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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Phoenix, AZ —

OSHA Injury Report: Forms + Surfaces Phoenix

Injury · Days away from work

At a glance

On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in days away from work. Employee was material Handler 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
Building 4 Shipping & Receiving Ramp

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
1
Days restricted or transferred
63

Before the incident

Transferring trash to dumpster.

What happened

Employee reached hand into large green trash bin to remove the blockage which was preventing the trash to fall into the bin. Without noticing their left hand was too close to the edge of the dumpster their left hand was caught between the two bins causing a large abrasion.

Injury or illness

Nondisplaced fracture in fifth metacarpal of left hand.

Object or substance involved

Large trash bins

Summary line

Nondisplaced fracture in fifth metacarpal from left hand becoming caught between two hopper bins

Employee and industry

Job description
Material Handler
SOC code
53-7062 — Laborers and Freight, Stock, and Material Movers, Hand
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2012
Avg employees
268
Total hours worked
365234
EIN
251476717
Establishment ID
1064648
Employer case #
1

When (timing detail)

Date of incident
Filing year
2024
Submitted
17FEB2025:15:26:00

More injuries at Forms + Surfaces Phoenix

View Forms + Surfaces Phoenix's full OSHA safety record →

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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.