Madison, WI —
OSHA Injury Report: Capitol Lakes
Injury · Other recordable case
At a glance
On , an injury at Capitol Lakes in Madison, WI 53703 resulted in other recordable case. Employee was housekeeper in continuing care retirement communities.
Where did this happen?
- Establishment
- Capitol Lakes
- Street
- 333 W. Main Street
- City
- Madison
- State
- WI
- ZIP
- 53703
- On-site location
- Employee Break Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Moving furniture into breakroom
What happened
slip and fell forward
Injury or illness
employee states he slipped and fell forward striking forehead on table he was moving
Object or substance involved
table
Summary line
Contusion laceration - Forehead
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012 — Maids and Housekeeping Cleaners
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2012
- Avg employees
- 264
- Total hours worked
- 308003
- EIN
- 391412320
- Establishment ID
- 61576
- Employer case #
- 05
When (timing detail)
- Date of incident
- Shift started
- 6:30
- Time of incident
- 12:30
- Filing year
- 2024
- Submitted
- 27JAN2025:21:37:00
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.