Phoenix, AZ —
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Job transfer or restriction
At a glance
On , an injury at Forms + Surfaces Phoenix in Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was kiln Operator 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 Kiln Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 25
Before the incident
Repositioning stainless steel column from cradle to table.
What happened
Employee was repositioning stainless steel column from cradle to table when they felt a strain in their right elbow after repetitive movements.
Injury or illness
Lateral epicondylitis
Object or substance involved
Stainless steel column
Summary line
Lateral epicondylitis from repetitive movement.
Employee and industry
- Job description
- Kiln Operator
- SOC code
- 9999 — Uncoded
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Avg employees
- 268
- Total hours worked
- 365234
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 5
When (timing detail)
- Date of incident
- Time of incident
- 12:45
- Filing year
- 2024
- Submitted
- 17FEB2025:15:57:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.