Safety Incidents OSHA Severe Injury Reports · 2015–2025
5,197,124Inspections Most recent open 2026-08-25 Last loaded 2026-08-28

OSHA Inspection: ADJUSTABLE FORM

Planned inspection · Safety discipline

On , OSHA opened a planned safety inspection of ADJUSTABLE FORM in RT 22 AND KEMPER DRIVE, Long Grove, IL 60047 (NAICS 000000). OSHA activity number 14447957.

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employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.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
ADJUSTABLE FORM
Site address
RT 22 AND KEMPER DRIVE
City
Long Grove
State
IL
ZIP
60047
Inspection type
Planned (H)
Scope
Complete (A)
Discipline
Safety
Union status
Union (A)
Opened
Closing conference
Case closed
Data loaded
NAICS code
000000
SIC code (legacy)
1799
Employees
17
Industry flags
Construction safety.

9 citations on file for this inspection.

1926.400 H

Serious 1 instance
Issued
Jul 10, 1978
Abate by
Jul 18, 1978
Penalty
Initial $490 · Current $1 Reduced
Recent events (2)
  • · F (S) $1.00
  • · Z (S) $490.00

1926.700 A

Willful 2 instances
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Penalty
Initial $3,000 · Current $1,000 Reduced
Recent events (2)
  • · F (W) $1000.00
  • · Z (W) $3000.00

1926.700 A

Willful 7 instances
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Penalty
Initial $3,000 · Current $1,000 Reduced
Recent events (2)
  • · F (W) $1000.00
  • · Z (W) $3000.00

1926.700 E01 II

Willful 1 instance
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Recent events (2)
  • · W (W)
  • · Z (W)

1926.700 E02 V

Willful 2 instances
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Recent events (2)
  • · W (W)
  • · Z (W)

1926.701 A01

Willful 1 instance
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Penalty
Initial $3,000 · Current $1,000 Reduced
Recent events (2)
  • · F (W) $1000.00
  • · Z (W) $3000.00

1926.701 A02

Willful 1 instance
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Penalty
Initial $3,000 · Current $1 Reduced
Recent events (2)
  • · F (W) $1.00
  • · Z (W) $3000.00

1926.701 D08

Willful 1 instance
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Penalty
Initial $3,000 · Current $1,000 Reduced
Recent events (2)
  • · F (W) $1000.00
  • · Z (W) $3000.00

1926.700 A

Other-than-serious 1 instance
Issued
Jul 10, 1978
Abate by
Jul 13, 1978
Recent events (2)
  • · W (O)
  • · Z (O)

View Adjustable Form's full OSHA safety record →

This record is reproduced from the U.S. Department of Labor Open Data API (OSHA inspection dataset). OSHA publishes its own view of this case as inspection number 14447957.

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