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 registered Nurse 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
- RSL-AL Resident Room
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
Moving a resident 's shower bed away from the recliner.
What happened
Another staff member had put a lift for the resident behind the injured worker. The injured worker tripped backwards over the legs of the lift while pulling the shower bench back.
Injury or illness
Contusion to the head back and knee.
Object or substance involved
Lift and the floor.
Summary line
Contusion on head back and knee. Tripped over lift.
Employee and industry
- Job description
- Registered Nurse
- SOC code
- 29-1141 — Registered Nurses
- 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-23-24
When (timing detail)
- Date of incident
- Shift started
- 6:01:00.000
- Time of incident
- 10:30:00.000
- Submitted
- 16FEB24:15:51:00
Source
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.