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 screen Printer 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
- Bagging Department
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 13
Before the incident
Moving glass from oven rack
What happened
Employee was working in a team lift to move glass from an oven rack onto carts for transportation when they began to feel pain in their back
Injury or illness
Acute myofascial strain of lumbar region
Object or substance involved
Glass over 75lbs
Summary line
Strain to lower back while performing team lift.
Employee and industry
- Job description
- Screen Printer
- SOC code
- 51-5112 — Printing Press Operators
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2022
- Avg employees
- 242
- Total hours worked
- 399669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 11
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 16JAN24:18:27:00
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.