Phoenix, AZ ·
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Other recordable case
At a glance
On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in other recordable case. Employee was packer 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 Shipping & Receiving Ramp
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
The employee was crating a box for panels.
What happened
While crating a box the employee was using a nail gun. The employee had misjudged the position of the hand not wielding the nail gun and upon pulling the trigger of the nail gun fired the nail into their left thumb finger.
Injury or illness
Puncture wound of the left thumb.
Object or substance involved
Nail gun
Summary line
Puncture wound of left thumb from nail
Employee and industry
- Job description
- Packer
- SOC code
- 53-7064: Packers and Packagers, Hand
- 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 #
- 3
When (timing detail)
- Date of incident
- Time of incident
- 22:15
- 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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