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Establishment profile

ADJUSTABLE FORMS, INC.

10 E. DELAWARE PLACE, CHICAGO, IL, 60611
Operated by Adjustable Forms · 1 of 50 establishments
238110Poured Concrete Foundation and Structure Contractors

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OSHA inspections
15
over 51 years
Violations
23
$81,055 in penalties
SVEP
YES
Severe violator program
Accident investigations on record
1 National Emphasis Program inspections

Summary

ADJUSTABLE FORMS, INC. has accumulated 23 OSHA violations across 15 inspections over 51 years of recorded history, with $81,055 in total assessed penalties.

The establishment sits in the 100th percentile for violations within its industry-state peer group of 17,185 employers. Inspection frequency runs at the 100th percentile. The most recent enforcement activity was recorded 17 years ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

ADJUSTABLE FORMS, INC. appears in OSHA workplace safety record only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CMS nursing home enforcement, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.

OSHA workplace safety

Inspections
15
0.3 / yr · last 51 yrs
Violations
23
0.5 / yr
Penalties
$81,055
$3,524 avg / violation
61% serious39% other
Inspection trigger · planned
12 of 15
Inspection trigger · complaint
1 of 15

73% of inspections at this establishment produced violations, with 7 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 19 distinct standards shown · 23 citations in this view · $81,055 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1926.0025 A44$225Aug 1975Jun 1989
29 CFR 1926.0105 A22$1,730Jun 1989Apr 1990
29 CFR 1926.0501 B02 I11$55,000Oct 2007Oct 2007
29 CFR 1926.0501 B02 II11$7,000Oct 2007Oct 2007
29 CFR 1926.0451 B0111$7,000Oct 2007Oct 2007
29 CFR 1926.0451 G0111$7,000Oct 2007Oct 2007
29 CFR 1926.0055 A11$1,500Feb 2004Feb 2004
29 CFR 1926.0502 I0411$700Jul 2000Jul 2000
29 CFR 1926.0451 A0111$500Apr 2009Apr 2009
29 CFR 1926.0028 A11$200Aug 1982Aug 1982
29 CFR 1926.0500 E01III11$175Jun 1989Jun 1989
29 CFR 1926.0150 C01 I11$25Aug 1975Aug 1975
29 CFR 1926.0055 B11Feb 2004Feb 2004
29 CFR 1926.0020 B0111Jun 1989Jun 1989
29 CFR 1926.0020 B0211Jun 1989Jun 1989
29 CFR 1926.0025 B11Jun 1989Jun 1989
29 CFR 1926.0251 C04 IV11Mar 1981Mar 1981
29 CFR 1926.0500 D0111Sep 1978Sep 1978
29 CFR 1926.0500 B0111Sep 1978Sep 1978

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

100th

Worse on violations than nearly every other employer in NAICS 2381 within IL. Peer group: 17,185 employers. This establishment has 23 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
100th
peer median: $3,070
Inspection frequency
100th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
0.0
vs industry
−2.0
TRIR
2.5
vs industry
−0.3

Reported for 53 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
2.8
BLS SOII 2024
Industry avg DART
2.0
BLS SOII 2024
Self-reported TRIR
2.5
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
12
Complaint
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for ADJUSTABLE FORMS, INC.. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
17 years ago

No federal enforcement activity has been recorded against this establishment in 17+ years. Most recent activity: 17 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for ADJUSTABLE FORMS, INC.. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for ADJUSTABLE FORMS, INC.. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for ADJUSTABLE FORMS, INC.. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for ADJUSTABLE FORMS, INC.. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for ADJUSTABLE FORMS, INC.. Verify directly with Environmental Protection Agency

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for ADJUSTABLE FORMS, INC.. Verify directly with UVA Corporate Prosecution Registry

Inspection history

DateTriggerViolationsSeriousPenalty
2009-01-28Unprogrammed Related11$500
2007-07-03Complaint43$76,000
2003-11-05Programmed Related22$1,500
2000-09-13Programmed Related0$0
2000-05-05Programmed Related1$700
1990-03-13Programmed Related1$1,580
1989-04-26Unprogrammed Related64$450
1986-02-07Planned0$0
1983-12-22Planned0$0
1983-01-19Planned1$0
1982-08-13Planned11$200
1981-06-23Planned0$0
1981-02-19Planned1$0
1978-08-16Planned33$75
1975-07-24Planned2$50

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

ADJUSTABLE FORMS, INC. is one of 50 establishments rolled up under the parent organization Adjustable Forms.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of Adjustable Forms across all 50 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in poured concrete foundation and structure contractors within IL, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by Adjustable Forms, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on ADJUSTABLE FORMS, INC. from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup Adjustable Forms, which operates 50 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is ADJUSTABLE FORMS, INC.'s OSHA violation history?
ADJUSTABLE FORMS, INC. has 15 OSHA inspections on record with 23 violations and $81,055 in total penalties.
How does ADJUSTABLE FORMS, INC.'s safety record compare to its industry?
ADJUSTABLE FORMS, INC. operates in the poured concrete foundation and structure contractors industry. The industry average Total Recordable Incident Rate (TRIR) is 2.8. ADJUSTABLE FORMS, INC.'s self-reported DART rate is 0 compared to an industry average of 2.