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 custodian 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
- Cafeteria
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Moving cases of milk
What happened
pain in lower back moving cases of milk (50 cartons per case)
Injury or illness
hurt lower back pain went to ER
Object or substance involved
Milk carton
Summary line
He was moving cases of milk and got a pain in his lower back when moving them.
Employee and industry
- Job description
- Custodian
- SOC code
- 37-2011 — Janitors and Cleaners, Except Maids and Housekeeping Cleaners
- NAICS code
- 611110 — Elementary and secondary schools
- NAICS vintage
- 2022
- Avg employees
- 171
- Total hours worked
- 230689
- EIN
- 416008267
- Establishment ID
- 1154132
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 6:30:00.000
- Time of incident
- 7:00:00.000
- Submitted
- 28FEB24:13:11:00
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.