ADJUSTABLE FORMS INC
836 WELLINGTON, Chicago, IL 60657
Having inspection records is common for businesses in regulated industries. Data and methodology
Inspection records
Jun 7, 2024#347535965Jun 7, 2024Final Order RecordedUnprogrammed Related (G) · Partial scope, SafetyFinal Order Recorded#347535965$29,9592 viol.2 violations$29,959 in penalties
Inspection #347535965
Dates
- Opened
- Jun 7, 2024
- Closing Conference Date
- Jun 7, 2024
- Contested
- Dec 16, 2024
- Final Order
- Apr 20, 2026
- Closed
- No close date in inspection feed
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 76
- Related Activity
- 1 accident
Violations and Penalties
- Total Violations
- 2
- Violation Types
- 1 serious, 1 other-than-serious
- Initial Penalties
- $13,828
- Penalties on Record
- $29,959
- Site Address
- 856 E. 57th St., Chicago, IL 60637
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
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 (2 of 2 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001B | 1926.451 Scaffolding - General Requirements OSHA citation code: 19260451 A06 | Serious | 1 | 61 | $0 | $16,131 | Dec 16, 2024 | Apr 20, 2026 | |
| 01003 | 1926.451 Scaffolding - General Requirements OSHA citation code: 19260451 E04 I | Other | 1 | 49 | $13,828 | $13,828 | Dec 16, 2024 | Apr 20, 2026 |
Sep 24, 2018#343482501Sep 24, 2018Referral (C) · Partial scope, Safety#343482501$00 viol.0 violations$0 in penalties
Inspection #343482501
Dates
- Opened
- Sep 24, 2018
- Closing Conference Date
- Sep 24, 2018
- Closed
- Feb 5, 2019
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 100
- Related Activity
- 1 referral
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 145 S. Wells St., Chicago, IL 60603
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
Referral Inspection: This inspection record is categorized as a referral inspection in the DOL OSHA enforcement data. Referral inspections can result from another agency, another OSHA activity, or another source referring a potential hazard to OSHA.
Incident Investigation Summaries
Incident investigation summaries linked to this inspection through OSHA's accident and injury enforcement data. These summaries describe the reported incident. The enforcement outcome for the linked inspection is in the inspection details above.
Employee fractures leg in fall from ladder
May 29, 2018#343190682May 29, 2018Referral (C) · Partial scope, Safety#343190682$00 viol.0 violations$0 in penalties
Inspection #343190682
Dates
- Opened
- May 29, 2018
- Closing Conference Date
- May 29, 2018
- Closed
- Feb 25, 2019
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 45
- Related Activity
- 1 referral
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 6800 N. Western Ave., Chicago, IL 60645
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
Referral Inspection: This inspection record is categorized as a referral inspection in the DOL OSHA enforcement data. Referral inspections can result from another agency, another OSHA activity, or another source referring a potential hazard to OSHA.
May 3, 2017#342298593May 3, 2017Programmed Related (I) · Partial scope, Health#342298593$00 viol.0 violations$0 in penalties
Inspection #342298593
Dates
- Opened
- May 3, 2017
- Closing Conference Date
- May 9, 2017
- Closed
- Jul 10, 2017
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- No
- Number of Employees
- 3
- Related Activity
- 1 complaint
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 215 Lake St., Chicago, IL 60606
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
Programmed Related Inspection: This inspection record is categorized as a programmed related inspection in the DOL OSHA enforcement data. The public DOL category label is preserved here without adding extra interpretation beyond the government label.
Oct 21, 2014#340027010Oct 21, 2014Programmed Related (I) · Partial scope, Safety#340027010$00 viol.0 violations$0 in penalties
Inspection #340027010
Dates
- Opened
- Oct 21, 2014
- Closing Conference Date
- Oct 21, 2014
- Closed
- Oct 27, 2014
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 100
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 601 W. Jackson Blvd., Chicago, IL 60661
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
Programmed Related Inspection: This inspection record is categorized as a programmed related inspection in the DOL OSHA enforcement data. The public DOL category label is preserved here without adding extra interpretation beyond the government label.
