Champlin, MN —
OSHA Injury Report: Jackson Middle
Injury · Days away from work
At a glance
On , an injury at Jackson Middle in Champlin, MN 55316 resulted in days away from work. 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
- Outside garage
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 2
- Days restricted or transferred
- 1
Before the incident
Fueling the tractor
What happened
Pouring diesel fuel into the tractor.
Injury or illness
Strain
Object or substance involved
Fuel container
Summary line
Sharp pain strain to R shoulder after lifting fuel into tractor
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
- 215
- Total hours worked
- 276719
- EIN
- 416008267
- Establishment ID
- 1154132
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted
- 23FEB26:16:09:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.