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 assembler 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 Column Assembly
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 133
Before the incident
Working on a team to assemble columns in building 4
What happened
Employee was working in a team to assemble columns in building 4 when they stated they had inflammation to their right elbow.
Injury or illness
Lateral epicondylitis of right elbow
Object or substance involved
Repetitive motion overuse of muscles
Summary line
Lateral Epicondylitis of right elbow
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099 — Assemblers and Fabricators, All Other
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2022
- Avg employees
- 242
- Total hours worked
- 399669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 12
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 16JAN24:18:33:00
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.