Phoenix, AZ —
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Days away from work
At a glance
On , an injury at Forms + Surfaces Phoenix in Phoenix, AZ 85043 resulted in days away from work. Employee was maintenance Technician 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
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 5
Before the incident
The employee was filling a 55-gallon drum with chemicals for disposal.
What happened
While the employee was filling a drum with coating thinner the thinner splashed onto their pants. The employee watered down the solvent on their pants and continued working. The solvent only being watered down and not fully removed from their pants allowed the solvent to stay on their skin causing chemical burns.
Injury or illness
Chemical burns
Object or substance involved
Coating thinner
Summary line
Chemical burn to leg from solvent waste
Employee and industry
- Job description
- Maintenance Technician
- SOC code
- 49-9041 — Industrial Machinery Mechanics
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Avg employees
- 266
- Total hours worked
- 400670
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 4
When (timing detail)
- Date of incident
- Time of incident
- 3:00
- Filing year
- 2025
- Submitted
- 17FEB26:13:25:00
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.