Champlin, MN —
OSHA Injury Report: Jackson Middle
Injury · Other recordable case
At a glance
On , an injury at Jackson Middle in Champlin, MN 55316 resulted in other recordable case. Employee was building Supervisor in elementary and secondary schools.
Where did this happen?
- Establishment
- Jackson Middle
- Parent company
- Anoka-Hennepin ISD#11
- Street
- 6000 109th Avenue North
- City
- Champlin
- State
- MN
- ZIP
- 55316
- On-site location
- Cafeteria
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Putting away lunch tables
What happened
Lifting up lunch tables after lunch.
Injury or illness
Strain to upper right shoulder
Object or substance involved
Table
Summary line
Strain to upper right shoulder from lifting lunch tables
Employee and industry
- Job description
- Building Supervisor
- SOC code
- 37-1011 — First-Line Supervisors of Housekeeping and Janitorial Workers
- NAICS code
- 611110 — Elementary and secondary schools
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 295741
- EIN
- 416008267
- Establishment ID
- 1154132
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 12:02
- Filing year
- 2024
- Submitted
- 20FEB2025:13:14:00
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.