Two states, no state heat rule between them, and almost half of every heat hospitalization reported to federal OSHA since 2021. Texas and Florida logged 462 cases from 2021 through November 2025. The next 13 states together logged 442.
Texas and Florida sit in a league of their own. Pennsylvania, in third place, reported 56.
Source: Clema analysis of OSHA Severe Injury Reports, federal OSHA jurisdiction, January 2021 to November 2025 unless noted. Full method and CSVs on the heat injury statistics page.
* 2025 covers January to November.
Neither Texas nor Florida has its own workplace heat standard, and both have passed laws that block cities and counties from requiring water and rest breaks. See Texas heat rules and Florida heat rules.
To be fair to both states, these are raw counts, not rates. They are also two of the largest, hottest states, with huge construction and logistics workforces.
California, Washington, Oregon, Arizona, Nevada and other state-plan states report to their own agencies, so they barely appear in federal data. This is not a national ranking of heat risk.
Federal OSHA still enforces heat hazards everywhere through the General Duty Clause and its heat emphasis program. See the OSHA heat standard and too hot to work law.
Trigger temperatures, indoor coverage and what applies where there is no state law: heat safety laws by state.
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