Crash Record NC0107545045
FMCSA crash record at S DEKALB ST, SHELBY, North Carolina on Nov 16, 2023 at 8:52 AM • Carrier: FORMS AND SUPPLY INC
Tow-AwayHazMatFederal Recordable
Crash Details
Key facts from the FMCSA crash record
Report #
NC0107545045
Date
Nov 16, 2023
Time
8:52 AM
State
City
SHELBY
Severity
Tow-Away
Fatalities
0
Injuries
0
Tow-Away
Yes
HazMat Involved
Yes
HazMat Released
No
Vehicles Involved
2
Federal Recordable
Yes
Vehicle Type
Truck
Carrier (USDOT)
Location
Where the crash occurred
Vehicle Information
Details of the commercial motor vehicle involved
Cargo Body Type
Flatbed
GVW Rating
26,001 lbs or more
License Plate
Truck / Bus
Truck
Vehicles / Units Involved
1 commercial motor vehicle in this crash
| # | Vehicle Config | Cargo Type | VIN | License Plate | Carrier | GVW | HazMat | Event |
|---|---|---|---|---|---|---|---|---|
| 1 | — | Flatbed | 3C7WRMDL3JG231230 | RH1140 (NC) | FORMS AND SUPPLY INC | 26,001 lbs or more | No | 1:20:COLLISION INVOLVING OTHER MOVABLE OBJECT |
Conditions at Time of Crash
Environmental and road conditions
☀️
Weather
Clear / No Adverse Conditions
☀️
Lighting
Daylight
🛣️
Road Surface
Dry
🛣️
Trafficway
Two-Way, Not Divided
🚧
Access Control
No Access Control
☣️
Hazardous Materials Involved
This crash involved a vehicle carrying hazardous materials. No hazardous material release was reported.
Carrier Information
FMCSA registered carrier linked to this crash
FORMS AND SUPPLY INC
ACTIVEUSDOT 426649 • North Carolina • 71 power units • 70 drivers
19
Total Crashes
16
Inspections
71
Power Units
Crash Event
Event sequence description
1:20:COLLISION INVOLVING OTHER MOVABLE OBJECT
Other Crashes by FORMS AND SUPPLY INC
10 additional crash records on file
Carrier Crash History
Showing 10 of 19
fmcsa-crash
| Record | Date | State | Severity | Fatalities | Injuries |
|---|---|---|---|---|---|
| cr_5060388 | Nov 13, 2025 | SC | Fatal | 1 | 0 |
| cr_5098594 | Sep 25, 2025 | NC | Tow-Away | 0 | 0 |
| cr_4365065 | Apr 29, 2022 | GA | Tow-Away | 0 | 0 |
| cr_3281340 | Sep 20, 2016 | NC | Injury | 0 | 2 |
| cr_3166391 | Feb 12, 2016 | SC | Tow-Away | 0 | 0 |
| cr_2708012 | Jun 4, 2013 | NC | Tow-Away | 0 | 0 |
| cr_2698321 | May 14, 2013 | NC | Injury | 0 | 1 |
| cr_1857391 | Apr 9, 2007 | NC | Injury | 0 | 1 |
| cr_1540338 | Oct 4, 2005 | SC | Injury | 0 | 2 |
| cr_1461605 | Apr 21, 2005 | SC | Injury | 0 | 1 |
Related Records
Related records
CarrierFORMS AND SUPPLY INC
USDOT 426649 • 19 crash records • 16 inspections
VehicleVIN: 3C7WRMDL3JG231230
Decode this VIN for make, model, year, and recall data
PlatePlate: RH1140 (NC)
View inspection history for this plate
StateCrashes in North Carolina
All commercial vehicle crashes reported in North Carolina
AgencyFORMS AND SUPPLY INC
Crashes reported by this law enforcement agency
CityCrashes in SHELBY, NC
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CarriersCarriers in North Carolina
Carriers registered in this state
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Data sources & freshness
FMCSA Crash File (aayw-vxb3)
Crash data may lag 30–90 days. Not all crashes are reportable under FMCSA criteria. Data sourced from state-reported crash records submitted to FMCSA.
Updated 6 days ago