Safety Measurement System - Inspection NH1086001426 (U.S. DOT# 478797)

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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 12/26/2025

Carrier Information

Carrier Name: Cullen Concrete Form Co Inc
U.S. DOT#: 478797
Carrier Address: 22 Holmes Ave
Northfield, NH 03276

Time/Location

Report #: NH1086001426
Report State: NH
State: NH
Date: 11/1/2024
Start Time: 1500
End Time: 1535
Level: III. Driver-Only
Facility: Roadside
Post Crash Inspection: No
Hazmat Placard Required: No

Vehicle Information

Unit	Type	Make	Plate State	Plate Number	VIN
1	Straight Truck	FORD	NH	2094280	1FD8W3H65LEC96616

Carrier Violations

Vio Code	Section	Unit	OOS	Description	Included in SMS	BASIC	Reason Not Included in SMS
391.45A-MCEM	391.45(a)	Driver	No	Medical (Certificate) - Operating A Cmv With An Expired Medical Certificate	Yes	Driver Fitness
392.16B-CPASS	392.16(b)	Co-Driver	No	Co-Driver - Failed To Use Seat Belt While Operating A Property-Carrying Cmv.	Yes	Unsafe Driving