Appleton, WI —
OSHA Injury Report: Heritage/Peabody Manor
Injury · Days away from work
At a glance
On , an injury at Heritage/Peabody Manor in Appleton, WI 54915 resulted in days away from work. Employee was food Service Associate in nursing homes.
Where did this happen?
- Establishment
- Heritage/Peabody Manor
- Parent company
- ThedaCare Inc
- Street
- 2600 S Heritage Woods Drive
- City
- Appleton
- State
- WI
- ZIP
- 54915
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 35
- Days restricted or transferred
- 33
Before the incident
putting dishes away
What happened
tripped over rolled up mat on floor
Injury or illness
injury to arm hip and shoulder from fall due to tripping over rolled up mat on floor
Object or substance involved
falling on the floor after tripping on a rolled up mat
Summary line
tripped over rolled up mat injury to arm hip and shoulder
Employee and industry
- Job description
- Food Service Associate
- SOC code
- 9999 — Uncoded
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2012
- Avg employees
- 346
- Total hours worked
- 293236
- EIN
- 391509362
- Establishment ID
- 927874
- Employer case #
- 6414d5
When (timing detail)
- Date of incident
- Shift started
- 11:00
- Time of incident
- 18:22
- Filing year
- 2024
- Submitted
- 23JAN2025:18:16:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.