Los Alamitos, CA —
OSHA Injury Report: Sure Forming Systems Inc.
Injury · Job transfer or restriction
At a glance
On , an injury at Sure Forming Systems Inc. in Los Alamitos, CA 90720 resulted in job transfer or restriction. Employee was cARPENTER in concrete form contractors.
Where did this happen?
- Establishment
- Sure Forming Systems Inc.
- Parent company
- Sure Forming Systems Inc.
- Street
- 10602 Humbolt Street
- City
- Los Alamitos
- State
- CA
- ZIP
- 90720
- On-site location
- CONSTRUCTION SITE
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 4
Before the incident
STRIPPING ALUMINUM STRINGER
What happened
WHILE STRIPPING ALUMINUM STRINGERS HE PULLED ON THE WRONG PLACE AND ONE FELL ON HIS LEFT UPPER BACK
Injury or illness
SWELLING PAIN
Object or substance involved
ALUMINUM STRINGER
Summary line
LEFT UPPER BACK
Employee and industry
- Job description
- CARPENTER
- SOC code
- 47-2031 — Carpenters
- NAICS code
- 238190 — Concrete form contractors
- NAICS vintage
- 2022
- Avg employees
- 75
- Total hours worked
- 203000
- EIN
- 953202903
- Establishment ID
- 657216
- Employer case #
- 3
When (timing detail)
- Date of incident
- Shift started
- 7:00:00.000
- Time of incident
- 14:45:00.000
- Submitted
- 02MAR24:02:25:00
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.