Champlin, MN —
OSHA Injury Report: Oxbow Creek Elementary
Injury · Days away from work
At a glance
On , an injury at Oxbow Creek Elementary in Champlin, MN 55316 resulted in days away from work. Employee was teacher in elementary and secondary schools.
Where did this happen?
- Establishment
- Oxbow Creek Elementary
- Parent company
- Anoka-Hennepin ISD#11
- Street
- 6505 109th Avenue North
- City
- Champlin
- State
- MN
- ZIP
- 55316
- On-site location
- Outside back of school
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
Before the incident
Outside with class
What happened
Outside with class for Fun Run. Wind blew tent over.
Injury or illness
Hit in head by heavy metal pole that flew through the air. Fell to the ground and lost consciousness. When he regained consciousness disoriented and tremulous. Bleeding from forehead. Left side.
Object or substance involved
Outside tent
Summary line
Hit in head with metal pole flying through air due to high winds
Employee and industry
- Job description
- Teacher
- SOC code
- 25-2020 — Elementary and Middle School Teachers
- NAICS code
- 611110 — Elementary and secondary schools
- NAICS vintage
- 2022
- Avg employees
- 117
- Total hours worked
- 153012
- EIN
- 416008267
- Establishment ID
- 1154737
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 8:00:00.000
- Time of incident
- 2:45:00.000
- Submitted
- 28FEB24:20:06:00
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.