CUSTOM FORM MANUFACTURING, INC.
19960 CO. RD. 8, BRISTOL, IN 46507
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Jan 23, 1997#123980377Jan 23, 1997Planned (H) · Complete scope, Safety#123980377$1,04510 viol.10 violations$1,045 in penalties
Inspection #123980377
Dates
- Opened
- Jan 23, 1997
- Closing Conference Date
- Jan 23, 1997
- Closed
- Nov 6, 1997
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- No
- Number of Employees
- 12
Violations and Penalties
- Total Violations
- 10
- Violation Types
- 4 serious, 6 other-than-serious
- Initial Penalties
- $4,000
- Penalties on Record
- $1,045
- Site Address
- 19960 Co. Rd. 8, Bristol, IN 46507
- Industry
- Not classified in OSHA's inspection record.
Planned Inspection: This inspection record is categorized as a planned inspection in the DOL OSHA enforcement data. Planned inspections are part of OSHA's scheduled enforcement activity rather than being opened directly from a complaint or reported incident at that worksite.
Violations
Violation list (10 of 10 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001A | 1910.219 Mechanical Power-Transmission Apparatus OSHA citation code: 19100219 D01 | Serious | 1 | 3 | $1,000 | $350 | Mar 6, 1997 | - | - |
| 01001B | 1910.219 Mechanical Power-Transmission Apparatus OSHA citation code: 19100219 E01 I | Serious | 1 | 3 | $0 | $0 | Mar 6, 1997 | - | - |
| 01002 | 1910.219 Mechanical Power-Transmission Apparatus OSHA citation code: 19100219 F03 | Other | 2 | 1 | $1,000 | $0 | Mar 6, 1997 | - | - |
| 01003 | 1910.303 Electrical - General Requirements OSHA citation code: 19100303 G02 I | Serious | 1 | 2 | $1,250 | $435 | Mar 2, 1997 | - | - |
| 01004 | 1910.1200 Hazard Communication OSHA citation code: 19101200 H | Serious | 1 | 2 | $750 | $260 | Mar 16, 1997 | - | - |
| 02001 | 1910.151 Medical Services and First Aid OSHA citation code: 19100151 C | Other | 1 | 2 | $0 | $0 | Mar 16, 1997 | - | - |
| 02002 | 1910.178 Powered Industrial Trucks OSHA citation code: 19100178 P01 | Other | 1 | 4 | $0 | $0 | Mar 6, 1997 | - | - |
| 02003 | 1910.178 Powered Industrial Trucks OSHA citation code: 19100178 Q07 | Other | 1 | 12 | $0 | $0 | Mar 6, 1997 | - | - |
| 02004 | 1910.242 Hand and Portable Powered Tools and Equipment, General OSHA citation code: 19100242 B | Other | 1 | 4 | $0 | $0 | Mar 2, 1997 | - | - |
| 02005 | 1910.1200 Hazard Communication OSHA citation code: 19101200 E01 I | Other | 1 | 12 | $0 | $0 | Mar 16, 1997 | - | - |
Mar 30, 1993#124067620Mar 30, 1993Complaint (B) · Partial scope, Health#124067620$6,87521 viol.21 violations$6,875 in penalties
Inspection #124067620
Dates
- Opened
- Mar 30, 1993
- Closing Conference Date
- Apr 1, 1993
- Closed
- Dec 6, 1993
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- No
- Number of Employees
- 15
- Related Activity
- 1 complaint
Violations and Penalties
- Total Violations
- 21
- Violation Types
- 15 serious, 6 other-than-serious
- Initial Penalties
- $16,750
- Penalties on Record
- $6,875
- Site Address
- 19960 Co. Rd. 8, Bristol, IN 46507
- Industry
- Not classified in OSHA's inspection record.
Complaint Inspection: This inspection record is categorized as a complaint inspection in the DOL OSHA enforcement data. OSHA can open complaint-driven inspections after receiving safety or health complaints from workers or their representatives.
