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 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
- Avg employees
- 242
- Total hours worked
- 399669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 15
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 16JAN24:19:07:00
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.