Highest Risk Employers

Top 50 ranked by OSHA enforcement history

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Risk Score Total Fines Most Violations Willful Violations

State

#	Company	Location	Risk	Inspections	Violations	Total Fines	Last Inspected
1	AMERICAN LEGION AMBULANCE ASSOCIATION ELMER STATION Ambulance Services	ELMER, NJ	DElevated61	3	16	$14K	Nov 20, 2025
2	FALCK NORTHERN CALIFORNIA CORP. Ambulance Services	HAYWARD, CA	CAverage44	3	6	$8K	Jun 24, 2024
3	MAPLE SHADE FIRST AID SQUAD Ambulance Services	MAPLE SHADE, NJ	CAverage42	2	8	$42K	Sep 21, 2023
4	UNIVERSITY HOSPITAL EMERGENCY MEDICAL SERVICES Ambulance Services	NEWARK, NJ	CAverage41	2	6	$36K	Jul 11, 2023
5	LIVINGSTON FIRST AID SQUAD Ambulance Services	LIVINGSTON, NJ	CAverage34	1	5	$32K	Oct 18, 2022
6	MUNICIPIO DE GUAYANILLA Ambulance Services	GUAYANILLA, PR	CAverage34	1	11	$29K	Jul 15, 2025
7	317738489 - UMPQUA VALLEY AMBULANCE SERVICE, INC Ambulance Services	ROSEBURG, OR	CAverage34	1	10	$12K	Nov 14, 2024
8	WASHINGTON COUNTY EMERGENCY MEDICAL SERVICES AUTHORITY Ambulance Services	BAILEYVILLE, ME	CAverage34	3	9	$2K	Aug 17, 2022
9	SERGIO COLLAZO SANTIAGO Ambulance Services	PONCE, PR	CAverage34	1	7	$20K	Mar 25, 2026
10	MUNICIPIO AUT�NOMO DE JUANA DIAZ Ambulance Services	JUANA DIAZ, PR	CAverage33	1	8	$12K	Oct 30, 2025
11	ALERT AMBULANCE SERVICE, INC. Ambulance Services	SOUTH KINGSTOWN, RI	CAverage32	1	4	$17K	Jan 3, 2024
12	67972 - ANDERSON COUNTY FISCAL COURT Ambulance Services	LAWRENCEBURG, KY	CAverage32	1	8	$11K	May 8, 2025
13	MUNICIPIO DE YAUCO Ambulance Services	YAUCO, PR	CAverage32	1	4	$8K	Apr 29, 2025
14	NORTHERN ONONDAGA VOLUNTEER AMBULANCE, INC Ambulance Services	LIVERPOOL, NY	CAverage32	1	5	$9K	Feb 2, 2022
15	PENNSYLVANIA AMBULANCE LLC Ambulance Services	SCRANTON, PA	CAverage32	1	4	$15K	Nov 7, 2023
16	160034 - COUNTY OF GASTON - EMS Ambulance Services	GASTONIA, NC	CAverage32	1	14	$11K	Nov 12, 2025
17	FINGER LAKES AMBULANCE EMS, INC. Ambulance Services	CLIFTON SPRINGS, NY	CAverage32	1	4	$8K	Oct 17, 2023
18	TOWN OF PATTEN Ambulance Services	PATTEN, ME	CAverage31	1	15	$4K	Nov 29, 2022
19	SEA ISLE CITY EMS Ambulance Services	SEA ISLE CITY, NJ	CAverage31	2	1	$5K	Oct 8, 2024
20	MULTICARE MEDICAL TRANSPORT LLC Ambulance Services	JUANA DIAZ, PR	CAverage30	1	7	$3K	Oct 31, 2025
21	155066 - MCDOWELL COUNTY RESCUE SQUAD - AMBULANCE, INC. Ambulance Services	MARION, NC	CAverage30	1	8	$4K	Sep 6, 2023
22	TOWN OF ISLAND FALLS Ambulance Services	ISLAND FALLS, ME	BBelow average29	1	7	$1K	Sep 12, 2023
23	PRIDESTAR EMS, INC Ambulance Services	HAVERHILL, MA	BBelow average29	1	4	$5K	Apr 27, 2022
24	WEST LONG BRANCH EMERGENCY MEDICAL SERVICES Ambulance Services	WEST LONG BRANCH, NJ	BBelow average29	1	5	$8K	Sep 9, 2025
