Black River Falls, WI ·
OSHA Injury Report: Black River Memorial Hospital
Injury · Other recordable case
At a glance
On , an injury at Black River Memorial Hospital in 711 West Adams Street, Black River Falls, WI 54615 resulted in other recordable case. Employee was cook in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- Black River Memorial Hospital
- Parent company
- BLACK RIVER MEMORIAL HOSPITAL
- Street
- 711 West Adams Street
- City
- Black River Falls
- State
- WI
- ZIP
- 54615
- On-site location
- kitchen
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
washing dishes
What happened
[REDACTED] was washing dishes in the dish room and reached down to pick up an empty dish rack when she felt tension and a pop in her lower right back.
Injury or illness
strain in lower back
Object or substance involved
empty dish rack
Summary line
[REDACTED] was washing dishes in the dish room and reached down to pick up an empty dish rack when she felt tension and a pop in her lower right back. She continues to be stiff in that area after applying heat and ice alternatively
Employee and industry
- Job description
- COOK
- SOC code
- 35-2012: Cooks, Institution and Cafeteria
- NAICS code
- 622110: General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 243
- Hours worked at this establishment (2023 total)
- 504,089
- EIN
- 391027536
- Establishment ID
- 1020245
- Employer case #
- 23-17
When (timing detail)
- Date of incident
- Shift started
- 06:30
- Time of incident
- 18:00
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-24
More injuries at Black River Memorial Hospital
View Black River Memorial Hospital's full OSHA safety record →
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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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