Health Care and Social Assistance
Establishments primarily engaged in providing health care and social assistance for individuals. This sector includes hospitals, nursing homes, outpatient care centers, home health care agencies, and social assistance organizations.
Source: BLS Survey of Occupational Injuries and Illnesses (SOII) · Private industry · Rates per 100 FTE workers
2022 Rates
BLS SOII + CFOI · Per 100 FTE except fatal rate4-Year Trend
| Year | TRIR | DART | DAFW |
|---|---|---|---|
| 2019 | 4.0 | 3.0 | 1.8 |
| 2020 | 5.5 | 4.1 | 2.5 |
| 2021 | 5.0 | 3.7 | 2.3 |
| 2022(latest) | 4.5 | 3.4 | 2.1 |
Note: 2020 healthcare rates reflect COVID-19 pandemic impact on case counts.
4 Subsectors — 3-Digit NAICS
Click any subsector to view injury rates, trend data, and enforcement information.
Causes & Nature of Incidents
Patient/client assaults against nurses, aides, and social workers — highest violence rate of any sector
Home health workers and ambulance/EMS incidents
Slips in patient care environments
Infectious disease exposure — COVID-19 disproportionately affected this sector in 2020
Workforce Demographics
Fatal injury rates by age and race/ethnicity. Source: BLS CFOI 2022, national private industry data.
Younger workers — lower fatal rate but highest non-fatal rate
Rising risk as workers take on heavier roles
Near national average
Above national average
Significantly elevated — experience does not offset physical risk
Highest fatal injury rate of any age group
Overrepresented in high-hazard sectors; construction and agriculture disparity is significant
Highest rate of any racial/ethnic group; concentrated in extractive and construction industries
Above average; disproportionately represented in transportation and service sector fatalities
Near national private industry average
Below national average; occupational distribution skews toward lower-hazard sectors
Black/African American and Hispanic/Latino workers are significantly overrepresented in nursing aide, home health aide, and direct care roles — the positions with the highest injury rates in healthcare. These workers face disproportionate exposure to patient handling injuries and workplace violence.
OSHA Enforcement
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