Dousman, WI —
OSHA Injury Report: Wisconsin Masonic Home Inc. CP/RSL/MW
Injury · Job transfer or restriction
At a glance
On , an injury at Wisconsin Masonic Home Inc. CP/RSL/MW in Dousman, WI 53118 resulted in job transfer or restriction. Employee was service Associate in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Wisconsin Masonic Home Inc. CP/RSL/MW
- Parent company
- Wisconsin Masonic Home inc.
- Street
- 410 N. Main Street
- City
- Dousman
- State
- WI
- ZIP
- 53118
- On-site location
- Resident Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 33
Before the incident
Pushing in a resident 's chair.
What happened
The employee strained their back while pushing.
Injury or illness
Strained back.
Object or substance involved
Resident chair.
Summary line
Strained Back
Employee and industry
- Job description
- Service Associate
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 204
- Total hours worked
- 250064
- EIN
- 390813463
- Establishment ID
- 62234
- Employer case #
- CP-25-6
When (timing detail)
- Date of incident
- Shift started
- 14:23
- Filing year
- 2025
- Submitted
- 02MAR26:16:24:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.