States with the Highest Rates of Severe Injuries in the Workplace A new analysis shows the top 10 states that have the highest rate of severe injuries in the workplace. May 25, 2021 Severe injuries on the job are common no matter where you are in the United States, but according to a new analysis, there are some states where employees may have heightened risk to broken bones, amputations, and workplace trauma. Help Advisor analyzed OSHA’s Severe Injury data and found that the states with the highest rates of serious workplace injuries were North Dakota, Arkansas and Nebraska. Based on the data, North Dakota led the nation in several categories of severe workplace injuries having the highest rates of bone fractures, amputations, burns and traumatic injuries or disorders. There have been 135 severe workplace injuries for every 100,000 people in North Dakota since 2015, which was 47 percent highest than the state with the next highest rate (Arkansas with 92 severe workplace injuries for every 100,000 people).