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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Waupun Memorial Hospital

Injury · Other recordable case

On , an injury at Waupun Memorial Hospital in Waupun, WI 53963 resulted in other recordable case. Employee was rN Administrative Supervisor H in general medical and surgical hospitals.

Establishment
Waupun Memorial Hospital
Parent company
SSM Health
Street
620 West Brown Street
City
Waupun
State
WI
ZIP
53963
On-site location
patient room
Outcome
Other recordable case (code 4)
Type
Injury (code 1)

giving vaccination

contaminated needlestick due to needle falling out

Puncture

Contaminated

Administered Vitamin K to newborn and needle came off the syringe while administering went to grab the falling needle so it didnt fall in the mother or baby Poked my left index finger thru my glove

Job description
RN Administrative Supervisor H
SOC code
11-9111 — Medical and Health Services Managers
NAICS code
622110 — General medical and surgical hospitals
NAICS vintage
2022
Avg employees
245
Total hours worked
367330
EIN
390906265
Establishment ID
662785
Employer case #
WC170940
Date of incident
Shift started
19:00:00.000
Time of incident
6:08:00.000
Submitted
29FEB24:23:09:00

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.