Portland, OR ·
OSHA Injury Report: Shaver Elementary School
Injury · Other recordable case
At a glance
On , an injury at Shaver Elementary School in 3701 NE 131st Place, Portland, OR 97230 resulted in other recordable case. Employee was sped Educational Assistant in elementary and secondary schools.
Where did this happen?
- Establishment
- Shaver Elementary School
- Parent company
- Multnomah Country School District #3
- Street
- 3701 NE 131st Place
- City
- Portland
- State
- OR
- ZIP
- 97230
- On-site location
- Playground
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Supervising recess time
What happened
Soccer ball struck me hard in back of head standing near white wall where soccer ball was kicked and hit me in the left side neck and head
Injury or illness
Athletic Equipment
Object or substance involved
Soccer ball
Summary line
Soccer ball struck me hard in back of head standing near white wall where soccer ball was kicked and hit me in left side neck and head
Employee and industry
- Job description
- SPED Educational Assistant
- SOC code
- 25-9040: Teaching Assistants
- NAICS code
- 611110: Elementary and secondary schools
- NAICS vintage
- 2022
- Employees at this establishment (2024 average)
- 34
- Hours worked at this establishment (2024 total)
- 57,973
- EIN
- 936000833
- Establishment ID
- 1117373
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 07:30
- Time of incident
- 11:50
- Filing year
- 2024
- Submitted to OSHA
- 2025-01-08
More injuries at Shaver Elementary School
View Shaver Elementary School's full OSHA safety record →
More injuries in this industry (NAICS 611110)
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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