A brand new nationwide research, America’s Office Hazard Zones, from Pegasus Authorized Capital has revealed the U.S. states and industries the place workers face the best threat of harm or dying on the job.
Drawing from the newest Bureau of Labor Statistics (BLS) and nationwide security studies, the evaluation exhibits that whereas office accidents declined in 2023, fatality charges in sure states stay alarmingly excessive, particularly in industries comparable to development, healthcare, and transportation.
“The general harm fee is trending down, however the hazard hasn’t disappeared, it’s simply concentrated,” mentioned a spokesperson for Pegasus Authorized Capital. Tennessee, Texas, and different southern states are nonetheless seeing fatalities far above the nationwide common, and that displays critical gaps in enforcement and prevention.”
A Nationwide Overview of Danger
In 2023, there have been 2.6 million non-fatal office accidents and sicknesses, representing an 8.4% decline from 2022. But, the nationwide harm fee—2.4 circumstances per 100 full-time staff, solely tells a part of the story.
Probably the most injury-prone industries embrace:
- Healthcare and social help – 471,600 circumstances
- Retail commerce – 334,700 circumstances
- Manufacturing – 326,400 circumstances
- Transportation and warehousing – 255,400 circumstances
- Lodging and meals providers – 222,700 circumstances
- Building – 167,600 circumstances
These sectors mix bodily demanding labor with lengthy hours, excessive stress, and environmental hazards, all key contributors to harm frequency.
Healthcare: The Most Injured Workforce
Healthcare staff stay America’s most injured labor group, with almost half 1,000,000 reported accidents in 2023. The culprits embrace affected person lifting, lengthy shifts, publicity to ailments, and power burnout.
Regardless of these situations, healthcare staff typically lack the identical stage of OSHA consideration as historically “harmful” jobs like development or manufacturing.
“Hospitals have change into high-risk worksites,” mentioned a spokesperson from Pegasus Regulation Capital “The pandemic solely magnified the pressure, and now it’s time to rebuild the protection web round those that present care.”
Retail’s Hidden Hazards
Retail, typically ignored in office security discussions, ranks second nationwide for whole accidents.
With 334,700 incidents in 2023, dangers vary from repetitive pressure and lifting accidents to slips, journeys, and even office assaults.
Common merchandise shops alone accounted for 88,900 accidents, displaying that “low-risk” doesn’t imply “no-risk.”
Office Deaths: The Persistent Menace
Regardless of progress, 5,283 U.S. staff died on the job in 2023, yielding a fatality fee of three.5 per 100,000 staff.
High causes of dying:
- Transportation incidents: 36.9%
- Falls, slips, and journeys: 16.8%
- Dangerous publicity: 15.6%
- Gear contact: 14.8%
- Violence or animal assaults: 14%
The transportation business alone accounted for almost 2,000 deaths, making it the only deadliest sector for American staff.
State-Degree Hazard Zones
Tennessee leads the nation in office fatality fee, with 5.4 deaths per 100,000 staff, far exceeding the nationwide common. Excessive-risk industries within the state embrace development, manufacturing, and trucking.
Different states with elevated fatality charges embrace Texas (4.1) and Georgia (4.0), whereas California (2.5) and New York (2.8) had decrease charges regardless of bigger workforces.
The research highlights how southern and midwestern states typically lag behind in enforcement, coaching, and entry to fashionable security expertise.
Financial Toll of Unsafe Workplaces
Office accidents price the U.S. economic system over $167 billion yearly, in keeping with the Nationwide Security Council. When adjusted for inflation, that determine probably exceeds $180 billion at this time.
Bills embrace misplaced productiveness, staff’ comp claims, and medical prices, along with the ripple impact of diminished workforce participation and better insurance coverage premiums.
The Path Ahead
Specialists suggest that policymakers:
- Enhance OSHA funding and inspections
- Require hazard-specific coaching in high-risk sectors
- Put money into ergonomic expertise and automation
- Encourage information transparency on office incidents
“Each employee deserves to come back dwelling protected,” mentioned a spokesperson from Pegasus Authorized Capital. “We all know the place the dangers are, the following step is accountability and reform.”

