Maple Grove, MN —
OSHA Injury Report: Willow Lane
Injury · Other recordable case
At a glance
On , an injury at Willow Lane in Maple Grove, MN 55369 resulted in other recordable case. Employee was teacher in school districts, elementary or secondary.
Where did this happen?
- Establishment
- Willow Lane
- Parent company
- Osseo Area Schools
- Street
- 11200 93rd Ave North
- City
- Maple Grove
- State
- MN
- ZIP
- 55369
- On-site location
- hallway
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Sitting behind a student trying to put their coat on
What happened
Student swung the head hitting the mouth
Injury or illness
Contusion multiple head
Object or substance involved
fellow patient
Summary line
Contusion in mouth and blood blister on the inside of upper lip and loose tooth when student swung head.
Employee and industry
- Job description
- Teacher
- SOC code
- 25-2020 — Elementary and Middle School Teachers
- NAICS code
- 611110 — School districts, elementary or secondary
- NAICS vintage
- 2022
- Avg employees
- 109
- Total hours worked
- 177130
- EIN
- 416001421
- Establishment ID
- 1433324
- Employer case #
- 920728
When (timing detail)
- Date of incident
- Shift started
- 8:00
- Time of incident
- 11:56
- Filing year
- 2025
- Submitted
- 26FEB26:19:21:00
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.