Maple Grove, MN —
OSHA Injury Report: Fernbrook Elementary School
Injury · Other recordable case
At a glance
On , an injury at Fernbrook Elementary School in Maple Grove, MN 55469 resulted in other recordable case. Employee was kidstop Instructor in academies, elementary or secondary.
Where did this happen?
- Establishment
- Fernbrook Elementary School
- Parent company
- Osseo Area Schools
- Street
- 9661 Fernbrook Ln N
- City
- Maple Grove
- State
- MN
- ZIP
- 55469
- On-site location
- Playground
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was playing tag on the playground with students.
What happened
A student tripped and fell causing her to trip and fall over the student and fall forward landing on her fanny pack causing pain to her chest area near her right breast she also hit her face on the ground forcing her glasses into her face and nose causing redness to her nose and the glasses to break.
Injury or illness
Strain
Object or substance involved
Fall
Summary line
A student tripped and fell which caused the employee to also trip and fall landing face forward and injuring her face nose
Employee and industry
- Job description
- Kidstop Instructor
- SOC code
- 9999 — Uncoded
- NAICS code
- 611110 — Academies, elementary or secondary
- NAICS vintage
- 2022
- Avg employees
- 138
- Total hours worked
- 148323
- EIN
- 416001421
- Establishment ID
- 1139001
- Employer case #
- 862213
When (timing detail)
- Date of incident
- Shift started
- 11:30
- Time of incident
- 16:30
- Filing year
- 2024
- Submitted
- 27FEB2025:20:47:00
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.