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ADJUSTABLE FORMS INC
$262,901
Penalties
100
Violations
77
Inspections

ADJUSTABLE FORMS INC

836 WELLINGTON, Chicago, IL 60657

ADJUSTABLE FORMS INC has had 77 OSHA inspections since Jan 23, 1974, resulting in 100 violations and $262,901 in penalties on record.

As reported in the U.S. Department of Labor OSHA enforcement database. Having inspection records is common for businesses in regulated industries. Penalty amounts may differ from final amounts after settlement or judicial review.

63Serious
2Willful
9Repeat
26Other
Overview
  • A total of 77 OSHA inspections have been documented at this location.
  • The latest inspection on record was opened on June 7, 2024.
  • This establishment has OSHA records dating from 1974 to 2024, a span of 50 years.
  • Serious violations account for 63% of the 100 total citations at this location (63 out of 100).
  • Federal enforcement records show 2 willful violations at this establishment. Willful is the most severe violation classification OSHA issues, carrying the highest penalty amounts under federal law.
  • OSHA cited 9 violations classified as repeat at this location. Repeat status means a substantially similar hazard was previously cited at this employer.
  • OSHA records show 1 inspection at this location has not yet been closed.

Data sourced from the U.S. Department of Labor OSHA enforcement database. Penalty amounts shown reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts after informal conferences, settlements, or adjudication. Having an inspection record is common in regulated industries and does not by itself indicate unsafe conditions. This is not an official OSHA resource and does not constitute legal advice.

Most Cited Standards
StandardCitationsPenalties
1926.500Fall Protection - Scope, Application, and Definitions25$7,555
1926.25Housekeeping15$3,945
1926.501Fall Protection - Duty to Have Fall Protection9$142,960
1926.451Scaffolding - General Requirements9$76,721
1926.450Scaffolding - Scope, Application, and Definitions5$2,670
1926.105Safety Nets5$4,320
1926.701Concrete and Masonry Construction - General Requirements4$4,400
1926.502Fall Protection Systems Criteria and Practices4$1,400
1926.150Fire Protection (Construction)3$50
1926.28Personal Protective Equipment3$1,170
Inspection History1974 - 2024
#347535965Unprogrammed Related
Jun 7, 2024
6 viol.$62,221
#343482501Referral
Sep 24, 2018
0 viol.$0
#343190682Referral
May 29, 2018
0 viol.$0
#342298593Programmed Related
May 3, 2017
0 viol.$0
#340027010Programmed Related
Oct 21, 2014
0 viol.$0
#339477580Planned
Nov 7, 2013
0 viol.$0
#334301116Planned
May 15, 2012
0 viol.$0
#312596638Complaint
Jul 1, 2009
0 viol.$0
#312596984Complaint
Jul 1, 2009
0 viol.$0
#312595143Programmed Related
May 5, 2009
3 viol.$1,600
#312593080Programmed Related
Feb 20, 2009
1 viol.$0
#312592348Unprogrammed Related
Jan 28, 2009
1 viol.$500
#311374714Complaint
May 28, 2008
0 viol.$0
#311373633Programmed Related
Apr 22, 2008
2 viol.$1,200
#311369821Accident
Nov 21, 2007
0 viol.$0
#310177936Complaint
Jul 3, 2007
4 viol.$76,000
#310176789Complaint
May 16, 2007
1 viol.$4,000
#310174818Programmed Related
Mar 6, 2007
1 viol.$7,000
#310177084Programmed Related
Jan 26, 2007
1 viol.$17,500
#310172804Referral
Dec 14, 2006
0 viol.$0
#309029460Unprogrammed Related
Mar 14, 2006
1 viol.$7,000
#309029221Programmed Related
Jan 5, 2006
2 viol.$7,000
#309027563Planned
Jan 5, 2006
0 viol.$0
#309027530Programmed Related
Dec 22, 2005
2 viol.$50,000
#309026714Programmed Related
Nov 17, 2005
3 viol.$2,100
#306000001Programmed Related
Nov 5, 2003
2 viol.$1,500
#305218372Referral
Sep 3, 2002
1 viol.$2,800
#303124697Referral
Nov 14, 2000
0 viol.$0
#303123327Programmed Related
Sep 13, 2000
0 viol.$0
#303121610Referral
Jul 20, 2000
1 viol.$1,500
#303119887Programmed Related
May 10, 2000
0 viol.$0
#303119846Programmed Related
May 5, 2000
1 viol.$0
#122152085Programmed Related
Sep 30, 1997
0 viol.$0
#103066304Referral
Jun 1, 1990
1 viol.$1,800
#106147895Unprogrammed Related
May 15, 1990
3 viol.$4,100
#106148091Programmed Related
Mar 13, 1990
1 viol.$1,580
#17687153Unprogrammed Related
Jan 23, 1990
5 viol.$3,090
#103332136Unprogrammed Related
Apr 26, 1989
6 viol.$450
#103266979Unprogrammed Related
Nov 23, 1988
1 viol.$500
#101331692Unprogrammed Related
Sep 10, 1987
0 viol.$0
#101113983Planned
Mar 19, 1987
0 viol.$0
#101737328Planned
Feb 18, 1987
1 viol.$800
#100120468Planned
Dec 4, 1986
1 viol.$300
#100118454Planned
May 20, 1986
1 viol.$290
#100154715Planned
Feb 7, 1986
0 viol.$0
#1650464Planned
Jun 15, 1984
0 viol.$0
#1332097Planned
May 15, 1984
0 viol.$0
#15806367Planned
Feb 14, 1984
0 viol.$0
#15866890Planned
Dec 22, 1983
0 viol.$0
#15834948Planned
Dec 21, 1983
0 viol.$0

Showing the 50 most recent inspections on record. This employer has 77 total inspections documented in the U.S. Department of Labor OSHA enforcement database. The complete record is available at enforcedata.dol.gov.

Incident Investigation Summaries

Incident investigation summaries linked to this employer through OSHA accident and injury enforcement data.

HospitalizationSep 21, 2018

Employee fractures leg in fall from ladder

View inspection #343482501 →
AmputationHospitalizationJun 27, 2009

Employee amputates pinky finger with lifting jack

Injury: AmputationBody part: Finger(s)
View inspection #312596984 →
FatalityNov 21, 2007

Employee killed in fall down elevator shaft

Injury: OtherBody part: Body System
View inspection #311369821 →

Source: U.S. Department of Labor OSHA incident investigation data. See data reference for matching and methodology details.

Chemical Exposure Sampling

OSHA collected 9 air monitoring samples across 1 inspection, testing for 3 substances. These include personal breathing zone and area air monitoring samples collected during OSHA inspections. View individual inspection pages for detailed sample results and exposure measurements.

Source: OSHA chemical exposure sampling data (OSHA Information System). Includes personal and area air monitoring samples only. Linked via inspection number (exact government key).

Other Inspected Employers in Chicago, IL

Data Source and Methodology

Data synced daily

Data on this page comes from the U.S. Department of Labor's OSHA enforcement database, accessed via the DOL public data API. Records are updated daily. We strive for accuracy, but errors in data processing or establishment grouping are possible. Penalty amounts reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts after informal conference, settlement, or judicial review. Company pages group inspection records by normalized employer name, city, and state as reported in OSHA records. That grouping is deterministic and non-fuzzy, but it is not a universal legal-entity identifier. If you believe any record is inaccurate, please report it and we will investigate. This product uses the DOL Data API but is not endorsed or certified by the DOL. For official and authoritative records, visit osha.gov.