105,313Records 71,083Employers 85,290Hospitalizations 27,770Amputations 2015-01-01 2025-10-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

Employer profile — to

ADJUSTABLE FORMS INC

Federal OSHA safety record across 7 records in 2 states.

At a glance

Federal OSHA records for ADJUSTABLE FORMS INC include 1 Severe Injury Report, 0 Form 300/301 injury filings, and 6 OSHA inspections, spanning 2 states, with incidents dated between and . Aggregated from three OSHA data feeds; per-record detail and source citations are linked below.

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By source

SIR1 record Injuries0 records Inspections6 records

Severe Injury Reports — 1

Date range

Most recent 1 of 1 reports for this employer.

CHICAGO, ILLINOIS —

Adjustable Forms, Inc.

EventOther fall to lower level, unspecified

Hospitalized

ITA Form 300/301 Injury Reports — 0

No ITA Form 300/301 injury filings recorded for this employer.

OSHA Inspections — 6

Date range to

Most recent 25 of 6 inspections for this employer.

CHICAGO, IL —

ADJUSTABLE FORMS INC.

TypeUnprogrammed Related DisciplineSafety Activity #17687153

WESTMONT, IL —

ADJUSTABLE FORMS, INC.

TypeUnprogrammed Related DisciplineSafety Activity #2290773

WESTMONT, IL —

ADJUSTABLE FORMS, INC.

TypeUnprogrammed Related DisciplineSafety Activity #2350866

WESTCHESTER, IL —

ADJUSTABLE FORMS INC

TypeAccident-driven DisciplineSafety Activity #1333491

Northfield, IL —

ADJUSTABLE FORMS INC

TypePlanned DisciplineSafety Activity #15886823

Park Ridge, IL —

ADJUSTABLE FORMS INC

TypePlanned DisciplineSafety Activity #15854904

Park Ridge, IL —

ADJUSTABLE FORMS INC

TypePlanned DisciplineSafety Activity #15881352

Calumet City, IL —

ADJUSTABLE FORMS INC

TypePlanned DisciplineSafety Activity #15745912

Recent OSHA citations

No OSHA citations recorded for this employer.

Company facts

Name as filed with OSHA
ADJUSTABLE FORMS INC
Also appears in filings as
ADJUSTABLE FORMS, INC. · ADJUSTABLE FORMS INC. · Adjustable Forms, Inc.
States with records
IL

Addresses on OSHA filings

2 records
1418 N LAKE SHORE DR, CHICAGO, IL 60610
2 records
35TH AND CASS, WESTMONT, IL 60559
2 records
55 E GARFIELD, CHICAGO, IL 60617
2 records
707 SKOKIE BLVD, NORTHBROOK, IL 60062
1 record
100 WEST CHESTNUT, CHICAGO, IL 60611
1 record
1100 N LAKESHORE DRIVE, CHICAGO, IL 60611
1 record
1111 22ND STREET, OAK BROOK, IL 60521
1 record
1140 N LASALLE, CHICAGO, IL 60611
1 record
1340 RING ROAD, CALUMET CITY, IL 60409
1 record
1350 RING DRIVE, CALUMET CITY, IL 60409

Locations on record

CHICAGO, IL
3 records
WESTMONT, IL
2 records
SCHAUMBURG, IL
1 record
WESTCHESTER, IL
1 record

Industries (NAICS codes seen)

NAICS 238110
—

Sources

This profile aggregates federal OSHA records from three published feeds: OSHA Severe Injury Reports, the ITA Establishment-Specific Injury and Illness Data (Form 300/301), and the U.S. Department of Labor Open Data API (OSHA inspections). Records are matched to this employer by normalized name; small variations in spelling, punctuation, and capitalization collapse to one profile, while materially different legal entities (e.g. parent vs. subsidiary with distinct hyphenated names) remain separate.