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 rN Resident Post Licensure 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
- 5W patient room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
administering flu vaccine to patient
What happened
used flu vaccine syringe grazed my gloved left thumb with what I saw to be the exposed needle.
Injury or illness
Puncture
Object or substance involved
Contaminated
Summary line
After administering the flu vaccine to the patient and then enacted the safety on the needle using my right hand. Using my left hand I picked up the other syringes and then went to pass the spent flu vaccine syringe into my left hand
Employee and industry
- Job description
- RN Resident Post Licensure
- SOC code
- 29-1141 — Registered Nurses
- 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 #
- WC181012
When (timing detail)
- Date of incident
- Shift started
- 6:55
- Time of incident
- 9:11
- Filing year
- 2025
- Submitted
- 16JAN26:16:59:00
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.