Champlin, MN —
OSHA Injury Report: City of Champlin
Injury · Other recordable case
At a glance
On , an injury at City of Champlin in Champlin, MN 55316 resulted in other recordable case. Employee was building Attendant.
Where did this happen?
- Establishment
- City of Champlin
- Street
- 11955 Champlin Drive
- City
- Champlin
- State
- MN
- ZIP
- 55316
- On-site location
- On the ice at the Ice Forum - 12165 Ensign Ave N, Champlin, MN 55316
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Moving hockey net off the ice.
What happened
WHILE MOVING HOCKEY NET ONTO ICE FELL AND HIT BACK OF HEAD ON ICE. DOES NOT REMEMBER FALLING AND WAS HELPED OFF THE ICE BY A COACH.
Injury or illness
Bumped head
Object or substance involved
Hockey net
Summary line
While moving hockey net onto ice fell and hit back of the head. Does not remember falling.
Employee and industry
- Job description
- Building Attendant
- SOC code
- 9999 — Uncoded
- NAICS code
- 921110
- NAICS vintage
- 2012
- Avg employees
- 121
- Total hours worked
- 178350
- EIN
- 416007831
- Establishment ID
- 354298
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 15:30
- Time of incident
- 17:00
- Filing year
- 2024
- Submitted
- 25FEB2025:20:10:00
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.