Tomah, WI —
OSHA Injury Report: Tomah Memorial Hospital
Injury · Other recordable case
At a glance
On , an injury at Tomah Memorial Hospital in Tomah, WI 54660 resulted in other recordable case. Employee was occupational Therapist in general medical and surgical hospitals.
Where did this happen?
- Establishment
- Tomah Memorial Hospital
- Parent company
- Tomah Memorial Hospital
- Street
- 501 Gopher Drive
- City
- Tomah
- State
- WI
- ZIP
- 54660
- On-site location
- home
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
[REDACTED] life duties
What happened
had a reaction to employer provided COVID-19 booster shot
Injury or illness
vaccine reaction
Object or substance involved
vaccine
Summary line
reaction to vaccine
Employee and industry
- Job description
- Occupational Therapist
- SOC code
- 29-1122 — Occupational Therapists
- NAICS code
- 622110 — General medical and surgical hospitals
- NAICS vintage
- 2022
- Avg employees
- 410
- Total hours worked
- 670342
- EIN
- 390799566
- Establishment ID
- 1077998
- Employer case #
- 2314
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Submitted
- 19JAN24:19:13:00
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.