ADJUSTABLE FORMS INC
836 WELLINGTON, Chicago, IL 60657
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Sep 28, 1983#15805526Sep 28, 1983Planned (H) · Complete scope, Safety#15805526$4,96011 viol.11 violations$4,960 in penalties
Inspection #15805526
Dates
- Opened
- Sep 28, 1983
- Closing Conference Date
- Oct 13, 1983
- Contested
- Oct 28, 1983
- Closed
- May 31, 1984
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 15
Violations and Penalties
- Total Violations
- 11
- Violation Types
- 11 serious
- Initial Penalties
- $4,960
- Penalties on Record
- $4,960
- Site Address
- 55 E Garfield, Chicago, IL 60617
- 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 (5 of 11 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.20 General Safety and Health Provisions OSHA citation code: 19260020 B01 | Serious | 1 | - | $80 | $80 | Nov 30, 1983 | Oct 28, 1983 | - |
| 01002 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Serious | 3 | - | $160 | $160 | Oct 24, 1983 | Oct 28, 1983 | - |
| 01003 | 1926.100 Head Protection (Construction) OSHA citation code: 19260100 A | Serious | 3 | - | $80 | $80 | Oct 17, 1983 | Oct 28, 1983 | - |
| 01004 | 1926.450 Scaffolding - Scope, Application, and Definitions OSHA citation code: 19260450 A10 | Serious | 2 | - | $640 | $640 | Oct 24, 1983 | Oct 28, 1983 | - |
| 01005 | 1926.450 Scaffolding - Scope, Application, and Definitions OSHA citation code: 19260450 A09 | Serious | 2 | - | $640 | $640 | Oct 24, 1983 | Oct 28, 1983 | - |
Showing the 5 violations listed first by citation identifier. This inspection has 11 total violations documented in the U.S. Department of Labor OSHA enforcement database. The complete violation list is available at enforcedata.dol.gov.
Jan 19, 1983#15862741Jan 19, 1983Planned (H) · Complete scope, Safety#15862741$01 viol.1 violation$0 in penalties
Inspection #15862741
Dates
- Opened
- Jan 19, 1983
- Closing Conference Date
- Feb 9, 1983
- Closed
- Dec 20, 1983
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 25
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Olympic Ctr Michigan & Superio, 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 3 | - | $0 | $0 | Feb 17, 1983 | - | - |
Aug 24, 1982#15857394Aug 24, 1982Planned (H) · Complete scope, Safety#15857394$00 viol.0 violations$0 in penalties
Inspection #15857394
Dates
- Opened
- Aug 24, 1982
- Closing Conference Date
- Aug 24, 1982
- Closed
- Aug 25, 1982
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 4
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 1418 N Lake Shore Dr, Chicago, IL 60610
- 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.
Aug 13, 1982#15860778Aug 13, 1982Planned (H) · Complete scope, Safety#15860778$2001 viol.1 violation$200 in penalties
Inspection #15860778
Dates
- Opened
- Aug 13, 1982
- Closing Conference Date
- Aug 13, 1982
- Contested
- Sep 15, 1982
- Closed
- Jun 14, 1983
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 23
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 serious
- Initial Penalties
- $250
- Penalties on Record
- $200
- Site Address
- 100 West Chestnut, 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.28 Personal Protective Equipment OSHA citation code: 19260028 A | Serious | 1 | - | $250 | $200 | Aug 23, 1982 | Sep 15, 1982 | - |
Mar 24, 1982#15853666Mar 24, 1982Planned (H) · Complete scope, Safety#15853666$01 viol.1 violation$0 in penalties
Inspection #15853666
Dates
- Opened
- Mar 24, 1982
- Closing Conference Date
- Mar 24, 1982
- Closed
- Jul 27, 1982
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 5
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 1418 N Lake Shore Dr, Chicago, IL 60610
- 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 | 1926.252 Disposal of Waste Materials OSHA citation code: 19260252 A | Other | 2 | - | $0 | $0 | Apr 3, 1982 | - | - |
Jun 23, 1981#15871718Jun 23, 1981Planned (H) · Complete scope, Safety#15871718$00 viol.0 violations$0 in penalties
Inspection #15871718
Dates
- Opened
- Jun 23, 1981
- Closing Conference Date
- Jun 23, 1981
- Closed
- Jul 9, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 23
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Chestnut & State Apartments, 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.
Feb 19, 1981#15870769Feb 19, 1981Planned (H) · Complete scope, Safety#15870769$01 viol.1 violation$0 in penalties
Inspection #15870769
Dates
- Opened
- Feb 19, 1981
- Closing Conference Date
- Feb 19, 1981
- Closed
- Jun 2, 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 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 1140 N Lasalle, 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 (1 of 1 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.251 Rigging Equipment for Material Handling OSHA citation code: 19260251 C04 IV | Other | 2 | - | $0 | $0 | Mar 6, 1981 | - | - |
Jan 22, 1981#15870611Jan 22, 1981Planned (H) · Complete scope, Safety#15870611$1001 viol.1 violation$100 in penalties
Inspection #15870611
Dates
- Opened
- Jan 22, 1981
- Closing Conference Date
- Jan 22, 1981
- Closed
- Apr 11, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 7
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 serious
- Initial Penalties
- $100
- Penalties on Record
- $100
- Site Address
- Loop College C Lake & Wabash, 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 (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 | Feb 5, 1981 | - | - |
Jan 13, 1981#15840580Jan 13, 1981Planned (H) · Complete scope, Safety#15840580$00 viol.0 violations$0 in penalties
Inspection #15840580
Dates
- Opened
- Jan 13, 1981
- Closing Conference Date
- Jan 13, 1981
- Closed
- Jan 15, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 15
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 836 Wellington, Chicago, IL 60657
- 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.
Dec 15, 1980#15870421Dec 15, 1980Planned (H) · Complete scope, Safety#15870421$01 viol.1 violation$0 in penalties
Inspection #15870421
Dates
- Opened
- Dec 15, 1980
- Closing Conference Date
- Dec 15, 1980
- Closed
- Jun 2, 1981
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 7
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Lincoln Park Zoo, Chicago, IL 60614
- 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 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 1 | - | $0 | $0 | Jan 9, 1981 | - | - |
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.