Fond du Lac, WI —
OSHA Injury Report: Agnesian St. Francis Home
Injury · Other recordable case
At a glance
On , an injury at Agnesian St. Francis Home in Fond du Lac, WI 54935 resulted in other recordable case. Employee was food Service Associate LTC in nursing Care Facilities Skilled Nursing Facilities.
Where did this happen?
- Establishment
- Agnesian St. Francis Home
- Parent company
- SSM Health
- Street
- 33 Everett Street
- City
- Fond du Lac
- State
- WI
- ZIP
- 54935
- On-site location
- kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking by the counter bumping with hip causing a knife to fall
What happened
struck by falling knife sustaining puncture
Injury or illness
Puncture
Object or substance involved
Cut Puncture Scrape - Non - All Other
Summary line
I was coming back from going upstairs to let in the bread man and i had walked pass the counter where a knife was set. I think my hip bumped the edge of the handle of the knife which made it fall.
Employee and industry
- Job description
- Food Service Associate LTC
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623110 — Nursing Care Facilities Skilled Nursing Facilities
- NAICS vintage
- 2012
- Avg employees
- 335
- Total hours worked
- 284657
- EIN
- 391029998
- Establishment ID
- 662786
- Employer case #
- WC180615
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 8:30
- Filing year
- 2025
- Submitted
- 16JAN26:17:00:00
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.