ADJUSTABLE FORMS INC
836 WELLINGTON, Chicago, IL 60657
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Jun 27, 1978#15893720Jun 27, 1978Planned (H) · Complete scope, Safety#15893720$6006 viol.6 violations$600 in penalties
Inspection #15893720
Dates
- Opened
- Jun 27, 1978
- Closing Conference Date
- Jun 29, 1978
- Contested
- Aug 15, 1978
- Closed
- Nov 10, 1980
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 25
Violations and Penalties
- Total Violations
- 6
- Violation Types
- 1 serious, 1 repeat, 4 other-than-serious
- Initial Penalties
- $1,320
- Penalties on Record
- $600
- Site Address
- 2 N La Salle St, Chicago, IL 60602
- 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 (6 of 6 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 B02 | Serious | 5 | - | $360 | $150 | Jul 20, 1978 | Aug 15, 1978 | - |
| 02001 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 D01 | Repeat | 2 | - | $960 | $450 | Jul 30, 1978 | Aug 15, 1978 | - |
| 03001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 10 | - | $0 | $0 | Jul 17, 1978 | Aug 15, 1978 | - |
| 03002 | 1926.150 Fire Protection (Construction) OSHA citation code: 19260150 E01 | Other | 1 | - | $0 | $0 | Jul 20, 1978 | Aug 15, 1978 | - |
| 03003 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B01 | Other | 4 | - | $0 | $0 | Jul 20, 1978 | Aug 15, 1978 | - |
| 03004 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 E01 IV | Other | 20 | - | $0 | $0 | Jul 20, 1978 | Aug 15, 1978 | - |
May 22, 1978#15842289May 22, 1978Planned (H) · Complete scope, Safety#15842289$00 viol.0 violations$0 in penalties
Inspection #15842289
Dates
- Opened
- May 22, 1978
- Closing Conference Date
- May 22, 1978
- 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
- Ne Cor Clybourn & Ogden, Chicago, IL 60622
- 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 6, 1976#15772924Dec 6, 1976Planned (H) · Complete scope, Safety#15772924$00 viol.0 violations$0 in penalties
Inspection #15772924
Dates
- Opened
- Dec 6, 1976
- Closing Conference Date
- Dec 6, 1976
- Closed
- Mar 10, 1984
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 2
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 420 West 69th Street, Chicago, IL 60621
- 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.
Jul 8, 1976#15748585Jul 8, 1976Planned (H) · Partial scope, Safety#15748585$6203 viol.3 violations$620 in penalties
Inspection #15748585
Dates
- Opened
- Jul 8, 1976
- Closing Conference Date
- Jul 8, 1976
- Contested
- Aug 15, 1976
- Closed
- Jun 29, 1977
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 150
Violations and Penalties
- Total Violations
- 3
- Violation Types
- 1 serious, 2 other-than-serious
- Initial Penalties
- $660
- Penalties on Record
- $620
- Site Address
- 5000 N Cubberland, Chicago, IL 60656
- 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 |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 D01 | Serious | 5 | - | $600 | $560 | Jul 13, 1976 | Aug 15, 1976 | - |
| 02001 | 1926.25 Housekeeping OSHA citation code: 19260025 A | Other | 5 | - | $30 | $30 | Jul 13, 1976 | Aug 15, 1976 | - |
| 02002 | 1926.500 Fall Protection - Scope, Application, and Definitions OSHA citation code: 19260500 B08 | Other | 15 | - | $30 | $30 | Jul 13, 1976 | Aug 15, 1976 | - |
Apr 7, 1976#214765059Apr 7, 1976Planned (H) · Complete scope, Safety#214765059$01 viol.1 violation$0 in penalties
Inspection #214765059
Dates
- Opened
- Apr 7, 1976
- Closing Conference Date
- Apr 7, 1976
- Closed
- Mar 8, 1977
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 6
Violations and Penalties
- Total Violations
- 1
- Violation Types
- 1 other-than-serious
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- Presbyterian St Lukes Garage E, 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 | 1926.21 Safety Training and Education OSHA citation code: 19260021 B02 | Other | 1 | - | $0 | $0 | Aug 29, 1976 | - | - |
Jul 24, 1975#214761553Jul 24, 1975Planned (H) · Complete scope, Safety#214761553$252 viol.2 violations$25 in penalties
Inspection #214761553
Dates
- Opened
- Jul 24, 1975
- Closing Conference Date
- Jul 25, 1975
- Contested
- Sep 15, 1975
- Closed
- May 15, 1979
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Yes
- Number of Employees
- 21
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 other-than-serious
- Initial Penalties
- $50
- Penalties on Record
- $25
- Site Address
- 300 East Ohio, 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 (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 | - | $25 | $0 | Aug 27, 1975 | Sep 15, 1975 | - |
| 01002 | 1926.150 Fire Protection (Construction) OSHA citation code: 19260150 C01 I | Other | 1 | - | $25 | $25 | Aug 27, 1975 | Sep 15, 1975 | - |
Jan 23, 1974#214699886Jan 23, 1974Planned (H) · Complete scope, Safety#214699886$502 viol.2 violations$50 in penalties
Inspection #214699886
Dates
- Opened
- Jan 23, 1974
- Closing Conference Date
- Jan 23, 1974
- Closed
- May 8, 1974
Inspection
- Advance Notice
- Not recorded
- Owner Type
- Not recorded
- Union Status
- Not displayed
- Number of Employees
- 9
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 2 other-than-serious
- Initial Penalties
- $50
- Penalties on Record
- $50
- Site Address
- 2233 W Division St, Chicago, IL 60622
- 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 | 5 | - | $25 | $25 | Apr 8, 1974 | - | - |
| 01002 | 1926.150 Fire Protection (Construction) OSHA citation code: 19260150 C01 IV | Other | 10 | - | $25 | $25 | Apr 8, 1974 | - | - |
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.