Violations
Violation list (21 of 21 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1910.147 Control of Hazardous Energy (Lockout/Tagout) OSHA citation code: 19100147 C01 | Serious | 1 | 2 | $1,250 | $625 | Jun 26, 1993 | - | - |
| 01002 | 1910.178 Powered Industrial Trucks OSHA citation code: 19100178 I01 | Serious | 2 | 15 | $2,500 | $1,250 | May 28, 1993 | - | - |
| 01003A | 1910.217 Mechanical Power Presses OSHA citation code: 19100217 C02 IA | Serious | 2 | 2 | $2,500 | $1,250 | Jun 26, 1993 | - | - |
| 01003B | 1910.217 Mechanical Power Presses OSHA citation code: 19100217 D01 II | Serious | 1 | 2 | $0 | $0 | Jun 26, 1993 | - | - |
| 01003C | 1910.217 Mechanical Power Presses OSHA citation code: 19100217 D04 | Serious | 1 | 2 | $0 | $0 | Jun 26, 1993 | - | - |
| 01003D | 1910.217 Mechanical Power Presses OSHA citation code: 19100217 E01 I | Serious | 1 | 2 | $0 | $0 | Jun 26, 1993 | - | - |
| 01003E | 1910.217 Mechanical Power Presses OSHA citation code: 19100217 F02 | Serious | 1 | 2 | $0 | $0 | Jun 26, 1993 | - | - |
| 01004 | 1910.304 Electrical - Wiring Design and Protection OSHA citation code: 19100304 F05 V | Serious | 2 | 2 | $1,250 | $625 | May 28, 1993 | - | - |
| 01005 | 1910.305 Electrical - Wiring Methods, Components, and Equipment OSHA citation code: 19100305 B01 | Serious | 1 | 15 | $1,250 | $625 | Jun 11, 1993 | - | - |
| 01006 | 1910.305 Electrical - Wiring Methods, Components, and Equipment OSHA citation code: 19100305 G01 III | Serious | 2 | 2 | $1,250 | $625 | May 28, 1993 | - | - |
| 01007 | 1910.1000 Air Contaminants OSHA citation code: 19101000 A02 | Serious | 2 | 15 | $2,500 | $0 | May 28, 1993 | - | - |
| 01008 | 1910.1030 Bloodborne Pathogens OSHA citation code: 19101030 C01 I | Serious | 1 | 4 | $1,250 | $625 | Jun 26, 1993 | - | - |
| 01009A | 1910.1200 Hazard Communication OSHA citation code: 19101200 F05 I | Serious | 1 | 6 | $1,250 | $625 | Jun 26, 1993 | - | - |
| 01009B | 1910.1200 Hazard Communication OSHA citation code: 19101200 F05 II | Serious | 1 | 6 | $0 | $0 | Jun 26, 1993 | - | - |
| 01010 | 1910.1200 Hazard Communication OSHA citation code: 19101200 H | Serious | 1 | 6 | $1,250 | $625 | Jun 26, 1993 | - | - |
| 02001A | 400.402 | Other | 5 | 15 | $500 | $0 | May 28, 1993 | - | - |
| 02001B | 400.405 | Other | 1 | 15 | $0 | $0 | May 28, 1993 | - | - |
| 02002 | 1910.38 Emergency Action Plans OSHA citation code: 19100038 A01 | Other | 1 | 15 | $0 | $0 | Jun 26, 1993 | - | - |
| 02003 | 1910.134 Respiratory Protection OSHA citation code: 19100134 B02 | Other | 1 | 2 | $0 | $0 | May 28, 1993 | - | - |
| 02004 | 1910.157 Portable Fire Extinguishers OSHA citation code: 19100157 G01 | Other | 1 | 15 | $0 | $0 | Jun 26, 1993 | - | - |
| 02005 | 1910.1200 Hazard Communication OSHA citation code: 19101200 E01 I | Other | 1 | 15 | $0 | $0 | Jun 26, 1993 | - | - |
Penalty amounts may differ from final amounts after settlement or judicial review. How to read these records
About these records
A company page groups inspections with the same normalized employer name, city and state; it is not a legal-entity identifier (how pages are grouped).
This page displays public OSHA enforcement data. Status text follows the DOL inspection record first and may include citation-level context when the inspection feed and citation records are out of sync. Penalty amounts shown reflect the latest penalty amounts on record in the DOL database and may differ from initial assessments or final amounts. This is not an official OSHA resource.
OSHA's public enforcement data does not publish a "guilty" or "not guilty" field for inspections. The closest outcome fields available are the citation counts, penalty amounts, contest dates, final-order dates, and the inspection close date shown on this page. How to interpret these status fields. How initial and current penalties are recorded.
OSHA may publish multiple citation rows in the same inspection with the same standard and penalty fields. Separate rows can still differ in OSHA metadata such as citation identifier, recorded instance count, exposed workers, or gravity value. Contest and Final Order columns show citation-level dates from OSHA's enforcement record. A dash means OSHA's record does not currently show that activity for the citation.
Understanding These Penalties
The maximum penalty for a serious violation in 2025 is $16,550 per violation. For willful violations, the range is $11,823 to $165,514. The current penalty column shows the latest amount on record in OSHA's database for each citation. When the current penalty differs from the initial penalty, OSHA's records show that the amount changed during the enforcement process, but this page does not determine the specific reason for each change. Penalty amounts are set by OSHA and adjusted annually for inflation.
2 inspections, 1993 to 1997. Each row is one inspection; point at or tap a row for its dates and totals.
Source: DOL OSHA enforcement data (inspections and violations), linked via activity_nr (exact government key).
Penalty changes: Amounts shown reflect what OSHA's enforcement record publishes. The reason for any change is not stated unless OSHA's record explicitly says so.