Delavan, WI —
OSHA Injury Report: Lake Lawn Resort
Injury · Other recordable case
At a glance
On , an injury at Lake Lawn Resort in Delavan, WI 53115 resulted in other recordable case. Employee was sETUP ATTENDANT in 721110 Hotels except Casino Hotels and Motels.
Where did this happen?
- Establishment
- Lake Lawn Resort
- Parent company
- DELAVAN LAKE LAWN MANAGEMENT LLC
- Street
- 2400 E Geneva St
- City
- Delavan
- State
- WI
- ZIP
- 53115
- On-site location
- Lake Lawn Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting down a dance floor
What happened
The cart that the floor was on rolled over her right foot
Injury or illness
Contusion
Object or substance involved
Cart
Summary line
Case 3
Employee and industry
- Job description
- SETUP ATTENDANT
- SOC code
- 9999 — Uncoded
- NAICS code
- 721110 — 721110 Hotels except Casino Hotels and Motels
- NAICS vintage
- 2022
- Avg employees
- 376
- Total hours worked
- 519627
- EIN
- 320339221
- Establishment ID
- 1090194
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 15:00
- Time of incident
- 15:15
- Filing year
- 2024
- Submitted
- 27JAN2025:20:57:00
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.