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 laminator 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 Lamination
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
Dumping trash into dumpster.
What happened
While dumping trash into the dumpster the employee 's right hand struck material that was sitting in the dumpster resulting in a laceration.
Injury or illness
Laceration of right hand.
Object or substance involved
Material in dumpster.
Summary line
Laceration of right hand from contact with material in dumpster
Employee and industry
- Job description
- Laminator
- SOC code
- 9999: Uncoded
- 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 #
- 4
When (timing detail)
- Date of incident
- Time of incident
- 13:15
- Filing year
- 2024
- Submitted to OSHA
- 2025-02-17
More injuries at Forms + Surfaces Phoenix
View Forms + Surfaces Phoenix's full OSHA safety record →
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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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