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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Wisconsin Masonic Home Inc. CP/RSL/MW

Injury · Days away from work

On , an injury at Wisconsin Masonic Home Inc. CP/RSL/MW in Dousman, WI 53118 resulted in days away from work. Employee was resident Assistant in assisted-living facilities without on-site nursing care facilities.

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
RSL-AL Resident Room
Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
4
Days restricted or transferred
86

Assisting a resident getting in bed.

During the lift the worker felt her knee tweak. It got progressively worse through shift.

Sprained knee.

Resident.

Twisted knee while assisting a resident.

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
181
Total hours worked
231112
EIN
390813463
Establishment ID
62234
Employer case #
CP-23-21
Date of incident
Shift started
13:57:00.000
Time of incident
20:30:00.000
Submitted
16FEB24:15:49:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.