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Ambulatory Health Care Services OSHA Violations & Inspection Records

This subsector includes establishments providing health care services directly to ambulatory patients, including physicians' offices, dental offices, outpatient care centers, medical laboratories, and home health care services.

Records current through Sep 15, 2026

16,720
Establishments
19,028
Inspections
40,765
Violations
$20,915,299
Total Penalties

Common Workplace Hazards

Common workplace hazards include needlestick and sharps injuries, exposure to bloodborne pathogens, and ergonomic injuries from patient handling in home health care. Workers may also face risks from workplace violence, latex allergies, and exposure to anesthetic gases and sterilization chemicals.

Most Cited Standards in Ambulatory Health Care Services

StandardCitationsPenalties
1910.1200
Hazard Communication
OSHA citation code: 19101200 E01
1,740$716,696
1910.1200
Hazard Communication
OSHA citation code: 19101200 H01
998$186,738
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 C01 I
891$565,319
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 C01 IV
687$209,959
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 G02 I
643$228,255
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 C01 I
612$911,318
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 D02 I
593$440,837
1910.1030
Bloodborne Pathogens
OSHA citation code: 19101030 G02 I
499$436,695
1910.1200
Hazard Communication
OSHA citation code: 19101200 G01
499$39,629
1910.1200
Hazard Communication
OSHA citation code: 19101200 G08
439$72,261

Top States for Ambulatory Health Care Services

StateEstablishmentsInspections
California1,7562,002
North Carolina1,4301,618
Pennsylvania1,3401,485
Washington1,2281,328
Oregon1,0811,255
Michigan9401,056
Puerto Rico678793
Nevada654769
New York567765
Tennessee636710
Texas489530
Georgia477516
New Jersey389507
Florida471506
Ohio397472

Industry Size (BLS QCEW, 2024)

735,249
All Private Establishments (2024)
8,770,814
Avg. Annual Employment
$76,598
Avg. Annual Pay

National private-industry totals for Ambulatory Health Care Services (NAICS 621) in 2024, from the U.S. Bureau of Labor Statistics Quarterly Census of Employment and Wages. These are industry-wide totals from a near-complete federal count of employers. They describe the industry overall and are not a measurement of any single establishment or of OSHA enforcement activity. This is the full count of private-sector establishments in the industry, not only those with OSHA inspection records, so it is not directly comparable to the establishment count shown above.

OSHA Form 300A Reports (ITA, 2024)

13,215
Establishments Reporting (2024)
31,843
Recordable Cases
10,606
Days-Away Cases
12
Employer-Recorded Deaths

What Ambulatory Health Care Services (NAICS 621) establishments reported on their OSHA Form 300A summaries for 2024, submitted through OSHA's Injury Tracking Application. These are counts employers reported themselves, not the result of an OSHA inspection, and only establishments required to file under 29 CFR 1904.41 are included, so this is not every employer in the industry and is not directly comparable to the inspection counts above. Deaths are employer-recorded on the form, distinct from OSHA-investigated fatalities. These are case counts, not injury rates; for rates see the BLS Survey of Occupational Injuries and Illnesses.

Official Resources

Data Source and Methodology

DOL source data

Data on this page comes from the U.S. Department of Labor's OSHA enforcement database, accessed via the DOL public data API. Records are refreshed from published DOL data. We strive for accuracy, but errors in data processing or establishment grouping are possible. Penalty amounts reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts after informal conference, settlement, or judicial review. Company pages group inspection records by normalized employer name, city, and state as reported in OSHA records. That grouping is deterministic and non-fuzzy, but it is not a universal legal-entity identifier. If you believe any record is inaccurate, please report it and we will investigate. This product uses the DOL Data API but is not endorsed or certified by the DOL. For official and authoritative records, visit osha.gov.