TCR, interpreted
Far above average
5.8 avg TCR
State profile · OSHA ITA
How 7,192 OSHA-reporting employers across Iowa compare on workplace injuries, 2016–2024. Average TCR uses the 6,483 establishments with a credible rate (see methodology).
TCR, interpreted
Far above average
5.8 avg TCR
Iowa vs all states by OSHA-reporting employer count
Where this state's ITA establishment inventory sits among every tracked state and territory (coverage signal, not a safety ranking)
7,192 27th of 54 higher than 27 of 54 states
States and territories, banded by OSHA ITA reporting employer count
Each bar is a band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.
Source official public datasets · 2026
The state picture
Iowa's 6,483 rated reporting employers average 5.8 recordable injuries per 100 workers, 2.1 times the ~2.7 all-industry private-sector norm.
Inventory counts and injury/fatality totals cover all 7,192 ITA establishments; the average TCR excludes zero-rate and corrupt-hours filings. See Methodology → Three Populations.
28% of Iowa's reporting establishments earn an F and 13% an A, each measured against its own industry benchmark, not the state line. These grades are a transparent derived index, not an official OSHA rating; see the Methodology for the exact formula.
Iowa's average TCR of 5.8 is lower than 25% of states, a state average reflects industry mix as much as workplace safety.
Iowa hosts 7,192 employer establishments currently reporting to OSHA's Injury Tracking Application. These are not small shops: federal rules require ITA submission from workplaces with 250+ employees in any industry, plus workplaces with 20+ employees in the roughly 60 NAICS codes classified as high-hazard (construction, manufacturing, healthcare, warehousing, agriculture, and others). Across this Iowa cohort, workers have logged 146,343 recordable injuries. The published state average Total Case Rate (TCR) of 5.8 injuries per 100 full-time workers uses the 6,483 establishments with a credible rate (zero-rate and corrupt-hours filings stay in the inventory counts above but are excluded from the average, see methodology).
The state has recorded 105 workplace fatalities in the reporting window, which is tracked separately from non-fatal injury counts because fatal events have their own investigation trail under 29 CFR 1904.39. Reading state-level TCR requires context: the headline figure is driven by a state's industry mix. A state with a heavy construction, logging, or meatpacking footprint will mechanically post higher TCR than a state dominated by finance or professional services, even when individual employers are equally well-managed. That is why the employer table below sorts each establishment by its own TCR and letter grade, against the BLS benchmark for its specific industry, not against the state average.
For jobseekers, relocators, investors, and local safety professionals, state-level pages function as an entry point: use the grade-sorted list to spot the safest and highest-risk employers in Iowa, then click through to an individual establishment for its year-by-year injury, illness, DART, and fatality trajectory. Compare multiple years before drawing conclusions, a single outlier year can reflect a specific event, whereas a sustained pattern across reporting cycles is a more reliable risk signal. All data comes directly from employer-submitted OSHA Form 300A summaries. State OSHA plans in 22 states operate their own enforcement programs in parallel, but the injury data above is harmonized through the federal ITA system.