25	REESE AND COMMUNITY VOLUNTEER FIRE COMPANY, INC. Ambulance Services	WESTMINSTER, MD	BBelow average29	1	6	$2K	Jan 26, 2022
26	PLEASANT RIVER AMBULANCE SERVICE Ambulance Services	COLUMBIA, ME	BBelow average29	1	6	$2K	Dec 29, 2023
27	317730845 - CASCADE MEDICAL TRANSPORT OF OREGON LLC Ambulance Services	REDMOND, OR	BBelow average28	1	10	$300	Jul 18, 2022
28	J MEDICAL CARE LLC Ambulance Services	JUANA DIAZ, PR	BBelow average28	1	5	$3K	Oct 31, 2025
29	153470 - MECKLENBURG EMS AGENCY Ambulance Services	CHARLOTTE, NC	BBelow average28	1	2	$7K	Jan 24, 2023
30	VILLALBA MEDICAL TRANSPORT LLC Ambulance Services	JUANA DIAZ, PR	BBelow average28	1	5	$3K	Oct 31, 2025
31	BVR AMBULANCE BEST CARE LLC Ambulance Services	SAN JUAN, PR	BBelow average28	1	3	$3K	May 20, 2024
32	TOWN OF SEARSPORT Ambulance Services	SEARSPORT, ME	BBelow average28	1	4	$1K	Jul 29, 2024
33	317735112 - TVP INC Ambulance Services	ONTARIO, OR	BBelow average28	1	14	$460	Dec 20, 2023
34	MEDICAL ALERT AMBULANCE SERVICE INC Ambulance Services	TOA ALTA, PR	BBelow average27	1	2	$4K	Jul 8, 2025
35	TOWN OF STOCKTON SPRINGS Ambulance Services	STOCKTON SPRINGS, ME	BBelow average27	1	4	$2K	Jul 12, 2023
36	SOUTHERN AROOSTOOK EMS AUTHORITY Ambulance Services	HOULTON, ME	BBelow average27	1	9	$165	Aug 5, 2022
37	SUPERIOR AIR-GROUND AMBULANCE SERVICE OF MICHIGAN INC. Ambulance Services	SOUTHFIELD, MI	BBelow average27	1	3	$1K	Oct 14, 2024
38	C&C - SUPPORT SERVICES Ambulance Services	HONOLULU, HI	BBelow average26	1	4	$3K	Mar 9, 2023
39	K.W.P.H. ENTERPRISES Ambulance Services	FRESNO, CA	BBelow average26	1	2	$10K	Jan 12, 2024
40	159107 - COUNTY OF CASWELL EMS Ambulance Services	YANCEYVILLE, NC	BBelow average26	1	8	$10K	Jun 9, 2025
41	LUIS GUILLERMO SANTIAGO BALB?S Ambulance Services	JUANA DIAZ, PR	BBelow average26	1	4	$2K	Oct 31, 2025
42	STAR MEDICAL TRANSPORT SERVICES, LLC. Ambulance Services	PHILADELPHIA, PA	BBelow average26	1	2	$13K	Sep 13, 2022
43	WILLIAMSON VOLUNTEER AMBULANCE Ambulance Services	WILLIAMSON, NY	BBelow average25	3	5	$0	Jun 27, 2024
44	TOWN OF BUCKFIELD Ambulance Services	BUCKFIELD, ME	BBelow average25	1	4	$1K	Jan 7, 2025
45	WA317989259 - OLYMPIC AMBULANCE SERVICE INC Ambulance Services	FIFE, WA	BBelow average25	1	3	$2K	Jan 20, 2026
46	MIDWEST MEDICAL TRANSPORT COMPANY, LLC Ambulance Services	LORTON, VA	BBelow average25	1	1	$7K	Sep 15, 2022
47	OHIO AMBULANCE SOLUTIONS, LLC Ambulance Services	CLEVELAND, OH	BBelow average25	1	2	$7K	Feb 8, 2022
48	AUBURN CITY AMBULANCE Ambulance Services	AUBURN, NY	BBelow average24	2	4	$0	May 9, 2025
49	P.R.A.S. PUERTO RICO AMBULANCES SERVICES INC. Ambulance Services	SAN JUAN, PR	BBelow average24	1	2	$1K	May 14, 2024
50	ANSON-MADISON-STARKS AMBULANCE Ambulance Services	ANSON, ME	BBelow average24	1	6	$275	Feb 21, 2025

Data sourced from the US Department of Labor OSHA Enforcement Database, updated weekly.