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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Dousman, WI —

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

Injury · Days away from work

At a glance

On , an injury at Wisconsin Masonic Home Inc. CP/RSL/MW in 410 N. Main Street, Dousman, WI 53118 resulted in days away from work. Employee was facilities Lead in assisted-living facilities without on-site nursing care facilities.

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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
Maintenance House

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
2
Days restricted or transferred
17

Before the incident

Was walking through the maintenance house.

What happened

Missed a step going from one room to the other. Tripped and fell. Two steps.

Injury or illness

Contusion on left arm. Contusion on left ribs chest. Strained right knee.

Object or substance involved

Concrete floor. Wooden steps. His elbow is what pressed into his ribs when trying to break his fall and bruised those.

Summary line

Missed stairs from kitchen to shop and fell. Contusion left arm. Contusion left ribs & chest. Strained right knee.

Employee and industry

Job description
Facilities Lead
SOC code
9999 — Uncoded
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-23-4

When (timing detail)

Date of incident
Shift started
6:56:00.000
Time of incident
13:45:00.000
Filing year
2023
Submitted
16FEB24:15:38:00

More injuries at Wisconsin Masonic Home Inc. CP/RSL/MW

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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.