Nov 7, 2013#339477580Nov 7, 2013Planned (H) · Partial scope, Safety#339477580$00 viol.0 violations$0 in penalties
Inspection #339477580
Dates
- Opened
- Nov 7, 2013
- Closing Conference Date
- Nov 7, 2013
- Closed
- Nov 19, 2013
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 100
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 111 W Upper Wacker Dr, Chicago, IL 60601
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
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.
May 15, 2012#334301116May 15, 2012Planned (H) · Partial scope, Health#334301116$00 viol.0 violations$0 in penalties
Inspection #334301116
Dates
- Opened
- May 15, 2012
- Closing Conference Date
- May 15, 2012
- Closed
- May 23, 2012
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 3
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 929 & 933 W. Foster Ave., Chicago, IL 60640
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
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 1, 2009#312596984Jul 1, 2009Complaint (B) · Partial scope, Safety#312596984$00 viol.0 violations$0 in penalties
Inspection #312596984
Dates
- Opened
- Jul 1, 2009
- Closing Conference Date
- Jul 1, 2009
- Closed
- Jul 1, 2009
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 100
- Related Activity
- 1 complaint
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 10 E. Delaware, Chicago, IL 60610
- Industry
- 236116 New Multifamily Housing Construction (except For-Sale Builders)
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.
Incident Investigation Summaries
Incident investigation summaries linked to this inspection through OSHA's accident and injury enforcement data. These summaries describe the reported incident. The enforcement outcome for the linked inspection is in the inspection details above.
Employee amputates pinky finger with lifting jack
Jul 1, 2009#312596638Jul 1, 2009Complaint (B) · Partial scope, Safety#312596638$00 viol.0 violations$0 in penalties
Inspection #312596638
Dates
- Opened
- Jul 1, 2009
- Closing Conference Date
- Jul 1, 2009
- Closed
- Jul 1, 2009
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 25
- Related Activity
- 1 complaint
Violations and Penalties
- Total Violations
- 0
- Initial Penalties
- $0
- Penalties on Record
- $0
- Site Address
- 10 E. Delaware, Chicago, IL 60610
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
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.
May 5, 2009#312595143May 5, 2009Programmed Related (I) · Partial scope, Safety#312595143$1,6003 viol.3 violations$1,600 in penalties
Inspection #312595143
Dates
- Opened
- May 5, 2009
- Closing Conference Date
- May 5, 2009
- Closed
- Jul 7, 2009
Inspection
- Advance Notice
- No
- Owner Type
- Private
- Union Status
- Yes
- Number of Employees
- 30
Violations and Penalties
- Total Violations
- 3
- Violation Types
- 1 serious, 2 other-than-serious
- Initial Penalties
- $8,800
- Penalties on Record
- $1,600
- Site Address
- 1 W. Walton Street, Chicago, IL 60610
- Industry
- 238110 Poured Concrete Foundation and Structure Contractors
Programmed Related Inspection: This inspection record is categorized as a programmed 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 (3 of 3 shown)
| Citation | Standard | Type | Instances | Exposed | Initial | Current | Abatement | Contest | Final Order |
|---|---|---|---|---|---|---|---|---|---|
| 01001 | 1926.502 Fall Protection Systems Criteria and Practices OSHA citation code: 19260502 D16 III | Serious | 1 | 1 | $2,800 | $1,400 | May 28, 2009 | - | - |
| 01002 | 1926.502 Fall Protection Systems Criteria and Practices OSHA citation code: 19260502 G01 III | Other | 1 | 6 | $2,000 | $0 | May 28, 2009 | - | - |
| 02001 | 1926.701 Concrete and Masonry Construction - General Requirements OSHA citation code: 19260701 B | Other | 1 | 6 | $4,000 | $200 | Jun 4, 2009 | - | - |
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.
Source: U.S. Department of Labor OSHA incident investigation data (`osha_accident` + `osha_accident_injury`). Linked via `rel_insp_nr` to the inspection activity number (exact government key). Injury, body part, source and event values are OSHA's own codes. OSHA states that these fields are not coded according to the requirements under the Occupational Injury and Illness Classification System (OIICS). Only the values present in the OSHA record are listed; an incident with no value that resolves in OSHA's code table shows "Injury details not recorded". Where a record covers several people, each field lists every value recorded across them.
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.