Salt Lake City, UT —
OSHA Injury Report: 3form
Injury · Job transfer or restriction
At a glance
On , an injury at 3form in Salt Lake City, UT 84119 resulted in job transfer or restriction. Employee was autoclave Operator in laminated plastics plate, rod, and sheet, manufacturing.
Where did this happen?
- Establishment
- 3form
- Parent company
- 3form
- Street
- 2300 South 2300 West
- City
- Salt Lake City
- State
- UT
- ZIP
- 84119
- On-site location
- HQ Press Production Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 113
Before the incident
On lunch break
What happened
Employee was returning from lunch attempted to open the door to enter the building and fell backwards down the stairs.
Injury or illness
Concussion and Buttocks Hematoma
Object or substance involved
Stairs ground railing
Summary line
EE Fell down stairs resulting in buttocks hematoma and concussion
Employee and industry
- Job description
- Autoclave Operator
- SOC code
- 51-9041 — Extruding, Forming, Pressing, and Compacting Machine Setters, O
- NAICS code
- 326130 — Laminated plastics plate, rod, and sheet, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 321
- Total hours worked
- 647759
- EIN
- 463882269
- Establishment ID
- 420809
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 4:00
- Time of incident
- 11:30
- Filing year
- 2025
- Submitted
- 19JAN26:16:39:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.