Safety Measurement System - Inspection NH0940000934 (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 #: NH0940000934
Report State: NH
State: NH
Date: 4/10/2025
Start Time: 0616
End Time: 0634
Level: III. Driver-Only
Facility: Fixed Site
Post Crash Inspection: No
Hazmat Placard Required: No

Vehicle Information

Unit	Type	Make	Plate State	Plate Number	VIN
1	Straight Truck	CHEV	NH	4827058	JALCDW166H7002408

Carrier Violations

Vio Code	Section	Unit	OOS	Description	Included in SMS	BASIC	Reason Not Included in SMS
391.41A-MCPC	391.41(a)	Driver	No	Medical (Certificate) - Operating A Commercial Vehicle Without Showing Proof Of A Valid Medical Certification Upon Request When Medical Certification Is Required.	Yes	Driver Fitness
392.16AD	392.16(a)	Driver	No	Driver - Failed To Use Seat Belt While Operating A Cmv.	Yes	Unsafe Driving