Information

  • DOT (Required) Annual Inspection

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and Time audit began

  • Motor Carrier Operator Name And Address

  • Inspector's Name

  • The inspector meets the qualification requirements in section 396.19.

  • Vehicle Type

  • Vehicle Identification

  • Fleet Unit Number

  • Odometer reading at Inspection

  • Photograph of Vehicle Being Inspected

Vehicle Components Inspected

1. Brake System

  • a. Service Brakes

  • b. Parking Brake System

  • c. Brake Drums or Rotors

  • d. Brake Hose

  • e. Brake Tubing

  • f. Low Pressure Warning Device

  • g. Tractor Protection Valve

  • h. Air Compressor

  • I. electric Brakes

  • j. Hydraulic Brakes

  • k. Vacuum System

2. Coupling Devices

  • a. Fifth Wheels

  • b. Pintle Hooks

  • c. Drawbar/Tow bar Eye

  • d. Drawbar/Tow bar Tongue

  • e. Safety Devices

  • f. Saddle- mounts

3. Exhaust System

  • a. Exhaust system leaking forward of or directly below the driver/sleeper compartment

  • b. Bus exhaust system leaking or discharging in violation of standard

  • c. Exhaust system likely to burn, char, or damage the electrical wiring, fuel supply, or any combustible part of the motor vehicle

4. Fuel System

  • a. Visible leak

  • b. Fuel tank filler cap missing

  • c. Fuel tank securely attached

5. Lighting Devices

  • All lighting devices and reflectors required by part 393 shall be operational

6. Safe Loading

  • a. Parts of vehicle or condition of loading such that the spare tire or any part of the load or dunnage can fall onto the roadway

  • b. Protection against shifting cargo

  • c. Container securement devices on intermodal equipment

7. Steering Mechanism

  • a. Steering wheel free play

  • b. Steering Column

  • c. Front axle beam and all steering components

  • d. Steering gear box

  • e. Pitman arm

  • f. Power steering

  • g. Ball & socket joints

  • h. Tie rods & drag links

  • i. Nuts

  • j. Steering System

8. Suspension

  • a. Any U-bolts, spring hangers, or other axle positioning parts cracked, broken, loose or missing resulting in shifting of an axle from its normal position.

  • b. Spring assembly

  • c. Torque, radius or tracking components

9. Frame

  • a. Frame members

  • b. Tire and wheel clearance

  • c. Adjustable axle assemblies (sliding sub frames)

10. Tires

  • a. Tires on any steering axle of a power unit

  • b. All other tires

11. Wheels and Rims

  • a. Lock or slide ring

  • b. Wheels and rims

  • c. Fasteners

  • d. Welds

12. Windshield Glazing

  • Requirements and exceptions as stated pertaining to any crack, discoloration or vision reducing matter (reference 393.60 for exceptions)

13. Windshield wipers

  • Any power unit that has an inoperative wiper, or missing or damaged parts that render it ineffective

14. Other

  • List any other condition which may prevent safe operation of this vehicle

  • List any other condition which may prevent safe operation of this vehicle

  • List any other condition which may prevent safe operation of this vehicle

  • List any other condition which may prevent safe operation of this vehicle

SIGNATURES

  • Comments?

  • Repairs Completed?

  • Signature of Mechanic Performing Annual vehicle inspection certifying this vehicle has passed all the inspection items in accordance with 49 CFR PART 396

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