Ambulatory Health Care Services
Source: BLS SOII + CFOI · Rates derived from NAICS 62 sector data · Per 100 FTE workers
2022 Rates
BLS SOII + CFOI · Per 100 FTE except fatal rate4-Year Trend
| Year | TRIR | DART | DAFW |
|---|---|---|---|
| 2019 | 4.3 | 3.3 | 2.1 |
| 2020 | 5.8 | 4.4 | 2.8 |
| 2021 | 5.3 | 4.0 | 2.6 |
| 2022(latest) | 4.8 | 3.7 | 2.4 |
Rates derived from NAICS 62 sector data. BLS SOII publishes granular subsector rates in supplemental tables — available via API.
Causes & Nature of Incidents
NAICS 62 sector-level data · CFOI + SOII 2022
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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OSHA's enforcement database includes full inspection history, citation details, and penalty amounts for NAICS 621 establishments nationwide.
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