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 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
- Avg employees
- 243
- Total hours worked
- 504089
- EIN
- 391027536
- Establishment ID
- 1020245
- Employer case #
- 23-17
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 18:00:00.000
- Submitted
- 24JAN24:22:27:00
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.