When it comes to workplace safety, not all industries are created equal. In fact, some industries are significantly more dangerous than others. While workplaces have generally become safer since the creation of safety regulations and enforcement agencies, some work environments are inherently risky regardless of protective measures.

The consequences of occupational injuries extend beyond the person who gets injured. The nonprofit National Safety Council determined that the 2020 cost of work injuries was $163.9 billion, including workers’ compensation, medical expenses, and productivity loss from missed work days.

Westfield used Bureau of Labor Statistics data to rank the 25 jobs with the highest rates of nonfatal occupational injuries involving days away from work, indicating a more severe illness or injury. All data is from 2020, the most recent available, and includes all workers nationally, regardless of sector or industry.

In 2020, 1.4 million nonfatal workplace injuries and illnesses caused a worker to miss at least one day of work, according to the Bureau of Labor Statistics. This is a 28.5% increase from the previous year. Importantly, this data includes cases where a worker was infected with COVID-19 while performing work-related duties.

There were 428,700 employer-reported respiratory illness cases in 2020—an increase from 10,800 in 2019. The increase is thus attributable to the coronavirus pandemic and mandated quarantine protocols for potential exposure.

Overall, in 2020, “exposure to harmful substances or environments” was the leading cause of work-related injuries and illnesses leading to days off work. The year before that had been the sixth-ranked cause.

Despite the surge in cases, 2020 workers’ compensation premiums for private carriers and state funds dropped by 9.8% (from 2019 levels) to $42.5 billion, according to the Insurance Information Institute. That’s because so many people were laid off that even with the increased risk from COVID-19, the overall risk of workplace injury dropped.

Unsurprisingly, the healthcare industry experienced a 249% increase in workplace injuries and illnesses in 2020. Though it was an exceptionally hazardous year for healthcare workers, the industry is often among the most dangerous because of the nature of the work itself.

Read on to discover which other jobs pose the most risks to the health and safety of their workers.

#25. Physical therapist assistants

– Injury and illness rate: 376.3 per 10,000 full-time workers
– Total injury and illness cases: 2,310
– Median days out: 11

#24. Registered nurses

– Injury and illness rate: 385.3 per 10,000 full-time workers
– Total injury and illness cases: 90,170
– Median days out: 13

#23. Medical and health services managers

– Injury and illness rate: 386.5 per 10,000 full-time workers
– Total injury and illness cases: 13,750
– Median days out: 12

#22. Recreational therapists

– Injury and illness rate: 392.7 per 10,000 full-time workers
– Total injury and illness cases: 540
– Median days out: 12

#21. Pest control workers

– Injury and illness rate: 394.0 per 10,000 full-time workers
– Total injury and illness cases: 2,830
– Median days out: 14

#20. Respiratory therapists

– Injury and illness rate: 395.9 per 10,000 full-time workers
– Total injury and illness cases: 4,220
– Median days out: 15

#19. Animal caretakers

– Injury and illness rate: 419.7 per 10,000 full-time workers
– Total injury and illness cases: 5,440
– Median days out: 3

#18. Maids and housekeeping cleaners

– Injury and illness rate: 423.2 per 10,000 full-time workers
– Total injury and illness cases: 24,120
– Median days out: 11

#17. Occupational therapy assistants

– Injury and illness rate: 444.2 per 10,000 full-time workers
– Total injury and illness cases: 1,320
– Median days out: 12

#16. Aircraft cargo handling supervisors

– Injury and illness rate: 460.1 per 10,000 full-time workers
– Total injury and illness cases: 390
– Median days out: 95

#15. Refuse and recyclable material collectors

– Injury and illness rate: 476.8 per 10,000 full-time workers
– Total injury and illness cases: 4,650
– Median days out: 19

#14. First-line supervisors of correctional officers

– Injury and illness rate: 484.6 per 10,000 full-time workers
– Total injury and illness cases: 2,380
– Median days out: 14

#13. Bus drivers, transit and intercity

– Injury and illness rate: 491.1 per 10,000 full-time workers
– Total injury and illness cases: 7,300
– Median days out: 46

#12. Firefighters

– Injury and illness rate: 539.0 per 10,000 full-time workers
– Total injury and illness cases: 17,890
– Median days out: 14

#11. Health information technologists, medical registrars, surgical assistants, and health care practitioners and technical workers, all other

– Injury and illness rate: 567.9 per 10,000 full-time workers
– Total injury and illness cases: 3,270
– Median days out: 14

#10. Licensed practical and licensed vocational nurses

– Injury and illness rate: 588.4 per 10,000 full-time workers
– Total injury and illness cases: 30,960
– Median days out: 12

#9. Police and sheriff’s patrol officers

– Injury and illness rate: 685.3 per 10,000 full-time workers
– Total injury and illness cases: 38,930
– Median days out: 11

#8. First-line supervisors of firefighting and prevention workers

– Injury and illness rate: 714.4 per 10,000 full-time workers
– Total injury and illness cases: 5,110
– Median days out: 22

#7. Correctional officers and jailers

– Injury and illness rate: 799.4 per 10,000 full-time workers
– Total injury and illness cases: 27,630
– Median days out: 14

#6. Orderlies

– Injury and illness rate: 849.0 per 10,000 full-time workers
– Total injury and illness cases: 2,780
– Median days out: 11

#5. Occupational therapy aides

– Injury and illness rate: 904.4 per 10,000 full-time workers
– Total injury and illness cases: 350
– Median days out: 14

#4. Psychiatric technicians

– Injury and illness rate: 1,000.6 per 10,000 full-time workers
– Total injury and illness cases: 6,840
– Median days out: 6

#3. Nursing assistants

– Injury and illness rate: 1,014.4 per 10,000 full-time workers
– Total injury and illness cases: 103,300
– Median days out: 12

#2. Psychiatric aides

– Injury and illness rate: 1,383.7 per 10,000 full-time workers
– Total injury and illness cases: 5,360
– Median days out: 10

#1. Dietetic technicians

– Injury and illness rate: 3,092.9 per 10,000 full-time workers
– Total injury and illness cases: 6,550
– Median days out: 10

This story originally appeared on Westfield and was produced and
distributed in partnership with Stacker Studio.