Foundation, building, poured concrete, contractors · Illinois
Adjustable Forms Inc.
Lombard, IL · ~165 workers · 6 years of OSHA Injury Tracking Application data.
- D
- Poor Safety Record
- 4.6
- Avg TCR
- 2.8
- Industry avg
- 0
- Fatalities
The verdict
Adjustable Forms Inc. runs at 165% of its industry's injury rate - more dangerous than the typical Foundation, building, poured concrete, contractors workplace, earning a grade D.
Adjustable Forms Inc.: 4.6 TCR = 165% of Foundation, building, poured concrete, contractors BLS 2.8 · 6y Form 300A (see methodology below)
Adjustable Forms Inc. safety composite
Adjustable Forms Inc. scores strongest on dart rate (safer than 51% of same-industry peers) and weakest on total case rate (tcr) (safer than 41%), blended into one 0-100 breakdown against same-industry peers. A missing measure drops out and redistributes its weight rather than deflating the score. This is a per-dimension breakdown, distinct from the single letter grade above it (which weights TCR alone against the BLS industry benchmark).
47/100
Percentile-weighted across 3 of 3 measures
- Total Case Rate (TCR)
- D 4.61 per 100 workers
Safer than 41% of industry peers
- DART rate
- D 1.34 per 100 workers
Safer than 51% of industry peers
- Fatalities
- D 0
Safer than 51% of industry peers
Benchmarked live against every credibly-rated employer in the same NAICS industry code in the current OSHA extract (a segment must have at least 8 rated peers to benchmark). Not a legal or compliance determination; PlainSafetyScore's own weighting (TCR 40%, DART 35%, fatalities 25%).
TCR Δ
−3.4
2016→2021
Adjustable Forms Inc. injury rate improved
Adjustable Forms Inc.'s TCR fell 3.4 from 6.5 in 2016 to 3.1 in 2021. Peak filing year was 2016 at 6.5 TCR. In 2021, DART was 0.29× this establishment's average TCR (severity share of cases).
2016=6.5 · 2017=5.5 · 2018=5.4 · 2019=2.9 · 2020=4.3 · 2021=3.1
OSHA ITA Form 300A scorecard
Establishment book 238110 · Lombard, IL ABOVE-IND · MID
Grade D · TCR 4.6 · 165% of ind
- DART 1.3 DART
- RANK #35/48
- PHOTO Construction
- BOOK 6y book
- INJ 51 inj
- SIZE ~165 FTE
Nearest TCR peer: Construction (0.0 TCR gap)
Read with this employer → · Industry book → · Illinois employers → · Look up another →
Adjustable Forms Inc. in the TCR neighbourhood
Average Total Case Rate among this establishment and nearest same-industry peers
- This site
Adjustable Forms Inc.
4.6 TCR
- Construction
Construction
4.6 TCR
- Nichols Concre
Nichols Concrete Holdings LLC
4.6 TCR
- Concrete Value
Concrete Value Corp. of Nevada
4.6 TCR
- Randall Tilt S
Randall Tilt Structures
4.6 TCR
What this shows Adjustable Forms Inc. averages 4.6 TCR (165% of the Foundation, building, poured concrete, contractors BLS benchmark).
Adjustable Forms Inc. TCR series: 2016=6.5 · 2017=5.5 · 2018=5.4 · 2019=2.9 · 2020=4.3 · 2021=3.1 · BLS 2.8
Where Adjustable Forms Inc. falls in its industry
1,314 Foundation, building, poured c establishmentsSafer than 41% of graded establishments in this industry, whose median TCR is 3.8.
Narrower to Illinois alone (the establishments it most directly competes with for workers and contracts): ranked #35 safest of 48 Foundation, building, poured c employers in Illinois.
Adjustable Forms Inc. has more employees than the Foundation, building, poured concrete, c median and a higher injury rate than the industry's median TCR of 3.8. Workforce size and injury rate do not always move together within the same industry -- some of its smaller peers run higher rates than its larger ones, and vice versa.
Year-by-Year Safety Data
| Year | TCR | DART | Injuries | Illnesses | Fatalities |
|---|---|---|---|---|---|
| 2021 | 3.1 | 1.3 | 7 | 0 | 0 |
| 2020 | 4.3 | 2.7 | 8 | 0 | 0 |
| 2019 | 2.9 | 2.2 | 4 | 0 | 0 |
| 2018 | 5.4 | 4.0 | 11 | 0 | 0 |
| 2017 | 5.5 | 2.3 | 7 | 0 | 0 |
| 2016 | 6.5 | 3.7 | 14 | 0 | 0 |
OSHA ITA peer cross-reference
Establishment peer ledger
238110 · IL · Lombard
1,314 Foundation, building, poured concrete, contractors employers nationwide with a credible TCR · 22,804 rated employers in Illinois with headcount on file · 133 employers in Lombard, IL · 4 cross-state NAT-TCR peers · 4 cross-state NAT-SIZE peers. Closest matches by relationship code are listed below.
| Rel | Establishment | Metric |
|---|---|---|
| NAICS-TCR | Construction | 4.6 TCR |
| NAICS-TCR | Nichols Concrete Holdings LLC | 4.6 TCR |
| NAICS-TCR | Concrete Value Corp. of Nevada | 4.6 TCR |
| NAICS-TCR | Randall Tilt Structures | 4.6 TCR |
| STATE-SIZE | Pearl Valley Farms | 165 FTE |
| STATE-SIZE | East Moline Glass | 165 FTE |
| STATE-SIZE | Scheck Mechanical Corporation | 165 FTE |
| STATE-SIZE | Neil International, Inc. | 165 FTE |
| CITY-NEAR | XLT Management Services, Inc. | 6,590 FTE |
| CITY-NEAR | Program Productions, LLC | 5,622 FTE |
| CITY-NEAR | Power Wellness Management | 1,430 FTE |
| CITY-NEAR | Lombard Park District | 342 FTE |
| NAT-TCR | Sodexo at Hobart & William Smith College | 4.6 TCR |
| NAT-TCR | Sodexo at Ohio Northern Univ-White Bear | 4.6 TCR |
| NAT-TCR | USCS- Tracy CA | 4.6 TCR |
| NAT-TCR | CUNY | 4.6 TCR |
| NAT-SIZE | Sodexo at Ou Med Inc-the Children'S Hosp | 165 FTE |
| NAT-SIZE | Atlanta Regional Bussiness Center | 165 FTE |
| NAT-SIZE | 49741e - North Phoenix Zone | 165 FTE |
| NAT-SIZE | Transportation | 165 FTE |
Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →
Read our methodology - how this data is sourced, computed, and verified.