Kent, WA —
OSHA Injury Report: FLOFORM Countertops
Injury · Other recordable case
At a glance
On , an injury at FLOFORM Countertops in Kent, WA 98032 resulted in other recordable case. Employee was template Tech in countertops, stone, manufacturing.
Where did this happen?
- Establishment
- FLOFORM Countertops
- Parent company
- FLOFORM LLC
- Street
- 22445 76th Avenu South
- City
- Kent
- State
- WA
- ZIP
- 98032
- On-site location
- Interstate 5 North bound
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Worker was on the way to a customers home to take measurements for the installation of a countertop
What happened
While driving on the [REDACTED] to a customer location the worker vehicle was struck by another vehicle causing the worker pack pain
Injury or illness
Strained Back
Object or substance involved
Impact from a car
Summary line
While driving on the [REDACTED] to a customer location the worker vehicle was struck by another vehicle causing the worker pack pain
Employee and industry
- Job description
- Template Tech
- SOC code
- 00-9900 — Insufficient Information - NIOSH
- NAICS code
- 327991 — Countertops, stone, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 103
- Total hours worked
- 195237
- Establishment ID
- 964213
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 7:00
- Time of incident
- 11:00
- Filing year
- 2025
- Submitted
- 29JAN26:01:16:00
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.