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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 food Service Associate 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
Kitchen Dietary

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
11

Before the incident

Lifting

What happened

I was lifting pans out of the hotbox and must have moved wrong

Injury or illness

Strain

Object or substance involved

NonPatient Handling HoldingCarrying

Summary line

I was lifting pans out of the hotbox and must have moved wrong

Employee and industry

Job description
Food Service Associate LTC
SOC code
35-3041 — Food Servers, Nonrestaurant
NAICS code
623110 — Nursing Care Facilities (Skilled Nursing Facilities)
NAICS vintage
2022
Avg employees
188
Total hours worked
264568
EIN
391029998
Establishment ID
662786
Employer case #
WC170309

When (timing detail)

Date of incident
Shift started
6:00:00.000
Time of incident
12:15:00.000
Filing year
2023
Submitted
29FEB24:21:33:00

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 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.