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 · 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 assembler 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

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
3
Days restricted or transferred
158

Before the incident

The employee was helping move a glass panel onto a frame.

What happened

While moving a glass panel onto a frame the employee stated that they heard a popping a sound. This was diagnosed as an umbilical hernia.

Injury or illness

Umbilical hernia

Object or substance involved

Glass panel

Summary line

Umbilical hernia from lifting a glass panel

Employee and industry

Job description
Assembler
SOC code
51-2099 — Assemblers and Fabricators, All Other
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2012
Avg employees
266
Total hours worked
400670
EIN
251476717
Establishment ID
1064648
Employer case #
5

When (timing detail)

Date of incident
Shift started
0:00
Time of incident
3:00
Filing year
2025
Submitted
17FEB26:13:29:00

More injuries at Forms + Surfaces Phoenix

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

More injuries in this industry (NAICS 332323)

More injuries in AZ

SHOW LOW, AZ—

WM 1230

PRESCOTT VALLEY, AZ—

WM 3730

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.