Safety Incidents OSHA Severe Injury Reports · 2015–2025
5,189,992Inspections Most recent open 2026-07-18 Last loaded 2026-07-22

OSHA Inspection: CUSTOM FORM, INC.

Planned inspection · Safety discipline

On , OSHA opened a planned safety inspection of CUSTOM FORM, INC. in 1546 E. NINE MILE ROAD, HAZEL PARK, MI 48030 (NAICS 000000). OSHA activity number 110903630.

What this inspection record means

OSHA opens inspections for many reasons — routine scheduling under a national or local emphasis program, an employee complaint or referral, or a follow-up after a reported injury. Opening or conducting an inspection is not itself an allegation or a finding that this employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.

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Establishment
CUSTOM FORM, INC.
Site address
1546 E. NINE MILE ROAD
City
HAZEL PARK
State
MI
ZIP
48030
Inspection type
Planned (H)
Scope
Complete (A)
Discipline
Safety
Advance notice
No
Union status
N
Opened
Closing conference
Case closed
Data loaded
NAICS code
000000
SIC code (legacy)
3499
Employees
7
Ownership type
A
Industry flags
Manufacturing safety.

12 citations on file for this inspection.

40812611 C

Serious Gravity 00 1 instance 2 exposed
Issued
Oct 1, 1992
Abate by
Oct 23, 1992
Penalty
Initial $300 · Current $300

4081246101

Serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992
Penalty
Initial $300 · Current $300

4081243101

Serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992

4081241201

Serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992

4081331201

Serious Gravity 00 1 instance 1 exposed
Issued
Oct 1, 1992
Abate by
Oct 23, 1992
Penalty
Initial $300 · Current $300

4081400202

Serious Gravity 00 1 instance 1 exposed
Issued
Oct 1, 1992
Abate by
Oct 23, 1992
Penalty
Initial $300 · Current $300

4081247701

Serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992

4081063202

Other-than-serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Nov 9, 1992

4081064502

Other-than-serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Nov 9, 1992

4081127603

Other-than-serious Gravity 00 1 instance 1 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992

4081215401

Other-than-serious Gravity 00 1 instance 1 exposed
Issued
Oct 1, 1992
Abate by
Nov 9, 1992

40812476

Other-than-serious Gravity 00 1 instance 3 exposed
Issued
Oct 1, 1992
Abate by
Oct 1, 1992

View Custom Form, INC.'s full OSHA safety record →

This record is reproduced from the U.S. Department of Labor Open Data API (OSHA inspection dataset). The original IMIS detail view is available at OSHA's Establishment Search for activity number 110903630.

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