Phoenix, AZ —
OSHA Injury Report: Forms + Surfaces Phoenix
Skin disorder · Job transfer or restriction
At a glance
On , a skin disorder at Forms + Surfaces Phoenix in Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was infusion Tech 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
- Bonded Infusion Area
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Skin disorder (code 2)
- Days restricted or transferred
- 4
Before the incident
Employee was working with infusion tables for the bonded process
What happened
Employee worked multiple days before reporting that they had a rash on their hand that they believed to be a reaction from the bonded chemicals
Injury or illness
Contact dermatitis
Object or substance involved
Bonded chemicals
Summary line
Reaction to left hand while working with bonded chemicals while wearing gloves
Employee and industry
- Job description
- Infusion Tech
- SOC code
- 9999 — Uncoded
- NAICS code
- 332323 — Ornamental metalwork manufacturing
- NAICS vintage
- 2022
- Avg employees
- 242
- Total hours worked
- 399669
- EIN
- 251476717
- Establishment ID
- 1064648
- Employer case #
- 17
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Submitted
- 16JAN24:19:19:00
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.