Information
-
Audit Title
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Date and Time audit began
-
Motor Carrier Operator Name And Address
-
Inspector's Name
-
The inspector meets the qualification requirements in section 396.19.
-
Vehicle Type
-
Vehicle Identification
-
Fleet Unit Number
-
Odometer reading at Inspection
-
Photograph of Vehicle Being Inspected
Vehicle Components Inspected
1. Brake System
-
a. Service Brakes
-
b. Parking Brake System
-
c. Brake Drums or Rotors
-
d. Brake Hose
-
e. Brake Tubing
-
f. Low Pressure Warning Device
-
g. Tractor Protection Valve
-
h. Air Compressor
-
I. electric Brakes
-
j. Hydraulic Brakes
-
k. Vacuum System
2. Coupling Devices
-
a. Fifth Wheels
-
b. Pintle Hooks
-
c. Drawbar/Tow bar Eye
-
d. Drawbar/Tow bar Tongue
-
e. Safety Devices
-
f. Saddle- mounts
3. Exhaust System
-
a. Exhaust system leaking forward of or directly below the driver/sleeper compartment
-
b. Bus exhaust system leaking or discharging in violation of standard
-
c. Exhaust system likely to burn, char, or damage the electrical wiring, fuel supply, or any combustible part of the motor vehicle
4. Fuel System
-
a. Visible leak
-
b. Fuel tank filler cap missing
-
c. Fuel tank securely attached
5. Lighting Devices
-
All lighting devices and reflectors required by part 393 shall be operational
6. Safe Loading
-
a. Parts of vehicle or condition of loading such that the spare tire or any part of the load or dunnage can fall onto the roadway
-
b. Protection against shifting cargo
-
c. Container securement devices on intermodal equipment
7. Steering Mechanism
-
a. Steering wheel free play
-
b. Steering Column
-
c. Front axle beam and all steering components
-
d. Steering gear box
-
e. Pitman arm
-
f. Power steering
-
g. Ball & socket joints
-
h. Tie rods & drag links
-
i. Nuts
-
j. Steering System
8. Suspension
-
a. Any U-bolts, spring hangers, or other axle positioning parts cracked, broken, loose or missing resulting in shifting of an axle from its normal position.
-
b. Spring assembly
-
c. Torque, radius or tracking components
9. Frame
-
a. Frame members
-
b. Tire and wheel clearance
-
c. Adjustable axle assemblies (sliding sub frames)
10. Tires
-
a. Tires on any steering axle of a power unit
-
b. All other tires
11. Wheels and Rims
-
a. Lock or slide ring
-
b. Wheels and rims
-
c. Fasteners
-
d. Welds
12. Windshield Glazing
-
Requirements and exceptions as stated pertaining to any crack, discoloration or vision reducing matter (reference 393.60 for exceptions)
13. Windshield wipers
-
Any power unit that has an inoperative wiper, or missing or damaged parts that render it ineffective
14. Other
-
List any other condition which may prevent safe operation of this vehicle
-
List any other condition which may prevent safe operation of this vehicle
-
List any other condition which may prevent safe operation of this vehicle
-
List any other condition which may prevent safe operation of this vehicle
SIGNATURES
-
Comments?
-
Repairs Completed?
-
Signature of Mechanic Performing Annual vehicle inspection certifying this vehicle has passed all the inspection items in accordance with 49 CFR PART 396
