Level 2 Truck Inspection

• Truck Number

• Driver Code

• Conducted on

  Date

• License Plate - 390.21<br>Is it present, clear to read, and current?

  Yes

  No

  Corrected at Site

  N/A

• Is truck visibly sound? - 393.203<br>No parts falling off, grill present and secure, doors secure, etc?

  Yes

  No

  Corrected at Site

  N/A

• Horn - 393.81<br>- City Horn - Air Horn

  Yes

  No

  Corrected at Site

  N/A

Lights and Lighting Devices

• Headlights - Low Beams - 393.11<br>Clear in Color<br>Not Cracked, Damaged, or Loose.<br>Properly Mounted and Secure.

  Yes

  No

  Corrected at Site

  N/A

• Headlights - High Beams - 393.11<br>Clear in Color - Not Cracked, Damaged, or Loose. - Properly Mounted and Secure.

  Yes

  No

  Corrected at Site

  N/A

• Turn Signals / Flashers - 393.11<br>Amber in Color - Not Cracked, Damaged, or Loose. - Properly Mounted and Secure.<br>

  Yes

  No

  Corrected at Site

  N/A

• Clearance / Marker Lights - 393.11<br>Amber in Color - Five Across the Top of the Cab<br>Not Cracked, Damaged, or Loose. - Properly Mounted and Secure.

  Yes

  No

  Corrected at Site

  N/A

• Side Marker Lights - 393.11<br>Amber in Color - Not Cracked, Damaged, or Loose. - Properly Mounted and Secure.

  Yes

  No

  Corrected at Site

  N/A

• Tail Lights / Brake Lights - 393.9BRKLAMP<br>- Red in Color<br>- Not Cracked, Damaged, Loose - Properly Mounted and Secure

  Yes

  No

  Corrected at Site

  N/A

• Reflective Devices - 393.9(a)(3)<br>Reflectors on Mudflap? - 393.11TL<br>Reflectors on Rear Cab? - 393.13(d)(3)

  Yes

  No

  Corrected at Site

  N/A

Tires

• Steer Tires - 393.75(b)<br>- No signs of abnormal wear, no separation of tread or sidewall. - 100 PSI - >4\32 of an Inch Depth on the Tread - Free of Nails, Cuts, Gouges

  Yes

  No

  Corrected at Site

  N/A

• Drive Tires - 395.75(c)<br>No signs of abnormal wear, no separation of tread or sidewall - 100 PSI ->2/32 of an Inch Depth on the Tread -Free of Nails, Cuts, or Gouging

  Yes

  No

  Corrected at Site

  N/A

• Hub Seals - 396.5<br>Hub/Axle Seals not visibly leaking.

  Yes

  No

  Corrected at Site

  N/A

• Wheel Fasteners / Lug Nuts - 392.205(c)<br>- Appear Tight - Aluminum Wheels will show signs of a white powder or “streaking” if loose. - Steel Wheels will show signs of rust or metal shavings, if loose.

  Yes

  No

  Corrected at Site

  N/A

Truck Markings

• IFTA Sticker - 392.2FT<br>- Visible on both the Driver and Passenger side

  Yes

  No

  Corrected at Site

  N/A

• DOT Number and Name - 390.21<br>Visible on Vehicle

  Yes

  No

  Corrected at Site

  N/A

Cab - Inside

• Secured and Charged Fire Extinguisher (5lb Non-haz;10lb Haz-mat). 393.95

  Yes

  No

  Corrected at Site

  N/A

• Permit Book - 392.2-396.17<br>- In Drivers Reach - Cab Card, Current - Insurance Card, Current - IFTA Permit, Current

  Yes

  No

  Corrected at Site

  N/A

• Blank HOS Log Book - 395.8A1

  Yes

  No

  Corrected at Site

  N/A

• DVIR Inspection Book - 392.7(a)<br>- Must have previous 30 days<br>- Must be Current DVIR Book; signed, dated for each day of use

  Yes

  No

  Corrected at Site

  N/A

• QualComm Instruction Card - 395.22(H1, H2, H3)<br>- QualComm Instruction Book (H1) - QualComm Instruction Sheet (H2) - QualComm Failure Requirements (H3)<br>- ELD Exception Letter

  Yes

  No

  Corrected at Site

  N/A

• Driver’s License - 383.23(a)(2)<br>- MUST be present on driver operating a Commercial Motor Vehicle

  Yes

  No

  Corrected at Site

  N/A

• Medical Card - 391.41A-F / 391.11(b)(4)<br>- MUST be present on driver operating a CMV<br>- MUST be up to date and attached to license

  Yes

  No

  Corrected at Site

  N/A

• Windshield Wipers - 393.78<br>- Rubber cannot be torn, frayed, missing<br>- Windshield Wiper Arms Must keep wiper blades pressed against windshield

  Yes

  No

  Corrected at Site

  N/A

• Windshield - 393.60 - No >2" in length. Cannot be intersected by another crack. Cannot be obstruction to driver's view of road signs or traffic.

  Yes

  No

  Corrected at Site

  N/A

Cleanliness

• External Cleanliness of Vehicle 1 - Poor; windshield visibly dirty, mirrors dirty, cannot clearly see driver or inside of cabin 5 - Clean; appears as though it is a well-maintained, regularly washed truck

• Internal Cleanliness of Vehicle 1 - Poor; trash on floor, obstructed view, obstacles that could pose a safety hazard 5 - Clean; floor clear of debris, dash clear of paperwork and/or trash, no bottles or trash that could pose a safety hazard

Acknowledgement

• I attest that I have inspected this vehicle to the best of my ability;

  Sign

• Driver: I attest that I was present for the duration of this inspection;

  Sign

• Notes: (Any remarks, notable violations, concerns, or items of note)