Information

  • Tractor/Truck Number. Registration State and number#.

  • Vehicle type

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Vehicle Mileage

  • Tire size

Driver Information if the Driver is present

  • Drivers Name

  • Drivers Date of Birth

  • Drivers License Number and State

  • Does the driver have a Current Drivers License and the Proper Endorsements to operate the vehicle? (CFR49 391.11)

  • Driver License Endorsements

  • Does the Driver have any Restrictions on his license and are they being followed? (CFR49 391.11)

  • Does the driver have a Current Medical Card? (CFR49 391.45)

  • When does the Medical Card Expire?

  • Is the driver in possession of a Log Book? (CFR49 395.8)

  • Does the Log Book conform to the Federal Regulation? (CFR49 395.8)

  • Other Deficiencies

  • Other Deficiencies

Inside the Truck Cab

  • Is the Truck Cab Clean and Free of Trash? (CFR49 396.3)

  • Is there a copy of the previous days DVIR inside the truck? (CFR49 396.11)

  • Are the Windows Clean and free of Cracks that might impair the drivers ability to see? (CFR49 393.60)

  • Are the Mirrors Clean and free of Cracks that might impair the drivers ability to see? (CFR49 393.80)

  • Are the Windshield Wipers clean with no dry rotting or cracks that would impair their functionality? (CFR49 393.78)

  • Do the Windshield Wipers work? (CFR49 393.78)

  • Is the Fire Extinguisher Accessible, Fully Charged and Secured? (CFR49 393.95)

  • Has the Fire Extinguisher been Inspected Annually and within the Last Month? (CFR49 393.95)

  • Are the Emergency Triangles present and stored correctly? (3) (CFR49 393.95)

  • Is the Horn working properly? (CFR49 393.81)

  • Are there spare fuses and bulbs for critical safety components? (CFR49 393.95)

  • Turning on the Ignition, are all of the Gauges functioning properly? (CFR49 396.3)

  • Turn Signals, 4-way Emergency Flashers and High Beam Indicator lamps are all working properly? (CFR49 393.19)

  • Is the Steering Wheel free from excessive play when turned side to side? (CFR49 393.209)

  • Is there a copy of the Vehicle Registration and Company Insurance Card in the glove box? (State Regulations)

  • Does the Vin number on the truck match the vin number on the registration card? (State Regulations)

  • Does the Registration Plate match the Registration number on the registration card? (State Regulations)

  • When does the Vehicle Registration Card Expire?

  • When does the Insurance Card Expire?

  • Is there a copy of the Federal Motor Carrier Safety Regulation (green book) in the cab?

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Brake Check

  • Apply the Parking Brake. Does it hold when putting the vehicle in drive and pulling against it? (CFR49 393.40)

  • Move the vehicle forward and apply the brake. Does it grab firmly with no slipping? (CFR49 393.40)

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Engine compartment

  • Is The area under the Engine free of Leaks ( oil, water, other fluids)? (CFR49 396.3)

  • Check the Oil, Coolant, Brake and Washer Fluid levels. Are they all within manufacturers parameters? (CFR49 396.3)

  • Is the Serpentine Belt snug and free from cracks or fraying? (CFR49 396.3)

  • Are all of the Hoses free from cracks, fraying or wear? (CFR49 396.3)

  • On the Battery, are the posts tight and free of corrosion? (CFR49 393.90)

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Outside the vehicle Inspection

  • Vehicle picture.

  • 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)

  • When does the Annual Inspection on the Truck Expire?

  • Are the License Plates on the Truck properly Mounted and Legible? (State Regulations)

  • Is the Company Name and DOT number in legible condition on both the driver and passenger sides of the truck? (CFR49 390.21)

  • Is the current IFTA decal visible on both sides of the truck? (US Dept of Revenue)

  • Is the Truck Numbers on the vehicle and are they Legible? (CFR49 390.21)

  • Are all Truck Lights functioning properly, including but not limited to the license plate lamps? (CFR49 393.9)

  • Are all Lighting Device Lenses in good condition? (CFR49 393.11)

  • Are there Mud Flaps on the Truck if Required? (State Regulations)

  • Using a Tire Gauge, check the Tires for proper Inflation. Are they within specifications? (CFR49 393.75)

  • 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)

  • Do the Lug Nuts Appear to be Tight on all of the wheels? (CFR49 393.205)

  • Are the Rims in good condition with no Bends or Cracks? (CFR49 393.205)

  • Does the vehicle have a set of Wheel Chocks?

  • If Required are the Wheel Chocks being Used?

  • Is there a Spare Tire for the Truck?

  • Does the frame of the truck appear to be free of any apparent defects and in good general condition? (CFR49 393.201)

  • Is the a truck Bed free of Trash and Debris? (CFR49 393.100)

  • Are all items on the Truck Properly Secured? (CFR49 393.100)

  • Are all Securement Devices in good condition? (CFR49 393.104)

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

  • Is the Vehicle Safe to Operate? (CFR49 396.7)

Audit Certification

  • Auditor signature

  • Auditor comments

  • Driver signature

  • Driver comments.

  • Mechanics signature after repairs have been completed. Date repairs have been completed.

  • Mechanics comments / notes.

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