Safety Measurement System (SMS)
| SMS #1 | |
|---|---|
| USDOT Number | 490062 |
| Total Inspections | 17 |
| Total Driver Inspections | 17 |
| Total Driver OOS Inspections | 1 |
| Total Vehicle Inspections | 15 |
| Total Vehicle OOS Inspections | 2 |
| Unsafe Driving Inspections with Violations | 1 |
| Unsafe Driving Measure Value | 1.25 |
| Unsafe Driving Acute/Critical Indicator | N |
| Inspections with Violations | 1 |
| Driving Measure | .04 |
| Hos Driv Ac | N |
| Driver Fitness Inspections with Violations | 2 |
| Driver Fitness Measure | 1.24 |
| Driver Fitness Serious Violation Indicator | N |
| Controlled Substances Inspections with Violations | 0 |
| Controlled Substances Performance Measure | 0 |
| Contr Subst Ac | N |
| Vehicle Maintenance Inspections with Violations | 5 |
| Vehicle Maintenance Measure | 5.3 |
| Vehicle Maintenance Acute/Critical Indicator | N |
There are no Crash data associated with FORM TECH CONCRETE FORMS INC.
Inspections
| Inspection #1 | |
|---|---|
| Unique ID | 625458105 |
| Report Number | 3075002715 |
| Report State | MD |
| USDOT Number | 490062 |
| Inspection Date | 24-FEB-20 |
| Inspection Level ID | 2 |
| Inspection State | MD |
| Time Weight | 3 |
| Driver OOS Total | 1 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 1 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FORD |
| License | 4DN3764 |
| License State | MD |
| VIN Number | 3FRML55Z06V411298 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 2 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 1 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 1 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #2 | |
| Unique ID | 626779035 |
| Report Number | 3835004505 |
| Report State | WV |
| USDOT Number | 490062 |
| Inspection Date | 09-MAR-20 |
| Inspection Level ID | 2 |
| Inspection State | WV |
| Time Weight | 3 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FRHT |
| License | BA536748 |
| License State | WV |
| VIN Number | 1FVACXBS9CHBK3604 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 0 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #3 | |
| Unique ID | 627076710 |
| Report Number | CV44121615 |
| Report State | KY |
| USDOT Number | 490062 |
| Inspection Date | 11-MAR-20 |
| Inspection Level ID | 1 |
| Inspection State | KY |
| Time Weight | 3 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FRHT |
| License | BA536748 |
| License State | WV |
| VIN Number | 1FVACXBS9CHBK3604 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 0 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #4 | |
| Unique ID | 583103925 |
| Report Number | 3682001904 |
| Report State | WV |
| USDOT Number | 490062 |
| Inspection Date | 04-OCT-18 |
| Inspection Level ID | 1 |
| Inspection State | WV |
| Time Weight | 1 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | CHEV |
| License | 63L843 |
| License State | WV |
| VIN Number | 1GB4KYCYXJF178304 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 3 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 1 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 2 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #5 | |
| Unique ID | 587477952 |
| Report Number | M045000767 |
| Report State | PA |
| USDOT Number | 490062 |
| Inspection Date | 29-NOV-18 |
| Inspection Level ID | 1 |
| Inspection State | PA |
| Time Weight | 1 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FORD |
| License | AC61048 |
| License State | MI |
| VIN Number | 1FDUF5GT1FED00120 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 1 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 1 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #6 | |
| Unique ID | 590893947 |
| Report Number | 3229000581 |
| Report State | MD |
| USDOT Number | 490062 |
| Inspection Date | 15-JAN-19 |
| Inspection Level ID | 1 |
| Inspection State | MD |
| Time Weight | 1 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FORD |
| License | 4DN3764 |
| License State | MD |
| VIN Number | 3FRML55Z06V411298 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 1 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 1 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #7 | |
| Unique ID | 605641617 |
| Report Number | 3821000375 |
| Report State | WV |
| USDOT Number | 490062 |
| Inspection Date | 01-JUL-19 |
| Inspection Level ID | 2 |
| Inspection State | WV |
| Time Weight | 2 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FRHT |
| License | BA536748 |
| License State | WV |
| VIN Number | 1FVACXBS9CHBK3604 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 0 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #8 | |
| Unique ID | 575169894 |
| Report Number | 3835002977 |
| Report State | WV |
| USDOT Number | 490062 |
| Inspection Date | 11-JUL-18 |
