Sheboygan Falls, WI —
OSHA Injury Report: Pine Haven Christian Home - Giddings Campus
Injury · Other recordable case
At a glance
On , an injury at Pine Haven Christian Home - Giddings Campus in 531 Giddings Avenue, Sheboygan Falls, WI 53085 resulted in other recordable case. Employee was resident Assistant in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Pine Haven Christian Home - Giddings Campus
- Parent company
- Pine Haven Christian Home, Inc.
- Street
- 531 Giddings Avenue
- City
- Sheboygan Falls
- State
- WI
- ZIP
- 53085
- On-site location
- Residential Center North Hallway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Transporting residents to dining room
What happened
Exposed to spilled [REDACTED] near med cart
Injury or illness
Allergic reaction
Object or substance involved
Miralax
Summary line
Spilled [REDACTED] powder - allergic reaction
Employee and industry
- Job description
- Resident Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 144
- Total hours worked
- 175101
- EIN
- 390816900
- Establishment ID
- 953247
- Employer case #
- 94
When (timing detail)
- Date of incident
- Shift started
- 5:51:00.000
- Time of incident
- 8:45:00.000
- Filing year
- 2023
- Submitted
- 09FEB24:16:18:00
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Pine Haven Christian Home - Giddings Campus
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Pine Haven Christian Home - Giddings Campus
View Pine Haven Christian Home - Giddings Campus's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.