Safety Measurement System - Inspection NH1291003386 (U.S. DOT# 3581258)

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United States Department of Transportation

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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/.

Detailed Inspection Report as of 1/30/2026

Carrier Information

Carrier Name: Form-Up Sitework Llc
U.S. DOT#: 3581258
Carrier Address: 29 Commercial Lane Unit 2
Rindge, NH 03461

Time/Location

Report #: NH1291003386
Report State: NH
State: NH
Date: 4/22/2024
Start Time: 0909
End Time: 0945
Level: II. Walk-Around
Facility: Roadside
Post Crash Inspection: No
Hazmat Placard Required: No

Vehicle Information

Unit	Type	Make	Plate State	Plate Number	VIN
1	Straight Truck	CHEV	NH	5184710	1GB4KVCG6KF208311

Carrier Violations

Vio Code	Section	Unit	OOS	Description	Included in SMS	BASIC	Reason Not Included in SMS
393.95A	393.95(a)	1	No	No/Discharged/Unsecured Fire Extinguisher	Yes	Vehicle Maint.
393.95F	393.95(f)	1	No	Emergency Equipment - Stopped Vehicle Warning Devices Missing Or Improper	Yes	Vehicle Maint.
393.9H	393.9(a)	1	No	Inoperable Head Lamps	Yes	Vehicle Maint.

Hazardous Material

HazMat Code	HazMat Description	Reported Quantity	Waste	Status
9	9 MISCELLANEOUS HM	No	No	A