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 sPED Para 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
- Hallway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Walking
What happened
Walking into classroom when a student ran out of the room and into me caused me to fall on my right side of my back butt and thigh.
Injury or illness
Strain
Object or substance involved
Student
Summary line
Strain to right side of back butt and thigh from fall when student ran into them
Employee and industry
- Job description
- SPED Para
- SOC code
- 53-3051 — Bus Drivers, School
- NAICS code
- 611110 — Elementary and secondary schools
- NAICS vintage
- 2022
- Avg employees
- 246
- Total hours worked
- 295741
- EIN
- 416008267
- Establishment ID
- 1154132
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 13:30
- Filing year
- 2024
- Submitted
- 20FEB2025:13:20:00
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.