Oshksoh, WI ·
OSHA Injury Report: Evergreen Main
Other illness · Other recordable case
At a glance
On , an other illness at Evergreen Main in 1130 North Westfield Street, Oshksoh, WI 54902 resulted in other recordable case. Employee was resident Assistant 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
- Household 5 dining room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Other illness (code 6)
Before the incident
Assisting a resident to eat meal.
What happened
Staff was assisting a resident to eat their meal. Another resident seated at the same table was eating cantaloupe. Staff began coughing and wheezing due to a history of cantaloupe allergy.
Injury or illness
Allergic reaction: multiple
Object or substance involved
cantaloupe
Summary line
Anaphylaxis reaction: systemic from cataloupe
Employee and industry
- Job description
- Resident Assistant
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Rest homes with nursing care
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 206
- Hours worked at this establishment (2023 total)
- 265,685
- EIN
- 391081800
- Establishment ID
- 148415
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 14:00
- Time of incident
- 17:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-04
More injuries at Evergreen Main
View Evergreen Main's full OSHA safety record →
More injuries in this industry (NAICS 623110)
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Source
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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