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Safety Incidents OSHA Severe Injury Reports · 2015–2025

Beaverton, OR —

OSHA Injury Report: FLOFORM Countertops B

Injury · Days away from work

At a glance

On , an injury at FLOFORM Countertops B in 9615 SW Allen Blvd Suite 101-103, Beaverton, OR 97005 resulted in days away from work. Employee was installer in countertops, stone, manufacturing.

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Where did this happen?

Establishment
FLOFORM Countertops B
Parent company
FLOFORM LLC
Street
9615 SW Allen Blvd Suite 101-103
City
Beaverton
State
OR
ZIP
97005
On-site location
Customer Home

What was the outcome?

Outcome
Days away from work (code 2)
Type
Injury (code 1)
Days away from work
69

Before the incident

Prepping surface area for a new countertop to be installed and offloading materials into the customers home.

What happened

Worker was helping carry a countertop into a customers home when they experienced a sharp pain in their lower back

Injury or illness

Lower back strain

Object or substance involved

Stone Countertop

Summary line

Strained lower back from carrying stone countertop

Employee and industry

Job description
Installer
SOC code
9999 — Uncoded
NAICS code
327991 — Countertops, stone, manufacturing
NAICS vintage
2012
Avg employees
14
Total hours worked
23093
Establishment ID
964312
Employer case #
1

When (timing detail)

Date of incident
Shift started
7:30
Time of incident
12:00
Filing year
2024
Submitted
28JAN2025:17:34:00

More injuries in this industry (NAICS 327991)

More injuries in OR

Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.