Oshksoh, WI —
OSHA Injury Report: Evergreen Main
Other illness · Other recordable case
At a glance
On , an other illness at Evergreen Main in 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
- Avg employees
- 206
- Total hours worked
- 265685
- EIN
- 391081800
- Establishment ID
- 148415
- Employer case #
- 8
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Time of incident
- 17:30:00.000
- Submitted
- 04FEB24:23:39:00
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.