ADJUSTABLE FORMS INC
836 WELLINGTON, Chicago, IL 60657
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Apr 16, 1980#15776388Apr 16, 1980Planned (H) · Complete scope, Safety#15776388$5002 viol.2 violations$500 in penalties
Inspection #15776388
Dates
- Opened
- Apr 16, 1980
- Closing Conference Date
- Apr 23, 1980
- Contested
- May 15, 1980
- Closed
- Feb 10, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 7
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 repeat
- Initial Penalties
- $4,050
- Penalties on Record
- $500
- Site Address
- 3601 South Wells, Chicago, IL 60609
- 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 (2 of 2 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.28 Personal Protective Equipment OSHA citation code: 19260028 A | Repeat | 1 | - | $3,240 | $250 | May 13, 1980 | May 15, 1980 | - |
| 01002 | 1926.21 Safety Training and Education OSHA citation code: 19260021 B02 | Repeat | 1 | - | $810 | $250 | May 13, 1980 | May 15, 1980 | - |
Feb 28, 1980#15817596Feb 28, 1980Planned (H) · Complete scope, Safety#15817596$1001 viol.1 violation$100 in penalties
Inspection #15817596
Dates
- Opened
- Feb 28, 1980
- Closing Conference Date
- Feb 28, 1980
- Closed
- May 11, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 15
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 serious
- Initial Penalties
- $100
- Penalties on Record
- $100
- Site Address
- 5601 North Pulaski Avenue, Chicago, IL 60646
- 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 D01 | Serious | 1 | - | $100 | $100 | Mar 14, 1980 | - | - |
Feb 22, 1980#15868631Feb 22, 1980Planned (H) · Complete scope, Safety#15868631$02 viol.2 violations$0 in penalties
Inspection #15868631
Dates
- Opened
- Feb 22, 1980
- Closing Conference Date
- Feb 22, 1980
- Closed
- Nov 10, 1980
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 8
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Doral Plaza-Mich & Randolph St, Chicago, IL 60601
- 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 (2 of 2 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 2 | - | $0 | $0 | Mar 13, 1980 | - | - |
| 01002 | 1926.701 Concrete and Masonry Construction - General Requirements OSHA citation code: 19260701 D02 | Other | 2 | - | $0 | $0 | Mar 13, 1980 | - | - |
Jan 18, 1980#15852338Jan 18, 1980Planned (H) · Complete scope, Safety#15852338$401 viol.1 violation$40 in penalties
Inspection #15852338
Dates
- Opened
- Jan 18, 1980
- Closing Conference Date
- Jan 18, 1980
- Closed
- Sep 18, 1980
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 14
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 serious
- Initial Penalties
- $40
- Penalties on Record
- $40
- Site Address
- 1725 W Harrison, Chicago, IL 60612
- 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B01 | Serious | 1 | - | $40 | $40 | Jan 31, 1980 | - | - |
Nov 13, 1979#15868037Nov 13, 1979Planned (H) · Complete scope, Safety#15868037$01 viol.1 violation$0 in penalties
Inspection #15868037
Dates
- Opened
- Nov 13, 1979
- Closing Conference Date
- Nov 13, 1979
- Contested
- Dec 15, 1979
- Closed
- Feb 23, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 4
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 serious
- Initial Penalties
- $250
- Penalties on Record
- $0
- Site Address
- Rush Pres St Lukes Medical Ctr, Chicago, IL 60608
- 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 D01 | Serious | 1 | - | $250 | $0 | Dec 3, 1979 | Dec 15, 1979 | - |
Sep 11, 1979#15754567Sep 11, 1979Unprogrammed Related (G) · Complete scope, Safety#15754567$00 viol.0 violations$0 in penalties
Inspection #15754567
Dates
- Opened
- Sep 11, 1979
- Closing Conference Date
- Sep 11, 1979
- Closed
- Mar 10, 1984
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 24
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Provident Hospital 51st St &, Chicago, IL 60615
- Industry
- Not classified in OSHA's inspection record.
