CHICAGO, IL —
OSHA Inspection: ADJUSTABLE FORMS, INC.
Referral inspection · Safety discipline
At a glance
On , OSHA opened a referral safety inspection of ADJUSTABLE FORMS, INC. in 6800 N. WESTERN AVE., CHICAGO, IL 60645 (NAICS 238110). OSHA activity number 343190682.
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employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.
Where did this inspection happen?
- Establishment
- ADJUSTABLE FORMS, INC.
- Site address
- 6800 N. WESTERN AVE.
- City
- CHICAGO
- State
- IL
- ZIP
- 60645
- Mailing
- 1 EAST PROGRESS ROAD, LOMBARD, IL 60148
What kind of inspection was it?
- Inspection type
- Referral (C)
- Scope
- Partial (B)
- Discipline
- Safety
- Advance notice
- No
- Union status
- A
When did the case open and close?
- Opened
- Closing conference
- Case closed
- Last modified
- Data loaded
Establishment context
- NAICS code
- 238110
- Employees
- 45
- Ownership type
- A
Citations
1 citation on file for this inspection.
1904.39 A02
- Issued
- Sep 12, 2018
- Penalty
- Initial $7,484 · Current $0 Reduced
General-duty citation text
29 CFR 1904.39(a)(2): The employer did not report an in-patient hospitalization, amputation, or loss of an eye as a result of a work-related incident to OSHA within twenty-four (24) hours, either by telephone or in person to the OSHA Area Office that is nearest to the site of the incident, or by telephone to the OSHA toll-free central telephone number, 1-800-321-OSHA (1-800-321-6742), or by electronic submission using the reporting application located on the OSHA public web site at www.osha.gov: a) The employer did not report an in-patient hospitalization that was the result of a work-related incident to OSHA within twenty-four (24) hours for an injury that occurred on May 23, 2018.
Recent events (3)
- — F (O) $0
- — C (O) $7484
- — Z (O) $7484
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Source
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 343190682.
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