Phoenix, AZ —
OSHA Injury Report: Forms + Surfaces Phoenix
Injury · Job transfer or restriction
At a glance
On , an injury at Forms + Surfaces Phoenix in Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was welder 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 3 Welding Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 8
Before the incident
Employee was deburring a metal door
What happened
When using the air tool to deburr metal area on a core the carbide tip fell out of the grinding tool and spun towards the employees hand causing a deep laceration to their left hand thumb
Injury or illness
Laceration of left hand
Object or substance involved
Carbide tip of grinder
Summary line
Laceration to left thumb area from carbide tip falling out of grinding tool and cutting into hand
Employee and industry
- Job description
- Welder
- SOC code
- 51-4121 — Welders, Cutters, Solderers, and Brazers
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2022
- Avg employees
- 242
- Total hours worked
- 399669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 10
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 16JAN24:16:52:00
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.