Safety Incidents OSHA Severe Injury Reports · 2015–2025
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OSHA Injury Report: The Cottages on Golden Pond

Respiratory condition · Other recordable case

On , a respiratory condition at The Cottages on Golden Pond in 103 Madison Way, Shawano, WI 54166 resulted in other recordable case. Employee was life Enrichment Coordinator in assisted-living facilities without on-site nursing care facilities.

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Parent company
The Cottages Investment Group LLC
Street
103 Madison Way
City
Shawano
State
WI
ZIP
54166
On-site location
Parking lot
Outcome
Other recordable case (code 4)
Type
Respiratory condition (code 3)

Attempting to help extinguish a car fire in the parking lot.

Inhaled smoke while combating the fire.

Smoke inhalation

care fire smoke.

Smoke was inhaled when attmepting to combat an automobile fire in our parking lot.

Job description
Life Enrichment Coordinator
SOC code
43-9199: Office and Administrative Support Workers, All Other
NAICS code
623312: Assisted-living facilities without on-site nursing care facilities
NAICS vintage
2022
Employees at this establishment (2023 average)
22
Hours worked at this establishment (2023 total)
31,850
EIN
263122005
Establishment ID
650285
Employer case #
1
Date of incident
Shift started
08:00
Time of incident
13:30
Filing year
2023
Submitted to OSHA
2024-01-08

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.

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