| Inspection Level ID | 3 |
| Inspection State | WV |
| Time Weight | 1 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FRHT |
| License | BA536748 |
| License State | WV |
| VIN Number | 1FVACXBS9CHBK3604 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | |
| Hazmat Inspection | |
| Basic Violations | 0 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 0 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #9 | |
| Unique ID | 610966152 |
| Report Number | 3693003590 |
| Report State | WV |
| USDOT Number | 490062 |
| Inspection Date | 03-SEP-19 |
| Inspection Level ID | 2 |
| Inspection State | WV |
| Time Weight | 2 |
| Driver OOS Total | 1 |
| Vehicle Oos Total | 1 |
| Total Hazmat Sent | 0 |
| OOS Total | 2 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FRHT |
| License | BA536748 |
| License State | WV |
| VIN Number | 1FVACXBS9CHBK3604 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 3 |
| Unsafe Violations | 0 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 1 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 2 |
| Hazardous Materials Compliance Violations | 0 |
| Inspection #10 | |
| Unique ID | 615494106 |
| Report Number | 4560000016 |
| Report State | MD |
| USDOT Number | 490062 |
| Inspection Date | 23-OCT-19 |
| Inspection Level ID | 2 |
| Inspection State | MD |
| Time Weight | 2 |
| Driver OOS Total | 0 |
| Vehicle Oos Total | 0 |
| Total Hazmat Sent | 0 |
| OOS Total | 0 |
| Hazmat Oos Total | 0 |
| Hazmat Placard Required | |
| Type | STRAIGHT TRUCK |
| Make | FORD |
| License | 4DN3764 |
| License State | MD |
| VIN Number | 3FRML55Z06V411298 |
| Decal Number | |
| Type 2 | |
| Make 2 | |
| License 2 | |
| State 2 | |
| VIN 2 Number | |
| Decal Number 2 | |
| Unsafe Inspection | Y |
| Fatigued Inspection | Y |
| Driver Fitness Inspection | Y |
| Substances/Alcohol Inspection | Y |
| Vehicle Maintenance Inspection | Y |
| Hazmat Inspection | |
| Basic Violations | 2 |
| Unsafe Violations | 1 |
| Fatigues Vilations | 0 |
| Driver Fitness Violations | 1 |
| Substances/Alcohol Violations | 0 |
| Vehicle Maintenance Violations | 0 |
| Hazardous Materials Compliance Violations | 0 |
Violations
| Violation #1 | |
|---|---|
| Unique ID | 587477952 |
| Inspection Date | 29-NOV-18 |
| USDOT Number | 490062 |
| Violation Code | 39617C |
| Name | Vehicle Maintenance |
| OOS Indicator | N |
| OOS Weight | 0 |
| Severity Weight | 4 |
| Time Weight | 1 |
| Tot Severity Wght | 4 |
| Viol Value | 4 |
| Violation | Operating a CMV without proof of a periodic inspection |
| Violation Group | Inspection Reports |
| Vehicle Unit Violation | 1 |
| Violation #2 | |
| Unique ID | 625458105 |
| Inspection Date | 24-FEB-20 |
| USDOT Number | 490062 |
| Violation Code | 3939H |
| Name | Vehicle Maintenance |
| OOS Indicator | N |
| OOS Weight | 0 |
| Severity Weight | 6 |
| Time Weight | 3 |
| Tot Severity Wght | 6 |
| Viol Value | 18 |
| Violation | Inoperable head lamps |
| Violation Group | Lighting |
| Vehicle Unit Violation | 1 |
| Violation #3 | |
| Unique ID | 615494106 |
| Inspection Date | 23-OCT-19 |
| USDOT Number | 490062 |
| Violation Code | 39141AF |
| Name | Driver Fitness |
| OOS Indicator | N |
| OOS Weight | 0 |
| Severity Weight | 1 |
| Time Weight | 2 |
| Tot Severity Wght | 1 |
| Viol Value | 2 |
| Violation | Operating a property-carrying vehicle without possessing a valid medical certificate. |
| Violation Group | Medical Certificate |
| Vehicle Unit Violation | D |
| Violation #4 | |
| Unique ID | 590893947 |
| Inspection Date | 15-JAN-19 |
| USDOT Number | 490062 |
| Violation Code | 39141A |
| Name | Driver Fitness |
| OOS Indicator | N |
| OOS Weight | 0 |
| Severity Weight | 1 |
| Time Weight | 1 |
| Tot Severity Wght | 1 |
| Viol Value | 1 |
| Violation | No medical certificate in driver's possession |
| Violation Group | Medical Certificate |
| Vehicle Unit Violation | D |
| Violation #5 | |
| Unique ID | 583103925 |
| Inspection Date | 04-OCT-18 |
| USDOT Number | 490062 |
| Violation Code | 39141AF |
| Name | Driver Fitness |
| OOS Indicator | N |
| OOS Weight | 0 |
| Severity Weight | 1 |
| Time Weight | 1 |
| Tot Severity Wght | 1 |
| Viol Value | 1 |
| Violation | Operating a property-carrying vehicle without possessing a valid medical certificate. |
| Violation Group | Medical Certificate |
| Vehicle Unit Violation | D |
| Violation #6 | |
| Unique ID | 610966152 |
| Inspection Date | 03-SEP-19 |
| USDOT Number | 490062 |
| Violation Code | 38323A2 |
| Name | Driver Fitness |
| OOS Indicator | Y |
| OOS Weight | 2 |
| Severity Weight | 8 |
| Time Weight | 2 |
| Tot Severity Wght | 10 |
| Viol Value | 20 |
| Violation | Operating a CMV without a CDL |
| Violation Group | License-related: High |
| Vehicle Unit Violation | D |