Annual Inspection Form
Inspection Report ID
Inspector Name
First Name
Last Name
Inspection Date
-
Month
-
Day
Year
Date
Start Time
Hour Minutes
AM
PM
AM/PM Option
End Time
Hour Minutes
AM
PM
AM/PM Option
License Plate Number and Issuing State
Type of Inspection
Daily routine
Weekly routine
Monthly routine
Yearly routine
Brake System
Passed Inspection
Needs Repair
N/A
Service Brakes
Parking Brake
Brake Drums/Rotors
Brake Hose
Tubing
Low Pressure Warning Device
Air Compressor
Tractor Protection Valve
Electric Brakes
Hydraulic Brakes
Vacuum Systems
Coupling Devices
Passed Inspection
Needs Repair
N/A
Fifth Wheels
Pintle Hooks
Drawbar/Towbar Eye
Drawbar/Towbar Tongue
Safety Devices
Saddle-Mounts
Exhaust System
Passed Inspection
Needs Repair
N/A
Any exhaust system determined to be leaking at a point forward of or directly below the driver/sleeper compartment.
A bus exhaust system leaking or discharging to the atmosphere in violation of standards (1), (2) or (3).
No part of the exhaust system of any motor vehicle shall be so located as would be likely to result in burning, charring, or damaging the electrical wiring, the fuel supply, or any explosive part of the motor vehicle.
Fuel System
Passed Inspection
Needs Repair
N/A
Visible leak
Fuel tank filler cap missing
Fuel tank securely attached
Lighting Devices
Passed Inspection
Needs Repair
N/A
All lighting devices and reflectors required by Section 393 shall be operable.
Self Loading
Passed Inspection
Needs Repair
N/A
Part(s) of vehicle or condition of loading such that the spare tire or any part of the load or dunnage can fall onto the roadway.
Protection against shifting cargo
Steering Mechanism
Passed Inspection
Needs Repair
N/A
Steering Wheel Free Play
Steering Column
Front Axle Beam and All Steering Components Other Than the Steering Column
Steering Gear Box
Pitman Arm
Power Steering
Ball and Socket Joints
Tie Rods and Drag Links
Nuts
Steering System
Suspension
Passed Inspection
Needs Repair
N/A
Any U-bolt(s), spring hanger(s), or other axle positioning part(s) cracked, broken, loose or missing resulting in shifting of an axle from its normal position.
Spring Assembly
Torque, Radius or Tracking Components
Frame
Passed Inspection
Needs Repair
N/A
Frame Members
Tire and Wheel Clearance
Adjustable Axle Assemblies (Sliding Subframes)
Tires
Passed Inspection
Needs Repair
N/A
Tires on any steering axle of a power unit.
All other tires
Wheels & Rims
Passed Inspection
Needs Repair
N/A
Lock or Side Ring
Wheels and Rims
Fasteners
Welds
Windshield Glazing
Passed Inspection
Needs Repair
N/A
Requirements and exceptions as stated pertaining to any crack, discoloration or vision reducing matter (reference 393.60 for exceptions)
Windshield Wipers
Passed Inspection
Needs Repair
N/A
Any power unit that has an inoperative wiper, or missing or damaged parts that render it ineffective.
Other Observations/Issues to Address
Inspector Signature
Clear
Submit
Should be Empty: