Oshksoh, WI —
OSHA Injury Report: Evergreen Main
Injury · Other recordable case
At a glance
On , an injury at Evergreen Main in Oshksoh, WI 54902 resulted in other recordable case. Employee was cook in rest homes with nursing care.
Where did this happen?
- Establishment
- Evergreen Main
- Parent company
- Evergreen Retirement Community
- Street
- 1130 North Westfield Street
- City
- Oshksoh
- State
- WI
- ZIP
- 54902
- On-site location
- Kitchen near the steam table
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Staff was pouring gravy from a steam well into a smaller container
What happened
When staff poured the hot gravy from the steam well into a container; the container slipped out of staff 's hand and hot gravy came in contact with her hand. She developed blisters to her left hand from the hot gravy.
Injury or illness
Burn: hand
Object or substance involved
Hot gravy
Summary line
Burn to left hand from hot gravy
Employee and industry
- Job description
- cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623110 — Rest homes with nursing care
- NAICS vintage
- 2022
- Avg employees
- 206
- Total hours worked
- 265685
- EIN
- 391081800
- Establishment ID
- 148415
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 15:30:00.000
- Time of incident
- 17:00:00.000
- Submitted
- 04FEB24:22:23:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.