Beaver Dam, WI —
OSHA Injury Report: Charleston House
Injury · Other recordable case
At a glance
On , an injury at Charleston House in Beaver Dam, WI 53916 resulted in other recordable case. Employee was med Passer in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Charleston House
- Parent company
- Beaver Dam Al Operations LLC
- Street
- 104 Fakes Court
- City
- Beaver Dam
- State
- WI
- ZIP
- 53916
- On-site location
- Dining Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Administering Insulin to a Resident
What happened
Employee poked herself with the safety lancet.
Injury or illness
puncture
Object or substance involved
Safety Lancet
Summary line
Finger Puncture right thumb
Employee and industry
- Job description
- Med Passer
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623311 — Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Avg employees
- 68
- Total hours worked
- 79054
- EIN
- 884009936
- Establishment ID
- 1120834
- Employer case #
- A00567494
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 8:15:00.000
- Submitted
- 12FEB24:21:00:00
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.