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 patient Access Representative 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
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking into work
What happened
S T F - parking lot - right elbow laceration
Injury or illness
Laceration
Object or substance involved
Parking Lot
Summary line
Fell in employee parking lot on black top ramp going towards the [REDACTED] crosswalk.
Employee and industry
- Job description
- Patient Access Representative II
- SOC code
- 43-9199 — Office and Administrative Support Workers, All Other
- 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 #
- WC180222
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 6:25
- 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.