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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fond du Lac, WI —

OSHA Injury Report: Agnesian St. Francis Home

Injury · Job transfer or restriction

At a glance

On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in job transfer or restriction. Employee was certified Nursing Assistant LTC in nursing Care Facilities Skilled Nursing Facilities.

Where did this happen?

Establishment
Agnesian St. Francis Home
Parent company
SSM Health
Street
33 Everett Street
City
Fond du Lac
State
WI
ZIP
54935
On-site location
patient room

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
49

Before the incident

Was moving a resident in a sit to stand lift and something pulled in my back on the lower left side. Left buttocks and leg are tingly and numb

What happened

Transferring resident to sit to stand resulting in EE straining left low back and buttock

Injury or illness

Strain

Object or substance involved

TRANSFERRING Patient to from SEATED to SEATED Position

Summary line

Was moving a resident in a sit to stand lift and something pulled in my back on the lower left side. Left buttocks and leg are tingly and numb

Employee and industry

Job description
Certified Nursing Assistant LTC
SOC code
31-1131 — Nursing Assistants
NAICS code
623110 — Nursing Care Facilities Skilled Nursing Facilities
NAICS vintage
2012
Avg employees
191
Total hours worked
279848
EIN
391029998
Establishment ID
662786
Employer case #
WC176794

When (timing detail)

Date of incident
Shift started
6:00
Time of incident
12:30
Filing year
2024
Submitted
08FEB2025:02:53:00

More injuries at Agnesian St. Francis Home

View Agnesian St. Francis Home's full OSHA safety record →

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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.