| Employer | City | Industry | Grade | Avg TCR |
|---|---|---|---|---|
| Traffic Engineering | Cedar Rapids | Engineering services | F | 20.7 |
| Bickford of Sioux City II | Sioux City | Assisted-living facilities w | F | 20.6 |
| Bruggeman Lumber Inc | Hopkinton | Custom sawmills | F | 20.6 |
| Land Mark Products | Milford | Nationality specialty foods, | F | 20.6 |
| Accura Healthcare of Lemars | Le Mars | Skilled nursing facilities | F | 20.6 |
| Van Hessen USA Hatfield | 2700 Clemens | Food processing plant constr | F | 20.6 |
| Brownmed - Spirit Lake | Spirit Lake | Orthopedic devices manufactu | F | 20.6 |
| Hancock Concrete Products- Lake View | Lake View | Precast concrete pipe manufa | F | 20.5 |
| Azria Health Park Place | Des Moines | Skilled nursing facilities | F | 20.5 |
| Tanager Place | Cedar Rapids | Mental health facilities, re | F | 20.5 |
| Iowa City Rehab and Health Care Center | Iowa City | Skilled nursing facilities | F | 20.3 |
| Accura HealthCare of Carroll | Carroll | Skilled nursing facilities | F | 20.3 |
| Progressive Foundry | Perry | Iron foundries | F | 20.2 |
| Parks & Rec Maintenance | Sioux City | Nature Parks and Other Simil | F | 20.2 |
| King Construction Cedar Rapids | Cedar Rapids | Addition, alteration and ren | F | 20.2 |
| Fort Dodge-South | Fort Dodge | Ready-mix concrete manufactu | F | 20.2 |
| 4795-Ea-Cid-Cedar Rapids-Eagle Acs | Cedar Rapids | Scheduled Air Service | F | 20.2 |
| Iowa City Bickford | Iowa City | Continuing Care Retirement C | F | 20.1 |
| F.H. Uelner Precision Tools and Dies, Inc. | Dubuque | Dies, metalworking (except t | F | 20.0 |
| Ray-Man, Inc. | Keota | Fertilizing machinery, farm- | F | 20.0 |
| Coralville, IA-Biolife 839 | Coralville | Plasmapheresis Center | F | 19.9 |
| Sunnycrest Manor | Dubuque | Group homes, intellectual an | F | 19.9 |
| Bickford of Ames | Ames | Assisted-living facilities w | F | 19.9 |
| Goodwill Industries of Central Iowa West Des Moines Retail | West Des Moines | Clothing stores, used | F | 19.9 |
| 6458-ZMSN | Mason City | Local Messengers and Local D | F | 19.9 |
| Wold Rim and Wheel | St. Ansgar | Wheels (i.e., rims), automot | F | 19.8 |
| Plastic Recycling of Iowa Falls, Inc. | Iowa Falls | Profile shapes (e.g., plate, | F | 19.8 |
| QHC Humboldt South | Humboldt | Nursing homes | F | 19.7 |
| Metals | West Burlington | Fixtures, store display, man | F | 19.7 |
| Spirit Lake_1382491 | Spirit Lake | Mail and Parcel Delivery | F | 19.6 |
| Simply Essentials | Charles City | Poultry slaughtering, dressi | F | 19.6 |
| 118_12971 | Clarinda | - | F | 19.6 |
| Dallas Center-Grimes Community School | Grimes | Cafeteria food services cont | F | 19.6 |
| Trader Joe's 0721 West Des Moines | West Des Moines | Grocery Store | F | 19.6 |
| Israel Family Hospice House | Ames | Hospices, inpatient care | F | 19.5 |
| Bickford of Fort Dodge | Fort Dodge | Assisted-living facilities w | F | 19.5 |
| Moveero Estherville Iowa | Estherville | Farm tractors and attachment | F | 19.5 |
| Urbandale Bickford | Urbandale | Continuing Care Retirement C | F | 19.5 |
| 524 | Cedar Rapids | Couriers and express deliver | F | 19.5 |
| 6728-00030023-29 | Eagle Grove | Pork Processing Plant | F | 19.5 |
| Underground Utilities | Sioux City | Water Supply and Irrigation | F | 19.5 |
| Algona Manor Care Center | Algona | Nursing homes | F | 19.4 |
| Vermeer Des Moines | Des Moines | Construction Machinery Manuf | F | 19.3 |
| Accura HealthCare of Marshalltown | Marshalltown | Skilled nursing facilities | F | 19.3 |
| Clinton Bickford | Clinton | Continuing Care Retirement C | F | 19.3 |
| Hampton Inn & Suites SW | West Des Moines | Hotels (except casino hotels | F | 19.2 |
| Blue Independence Iowa | Independence | Dog and cat food (e.g., cann | F | 19.2 |
| DHS-Glenwood Resource Center | Glenwood | Intellectual and development | F | 19.2 |
| Ruthven Community Care Center | Ruthven | Nursing homes | F | 19.1 |
| Riley Industrial Paint Plant | Burlington | Coating of metal and metal p | F | 19.1 |
Two PlainSafetyScore-derived peer sets for Iowa: nearest states and territories by rated-subset average Total Case Rate and by OSHA-reporting employer inventory. These are cross-state neighborhoods, not the employer list above.
Nearest states by rated-subset Total Case Rate (5.8 here).
Nearest states by reporting employer count (7,192 here).
Look up a Iowa employer → · Compare all states → · How TCR is measured →
Read our methodology - how this data is sourced, computed, and verified.
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.