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 pharmacy Technician 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
- tripped by elevator
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
walking back to pharmacy from elevator and tripped fell
What happened
tripped and fell on the floor
Injury or illness
Contusion
Object or substance involved
Fall Slip Trip - All Other
Summary line
Walking with a co-worker back to pharmacy from the elevator tripped and fell to the floor. Hit my left knee first and then the left hip. I was trying to hold on to the stuff that was in my hand that is the reason for my hip hit the ground as well.
Employee and industry
- Job description
- Pharmacy Technician I
- SOC code
- 29-2052 — Pharmacy 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 #
- WC179501
When (timing detail)
- Date of incident
- Shift started
- 13:57
- Time of incident
- 14:55
- Filing year
- 2025
- Submitted
- 16JAN26:21:02:00
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.