Waupun, WI ·
OSHA Injury Report: Agnesian Christian Home and Rehab
Injury · Other recordable case
At a glance
On , an injury at Agnesian Christian Home and Rehab in 452 Fox Lake Road, Waupun, WI 53963 resulted in other recordable case. Employee was certified Nursing Assistant LTC in nursing Care Facilities (Skilled Nursing Facilities).
Where did this happen?
- Establishment
- Agnesian Christian Home and Rehab
- Parent company
- SSM Health
- Street
- 452 Fox Lake Road
- City
- Waupun
- State
- WI
- ZIP
- 53963
- On-site location
- patient bathroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Performing regular job duties
What happened
while rolling the pull sheet up to put in laundry bag a piece of feces flew
Injury or illness
No Physical Injury
Object or substance involved
Foreign Body in Eye
Summary line
Another cna and I were washing a resident We had to change his bedding and hand wash out a pull sheet while rolling the pull sheet up to put in laundry bag a piece of feces flew into my left eye i went to the eye wash station right away
Employee and industry
- Job description
- Certified Nursing Assistant LTC
- SOC code
- 31-1131: Nursing Assistants
- NAICS code
- 623110: Nursing Care Facilities (Skilled Nursing Facilities)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 100
- Hours worked at this establishment (2023 total)
- 151,366
- EIN
- 390884514
- Establishment ID
- 1182635
- Employer case #
- WC171862
When (timing detail)
- Date of incident
- Shift started
- 10:00
- Time of incident
- 10:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-29
More injuries at Agnesian Christian Home and Rehab
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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