Phoenix, AZ ·
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Days away from work
At a glance
On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in days away from work. Employee was material Handler in ornamental metalwork manufacturing.
Where did this happen?
- Establishment
- Forms + Surfaces Phoenix
- Parent company
- Forms and Surfaces
- Street
- 1025 N 71st Avenue
- City
- Phoenix
- State
- AZ
- ZIP
- 85043
- On-site location
- Building 4 Shipping & Receiving Ramp
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 1
- Days restricted or transferred
- 63
Before the incident
Transferring trash to dumpster.
What happened
Employee reached hand into large green trash bin to remove the blockage which was preventing the trash to fall into the bin. Without noticing their left hand was too close to the edge of the dumpster their left hand was caught between the two bins causing a large abrasion.
Injury or illness
Nondisplaced fracture in fifth metacarpal of left hand.
Object or substance involved
Large trash bins
Summary line
Nondisplaced fracture in fifth metacarpal from left hand becoming caught between two hopper bins
Employee and industry
- Job description
- Material Handler
- SOC code
- 53-7062: Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 332323: Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Employees at this establishment (2024 average)
- 268
- Hours worked at this establishment (2024 total)
- 365,234
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 1
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-17
More injuries at Forms + Surfaces Phoenix
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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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