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 lab Support Technician 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
- ED - patient room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
transferring blood collection to tubes
What happened
Blood was sprayed across the patient and into the employee 's face mouth and eyes.
Injury or illness
No Physical Injury
Object or substance involved
Bodily Fluid
Summary line
Employee was drawing labs on patient. When transferring blood into tubes one of the tubes exploded with blood inside. Blood was sprayed across the patient and into the employee 's face mouth and eyes. Employee rinsed out eyes mouth and face immediate...
Employee and industry
- Job description
- Lab Support Technician II
- SOC code
- 29-2012 — Medical and Clinical Laboratory Technicians
- 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 #
- WC180185
When (timing detail)
- Date of incident
- Shift started
- 12:00
- Time of incident
- 14:30
- 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.