Safety Measurement System - Complete SMS Profile (U.S. DOT# 426649)

FORMS AND SUPPLY INC

U.S. DOT#: 426649

Number of Vehicles: 71
Number of Drivers: 70
Number of Inspections: 11

Safety Rating & OOS Rates

(As of 12/24/2025 updated daily from SAFER )

CONDITIONAL

(Rating Date: 03/24/1992)

Out of Service Rates

Type	OOS %	National Avg %
Vehicle	0.0	23.2
Driver	9.1	6.4
Hazmat		4.4

Licensing and Insurance

(As of 12/24/2025 updated hourly from L&I )

Active For-Hire Authority
Type	Yes/No	MC#/MX#
Property	No
Passenger	No
Household Goods	No
Broker	No

BASIC Status (Public Property Carrier View)

Behavior Analysis & Safety Improvement Categories (BASICs) Based on a 24-month record ending November 28, 2025

On-Road Performance
1.12 Measure	Not Public	0 Measure	1.05 Measure	0 Measure	Not Public	0.55 Measure
On-Road Performance Detail
Driver Inspections with Unsafe Driving Violations: 2 Safety Event Group: No Safety Event Grouping Avg. PU × UF: 71 Segment: Straight Carrier	Not Public	Driver Inspections: 11 with HOS Compliance Violations: 0 Safety Event Group: 11-20 relevant driver inspections	Vehicle Inspections: 10 with Vehicle Maint. Violations: 3 Safety Event Group: 5-10 relevant vehicle inspections	Driver Inspections: 11 with Drugs/Alcohol Violations: 0 Safety Event Group: No Safety Event Grouping	Not Public	Driver Inspections: 11 with Driver Fitness Violations: 2 Safety Event Group: 11-20 relevant driver inspections
Investigation Results
No Acute/Critical Violations Discovered	N/A	No Acute/Critical Violations Discovered	No Acute/Critical Violations Discovered	No Acute/Critical Violations Discovered	Not Public	No Acute/Critical Violations Discovered

Select a BASIC icon above to get details, or view your Complete SMS Profile.

Violation Summary

Violations: 10


Violations	Description	# Violations	# OOS Violations	Violation Severity Weight	BASIC

392.2-SLLCP	State/Local Laws - Operate a CMV while using a cellular phone.	1	0	10	Unsafe Driving
392.2-SLLS4	State/Local Laws - Speeding 15 or more miles per hour over the speed limit.	1	0	10	Unsafe Driving
392.82(a)1	Using a hand-held mobile telephone while operating a CMV	1	0	10	Unsafe Driving
391.41A-MCPC	Medical (Certificate) - Operating a property-carrying vehicle without possessing a valid medical certificate.	1	0	1	Driver Fitness
391.41APC	Medical (Certificate) - Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency when medical certification is required.	1	1	1	Driver Fitness
393.60(c)	Windshield - Damaged or Discolored	1	0	1	Vehicle Maint.
393.78A-WS	Washers - Inoperative washing system.	1	0	1	Vehicle Maint.
393.95A1	Emergency Equipment - Fire Extinguishers - no fire extinguisher present or not properly rated.	2	0	2	Vehicle Maint.
393.9A-LCL	Lighting - Clearance lamp(s) inoperative.	1	0	2	Vehicle Maint.

Inspection History

Total Inspections: 11


Report			Vehicle			Measure
Inspection Date	Number	State	Plate Number	Plate State	Type	Severity Weight (SW)	Time Weight (TiW)

11/13/2025	SC0407000588	SC	VB9659	NC	STRAIGHT TRUCK		3
Vehicle Maint. Violation: 393.95A1 Emergency Equipment - Fire Extinguishers - no fire extinguisher present or not properly rated.						2
10/1/2025	NC0006803123	NC	ZR7240	NC	STRAIGHT TRUCK		3
6/9/2025	SC0314005136	SC	VB9659	NC	STRAIGHT TRUCK		3
Unsafe Driving Violation: 392.2-SLLS4 State/Local Laws - Speeding 15 or more miles per hour over the speed limit						10
Driver Fitness Violation: 391.41APC Medical (Certificate) - Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency (OOS)						1 + 2 (OOS)
Vehicle Maint. Violation: 393.95A1 Emergency Equipment - Fire Extinguishers - no fire extinguisher present or not properly rated.						2
Unsafe Driving Violation: 392.2-SLLCP State/Local Laws - Operate a CMV while using a cellular phone						10
4/8/2025	NC0006745837	NC	BY6827	NC	STRAIGHT TRUCK		2
Unsafe Driving Violation: 392.82(a)1 Using a hand-held mobile telephone while operating a CMV						10
3/24/2025	SC0384001104	SC	JW3500	NC	STRAIGHT TRUCK		2
Vehicle Maint. Violation: 393.78A-WS Washers - Inoperative washing system.						1
Vehicle Maint. Violation: 393.9A-LCL Lighting - Clearance lamp(s) inoperative						2
Vehicle Maint. Violation: 393.60(c) Windshield - Damaged or Discolored						1
3/20/2025	VA6818000663	VA	P556336	SC	STRAIGHT TRUCK		2
Driver Fitness Violation: 391.41A-MCPC Medical (Certificate) - Operating a commercial vehicle without showing proof of a valid medical certification upon request when medical certification is required.						1
10/7/2024	NC0006690074	NC	ZR7240	NC	STRAIGHT TRUCK		1
9/12/2024	NC0006685534	NC	KF9798	NC	STRAIGHT TRUCK		1
5/2/2024	SCG259004811	SC	ZP8451	NC	STRAIGHT TRUCK		1
3/5/2024	NC0006628719	NC	JJ4062	NC	STRAIGHT TRUCK		1
2/1/2024	NC0006618337	NC	JJ4062	NC	STRAIGHT TRUCK		1

Reviewed-Not Preventable Crash Activity (vehicles involved in crashes)

Total Number of Crashes: 0

This carrier has no crashes to display.

