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
- Water Jet
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 12
Before the incident
Cutting glass on water jet table
What happened
Employee was removing small trimmed pieces of glass from the water jet table. When placing the trim into the trash the employee got a small sliver of glass in their hand. They were wearing gloves.
Injury or illness
Puncture wound of left hand
Object or substance involved
Glass shard
Summary line
Puncture wound to right hand from picking up glass
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
- 2022
- Employees at this establishment (2023 average)
- 242
- Hours worked at this establishment (2023 total)
- 399,669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 13
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-01-16
More injuries at Forms + Surfaces Phoenix
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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