Gilbert, AZ —
OSHA Injury Report: Mesa Fully Formed, LLC - Gilbert
Injury · Job transfer or restriction
At a glance
On , an injury at Mesa Fully Formed, LLC - Gilbert in Gilbert, AZ 85233 resulted in job transfer or restriction. Employee was installer in countertops, stone, manufacturing.
Where did this happen?
- Establishment
- Mesa Fully Formed, LLC - Gilbert
- Parent company
- Mesa Fully Formed, LLC
- Street
- 1220 W Harwell Rd
- City
- Gilbert
- State
- AZ
- ZIP
- 85233
- On-site location
- material handler station
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Walking the slab
What happened
Walking slab to be put away and he stepped in front of the forklift tire and tire hit his foot.
Injury or illness
Foot ankle injury
Object or substance involved
Forklift Tire
Summary line
Foot ankle got hit by forklift tire
Employee and industry
- Job description
- Installer
- SOC code
- 49-9099 — Installation, Maintenance, and Repair Workers, All Other
- NAICS code
- 327991 — Countertops, stone, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 113
- Total hours worked
- 181526
- EIN
- 271260137
- Establishment ID
- 42951
- Employer case #
- 100027884
When (timing detail)
- Date of incident
- Shift started
- 6:00
- Time of incident
- 12:54
- Filing year
- 2025
- Submitted
- 23JAN26:17:44:00
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.