Glenshaw, PA —
OSHA Injury Report: Forms + Surfaces 1901
Injury · Other recordable case
At a glance
On , an injury at Forms + Surfaces 1901 in Glenshaw, PA 15116 resulted in other recordable case. Employee was painter in ornamental metalwork manufacturing.
Where did this happen?
- Establishment
- Forms + Surfaces 1901
- Parent company
- Forms and Surfaces
- Street
- 1901 William Flynn Highway
- City
- Glenshaw
- State
- PA
- ZIP
- 15116
- On-site location
- Assembly North End
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
Employee was moving material from a work bench to a cart
What happened
Employee tripped over a fatigue mat on the floor when they stepped around a table with material. They fell and landed on their tailbone
Injury or illness
Lumbar contusion
Object or substance involved
Fatigue mat floor
Summary line
Contusion to lumbar from tripping over fatigue [REDACTED]
Employee and industry
- Job description
- Painter
- SOC code
- 51-9123 — Painting, Coating, and Decorating Workers
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2022
- Avg employees
- 206
- Total hours worked
- 266068
- EIN
- 251476717
- Establishment ID
- 1064636
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 14:00:00.000
- Submitted
- 15JAN24:13:07:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.