Fond du Lac, WI —
OSHA Injury Report: St. Agnes Hospital
Injury · Other recordable case
At a glance
On , an injury at St. Agnes Hospital in Fond du Lac, WI 54935 resulted in other recordable case. Employee was security Officer II in general medial and surgical hospital.
Where did this happen?
- Establishment
- St. Agnes Hospital
- Parent company
- SSM Health
- Street
- 430 East Division Street
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- Parking Lot 1
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
parking enforcement patrol with Security Officer in training [REDACTED] in [REDACTED] of [REDACTED]
What happened
fall in pothole causing left knee and ankle pain.
Injury or illness
Strain
Object or substance involved
Surface Defect
Summary line
While on parking enforcement patrol with Security [REDACTED] in training in Parking [REDACTED] of St Agnes Hospital I was carrying a clipboard and ticket booklet in my left hand as I was walking in the between the rows of parked vehicles while ...
Employee and industry
- Job description
- Security Officer II
- SOC code
- 33-9032 — Security Guards
- NAICS code
- 622110 — General medial and surgical hospital
- NAICS vintage
- 2012
- Avg employees
- 1690
- Total hours worked
- 1841342
- EIN
- 390807236
- Establishment ID
- 662782
- Employer case #
- WC180592
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 8:59
- Filing year
- 2025
- Submitted
- 14JAN26:20:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.