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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 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 Column Assembly

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Injury (code 1)
Days restricted or transferred
133

Before the incident

Working on a team to assemble columns in building 4

What happened

Employee was working in a team to assemble columns in building 4 when they stated they had inflammation to their right elbow.

Injury or illness

Lateral epicondylitis of right elbow

Object or substance involved

Repetitive motion overuse of muscles

Summary line

Lateral Epicondylitis of right elbow

Employee and industry

Job description
Assembler
SOC code
51-2099 — Assemblers and Fabricators, All Other
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2022
Avg employees
242
Total hours worked
399669
EIN
251476717
Establishment ID
1064648
Employer case #
12

When (timing detail)

Date of incident
Shift started
7:00:00.000
Submitted
16JAN24:18:33:00

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.