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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Kent, WA —

OSHA Injury Report: FLOFORM Countertops

Injury · Job transfer or restriction

At a glance

On , an injury at FLOFORM Countertops in 22445 76th Avenu South, Kent, WA 98032 resulted in job transfer or restriction. Employee was installer in countertops, stone, manufacturing.

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Where did this happen?

Establishment
FLOFORM Countertops
Parent company
FLOFORM LLC
Street
22445 76th Avenu South
City
Kent
State
WA
ZIP
98032
On-site location
Customer site - Kingston WA

What was the outcome?

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

Before the incident

Worker was using carying equipment & materials into customers home.

What happened

While the worker was carying a countertop up the stairs of the customers home they tripped slipped and fell. Worker felt pain in their back and Rt. Shoulder.

Injury or illness

Strained back & Rt. Shoulder

Object or substance involved

Weight of the stone countertop.

Summary line

Rt. Shoulder & Back strain from a slip and fall while carrying a countertop

Employee and industry

Job description
Installer
SOC code
49-9099 — Installation, Maintenance, and Repair Workers, All Other
NAICS code
327991 — Countertops, stone, manufacturing
NAICS vintage
2022
Avg employees
110
Total hours worked
205460
Establishment ID
964213
Employer case #
3

When (timing detail)

Date of incident
Shift started
7:00:00.000
Time of incident
16:00:00.000
Filing year
2023
Submitted
18JAN24:15:54:00

More injuries at FLOFORM Countertops

View FLOFORM Countertops's full OSHA safety record →

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.