Hazel Park, Michigan · Fabricated Structural Metal Manufacturing · NAICS 332312
Since 1992, OSHA inspectors have visited Custom Form Inc in Michigan 3 times.
The most recent inspection opened on Mar 3, 2025 to follow up on an earlier case, in Hazel Park.
In all, OSHA issued 26 citation items: 20 serious and 6 other-than-serious.
The proposed penalties came to $11,300; today they stand at $6,250, 45% less.
Among manufacturing employers, the typical cited inspection since 2015 ends with a $3,600 penalty. Custom Form Inc averages $2,525 across 2 cited inspections.
Custom Form Inc also files yearly injury logs with OSHA, summarized below.
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Watch this company1546 East 9 Mile Road, Hazel Park, MI 48030 · Fabricated Structural Metal Manufacturing · OSHA's record · Phone and website on Google Maps
| Citation and rule | Type | Proposed | Current | Issued | Status |
|---|---|---|---|---|---|
| Citation 1, item 1 29 CFR 1910.134(c)(1) · Respiratory protection |
Serious | $1,000 | $500 | Jun 3, 2025 | Final |
1546 East 9 Mile Road, Hazel Park, MI 48030 · Fabricated Structural Metal Manufacturing · OSHA's record · Phone and website on Google Maps
| Citation and rule | Type | Proposed | Current | Issued | Status |
|---|---|---|---|---|---|
| Citation 1, item 1 29 CFR 408.10034(5) |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 2 29 CFR 408.10033(2) |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 3 29 CFR 408.10123 |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 4a 29 CFR 408.12152(2) |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 4b 29 CFR 408.12154(1) |
Serious | $0 | $0 | Mar 11, 2025 | Final |
| Citation 1, item 5 29 CFR 408.12641(2) |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 6a 29 CFR 408.12732(3) |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 6b 29 CFR 408.12732(1) |
Serious | $0 | $0 | Mar 11, 2025 | Final |
| Citation 1, item 7 29 CFR 408.13350 |
Serious | $600 | $300 | Mar 11, 2025 | Final |
| Citation 1, item 8 29 CFR 1910.147(c)(1) · Lockout/tagout |
Serious | $1,000 | $500 | Mar 11, 2025 | Final |
| Citation 1, item 9 29 CFR 1910.1200(h)(1) · Hazard communication |
Serious | $600 | $300 | Mar 11, 2025 | Final |
| Citation 1, item 10 29 CFR 325.47201(3) |
Serious | $600 | $300 | Mar 11, 2025 | Final |
| Citation 2, item 1 29 CFR 408.22129(1) |
Other-than-serious | $300 | $150 | Mar 11, 2025 | Final |
1546 E. Nine Mile Road, Hazel Park, MI 48030 · OSHA's record · Phone and website on Google Maps
| Citation and rule | Type | Proposed | Current | Issued | Status |
|---|---|---|---|---|---|
| Citation 1, item 1 | Serious | $300 | $300 | Oct 1, 1992 | Closed |
| Citation 1, item 2 | Serious | $300 | $300 | Oct 1, 1992 | Closed |
| Citation 1, item 3 | Serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 1, item 4 | Serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 1, item 5 | Serious | $300 | $300 | Oct 1, 1992 | Closed |
| Citation 1, item 6 | Serious | $300 | $300 | Oct 1, 1992 | Closed |
| Citation 1, item 7 | Serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 2, item 1 | Other-than-serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 2, item 2 | Other-than-serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 2, item 3 | Other-than-serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 2, item 4 | Other-than-serious | $0 | $0 | Oct 1, 1992 | Closed |
| Citation 2, item 5 | Other-than-serious | $0 | $0 | Oct 1, 1992 | Closed |
From the Form 300A summaries employers file with OSHA each year. Rate = recordable cases per 100 full-time workers.
In 2018, the Hazel Park site logged 1 recordable injury or illness among about 19 workers: 4.0 per 100 full-time workers, against a median of 3.6 for its industry. Those cases cost 25 days away from work.
| Site and year | Workers | Cases | Days-away cases | Rate | Industry median |
|---|---|---|---|---|---|
| Custom Form, Inc. Hazel Park · 2018 | 19 | 1 | 1 | 4.0 | 3.6 |
Current text from the Code of Federal Regulations. Some citations were issued under older wording.
29 CFR 1910.1200(h)(1)
(h) Employee information and training. (1) Employers shall provide employees with effective information and training on hazardous chemicals in their work area at the time of their initial assignment, and whenever a new chemical hazard the employees have not previously been trained about is introduced into their work area. Information and training may be designed to cover categories of hazards (e.g., flammability, carcinogenicity) or specific chemicals. Chemical-specific information must always be available through labels and safety data sheets.
29 CFR 1910.134(c)(1)
(1) The test instrument must have an effective audio-warning device, or a visual-warning device in the form of a screen tracing, that indicates when the test subject fails to hold his or her breath during the test. The test must be terminated and restarted from the beginning when the test subject fails to hold his or her breath during the test. The test subject then may be refitted and retested.
29 CFR 1910.147(c)(1)
(c) General—(1) Energy control program. The employer shall establish a program consisting of energy control procedures, employee training and periodic inspections to ensure that before any employee performs any servicing or maintenance on a machine or equipment where the unexpected energizing, start up or release of stored energy could occur and cause injury, the machine or equipment shall be isolated from the energy source, and rendered inoperative.
Source: U.S. Department of Labor, OSHA enforcement data. A citation is OSHA's allegation; employers can contest it, and the status column shows where each item stands. Something wrong on this page? Tell us.