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 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
- 13
Before the incident
Employee was helping assemble a column panel.
What happened
Employee was applying pressure to a spring clamp by squeezing when they felt a sharp pain in their wrist right hand.
Injury or illness
Sprain of right hand and wrist.
Object or substance involved
Spring clamp
Summary line
Sprain of right hand and wrist while squeezing a spring clamp.
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099 — Assemblers and Fabricators, All Other
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Avg employees
- 268
- Total hours worked
- 365234
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 6
When (timing detail)
- Date of incident
- Time of incident
- 11:30
- Filing year
- 2024
- Submitted
- 17FEB2025:16:03:00
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.