Transport Safety Test Certificate Form
Record vehicle/unit details, inspection findings, and certification outcome for transport safety compliance.
Internal Vehicle/Unit Reference Number (last 4 digits or internal code)
*
Vehicle/Unit Type
*
Please Select
Truck
Bus
Trailer
Van
Other
Make and Model
*
Year of Manufacture
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Safety Components Checked
*
Brakes
Lights/Indicators
Tires/Wheels
Steering
Suspension
Mirrors
Horn
Emergency Equipment
Other
Overall Safety Test Result
*
Pass
Fail
Defects Found (if any)
Additional Remarks
Certificate Number/Reference
*
Certificate Issuance Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Certificate
Should be Empty: