Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date and Time audit began

VEHICLE DESCRIPTION

  • Photograph of Vehicle Being Inspected

  • PSE vehicle ID number

  • USDOT Identification Number is visible

  • check for current DOT inspection Sticker

DOT Items To Check (include items 1-55)

  • Remove all tires and inspect brakes

  • Clean and repack wheel bearings

  • Install and date dot sticker

Electric Brakes

  • Test emergency brake away battery

  • Inspect & repair if necessary brake away switch & wiring

  • Brake percentage left axle

  • Brake percentage right axle

Hydraulic Brakes

  • Inspect master cylinder and top off fluid

  • Inspect brake lines for damage & leaks

  • Brake percentage left axle

  • Brake percentage right axle

  • Check axle condition & hub assemblies

Air Brakes

  • Adjust and lube slack adjusters

  • Test emergency brakes

  • Check for air leaks

  • Brake percentage left axle

  • Brake percentage left axle

  • Brake percentage right axle

  • Brake percentage right axle

TIRES

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

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

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

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

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

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

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

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

Other

  • Electric and air connections

  • Header board

  • 5th wheel plate & king pin

  • Landing gear

  • Lights- stop/turn/marker/tail lights

  • Reflectors

  • Mud flaps

  • Rear bumper

  • Suspension

  • Frame & cross members

  • Springs & U Bolts

  • Electrical wiring

  • Air lines & hoses

  • Shocks & shackles

  • Rails

  • Side Boards

  • Deck

  • Trailer safety connectors

  • Safety Chains

  • Tires, wheels & lug nuts

  • Mounted equipment

  • Fire extinguisher

  • Registration paper & box

Tank (if applicable)

  • Cables

  • Dome & gaskets

  • Valves- external

  • Valves- internal

Interior (if applicable)

  • floor, Sides, Roof

REQUIRED DOCUMENTATION

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

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

SIGNATURES

  • Comments?

  • All Repairs Completed?

  • All Repairs not completed (please list)

  • Signature of Mechanic Performing Service

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.