CPI Vehicle Inspection

• Document No.

• Conducted on

  Date

• Location Vehicle Assigned to?

• Prepared by

• Take a picture of the vehicle.

  Media

• POWER UNIT NUMBER

• YEAR, MAKE, & MODEL

• Current Proof of insurance card present?

  Yes

  No

  N/A

• Registration current?

  Yes

  No

  N/A

• Annual DOT inspection current?

  Yes

  No

  N/A

• Current Hazardous Materials Registration?

  Yes

  No

  N/A

• Is there a DVIR in the vehicle (Pre-trip)?

  Yes

  No

  N/A

• Are required documents easily accessible? (Emergency Response book, binder of required documents, etc.)

  Yes

  No

  N/A

• Is the windshield and mirrors free of cracks?

  Yes

  No

  N/A

• Is the windshield clean and free of obstructions?

  Yes

  No

  N/A

• Does the wipers and washer work?

  Yes

  No

  N/A

• Does the Horn work?

  Yes

  No

  N/A

• Does the Heater/Defroster work?

  Yes

  No

  N/A

• Is the driver able to perform the 3 step air brake or hydraulic brake test as required for pre-trip inspection?

  Yes

  No

  N/A

• Did the vehicle pass the air/hydraulic brake test?

  Yes

  No

  N/A

• Is the interior of the cab neat and orderly?

  Yes

  No

  N/A

• Is a fire extinguisher present with annual inspection by an outside agency?

  Yes

  No

  N/A

• Has the fire extinguisher been inspected monthly?

  Yes

  No

  N/A

• Is all equipment/Tools properly secured?

  Yes

  No

  N/A

• Do all the lights work?

  Yes

  No

  N/A

• Do all doors open/close properly?

  Yes

  No

  N/A

• Are the wheel hubs full of oil?

  Yes

  No

  N/A

• Are front (steering) tires acceptable (4/32 tread depth)?

  Yes

  No

  N/A

• Is the front license plate present and current?

  Yes

  No

  N/A

• Is the DOT number present and in satisfactory condition?

  Yes

  No

  N/A

• Is the outside of the vehicle clean?

  Yes

  No

  N/A

• Are placards present and in satisfactory condition?

  Yes

  No

  N/A

• Does the outside of the vehicle appear damage free?

  Yes

  No

  N/A

• Are rear tires acceptable (2/32 tread depth)?

  Yes

  No

  N/A

• Is the rear license plate present and current?

  Yes

  No

  N/A

• Mud flats present and in good conditon.

  Yes

  No

  N/A

• Will this vehicle pass DOT inspection in its current condition or be placed OUT OF SERVICE?

  Compliant

  Non-Compliant

  N/A

TRAILER

• TRAILER NUMBER:

• Take a picture of the trailer.

  Media

• Trailer Registration current?

  Yes

  No

  N/A

• Annual DOT inspection current?

  Yes

  No

  N/A

• Is there a DVIR for the trailer (Pre-trip)?

  Yes

  No

  N/A

• Are all safety chain, breakaway cable, safety latches, air/electrical line properly connected?

  Yes

  No

  N/A

• Is the battery for the emergency brakes charged

  Yes

  No

  N/A

• Does the emergency breakaway work

  Yes

  No

  N/A

• Do all the lights work?

  Yes

  No

  N/A

• Did the trailer pass the air/electric brake test?

  Yes

  No

  N/A

• Are rear tires acceptable (2/32 tread depth)?

  Yes

  No

  N/A

• Are the wheel hubs full of oil?

  Yes

  No

  N/A

• Is the rear license plate present and current?

  Yes

  No

  N/A

• Mud flats present and in good conditon.

  Yes

  No

  N/A

• If loaded is the cargo properly secured?

  Yes

  No

  N/A

• Does the outside of the trailer appear damage free?

  Yes

  No

  N/A

• Will the trailer pass DOT inspection in its current condition or be placed OUT OF SERVICE?

  Compliant

  Non-Compliant

  N/A