Carrollton, TX —
OSHA Injury Report: Capform FL
Injury · Job transfer or restriction
At a glance
On , an injury at Capform FL in Carrollton, TX 75007 resulted in job transfer or restriction. Employee was carpenter Helper in concrete formwork.
Where did this happen?
- Establishment
- Capform FL
- Parent company
- Capform
- Street
- 1455 Halsey Way
- City
- Carrollton
- State
- TX
- ZIP
- 75007
- On-site location
- Level 3 East Side
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 16
Before the incident
Employee was working the 3rd floor placing cleats
What happened
Employee was working the 3rd floor. He was putting some cleat and co worker asked him to help on top the table to pass a rope from a wall that was in the air and he put his right foot on the pick point and fell hitting his right ankle foot knee and left arm.
Injury or illness
Contusions to right ankle right foot right knee and left arm.
Object or substance involved
Wall Form
Summary line
Fall: Striking Left Arm and Right Ankle Foot Knee on a wall form
Employee and industry
- Job description
- Carpenter Helper
- SOC code
- 9999 — Uncoded
- NAICS code
- 238110 — Concrete formwork
- NAICS vintage
- 2012
- Avg employees
- 235
- Total hours worked
- 532785
- EIN
- 751677890
- Establishment ID
- 211840
- Employer case #
- FL240016
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 9:45
- Filing year
- 2024
- Submitted
- 14MAR2025:16:47:00
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.