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 33 Everett Street, Fond du Lac, WI 54935 resulted in other recordable case. Employee was certified Nursing Assistant 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 bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
handing insulin pen back to patient uncapped
What happened
contaminated
Injury or illness
Puncture
Object or substance involved
Contaminated
Summary line
Went in Patients room to get BS and then used her Atlantis insulin pen gave her the insulin put the cap back on and that is when I pricked my right thumb braised it but it did have blood
Employee and industry
- Job description
- Certified Nursing Assistant LTC
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 335
- Hours worked at this establishment (2025 total)
- 284,657
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC181116
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 08:25
- Filing year
- 2025
- Submitted to OSHA
- 2026-01-14
More injuries at Agnesian St. Francis Home
View Agnesian St. Francis Home's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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