Dousman, WI —
OSHA Injury Report: Masonic Center for Health and Rehab
Injury · Other recordable case
At a glance
On , an injury at Masonic Center for Health and Rehab in Dousman, WI 53118 resulted in other recordable case. Employee was culinary Assistant in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- Masonic Center for Health and Rehab
- Parent company
- Masonic Center for Health and Rehab
- Street
- 410 N. Main Street
- City
- Dousman
- State
- WI
- ZIP
- 53118
- On-site location
- Dining Room
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Mopping the dining room
What happened
Misstepped and tripped causing a fall
Injury or illness
Bruised shoulder
Object or substance involved
Floor
Summary line
Bruised shoulder
Employee and industry
- Job description
- Culinary Assistant
- SOC code
- 31-9099 — Healthcare Support Workers, All Other
- NAICS code
- 623110 — Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2012
- Avg employees
- 219
- Total hours worked
- 239804
- EIN
- 391506910
- Establishment ID
- 62217
- Employer case #
- HC-24-12
When (timing detail)
- Date of incident
- Shift started
- 6:13
- Time of incident
- 14:30
- Filing year
- 2024
- Submitted
- 30JAN2025:16:48:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.