Champlin, MN —
OSHA Injury Report: Champlin Park High
Injury · Other recordable case
At a glance
On , an injury at Champlin Park High in Champlin, MN 55316 resulted in other recordable case. Employee was building sub in elementary and secondary schools.
Where did this happen?
- Establishment
- Champlin Park High
- Parent company
- Anoka-Hennepin ISD#11
- Street
- 6025 109th Avenue N
- City
- Champlin
- State
- MN
- ZIP
- 55316
- On-site location
- Lunchroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Working with student
What happened
While supporting student student kicked walkie talkie out of right hand and kinked left lower side of back
Injury or illness
Left lower back pain
Object or substance involved
walkie talkie
Summary line
Kicked in the lower back by a student. Required medical attention for further assessment
Employee and industry
- Job description
- Building sub
- SOC code
- 9999 — Uncoded
- NAICS code
- 611110 — Elementary and secondary schools
- NAICS vintage
- 2022
- Avg employees
- 209
- Total hours worked
- 287058
- EIN
- 416008267
- Establishment ID
- 1153256
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 7:30:00.000
- Time of incident
- 11:50:00.000
- Submitted
- 27FEB24:18:59:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.