Phoenix, AZ ·
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Job transfer or restriction
At a glance
On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was electrician in ornamental metalwork manufacturing.
Where did this happen?
- Establishment
- Forms + Surfaces Phoenix
- Parent company
- Forms and Surfaces
- Street
- 1025 N 71st Avenue
- City
- Phoenix
- State
- AZ
- ZIP
- 85043
- On-site location
- Building 4
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 46
Before the incident
Diagnosing cure oven blower motor after replacement.
What happened
While checking the cure oven 's blower motor for shaft misalignment the employee 's finger made contact with the pully causing a laceration fracture.
Injury or illness
Left index finger fracture from motor pulley.
Object or substance involved
Motor pulley.
Summary line
Left index finger fracture from motor pulley
Employee and industry
- Job description
- Electrician
- SOC code
- 47-2111: Electricians
- NAICS code
- 332323: Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Employees at this establishment (2025 average)
- 266
- Hours worked at this establishment (2025 total)
- 400,670
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 1
When (timing detail)
- Date of incident
- Time of incident
- 16:45
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at Forms + Surfaces Phoenix
View Forms + Surfaces Phoenix's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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