Safety Measurement System - Inspection MADD00002222 (U.S. DOT# 1927368)

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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: Form-Up Foundations Llc
U.S. DOT#: 1927368
Carrier Address: 1226 Nh Route 119 Unit 7
Rindge, NH 03461

Time/Location

Report #: MADD00002222
Report State: MA
State: MA
Date: 3/31/2025
Start Time: 1550
End Time: 1625
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	5426572	1GB4YTE7XRF176022
2	Semi-Trailer	TOWB	NH	T599779	1F9ET1625KR323960

Carrier Violations

Vio Code	Section	Unit	OOS	Description	Included in SMS	BASIC	Reason Not Included in SMS
383.91A-LCDL	383.91(a)	Driver	Yes	License (Cdl) - Operate A Cmv Without Proper Cdl Class	Yes	Driver Fitness
392.16-D	392.16(a)	Driver	No	Driver - Failed To Use Seat Belt While Operating A Cmv	Yes	Unsafe Driving
392.2-SLL	392.2	1	No	State/Local Laws -	No		Not used in SMS Calculation
392.5A1-I	392.5(a)(1)	Driver	Yes	Intoxicating - No Driver Shall Use Alcohol, Or Be Under The Influence Of Alcohol, Within 4 Hours Before Going On Duty Or Operating, Or Having Physical Control Of,	Yes	Drugs/Alcohol
392.5A3-IDUI	392.5(a)(3)	Driver	Yes	Intoxicating - No Driver Shall Be On Duty Or Operate A Commercial Motor Vehicle While The Driver Possesses An Intoxicating Beverage, Regardless Of Its Alcohol Con	Yes	Drugs/Alcohol
393.11A1-LIL	393.11(a)(1)	2	No	Lighting - Identification Lamp(S) Missing	Yes	Vehicle Maint.
393.43DBMA	393.43(d)	2	Yes	Brake - Breakaway Not Attached To The Towing Vehicle	Yes	Vehicle Maint.
393.9A-LFTSI	393.9(a)	1	No	Lighting - Front - Turn Signal - Inoperative	Yes	Vehicle Maint.
393.9A-LRLI	393.9(a)	1	No	Lighting - Tail Lamp - Any Inoperative	Yes	Vehicle Maint.
393.9A-LSLI	393.9(a)	1	No	Lighting - Stop Lamps - Any Inoperative.	Yes	Vehicle Maint.
396.3A1-CDLME	396.3(a)(1)	2	Yes	Coupling - Semi-Trailer, Loose Mounting, Missing Or Ineffective Fasteners, Or Insecure Latch (Excluding Fifth Wheel And Pintle Hooks)	Yes	Vehicle Maint.