Paniagua's Enterprises DOT Vehicle Inspection Audit

• Prepared by

• Date and Time audit began

  Date

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• Vehicle Number

• Year of vehicle

• Type

  Select Bus Car SUV Truck Trailer Van Other

  • Bus
  • Car
  • SUV
  • Truck
  • Trailer
  • Van
  • Other

• Make

• Model

• VIN (Vehicle Inspection Number)

• License Plate Number

• License Plate / Tag is current and not expired / Note expiration date and verify to registration

  Yes

  No

  N/A

• License State

  Select Florida Texas Louisiana Arkansas Alabama Oklahoma Mississippi Ohio

  • Florida
  • Texas
  • Louisiana
  • Arkansas
  • Alabama
  • Oklahoma
  • Mississippi
  • Ohio

• Edko decals and Circle for Safety sticker in place and in good condition

  Yes

  No

  N/A

• Odometer Reading at Inspection

EXTERIOR LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Marker Lights Operational

  Yes

  No

  N/A

• Audible Back-up Alarm Operational

  Yes

  No

  N/A

• D.O.T. Strobes Operational (if equipped)

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Back-Up Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

• Audible Back-up Alarm Operational (if equipped)

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirror adjustable and Free of Damage

  Yes

  No

  N/A

• Left Front Fender Free of Damage

  Yes

  No

  N/A

• Left Door/s Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear Window Free of Cracks and Chips

  Yes

  No

  N/A

• Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Door/s Free of Damage

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

TIRES

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

• Front Driver and Passenger Wheel/Tire Trim Rings in Place

  Yes

  No

  N/A

• Rear Driver and Passenger Wheel/Tire Trim Rings in Place

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational with Shoulder Harness

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Seat Belts Operational

  Yes

  No

  N/A

• Vehicles Passenger Seats in Good Repair

  Yes

  No

  N/A

SAFETY EQUIPMENT

• First Aid Kit (Ensure Completely Stocked)

  Yes

  No

  N/A

• Accident Kit available

  Yes

  No

  N/A

• Fire Extinguisher Charged and Inspected Monthly?

  Yes

  No

  N/A

• Flags and flares present

  Yes

  No

  N/A

• Spare bulbs and fuses

  Yes

  No

  N/A

• Reflective triangles or cones

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

• Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

  Date

• Are Adequate Preventative Maintenance and Service Repair Records Kept

  Yes

  No

  N/A

SIGNATURES

• Signature of Auditor

  Sign

• Signature of Driver (if different from auditor)

  Sign