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 MANUFACTURING, INC.

Complaint inspection · Health discipline

On , OSHA opened a complaint health inspection of CUSTOM FORM MANUFACTURING, INC. in 19960 CO. RD. 8, BRISTOL, IN 46507 (NAICS 000000). OSHA activity number 124067620.

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employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.

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Site address
19960 CO. RD. 8
City
BRISTOL
State
IN
ZIP
46507
Mailing
2100 INDUSTRIAL PARKWAY, ELKHART, IN 46516
Inspection type
Complaint (B)
Scope
Partial (B)
Discipline
Health
Advance notice
No
Union status
N
Opened
Closing conference
Case closed
Data loaded
NAICS code
000000
SIC code (legacy)
3081
Employees
15
Ownership type
A

21 citations on file for this inspection.

1910.147 C01

Serious Gravity 03 1 instance 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.178 I01

Serious Gravity 10 2 instances 15 exposed
Issued
May 24, 1993
Abate by
May 28, 1993
Penalty
Initial $2,500 · Current $1,250 Reduced
Recent events (2)
  • — I (S) $1250.00
  • — Z (S) $2500.00

1910.217 C02 IA

Serious Gravity 10 2 instances 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993
Penalty
Initial $2,500 · Current $1,250 Reduced
Recent events (2)
  • — I (S) $1250.00
  • — Z (S) $2500.00

1910.217 D01 II

Serious Gravity 00 1 instance 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.217 D04

Serious Gravity 00 1 instance 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.217 E01 I

Serious Gravity 00 1 instance 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.217 F02

Serious Gravity 00 1 instance 2 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.304 F05 V

Serious Gravity 03 2 instances 2 exposed
Issued
May 24, 1993
Abate by
May 28, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.305 B01

Serious Gravity 03 1 instance 15 exposed
Issued
May 24, 1993
Abate by
Jun 11, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.305 G01 III

Serious Gravity 03 2 instances 2 exposed
Issued
May 24, 1993
Abate by
May 28, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.1000 A02

Serious Gravity 10 2 instances 15 exposed
Issued
May 24, 1993
Abate by
May 28, 1993
Penalty
Initial $2,500
Recent events (2)
  • — I (S)
  • — Z (S) $2500.00

1910.1030 C01 I

Serious Gravity 03 1 instance 4 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.1200 F05 I

Serious Gravity 10 1 instance 6 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

1910.1200 F05 II

Serious Gravity 00 1 instance 6 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.1200 H

Serious Gravity 00 1 instance 6 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993
Penalty
Initial $1,250 · Current $625 Reduced
Recent events (2)
  • — I (S) $625.00
  • — Z (S) $1250.00

4000402

Other-than-serious Gravity 00 5 instances 15 exposed
Issued
May 24, 1993
Abate by
May 28, 1993
Penalty
Initial $500
Recent events (2)
  • — I (O)
  • — Z (O) $500.00

4000405

Other-than-serious Gravity 00 1 instance 15 exposed
Issued
May 24, 1993
Abate by
May 28, 1993

1910.38 A01

Other-than-serious Gravity 00 1 instance 15 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.134 B02

Other-than-serious Gravity 00 1 instance 2 exposed
Issued
May 24, 1993
Abate by
May 28, 1993

1910.157 G01

Other-than-serious Gravity 00 1 instance 15 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

1910.1200 E01 I

Other-than-serious Gravity 00 1 instance 15 exposed
Issued
May 24, 1993
Abate by
Jun 26, 1993

View Custom Form Manufacturing, 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 124067620.

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