Glendale, AZ —
OSHA Injury Report: Mesa Fully Formed, LLC - Glendale
Injury · Job transfer or restriction
At a glance
On , an injury at Mesa Fully Formed, LLC - Glendale in Glendale, AZ 85307 resulted in job transfer or restriction. Employee was installer in countertops (i.e., kitchen, bathroom), wood or plastics laminated on wood, manufacturing.
Where did this happen?
- Establishment
- Mesa Fully Formed, LLC - Glendale
- Parent company
- Mesa Fully Formed, LLC
- Street
- 7335 N 108th Ave
- City
- Glendale
- State
- AZ
- ZIP
- 85307
- On-site location
- Residential jobsite
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 15
Before the incident
Walking
What happened
Walking outside of a house and took a wrong step.
Injury or illness
Stepped wrong when walking outside of a house.
Object or substance involved
Concrete floor dirt path.
Summary line
Stepped wrong when getting out of a house.
Employee and industry
- Job description
- Installer
- SOC code
- 51-7042 — Woodworking Machine Setters, Operators, and Tenders, Except Sawing
- NAICS code
- 337110 — Countertops (i.e., kitchen, bathroom), wood or plastics laminated on wood, manufacturing
- NAICS vintage
- 2022
- Avg employees
- 39
- Total hours worked
- 76547
- EIN
- 271260137
- Establishment ID
- 42960
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 8:30:00.000
- Submitted
- 26FEB24:19:04:00
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.