Information
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Tractor/Truck and Trailer Number. Registration State and #.
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Vehicle type
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Tire size
Driver Information if the Driver is present
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Drivers Name
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Drivers Date of Birth
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Drivers License Number and State
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Does the driver have a Current Drivers License and the Proper Endorsements to operate the vehicle? (CFR49 391.11)
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Driver License Endorsements
- tanker
- hazmat
- doubles/triples Trailer
- Tank/Hazmat
- Passenger
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Does the Driver have any Restrictions on his license and are they being followed? (CFR49 391.11)
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Does the driver have a Current Medical Card? (CFR49 391.45)
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When does the Medical Card Expire?
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Is the driver in possession of a Log Book? (CFR49 395.8)
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Does the Log Book conform to the Federal Regulation? (CFR49 395.8)
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Other Deficiencies
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Other Deficiencies
Inside the Truck Cab
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Is the Truck Cab Clean and Free of Trash? (CFR49 396.3)
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Are the Windows Clean and free of Cracks that might impair the drivers ability to see? (CFR49 393.60)
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Is there a copy of the previous days DVIR inside the truck? (CFR49 396.11)
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Are the Mirrors Clean and free of Cracks that might impair the drivers ability to see? (CFR49 393.80)
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Are the Windshield Wipers clean with no dry rotting or cracks that would impair their functionality? (CFR49 393.78)
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Do the Windshield Wipers work? (CFR49 393.78)
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Is the Fire Extinguisher Accessible, Fully Charged and Secured? (CFR49 393.95)
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Has the Fire Extinguisher been Inspected Annually and within the Last Month? (CFR49 393.95)
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Are the Emergency Triangles present and stored correctly? (3) (CFR49 393.95)
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Are there spare fuses and bulbs for critical safety components? (CFR49 393.95)
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Is the Horn working properly? (CFR49 393.81)
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Turning on the Ignition, are all of the Gauges functioning properly? (CFR49 396.3)
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Turn Signals, 4-way Emergency Flashers and High Beam Indicator lamps are all working properly? (CFR49 393.19)
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Is the Steering Wheel free from excessive play when turned side to side? (CFR49 393.209)
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Is there a copy of the Vehicle Registration and Company Insurance Card in the glove box? (CFR49 387.7)
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Does the Vin Number on the truck match the Vin Number on the registration card? (State Regulations)
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Does the Registration Plate on the truck match the Registration Number on the registration card? (State Regulations)
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When does the Vehicle Registration Card Expire?
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When does the Insurance Card Expire?
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Is there a copy of the Federal Motor Carrier Safety Regulation (green book) in the cab?
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Other Deficiencies
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Other Deficiencies
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Other Deficiencies
Brake Check
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Apply the Parking Brake. Does it hold when putting the vehicle in drive and pulling against it? (CFR49 393.40)
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Move the vehicle forward and apply the brake. Does it grab firmly with no slipping? (CFR49 393.40)
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Does the Brake Modulator Activate ALL Electric Trailer Brakes when applied? (CFR49 393.40)
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Is the Emergency Break Away Cable in good condition and properly attached to the towing unit? (CFR49 393.43)
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Does the Emergency Break Away Device on the trailer work when the pin is pulled? (CFR49 393.43)
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Other Deficiencies
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Other Deficiencies
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Other Deficiencies
Engine compartment
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Is The area under the Engine free of Leaks ( oil, water, other fluids)? (CFR49 396.3)
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Check the Oil, Coolant, Brake and Washer Fluid levels. Are they all within manufacturers parameters? (CFR49 396.3)
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Is the Serpentine Belt snug and free from cracks or fraying? (CFR49 396.3)
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Are all of the Hoses free from cracks, fraying or wear? (CFR49 396.3)
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On the Battery, are the posts tight and free of corrosion? (CFR49 393.90)
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Other Deficiencies
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Other Deficiencies
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Other Deficiencies
Outside the vehicle Inspection
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Vehicle picture.
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Is there an Annual Inspection Decal on the Truck, is it Legible? If not there must be a Hard copy available in the truck. (CFR49 396.17)
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When does the Annual Inspection on the Truck Expire?
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Is there an Annual Inspection Decal on the Trailer, is it Legible? If not there must be a Hard copy available on the Trailer. (CFR49 396.17)
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When does the Annual Inspection on the Trailer Expire?
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Is there a copy of the Trailer Registration Document on the Trailer? (State Regulations)
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Does the Vin Number on the trailer match the Vin Number on the registration card? (State Regulations)
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Does the Registration Plate on the trailer match the Registration Number on the registration card? (State Regulations)
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When does the Registration on the Trailer Expire?
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Are the License Plates on the Truck properly Mounted and Legible? (State Regulations)
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Are the License Plates on the Trailer properly Mounted and Legible? (State Regulations)
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Is the Company Name and DOT number in legible condition on both the driver and passenger sides of the truck? (CFR49 390.21)
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Is the current IFTA decal visible on both sides of the truck? (US Dept of Revenue)
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Is the Truck and Trailer Numbers on the vehicles and are they Legible? (CFR49 390.21)
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Is the Electrical Connection between the Truck and Trailer in good working condition? (CFR49 393.28)
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Are the Electrical Wires are in good condition with no cuts or frays? (CFR49 393.28)
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Are all Truck and Trailer Lights functioning properly, including but not limited to the license plate lamps? (CFR49 393.9)
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Are all Lighting Device Lenses in good condition? (CFR49 393.11)
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Is there a 20lb Fire Extinguisher on the Trailer and is it in proper operating condition? (CFR49 393.95)
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Are there Mud Flaps on the Truck and Trailer if Required? (State Regulations)
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Using a Tire Gauge, check the Tires for proper Inflation. Are they within specifications? (CFR49 393.75)
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Are the Tires free of Excessive Wear and Damage, is the Tread Depth within allowable limits (4/32 Steer Axle, 2/32 others) (CFR49 393.75)
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Do the Lug Nuts Appear to be Tight on all of the wheels? (CFR49 393.205)
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Are the Rims in good condition with no Bends or Cracks? (CFR49 393.205)
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Does the vehicle have a set of Wheel Chocks?
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If Required are the Wheel Chocks being Used?
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Is there a Spare Tire for the Truck?
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is there a Spare Tire for the Trailer?
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Do the Frames of both the Truck and Trailer appear to be free of defects and in good operating condition? (CFR49 393.201)
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If using a Ball Hitch, is it the proper Size Ball for the trailer? ( if trailer is being utilized) (CFR49 393.70)
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Are the Safety Chains Crossed, in good condition and Properly Attached to the towing unit? (CFR49 393.79)
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Is the a truck Bed and Trailer free of Trash and Debris? (CFR49 393.100)
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Are all items on the Truck and Trailer Properly Secured? (CFR49 393.100)
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Are all Securement Devices in good condition? (CFR49 393.104)
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If Rods are being used to Secure Iron in the Racks, do the Rods have R-Clips in them? (CFR49 393.100)
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Is the DOT reflective tape on the trailer? (50% on the sides and 100% on the rear) (CFR49 393.13)
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Is the Paint on the trailer, the iron and on the equipment in good condition?
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Is the Iron Certification Current and are the certification bands in good, readable condition?
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Other Deficiencies
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Other Deficiencies
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Other Deficiencies
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Is the Vehicle Safe to Operate? (CFR49 396.7)
Audit Certification
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Auditor signature
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Auditor comments
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Driver signature
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Driver comments.
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Mechanics signature after repairs have been completed. Date repairs have been completed.
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Mechanics comments / notes.