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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Fond du Lac, WI —

OSHA Injury Report: Agnesian St. Francis Home

Injury · Other recordable case

At a glance

On , an injury at Agnesian St. Francis Home in 33 Everett Street, Fond du Lac, WI 54935 resulted in other recordable case. Employee was resident Care 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
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

Regular job duties

What happened

placing cap back onto insulin pen the needle got caught and poked thru the side

Injury or illness

Puncture

Object or substance involved

Contaminated

Summary line

writer was performing insulin administration when placing cap back onto insulin pen the needle got caught and poked thru the side when writer grabbed the cap the needle pierced skin of the writer and drew blood writer immediately notified supervisor

Employee and industry

Job description
Resident Care Assistant LTC
SOC code
31-1131 — Nursing Assistants
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 #
WC171316

When (timing detail)

Date of incident
Shift started
14:00:00.000
Time of incident
20:30:00.000
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.