Commercial Vehicle Safety Inspection Report Form
Complete this Commercial Vehicle Safety Inspection Report Form to record key inspection details for commercial vehicle safety compliance.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Vehicle Identification Number (VIN)
*
License Plate Number
*
Odometer Reading
*
Brakes Condition
*
Pass
Fail
Needs Attention
Lights & Signals
*
Pass
Fail
Needs Attention
Tires & Wheels
*
Pass
Fail
Needs Attention
Safety Equipment (Fire Extinguisher, First Aid Kit, etc.)
*
Present & Functional
Missing or Incomplete
Inspector Comments / Additional Notes
Submit Inspection Report
Should be Empty: