenatchee, WA | Couriers and Express Deliver | 6.5 | F | 29.8 |
| 14 | Phoenix / Packaging Inc | Mount Joy, PA | Boxes, corrugated and solid | 3.3 | F | 29.8 |
| 15 | Curahealth Tucson Hospital | Tucson, AZ | Extended care hospitals (exc | 3.8 | F | 29.8 |
| 16 | Universal Galvanizing | Wright City, MO | Aluminum coating of metal pr | 3.3 | F | 29.8 |
| 17 | City of Meriden Fire Camp Street | Meriden, CT | Fire departments (e.g., gove | 3.2 | F | 29.8 |
| 18 | A-1 Movers INC | Superior, WI | Used household and office go | 4.5 | F | 29.8 |
| 19 | 6458-ZVEN | Ventura, CA | Local Messengers and Local D | 4.5 | F | 29.8 |
| 20 | IL-MKLLC-ILLINOIS | Schaumburg, IL | DINNER AND THEATRE | 3.1 | F | 29.8 |
| 21 | Guilford Public Works Department | Guilford, CT | Public property management s | 3.2 | F | 29.8 |
| 22 | The Waters of Shelbyville, LLC | Shelbyville, TN | Skilled nursing facilities | 6.5 | F | 29.7 |
| 23 | Trader Joe's 0215 Los Angeles | Los Angeles, CA | Grocery Store | 3.4 | F | 29.7 |
| 24 | Cornerstone Residence of Fosston | Fosston, MN | Assisted-living facilities w | 3.8 | F | 29.7 |
| 25 | Town Center Kennesaw | Kennesaw, GA | Bed stores, retail | 3.4 | F | 29.6 |
| 26 | 644 Ola1000 | Olathe, KS | General Warehousing and Stor | 5.8 | F | 29.6 |
| 27 | Trader Joe's 0054 Toluca Lake | Toluca Lake, CA | Grocery Store | 3.4 | F | 29.6 |
| 28 | Panthers Football LLC | Charlotte, NC | Football clubs, professional | 3.1 | F | 29.6 |
| 29 | Lucky Bucks, LLC | Norcross, GA | Amusement device (except gam | 3.1 | F | 29.6 |
| 30 | MLSS | New Windsor, NY | Ambulance services, air or g | 3.8 | F | 29.6 |
| 31 | Dtw-Ground Ops | Detroit, MI | Scheduled Passenger Air Tran | 4.5 | F | 29.5 |
| 32 | Lifeguard HQ | Huntington Beach, CA | Fire departments (e.g., gove | 3.2 | F | 29.5 |
| 33 | 29 Brickyard Circle | Auburn, ME | Carpet cleaning on customers | 4.5 | F | 29.5 |
| 34 | TriPeaks Logistics LLC | Ridgefield, WA | Delivery service (except as | 4.5 | F | 29.5 |
| 35 | The Settlement Home for Children | Austin, TX | Boys' and girls' residential | 3.8 | F | 29.5 |
| 36 | Hyatt Regency La Jolla at Aventine | San Diego, CA | JOLLA | 3.0 | F | 29.5 |
| 37 | BDL - Ground Ops | Windsor Locks, CT | Scheduled Passenger Air Tran | 4.5 | F | 29.4 |
| 38 | 6458-ZAUM | Lewiston, ME | Local Messengers and Local D | 4.5 | F | 29.4 |
| 39 | Blase Manufacturing Company | Stratford, CT | Metal stampings (except auto | 3.3 | F | 29.4 |
| 40 | Kennedy Elementary | Willmar, MN | Elementary and secondary sch | 1.4 | F | 29.4 |
| 41 | Castle Peak Senior Care | Eagle, MN | Continuing care retirement c | 3.8 | F | 29.4 |
| 42 | Concast Inc Zumbrota | Zumbrota, MN | Concrete products, precast ( | 3.3 | F | 29.4 |
| 43 | AMZL-NA : Addair Insurance Agencies, LLC | Clermont, FL | Local letter and parcel deli | 4.5 | F | 29.3 |
| 44 | AN3 Logisitcs LLC | Brighton, MI | Van lines, moving and storag | 4.5 | F | 29.3 |
| 45 | Springfield Food | Springfield, MA | Job counseling, vocational r | 3.8 | F | 29.3 |
| 46 | Trader Joe's 0524 Orange | Orange, CT | Grocery Store | 3.4 | F | 29.3 |
| 47 | Petersburg Ofc/Whse | Petersburg, VA | - | 5.8 | F | 29.3 |
| 48 | Catalyst Consulting & Logistics | Odenton, MD | Delivery service (except as | 4.5 | F | 29.3 |
| 49 | Animal Control | Bloomington, IN | Animal shelters | 2.1 | F | 29.3 |
| 50 | Shank Waste Service Inc. | Mars, PA | Waste collection services, n | 2.6 | F | 29.3 |
| 51 | Millennium Forge Inc. | Louisville, KY | Hot forgings made from purch | 3.3 | F | 29.2 |
| 52 | Summit Delivery Systems | Sarasota, FL | Delivery service (except as | 4.5 | F | 29.2 |
| 53 | Christa McAuliffe Elementary | Hastings, MN | K-12 Education | 1.4 | F | 29.2 |
| 54 | WellQuest Palo Alto Commons | Palo Alto, CA | Assisted-living facilities w | 3.8 | F | 29.2 |
| 55 | Heritage Care Center | American Fork, UT | Skilled nursing facilities | 6.5 | F | 29.2 |
| 56 | Jayco Idaho | Kimberly, ID | Camping trailers and chassis | 3.3 | F | 29.2 |
| 57 | North Division #801 | Boise, ID | Division | 0.7 | F | 29.2 |
| 58 | Hamburg Plow Works Inc. | Hamburg, PA | Iron foundries | 3.3 | F | 29.2 |
| 59 | Trig's Eagle River | Eagle River, WI | Grocery stores | 3.4 | F | 29.1 |
| 60 | Trail Blazers, Inc. Practice Facility | Portland, OR | Basketball teams, profession | 3.1 | F | 29.1 |
| 61 | Stratford Homes Limited Partnership | Stratford, WI | Buildings, prefabricated, wo | 3.3 | F | 29.1 |
| 62 | Jendro Sanitation, Inc | Charles City, IA | Dumps, compost | 2.6 | F | 29.1 |
| 63 | Saco School | Saco, ME | Elementary and secondary sch | 1.4 | F | 29.0 |
| 64 | Funk Lawn Care | Tonawanda, NY | Fertilizing lawns | 4.5 | F | 29.0 |
| 65 | Minneapolis Washer and Stamping | Minneapolis, MN | Washers, metal, manufacturin | 3.3 | F | 29.0 |
| 66 | South Windsor Ofc/Whse | South Windsor, CT | - | 5.8 | F | 29.0 |
| 67 | Birch Bay - Resort | Birch Bay, WA | Hotels and Motels | 3.0 | F | 29.0 |
| 68 | Pedigo Logistics LLC | Englewood, CO | Local letter and parcel deli | 4.5 | F | 29.0 |
| 69 | Richmond Ambulance Authority | Richmond, VA | Emergency medical transporta | 3.8 | F | 29.0 |
| 70 | Brushy Creek Post Acute | Greer, SC | Skilled nursing facilities | 6.5 | F | 29.0 |
| 71 | MGM Brakes - Cloverdale | Cloverdale, CA | Air brake systems and parts, | 5.4 | F | 29.0 |
| 72 | Capitol Waste Services Inc. | East Boston, MA | Waste hauling, local, nonhaz | 2.6 | F | 29.0 |
| 73 | TPOD Management Inc | Naperville, IL | Local letter and parcel deli | 4.5 | F | 28.9 |
| 74 | 482027-Crp-Six Points Sta | Corpus Christi, TX | Mail and Parcel Delivery | 4.5 | F | 28.9 |
| 75 | Tampa - GMS, Himes, US Scouts | Tampa, FL | Baseball clubs, professional | 3.1 | F | 28.9 |
| 76 | DAP-US Corp | Murfreesboro, TN | Motor freight carrier, gener | 4.5 | F | 28.9 |
| 77 | WIFT,LLC | Waxahachie, TX | package delivery | 4.5 | F | 28.9 |
