Madison, WI —
OSHA Injury Report: Capitol Lakes
Injury · Days away from work
At a glance
On , an injury at Capitol Lakes in Madison, WI 53703 resulted in days away from work. Employee was cook in continuing care retirement communities.
Where did this happen?
- Establishment
- Capitol Lakes
- Street
- 333 W. Main Street
- City
- Madison
- State
- WI
- ZIP
- 53703
- On-site location
- Employee Lunch/Break Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 14
- Days restricted or transferred
- 14
Before the incident
Serving food
What happened
Supervisor came up behind him and struck him on shoulder to get his attention.
Injury or illness
contusion pain to right shoulder-exacerbation of degenerative disk disorder.
Object or substance involved
struck on shoulder
Summary line
Contusion pain to right shoulder
Employee and industry
- Job description
- Cook
- SOC code
- 35-2013 — Cooks, Private Household
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2012
- Avg employees
- 271
- Total hours worked
- 323352
- EIN
- 391412320
- Establishment ID
- 61576
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 10:30
- Time of incident
- 12:30
- Filing year
- 2025
- Submitted
- 03FEB26:17:02:00
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.