Foundation, building, poured concrete, contractors · Illinois

Adjustable Forms Inc. of Indiana

Lombard, IL · ~31 workers · 3 years of OSHA Injury Tracking Application data.

D
Poor Safety Record
4.4
Avg TCR
2.8
Industry avg
0
Fatalities
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The verdict

Adjustable Forms Inc. of Indiana runs at 157% of its industry's injury rate - more dangerous than the typical Foundation, building, poured concrete, contractors workplace, earning a grade D.

Adjustable Forms Inc. of Indiana: 4.4 TCR = 157% of Foundation, building, poured concrete, contractors BLS 2.8 · 3y Form 300A (see methodology below)

Adjustable Forms Inc. of Indiana safety composite

Adjustable Forms Inc. of Indiana scores strongest on dart rate (safer than 81% of same-industry peers) and weakest on total case rate (tcr) (safer than 43%), 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).

C

58/100

Percentile-weighted across 3 of 3 measures

Total Case Rate (TCR)
D 4.4 per 100 workers

Safer than 43% of industry peers

DART rate
B 0 per 100 workers

Safer than 81% 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%).

Rising injury rate

Adjustable Forms Inc. of Indiana: 0.0 → 2.5 TCR

Peak year 2017 @ 10.7 TCR · DART/TCR 0× in 2018

Adjustable Forms Inc. of Indiana's TCR rose 2.5 from 0.0 in 2016 to 2.5 in 2018. Peak filing year was 2017 at 10.7 TCR. In 2018, DART was 0× this establishment's average TCR (severity share of cases).

OSHA ITA Form 300A scorecard

Establishment book 238110 · Lombard, IL ABOVE-IND · SMALL

Grade D · TCR 4.4 · 157% of ind

  • DART 0.0 DART
  • RANK #34/48
  • PHOTO Piedmont Concrete Co…
  • BOOK 3y book
  • INJ 4 inj
  • SIZE ~31 FTE

Nearest TCR peer: Piedmont Concrete Contractors (0.0 TCR gap)

Read with this employer → · Industry book → · Illinois employers → · Look up another →

Adjustable Forms Inc. of Indiana in the TCR neighbourhood

Average Total Case Rate among this establishment and nearest same-industry peers

TCR

What this shows Adjustable Forms Inc. of Indiana averages 4.4 TCR (157% of the Foundation, building, poured concrete, contractors BLS benchmark).

Source U.S. Department of Labor, OSHA Injury Tracking Application (Form 300A) As of 2026-08-25

Adjustable Forms Inc. of Indiana TCR series: 2016=0 · 2017=10.7 · 2018=2.5 · BLS 2.8

Where Adjustable Forms Inc. of Indiana falls in its industry

1,314 Foundation, building, poured c establishments

Safer than 43% of graded establishments in this industry, whose median TCR is 3.8.

More dangerous than peersSafer than peers

Narrower to Illinois alone (the establishments it most directly competes with for workers and contracts): ranked #34 safest of 48 Foundation, building, poured c employers in Illinois.

Adjustable Forms Inc. of Indiana (31 employees, TCR 4.4) among 29 same-industry peers, split at the industry median of 64 employees and a TCR of 3.8 2×2 strategic matrix plotting 30 entities by Average employees (X) and Total Case Rate (Y), with a crosshair dividing the plot into four quadrants. Larger & higher-riskSmaller & higher-riskLarger & saferSmaller & safer than peers 0100200300 051015 Average employees Total Case Rate Adjustable Forms Inc. of Indiana
Adjustable Forms Inc. of Indiana (31 employees, TCR 4.4) among 29 same-industry peers, split at the industry median of 64 employees and a TCR of 3.8

Adjustable Forms Inc. of Indiana has fewer 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
2018 2.5 0.0 1 0 0
2017 10.7 7.1 3 0 0
2016 0.0 0.0 0 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 Piedmont Concrete Contractors 4.4 TCR
NAICS-TCR JMC Concrete, Inc. 4.4 TCR
NAICS-TCR VMI Group Inc 4.4 TCR
NAICS-TCR MICHEL CONCRETE CONSTRUCTION, INC. 4.4 TCR
STATE-SIZE Bear Creek Genetics, LLC. 31 FTE
STATE-SIZE Highland 31 FTE
STATE-SIZE The Maschhoffs, LLC - Pittsfield Office 31 FTE
STATE-SIZE AMEREN ILLINOIS - Beardstown 31 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 Foodservice Supply Smyrna 4.4 TCR
NAT-TCR Kitchen Systems 4.4 TCR
NAT-TCR Twin Falls (Idtwi) 4.4 TCR
NAT-TCR N and R of Troy LLC 4.4 TCR
NAT-SIZE PT523 - Scranton, PA 31 FTE
NAT-SIZE Northern Foreign Car Parts, Inc. (03809) 31 FTE
NAT-SIZE Salamanca Lumber Co., Inc. 31 FTE
NAT-SIZE HBSHSECO24 31 FTE

Rel codes: NAICS-TCR · STATE-SIZE · CITY-NEAR · NAT-TCR/NAT-SIZE cross-state. Read with this employer →

Data Source: OSHA Injury Tracking Application (ITA), mandatory establishment-level injury/illness reports. Grades compare employer Total Case Rate (TCR) to BLS IIF industry benchmarks. Data covers years reported by this establishment: 2018, 2017, 2016. This is publicly available government data - not a legal determination of workplace conditions.
Data sourced from official public datasets. See our methodology for details.