Black River Falls, WI —
OSHA Injury Report: Black River Memorial Hospital
Injury · Days away from work
At a glance
On , an injury at Black River Memorial Hospital in Black River Falls, WI 54615 resulted in days away from work. Employee was mLT 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
- ED
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 4
Before the incident
Walking into breakroom
What happened
tripped on a gap in between the rugs and fell on right knee
Injury or illness
strain to right knee
Object or substance involved
rug
Summary line
When I walked into the breakroom I tripped on a gap in between the rugs and fell on my right knee. Called and reported to Resource Nurse [REDACTED] and registered in the emergency room.
Employee and industry
- Job description
- MLT
- SOC code
- 9999 — Uncoded
- 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 #
- 23-19
When (timing detail)
- Date of incident
- Shift started
- 18:00:00.000
- Time of incident
- 17:50:00.000
- 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.