Phoenix, AZ ·
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Job transfer or restriction
At a glance
On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was assembler 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 2 Assembly
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 6
Before the incident
Preparing to lift a panel from the assembly table.
What happened
Employee was flipping a panel on the assembly table when they felt discomfort in their back.
Injury or illness
Back Strain
Object or substance involved
Glass panel
Summary line
Back strain from lifting and flipping a panel
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099: Assemblers and Fabricators, All Other
- 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 #
- 2
When (timing detail)
- Date of incident
- Time of incident
- 11:45
- 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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