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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Phoenix, AZ —

OSHA Injury Report: Forms + Surfaces Phoenix

Skin disorder · Job transfer or restriction

At a glance

On , a skin disorder at Forms + Surfaces Phoenix in 1025 N 71st Avenue, Phoenix, AZ 85043 resulted in job transfer or restriction. Employee was infusion Tech 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
Bonded Infusion Area

What was the outcome?

Outcome
Job transfer or restriction (code 3)
Type
Skin disorder (code 2)
Days restricted or transferred
4

Before the incident

Employee was working with infusion tables for the bonded process

What happened

Employee worked multiple days before reporting that they had a rash on their hand that they believed to be a reaction from the bonded chemicals

Injury or illness

Contact dermatitis

Object or substance involved

Bonded chemicals

Summary line

Reaction to left hand while working with bonded chemicals while wearing gloves

Employee and industry

Job description
Infusion Tech
SOC code
9999 — Uncoded
NAICS code
332323 — Ornamental metalwork manufacturing
NAICS vintage
2022
Avg employees
242
Total hours worked
399669
EIN
251476717
Establishment ID
1064648
Employer case #
17

When (timing detail)

Date of incident
Shift started
7:00:00.000
Submitted
16JAN24:19:19:00

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.