Unprogrammed Related Inspection: This inspection record is categorized as an unprogrammed related inspection in the DOL OSHA enforcement data. The public DOL category label is preserved here without adding extra interpretation beyond the government label.
Aug 21, 1979#15848542Aug 21, 1979Planned (H) · Complete scope, Safety#15848542$00 viol.0 violations$0 in penalties
Inspection #15848542
Dates
- Opened
- Aug 21, 1979
- Closing Conference Date
- Aug 22, 1979
- Closed
- Mar 10, 1984
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 7
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 8600 W Bryn Mawr Ave, Chicago, IL 60031
- 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.
Jun 25, 1979#15775562Jun 25, 1979Unprogrammed Related (G) · Complete scope, Safety#15775562$7204 viol.4 violations$720 in penalties
Inspection #15775562
Dates
- Opened
- Jun 25, 1979
- Closing Conference Date
- Jun 26, 1979
- Closed
- Oct 16, 1979
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 4
Violations and Penalties
- Total Violations
- 4
- Violation Types
- 1 serious, 3 other-than-serious
- Initial Penalties
- $720
- Penalties on Record
- $720
- Site Address
- 6700 South Cornell Avenue, Chicago, IL 60649
- Industry
- Not classified in OSHA's inspection record.
Unprogrammed Related Inspection: This inspection record is categorized as an unprogrammed related inspection in the DOL OSHA enforcement data. The public DOL category label is preserved here without adding extra interpretation beyond the government label.
Violations
Violation list (4 of 4 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.28 Personal Protective Equipment OSHA citation code: 19260028 A | Serious | 2 | - | $720 | $720 | Jul 12, 1979 | - | - |
| 02001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 1 | - | $0 | $0 | Jul 12, 1979 | - | - |
| 02002 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B02 | Other | 1 | - | $0 | $0 | Jul 12, 1979 | - | - |
| 02003 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 E01 III | Other | 1 | - | $0 | $0 | Jul 12, 1979 | - | - |
May 8, 1979#15865926May 8, 1979Planned (H) · Complete scope, Safety#15865926$802 viol.2 violations$80 in penalties
Inspection #15865926
Dates
- Opened
- May 8, 1979
- Closing Conference Date
- May 8, 1979
- Contested
- Jul 15, 1979
- Closed
- Jan 24, 1980
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 12
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 serious
- Initial Penalties
- $160
- Penalties on Record
- $80
- Site Address
- Ne Corner Lawrence & Sheridan, Chicago, IL 60640
- 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 (2 of 2 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Serious | 1 | - | $80 | $40 | Jun 3, 1979 | Jul 15, 1979 | - |
| 01002 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B01 | Serious | 12 | - | $80 | $40 | Jun 3, 1979 | Jul 15, 1979 | - |
Aug 16, 1978#15864440Aug 16, 1978Planned (H) · Complete scope, Safety#15864440$753 viol.3 violations$75 in penalties
Inspection #15864440
Dates
- Opened
- Aug 16, 1978
- Closing Conference Date
- Aug 16, 1978
- Contested
- Oct 15, 1978
- Closed
- Jun 13, 1979
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 11
Violations and Penalties
- Total Violations
- 3
- Violation Types
- 3 serious
- Initial Penalties
- $180
- Penalties on Record
- $75
- Site Address
- 1100 N Lakeshore Drive, Chicago, IL 60611
- 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 (3 of 3 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001A | 1926.25 Housekeeping OSHA citation code: 19260025 A | Serious | 3 | - | $180 | $75 | Sep 4, 1978 | Oct 15, 1978 | - |
| 01001B | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B01 | Serious | 1 | - | $0 | $0 | Sep 4, 1978 | Oct 15, 1978 | - |
| 01001C | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 D01 | Serious | 1 | - | $0 | $0 | Sep 4, 1978 | Oct 15, 1978 | - |
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.
50 inspections, 1983 to 2024. 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.
Short cases: When a case closed soon after it opened, the closed marker is drawn slightly to the right so both markers stay visible. Each row's card shows the exact dates.
The timeline shows the 50 most recent of 77 inspections with a recorded opening date.