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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 welder 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 3 Welding Area

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
8

Before the incident

Employee was deburring a metal door

What happened

When using the air tool to deburr metal area on a core the carbide tip fell out of the grinding tool and spun towards the employees hand causing a deep laceration to their left hand thumb

Injury or illness

Laceration of left hand

Object or substance involved

Carbide tip of grinder

Summary line

Laceration to left thumb area from carbide tip falling out of grinding tool and cutting into hand

Employee and industry

Job description
Welder
SOC code
51-4121 — Welders, Cutters, Solderers, and Brazers
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2022
Avg employees
242
Total hours worked
399669
EIN
251476717
Establishment ID
1064648
Employer case #
10

When (timing detail)

Date of incident
Shift started
7:00:00.000
Submitted
16JAN24:16:52:00

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