IPS Commercial Motor Vehicle inspection

• Tractor/Truck No.

• Vehicle type

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Tire condition, weight/size

• Start of inspection

  Date

• Is all the paper work in truck?

  Yes

  No

  N/A

• Shipping papers filled out properly and within drivers reach?

  what is missing

• Driver Name

• Does driver have a current medical card?

  Yes

  No

  N/A

• Driver's date of brith

  Date

• When does medical card expire?

  Date

• Does driver have a current drivers license and proper endorsements to operate vehicle?

  Yes

  No

  N/A

• Driver license number and state

• Driver license endorsements

  Select tanker hazmat doubles/triples Trailer Tank/Hazmat Passenger

  • tanker
  • hazmat
  • doubles/triples Trailer
  • Tank/Hazmat
  • Passenger

• Does driver have any restrictions on his license and are they being followed

  Yes

  No

  N/A

• Is the drivers log book legible, does the drivers log book reflect last change of duty and does the have the last 7 days of logs on there person?

  Yes

  No

  N/A

• Violation of 70 hour rule?

  when

• Violation of waiting on well site?

  when

• Violation of 14 hour rule?

  when

• Violation of change of duty status?

  when

• Violation of 11 hour rule

  when

• Log book picture

  Media

Engine compartment

• 1. The area under the engine is free of leaks ( oil, water, other fluids)

  Yes

  No

  N/A

• 2. Oil cap present and secure?

  Yes

  No

  N/A

• Check the oil, coolant, brake and washer levels. Are they all within manufacturers parameters?

  Yes

  No

  N/A

• Is the serpentine belt snug and free from cracks or fraying?

  Yes

  No

  N/A

• Are all the hoses free from cracks, fraying or wear?

  Yes

  No

  N/A

Truck Cab

• Is the truck cab clean and free of trash?

  Yes

  No

  N/A

• Are all paperwork storage boxes secured using seat belts or other restraints?

  Yes

  No

  N/A

• Is the fire extinguisher fully charged and secured?

  Yes

  No

  N/A

• Are the emergency triangles and spare fuses and bulbs in truck?

  what is missing

• Horn works properly?

  Yes

  No

  N/A

• Turning on the ignition, are all the gauges functioning properly?

  Yes

  No

  N/A

• Steering wheel is free from excessive play when turned side to side?

  Yes

  No

  N/A

• Turn signals, 4-way emergency flashers, brake, and high beam indicator lights are all working?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a copy of the Emergency response guide (orange book) in the cab?

  Yes

  No

  N/A

• Is the GVWR for the vehicle and the maximum towing capacity labeled on the dash?

  Yes

  No

  N/A

Brake Check

• Apply the parking brake. Does it hold when putting the vehicle in drive and pulling against it?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there any air leaks in the system or does the air pressure go down after holding the brake down for 30 seconds with engine off?

  Yes

  No

  N/A

• Are brake hoses crimped or rubbing on anything?

  Yes

  No

  N/A

• Are brake shoes chipped or missing?

  where what axel

• Are brake chambers secure to vehicle? Any damage?

  where what axel

• Glad hands connected properly or damaged?

  Yes

  No

  N/A

Outside Inspection

• Vehicle picture.

  Media

• On the battery, are the posts tight and free of corrosion?

  Yes

  No

  N/A

• Is the USDOT number on both sides of the truck?

  Yes

  No

  N/A

• IFTA STICKERS ON BOTH SIDES AND CURRENT?

  Yes

  No

  N/A

• All windows are clean and free of cracks that might impair the drivers ability to see?

  Yes

  No

  N/A

• All the mirrors are clean and free of cracks that might impair the drivers ability to see?

  Yes

  No

  N/A

• Windshield wipers are clean with no dry rot or cracks that would impair their functionality?

  Yes

  No

  N/A

• Wiper arms are in good condition?

  Yes

  No

  N/A

• The body of the truck shows no damage? (Any damage must be reported IMMEDIATELY)

  Yes

  No

  N/A

• Using a tire gauge, check the tires for proper inflation. Are they within specifications?

  what is the pressure

• Are the tires free of excessive wear and do they have the correct tread depth? 2/32 rear and 4/32 front?

  Yes

  No

  N/A

• Are all the lugs on the tires tight?

  Yes

  No

  N/A

• Are all the rims in good condition with no bends or cracks?

  Yes

  No

  N/A

• All lights ( turn, 4- way, brake, running, low beams, high beams, and license plate) functioning properly?

  Yes

  No

  N/A

• Are all placard or markings in good condition and clearly visible?

  Yes

  No

  N/A

• Tow hitch is firmly secured to frame?

  Yes

  No

  N/A

• Electrical wires are in good condition with no cuts or frays?

  Yes

  No

  N/A

• Electrical coupling for the trailer shows no corrosion and protective cover is fully in place?

  Yes

  No

  N/A

• Is the bed free of debris and are all containers properly stored?

  Yes

  No

  N/A

• Does vehicle have a cargo net? Is it being used properly?

  Yes

  No

  N/A

• Does the vehicle have a set of chock blocks?

  Yes

  No

  N/A

• If a ball hitch, is the proper size ball set for the trailer? ( if trailer is being utilized)

  Yes

  No

  N/A

• If so, is it rated for the trailer that is to be pulled?

  Yes

  No

  N/A

• If a 5th wheel, do the locking jaws close fully?

  Yes

  No

  N/A

• If a 5th wheel, is the platform free of cracks and other damage?

  Yes

  No

  N/A

• If a 5th wheel, is the platform sufficiently greased to allow smooth sliding of the skid plate?

  Yes

  No

  N/A

• If a 5th wheel, do the locking pins work properly?

  Yes

  No

  N/A

• Is all equipment secured properly with keeper pins or proper straps?

  Yes

  No

  N/A

• Is vehicle safe to operate?

  Safe

  At Risk

  N/A

Trailer

• Is there enough DOT reflective tape?

  Yes

  No

  N/A

• Is all cargo secured by 393.100?

  Yes

  No

  N/A

• Are pipes chalked and off the deck?

  Yes

  No

  N/A

• Do chains and binders match in strength?

  Yes

  No

  N/A

• Are tie down straps free of knots and cuts?

  Yes

  No

  N/A

• Are the license plates damaged?

  Yes

  No

  N/A

• Are the lights clean?

  what lights

Audit Certification

• Auditor signature

  Sign

• Auditor comments

• Driver signature

  Sign

• Driver comments.