Fond du Lac, WI —
OSHA Injury Report: Agnesian St. Francis Home
Injury · Other recordable case
At a glance
On , an injury at Agnesian St. Francis Home in Fond du Lac, WI 54935 resulted in other recordable case. Employee was assisted Living Representative LTC in nursing Care Facilities Skilled Nursing Facilities.
Where did this happen?
- Establishment
- Agnesian St. Francis Home
- Parent company
- SSM Health
- Street
- 33 Everett Street
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- patient room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
I was changing the needle on Sr. blood sugar stick. When I took the needle off it poked me on my pointer finger
What happened
contaminated needlestick when changing blood sugar stick for resident
Injury or illness
Puncture
Object or substance involved
Contaminated
Summary line
I was changing the needle on Sr. blood sugar stick. When I took the needle off it poked me on my pointer finger
Employee and industry
- Job description
- Assisted Living Representative LTC
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Avg employees
- 191
- Total hours worked
- 279848
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC176677
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 7:45
- Filing year
- 2024
- Submitted
- 08FEB2025:02:53:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.