2,042,423Injury reports 130,778Establishments Most recent incident 2025-12-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

Phoenix, AZ —

OSHA Injury Report: Forms + Surfaces Phoenix

Injury · Job transfer or restriction

At a glance

On , an injury at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was manufacturing Associate 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 2

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
7

Before the incident

Removing foam from the top of a pallet.

What happened

The employee stepped on a pallet to remove pieces of foam from material. With stepping on the pallet the employee fell backwards and twisted their back.

Injury or illness

Radiculopathy in lumbar region from same level fall

Object or substance involved

Pallet

Summary line

Radiculopathy in lumbar region from same level fall

Employee and industry

Job description
Manufacturing Associate
SOC code
00-9900 — Insufficient Information - NIOSH
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2012
Avg employees
266
Total hours worked
400670
EIN
251476717
Establishment ID
1064648
Employer case #
2

When (timing detail)

Date of incident
Time of incident
21:30
Filing year
2025
Submitted
17FEB26:13:10:00

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 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.