A new report published by the National Employment Law Project and the Awood Center, a nonprofit workers’ center, finds that Amazon warehouse work continues to be dangerous and unsustainable. The report’s authors analyzed data from the US Census, the Bureau of Labor Statistics, and the Occupational Safety and Health Administration (OSHA) to evaluate the conditions at Minnesota’s Amazon warehouses.

The numbers show that the injury rate at Amazon warehouses from 2018 to 2020 is 11.1 per 100 workers, more than double the rate of 5.2 per 100 at non-Amazon warehouses in the state (and more than four times as high as the state’s rate for the average private industry worker). These numbers come from the 792 OSHA reports filed during the period.

Many of those injuries are musculoskeletal disorders that follow from the repetitive lifting required by Amazon warehouse work, with high quotas and inflexible enforcement. These are injuries that linger, sometimes for the rest of a worker’s life. As one worker says in the report, his hands go numb by the end of his shifts.