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 machine Operator 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 1
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 11
Before the incident
The employee was cleaning a glass panel and lifting it onto a cart.
What happened
While lifting the glass panel onto a cart the employee felt a sharp pain in their right shoulder.
Injury or illness
Right rotator cuff strain
Object or substance involved
Glass panel
Summary line
Right rotator cuff strain from lifting glass panel
Employee and industry
- Job description
- Machine Operator
- SOC code
- 51-4199: Metal Workers and Plastic Workers, All Other
- 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 #
- 8
When (timing detail)
- Date of incident
- Time of incident
- 16:15
- Filing year
- 2025
- Submitted to OSHA
- 2026-02-17
More injuries at Forms + Surfaces Phoenix
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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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