Black River Falls, WI —
OSHA Injury Report: Meadowbrook of Black River Falls
Injury · Other recordable case
At a glance
On , an injury at Meadowbrook of Black River Falls in Black River Falls, WI 54615 resulted in other recordable case. Employee was resident assistant in nursing homes.
Where did this happen?
- Establishment
- Meadowbrook of Black River Falls
- Parent company
- Meadowbrook Black River Falls
- Street
- 1311 Tyler St
- City
- Black River Falls
- State
- WI
- ZIP
- 54615
- On-site location
- Dinning room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Heating residents tea.
What happened
Took tea out of microwave and tea landed on employee 's right arm.
Injury or illness
burn to right arm
Object or substance involved
hot tea
Summary line
Right arm hot tea.
Employee and industry
- Job description
- Resident assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 62
- Total hours worked
- 91987
- EIN
- 842985460
- Establishment ID
- 1189963
- Employer case #
- AQ29465
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Submitted
- 29FEB24:17:00:00
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.