MADISON, WI —
OSHA Injury Report: HOLIDAY INN AND SUITES MADISON WEST
Injury · Other recordable case
At a glance
On , an injury at HOLIDAY INN AND SUITES MADISON WEST in MADISON, WI 53717 resulted in other recordable case. Employee was general Manager in hotels (except casino hotels).
Where did this happen?
- Establishment
- HOLIDAY INN AND SUITES MADISON WEST
- Parent company
- HOLIDAY INN AND SUITES MADISON WEST
- Street
- 1109 Fourier Drive
- City
- MADISON
- State
- WI
- ZIP
- 53717
- On-site location
- Waterpark
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Standing near water park pool
What happened
Slipped while avoiding guest as preparing to jump in to complete rescue
Injury or illness
broken lower right leg
Object or substance involved
falling momentum
Summary line
Slip and fall during water park rescue. Fell and broke lower right leg requiring surgery
Employee and industry
- Job description
- General Manager
- SOC code
- 11-9081 — Lodging Managers
- NAICS code
- 721110 — Hotels (except casino hotels)
- NAICS vintage
- 2022
- Avg employees
- 65
- Total hours worked
- 53243
- EIN
- 391971183
- Establishment ID
- 1022320
- Employer case #
- WRKG162396
When (timing detail)
- Date of incident
- Shift started
- 9:00:00.000
- Time of incident
- 16:00:00.000
- Submitted
- 08FEB24:20:56:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.