NAICS 621
Subsector of NAICS 62 · Health Care and Social Assistance

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
TRIR
4.8
Total Recordable Incident Rate
↓ vs 2021
DART
3.7
Days Away, Restricted, or Transferred
↓ vs 2021
DAFW Rate
2.4
Days Away from Work Rate
Fatal Rate
1.2
Fatal injuries per 100,000 FTE · National avg: 3.4

4-Year Trend

YearTRIRDARTDAFW
20194.33.32.1
20205.84.42.8
20215.34.02.6
2022(latest)4.83.72.4

Rates derived from NAICS 62 sector data. BLS SOII publishes granular subsector rates in supplemental tables.

Causes & Nature of Incidents

NAICS 62 sector-level data · CFOI + SOII 2022

Leading Causes of Fatality (CFOI 2022)
1. Violence and other injuries40%

Patient/client assaults against nurses, aides, and social workers — highest violence rate of any sector

2. Transportation incidents20%

Home health workers and ambulance/EMS incidents

3. Falls, slips, trips15%

Slips in patient care environments

4. Exposure to harmful substances10%

Infectious disease exposure — COVID-19 disproportionately affected this sector in 2020

Nature of Non-Fatal Injuries (SOII 2022)
1. Sprains, strains, tears38%
2. Soreness, pain17%
3. Bruises, contusions10%
4. Cuts, lacerations8%

Workforce Demographics

Fatal injury rates by age and race/ethnicity. Source: BLS CFOI 2022, national private industry data.

Fatal Injury Rate by Age Group (per 100,000 FTE)
Under 251.7

Younger workers — lower fatal rate but highest non-fatal rate

25–342.6

Rising risk as workers take on heavier roles

35–443.1

Near national average

45–543.5

Above national average

55–645.2

Significantly elevated — experience does not offset physical risk

65+8.1

Highest fatal injury rate of any age group

Fatal Injury Rate by Race/Ethnicity (per 100,000 FTE)
Hispanic or Latino4.7

Overrepresented in high-hazard sectors; construction and agriculture disparity is significant

American Indian / Alaska Native8.0

Highest rate of any racial/ethnic group; concentrated in extractive and construction industries

Black or African American3.5

Above average; disproportionately represented in transportation and service sector fatalities

White (non-Hispanic)3.0

Near national private industry average

Asian1.8

Below national average; occupational distribution skews toward lower-hazard sectors

Sector Note (NAICS 62)

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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Top Cited Standards

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