Phoenix, AZ —
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Other recordable case
At a glance
On , an injury at Forms + Surfaces Phoenix in Phoenix, AZ 85043 resulted in other recordable case. Employee was material Handler 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
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
The employee was erecting warehouse racks.
What happened
While erecting warehouse racks one of the beams fell and contacted the employee 's head causing a laceration.
Injury or illness
Laceration to the head.
Object or substance involved
Racking beam
Summary line
Laceration to head from contact with a rack beam
Employee and industry
- Job description
- Material Handler
- SOC code
- 53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2012
- Avg employees
- 266
- Total hours worked
- 400670
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 6
When (timing detail)
- Date of incident
- Time of incident
- 9:30
- Filing year
- 2025
- Submitted
- 17FEB26:13:34:00
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.