Plover, WI —
OSHA Injury Report: The Lodge at Whispering Pines
Injury · Other recordable case
At a glance
On , an injury at The Lodge at Whispering Pines in Plover, WI 54467 resulted in other recordable case. Employee was cook in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- The Lodge at Whispering Pines
- Parent company
- Crystal Fountains Assisted Living, LLC
- Street
- 3450 Bridlewood Drive
- City
- Plover
- State
- WI
- ZIP
- 54467
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Picking up a box of potatoes.
What happened
Employee picked up box of potatoes and then felt shoulder pain.
Injury or illness
Strain right shoulder.
Object or substance involved
Box of potatoes.
Summary line
Strain right shoulder
Employee and industry
- Job description
- Cook
- SOC code
- 35-2012 — Cooks, Institution and Cafeteria
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 60
- Total hours worked
- 69000
- EIN
- 20758862
- Establishment ID
- 326607
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 13:30:00.000
- Submitted
- 29FEB24:22:31:00
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.