| 78 | Friendship Village Retirement Community | Waterloo, IA | Retirement communities, cont | 3.8 | F | 28.9 |
| 79 | Buena Vista Care Center | Santa Barbara, CA | Skilled nursing facilities | 6.5 | F | 28.9 |
| 80 | Synergy Delivery, LLC | Eagan, MN | Packaging services (except p | 2.6 | F | 28.9 |
| 81 | Trader Joe's 0122 Studio City | Studio City, CA | Grocery Store | 3.4 | F | 28.9 |
| 82 | 6458-ZALB | Rensselaer, NY | Local Messengers and Local D | 4.5 | F | 28.9 |
| 83 | 287202-Stl-University City Br | St Louis, MO | Mail and Parcel Delivery | 4.5 | F | 28.8 |
| 84 | Boise DC #091 | Boise, ID | Warehouse/Distribution Cente | 5.8 | F | 28.8 |
| 85 | JAWS Logistics LLC | Tacoma, WA | Delivery service (except as | 4.5 | F | 28.8 |
| 86 | Western Foundries, Inc. | Longmont, CO | Iron castings, unfinished, m | 3.3 | F | 28.8 |
| 87 | Grocery Outlet Santa Cruz | Santa Cruz, CA | Grocery stores | 3.4 | F | 28.8 |
| 88 | Solid-Employees LLC | West St Paul, MN | Framing contractors | 2.8 | F | 28.7 |
| 89 | 252518-Det-Northwestern Sta | Detroit, MI | Mail and Parcel Delivery | 4.5 | F | 28.7 |
| 90 | Clendenen Vineyard Management, LLC | Healdsburg, CA | Agriculture production or ha | 4.5 | F | 28.7 |
| 91 | Los Angeles Police Department, Southwest Division | Los Angeles, CA | Police departments (except A | 3.2 | F | 28.7 |
| 92 | Store 1915 | Anderson, CA | General Merchandise Stores | 3.4 | F | 28.7 |
| 93 | Fresno Police Department | Fresno, CA | Public safety bureaus and st | 3.2 | F | 28.7 |
| 94 | Trader Joe's 0519 Portland | Portland, ME | Grocery Store | 3.4 | F | 28.7 |
| 95 | Pls, LLC | Virginia Beach, VA | Courier services (i.e., inte | 6.5 | F | 28.7 |
| 96 | Cadence Wake Forest | Phoenix, AZ | Assisted-living facilities w | 3.8 | F | 28.7 |
| 97 | Affinity Waste Solutions | Sanford, FL | - | 2.6 | F | 28.6 |
| 98 | American Red Cross - 404 E 3rd St | Grand Island, NE | - | 3.8 | F | 28.6 |
| 99 | Bwi-Ground Ops | Baltimore, MD | Scheduled Passenger Air Tran | 4.5 | F | 28.6 |
| 100 | Casa De Vida | San Luis Obispo, CA | Group homes, intellectual an | 3.8 | F | 28.6 |
Source: OSHA Injury Tracking Application, establishment Form 300A summaries, 2016–2024. Grades compare each establishment's Total Case Rate to its BLS industry benchmark.
What to do with this ranking
These establishments report injury rates far above their own industry peers, a flag worth investigating, not a final judgment about any single worker's experience.
- Check how a specific employer you care about compares, most sites aren't on this list. Look up an employer
- See which whole industries run hottest, so you can read a rate in context. Industry rankings
- Working somewhere risky? Know your right to refuse imminent-danger work and report retaliation-free. Your rights
Ranked on the credible-subset average TCR (rate ≤ 30, ≥ 20 employees and ≥ 20 injuries over ≥ 3 years), so no single corrupt filing can reach this list.