Kent, WA —
OSHA Injury Report: FLOFORM Countertops
Injury · Job transfer or restriction
At a glance
On , an injury at FLOFORM Countertops in Kent, WA 98032 resulted in job transfer or restriction. Employee was installer in countertops, stone, manufacturing.
Where did this happen?
- Establishment
- FLOFORM Countertops
- Parent company
- FLOFORM LLC
- Street
- 22445 76th Avenu South
- City
- Kent
- State
- WA
- ZIP
- 98032
- On-site location
- Customer site - Kingston WA
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 3
Before the incident
Worker was using carying equipment & materials into customers home.
What happened
While the worker was carying a countertop up the stairs of the customers home they tripped slipped and fell. Worker felt pain in their back and Rt. Shoulder.
Injury or illness
Strained back & Rt. Shoulder
Object or substance involved
Weight of the stone countertop.
Summary line
Rt. Shoulder & Back strain from a slip and fall while carrying a countertop
Employee and industry
- Job description
- Installer
- SOC code
- 49-9099 — Installation, Maintenance, and Repair Workers, All Other
- NAICS code
- 327991 — Countertops, stone, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 110
- Total hours worked
- 205460
- Establishment ID
- 964213
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 16:00:00.000
- Submitted
- 18JAN24:15:54:00
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.