Qinterra Technologies DOT Compliance Audit USA

• Qinterra Technologies DOT Compliance Audit USA

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DOT Documentation

• Does employee have valid DOT medical card on his/her person

  Yes

  No

  N/A

• Does employee have EOBR in vehicle & smart phone app

  Yes

  No

  N/A

• Is employee comfortable with using EOBR

  Yes

  No

  N/A

• Has employee backed up EOBR with paper logs

  Yes

  No

  N/A

DOT Vehicle Documentation (Truck)

• DOT truck number

  Yes

  No

  N/A

• Does vehicle have Motor Carrier Certificate Of Registration, note USDOT number

  Yes

  No

  N/A

• Does vehicle have valid Unified Carrier Registration, note expiry date

  Yes

  No

  N/A

• Does vehicle have valid MCS90, note issue date

  Yes

  No

  N/A

• Does vehicle have a valid Motor Carrier Certificate Of Registration, note issue date

  Yes

  No

  N/A

• Does the vehicle have a valid TX Liability Insurance Card, note expiry date

  Yes

  No

  N/A

• Does vehicle have valid DOT Inspection Report, note expiry date

  Yes

  No

  N/A

• Does vehicle have valid TX Apportioned License Cab Card, note expiry date

  Yes

  No

  N/A

• Does vehicle have a valid MCS-150, note issue date

  Yes

  No

  N/A

DOT Trailer Documentation

• DOT Trailer Number

  Yes

  No

  N/A

• Does trailer have valid Registration, note expiry date

  Yes

  No

  N/A

• Does trailer have a valid TX Vehicle Inspection Report, note expiry date

  Yes

  No

  N/A

Check the condition & operation of the following equipment, please document and faults in the comments section

• Air Compressor

  Good

  Bad

  N/A

• Air Lines

  Good

  Bad

  N/A

• Battery

  Good

  Bad

  N/A

• Body

  Good

  Bad

  N/A

• Brake Accessories

  Good

  Bad

  N/A

• Brakes, Parking

  Good

  Bad

  N/A

• Brakes, Service

  Good

  Bad

  N/A

• Clutch

  Good

  Bad

  N/A

• Coupling Devices

  Good

  Bad

  N/A

• Defroster/Heater

  Good

  Bad

  N/A

• Drive Line

  Good

  Bad

  N/A

• Engine

  Good

  Bad

  N/A

• Exhaust

  Good

  Bad

  N/A

• Fifth Wheel

  Good

  Bad

  N/A

• Frame & Assembly

  Good

  Bad

  N/A

• Front Axle

  Good

  Bad

  N/A

• Fuel Tanks

  Good

  Bad

  N/A

• Horn

  Good

  Bad

  N/A

• Lights, Head

  Good

  Bad

  N/A

• Lights, Tail

  Good

  Bad

  N/A

• Lights, Dash

  Good

  Bad

  N/A

• Lights, Turn Indicators

  Good

  Bad

  N/A

• Mirrors

  Good

  Bad

  N/A

• Muffler

  Good

  Bad

  N/A

• Oil Pressure

  Good

  Bad

  N/A

• Radiator

  Good

  Bad

  N/A

• Rear End

  Good

  Bad

  N/A

• Reflectors

  Good

  Bad

  N/A

• Safety, Fire Extinguisher

  Good

  Bad

  N/A

• Safety, Reflective Triangles

  Good

  Bad

  N/A

• Safety, Flags

  Good

  Bad

  N/A

• Safety, Flares/Fusees

  Good

  Bad

  N/A

• Safety, Spare Bulbs & Fuses

  Good

  Bad

  N/A

• Safety, Spare Seal Beam

  Good

  Bad

  N/A

• Suspension System

  Good

  Bad

  N/A

• Starter

  Good

  Bad

  N/A

• Steering

  Good

  Bad

  N/A

• Tachograph

  Good

  Bad

  N/A

• Tires

  Good

  Bad

  N/A

• Tire Chains

  Good

  Bad

  N/A

• Transmission

  Good

  Bad

  N/A

• Wheels & Rims

  Good

  Bad

  N/A

• Windows

  Good

  Bad

  N/A

• Windshield Wipers

  Good

  Bad

  N/A

• Other

  Good

  Bad

  N/A

Recorded Defects

• Comments:

• Pictures If Applicable:

  Media

• Signature Auditor:

  Sign

• Signature DOT Driver

  Sign