Fort Atkinson, WI ·
OSHA Injury Report: The Fireside, Inc.
Injury · Other recordable case
At a glance
On , an injury at The Fireside, Inc. in 1131 Janesville Avenue, Fort Atkinson, WI 53538 resulted in other recordable case. Employee was server in dinner theaters.
Where did this happen?
- Establishment
- The Fireside, Inc.
- Parent company
- The Fireside, Inc.
- Street
- 1131 Janesville Avenue
- City
- Fort Atkinson
- State
- WI
- ZIP
- 53538
- On-site location
- Restaurant Section E
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking into kitchen
What happened
Tripped on a rug that was rolled up causing her to fall forward onto face.
Injury or illness
Broken nose and laceration on right arm
Object or substance involved
Her glasses pushed into her nose after hitting floor face first.
Summary line
Broken nose and laceration on right arm
Employee and industry
- Job description
- Server
- SOC code
- 35-3031: Waiters and Waitresses
- NAICS code
- 711110: Dinner theaters
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 285
- Hours worked at this establishment (2024 total)
- 309,000
- EIN
- 391030200
- Establishment ID
- 1032749
- Employer case #
- 3
When (timing detail)
- Date of incident
- Time of incident
- 10:05
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-28
More injuries at The Fireside, Inc.
View The Fireside, Inc.'s full OSHA safety record →
More injuries in this industry (NAICS 711110)
More injuries in WI
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.