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Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Injury Report: Forms + Surfaces 1901

Injury · Job transfer or restriction

On , an injury at Forms + Surfaces 1901 in Glenshaw, PA 15116 resulted in job transfer or restriction. Employee was shipping in ornamental metalwork manufacturing.

Establishment
Forms + Surfaces 1901
Parent company
Forms and Surfaces
Street
1901 William Flynn Highway
City
Glenshaw
State
PA
ZIP
15116
On-site location
Shipping North End
Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
3

Packing pallets in the shipping area

Employee was trying to screw a box onto a pallet when he lost his footing and fell backwards

Sprain to lower right leg

The floor

Sprain to lower left leg from misstep on pallet

Job description
Shipping
SOC code
43-5071 — Shipping, Receiving, and Inventory Clerks
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2022
Avg employees
206
Total hours worked
266068
EIN
251476717
Establishment ID
1064636
Employer case #
5
Date of incident
Shift started
7:00:00.000
Time of incident
9:30:00.000
Submitted
10JAN24:19:42:00

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.