Crashes Included in SMS (vehicles involved in crashes)

Total Number of Crashes: 1


Report			Vehicle		Crash				Measure = Sum of the Total Weight (TotW)
Date	Number	State	Plate Number	Plate State	Fatal	Inj.	Tow.	HM	Severity Weight (SW)	Time Weight (TiW)	Total Weight (TotW)

11/13/2025	SC0025295676	SC	VB9659	NC	1	0	Yes	No	2	3	6

Investigation Results

Acute/Critical Violations: 0

This carrier has no Acute/Critical violations to display.

Summary of Activities

The summary includes information on the 5 most recent investigations and 24 months of inspections and crash history.

Most Recent Investigation: 1/16/1992 (Safety Review)
Total Inspections: 11
- Total Inspections without Violations used in SMS: 6
- Total Inspections with Violations used in SMS: 5
Total Crashes* : 1

*Crashes listed represent a motor carrier’s involvement in reportable crashes, regardless of the carrier’s or driver’s role in the crash. Continue for details.

Continue for more Crash, Inspection & Investigation Details

Carrier Registration

Carrier Registration Details Subject to General Threshold Update Registration Info

Enforcement Cases

(Six years as of 12/24/2025 updated monthly from FMCSA )

No penalties found

Tools/Resources

SMS Methodology How to Improve Request a Data Review

For U.S. DOT# 426649

Complete SMS Profile Carrier History Downloads

Summary of Activities (as of 11/28/2025, updated monthly)

The summary includes information on the 5 most recent investigations and 24 months of inspections and crash history.

Most Recent Investigation: 1/16/1992 (Safety Review)	Total Inspections: 11 Total inspections without violations used in SMS: 6 Total inspections with violations used in SMS: 5	Total Crashes: 1*
1/16/1992 (Safety Review)	# Insp. OOS Driver Inspections 11 9.1% Vehicle Inspections 10 0.0% Placardable HM Inspections 0 0.0% % Placardable HM Inspections 0.0%	Fatal Crashes 1 Injury Crashes 0 Towaway Crashes 0

*Crashes listed represent a motor carrier’s involvement in reportable crashes, regardless of the carrier’s or driver’s role in the crash. Continue for details.

Downloads

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Average PU × Utilization Factor (as of 11/28/2025, updated monthly)

The SMS normalizes the Unsafe Driving and Crash Indicator BASICs measure by carrier size (i.e., a hybrid power unit and vehicle miles travelled measure) to account for exposure. Carrier size is defined as average power units multiplied by the utilization factor.

71 Average PU × Utilization Factor = 71 Average Power Units × 1 Utilization Factor

Average Power Units
Utilization Factor

In order to account for changes in a carrier's fleet size during the previous 24 months an average power unit value is used in the calculation to determine a carrier's Unsafe Driving BASIC and Crash Indicator measures.

71 Average Power Units = 71 Current Power Units + 71 Power Units 6 Months Ago + 71 Power Units 18 Months Ago
3

The Utilization Factor is a multiplier that adjusted the average PU values based on the utilization in terms of VMT per average PU.

Determine Carrier Segment: Straight
Straight trucks/other vehicles constituting more than 30% of the total PU
U.S. DOT# 426649 = 98% Straight trucks/other vehicles
Determine VMT per Average Power Unit
10,985 VMT per Average Power Unit = 780,000 VMT From Registration (MCS-150) ÷ 71 Average Power Units

Based on Step 1 and 2 calculate the Utilization Factor

Straight Segment
Meets Criteria	VMT per Avgerage PU	Utilization Factor
	< 20,000	1
	20,000 – 60,000	1 = VMT per PU ÷ 20,000
	60,000 – 200,000	3
	> 200,000	1
	No Recent VMT Information	1

Use of SMS Data/Information

FAST Act of 2015:

Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier has received an UNSATISFACTORY safety rating under part 385 of title 49, Code of Federal Regulations, or has otherwise been ordered to discontinue operations by the Federal Motor Carrier Safety Administration, it is authorized to operate on the Nation's roadways.

Safety Measurement System:

The data in the Safety Measurement System (SMS) is performance data used by the Agency and Enforcement Community. A symbol, based on that data, indicates that FMCSA may prioritize a motor carrier for further monitoring.

The symbol is not intended to imply any federal safety rating of the carrier pursuant to 49 USC 31144. Readers should not draw conclusions about a carrier's overall safety condition simply based on the data displayed in this system. Unless a motor carrier in the SMS has received an UNSATISFACTORY safety rating pursuant to 49 CFR Part 385, or has otherwise been ordered to discontinue operations by the FMCSA, it is authorized to operate on the nation's roadways.

Motor carrier safety ratings are available at http://safer.fmcsa.dot.gov and motor carrier licensing and insurance status are available at http://li-public.fmcsa.dot.gov/.