Champlin, MN ·
OSHA Injury Report: Jackson Middle
Injury · Days away from work
At a glance
On , an injury at Jackson Middle in 6000 109th Avenue North, 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
- Employees at this establishment (2025 average)
- 215
- Hours worked at this establishment (2025 total)
- 276,719
- EIN
- 416008267
- Establishment ID
- 1154132
- Employer case #
- 6
When (timing detail)
- Date of incident
- Shift started
- 07:00
- Time of incident
- 12:00
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-23
More injuries at Jackson Middle
View Jackson Middle's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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