Beaverton, OR —
OSHA Injury Report: FLOFORM Countertops B
Injury · Days away from work
At a glance
On , an injury at FLOFORM Countertops B in Beaverton, OR 97005 resulted in days away from work. Employee was installer in countertops, stone, manufacturing.
Where did this happen?
- Establishment
- FLOFORM Countertops B
- Parent company
- FLOFORM LLC
- Street
- 9615 SW Allen Blvd Suite 101-103
- City
- Beaverton
- State
- OR
- ZIP
- 97005
- On-site location
- Customer Home
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 69
Before the incident
Prepping surface area for a new countertop to be installed and offloading materials into the customers home.
What happened
Worker was helping carry a countertop into a customers home when they experienced a sharp pain in their lower back
Injury or illness
Lower back strain
Object or substance involved
Stone Countertop
Summary line
Strained lower back from carrying stone countertop
Employee and industry
- Job description
- Installer
- SOC code
- 9999 — Uncoded
- NAICS code
- 327991 — Countertops, stone, manufacturing
- NAICS vintage
- 2012
- Avg employees
- 14
- Total hours worked
- 23093
- Establishment ID
- 964312
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 7:30
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 28JAN2025:17:34:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.