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 I 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
slipped on ice - landed on hip
What happened
The pain is achey. to hip due to fall
Injury or illness
Contusion
Object or substance involved
Weather Conditions (Rain Snow Ice)
Summary line
I fell on ice hurting rt side and rt hip
Employee and industry
- Job description
- Patient Access Representative I
- 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 #
- WC181249
When (timing detail)
- Date of incident
- Shift started
- 7:15
- Time of incident
- 7:10
- 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.