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 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 Fabrication
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 18
Before the incident
Drilling an aluminum shim
What happened
Employee was drilling a hole in an aluminum shim for a column cover when the trim became unstable from not being clamped down leading to the drill slipping and going into the employees hand
Injury or illness
Puncture wound left hand
Object or substance involved
Drill bit
Summary line
Puncture wound to left hand from drill
Employee and industry
- Job description
- Assembler
- SOC code
- 51-2099: Assemblers and Fabricators, 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 #
- 15
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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