Black River Falls, WI —
OSHA Injury Report: Creative Community Living Services Northwestern
Injury · Other recordable case
At a glance
On , an injury at Creative Community Living Services Northwestern in Black River Falls, WI 54615 resulted in other recordable case. Employee was residential Coordinator in group homes, intellectual and developmental disability.
Where did this happen?
- Establishment
- Creative Community Living Services Northwestern
- Street
- 221 Fillmore Street
- City
- Black River Falls
- State
- WI
- ZIP
- 54615
- On-site location
- Street
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Moving car.
What happened
Attacked by dog.
Injury or illness
Bite to leg.
Object or substance involved
Dog.
Summary line
Leg
Employee and industry
- Job description
- Residential Coordinator
- SOC code
- 39-9041 — Residential Advisors
- NAICS code
- 623210 — Group homes, intellectual and developmental disability
- NAICS vintage
- 2022
- Avg employees
- 23
- Total hours worked
- 41864
- EIN
- 391195540
- Establishment ID
- 989043
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 12:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 27FEB24:18:58:00
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.