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The DOT Vehicle Inspection form plays a crucial role in ensuring the safety and compliance of commercial vehicles on the road. This comprehensive report is completed annually and includes essential details such as the name and address of the inspecting company, the registered owner's information, and the date and time of the inspection. A certified inspector must sign the report, confirming that they meet the standards outlined in federal regulations and state laws. The form requires an assessment of various vehicle components, including the brake system, steering, tires, and lighting devices. Each component is marked as either "OK" or "Needs Repair," providing a clear overview of the vehicle's condition. Additionally, repair dates must be noted for any items that require attention. The inspection report must be kept on board the vehicle for a minimum of fourteen months, ensuring that compliance is readily accessible. Understanding the significance of this form is vital for both vehicle owners and operators, as it helps maintain safety standards and avoid potential penalties.

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Annual Periodic Vehicle Inspection Report

Name and Address of Inspecting Company or Agency

Registered Owner’s Name

 

Date

 

 

Time

 

 

 

 

 

 

Street

 

Certified Inspector’s Name (Print or Type)

 

 

 

 

 

 

 

City, State, Zip Code

 

The signing of this inspection report certifies that the technician

 

 

meets and exceeds all requirements of 49 CFR §396.17 and

Motor Carrier Operating Vehicle (If different from Owner)

compatible state regulations and that the technician has the

 

 

 

 

necessary tools, and is skilled in completion of the annual

Street

 

inspection, as listed in 49 CFR §396.17

 

 

 

 

 

 

 

 

 

 

 

 

City, State, Zip Code

 

 

 

 

 

 

 

Technician’s Signature______________________________

 

 

 

 

 

License Plate Number/State

Vehicle Identification Number

Vehicle Make

Vehicle Model

Model Year

 

 

 

 

 

 

Vehicle Components Inspected

OK

Need

Repair

Item

OK

Need

Repair

Item

OK

Need

Repair

Item

 

Repair

Date

Repair

Date

Repair

Date

 

 

 

 

1. BRAKE SYSTEM

 

 

 

5. FUEL SYSTEM

 

 

 

10. SUSPENSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjustment

 

 

 

Visible Leaks

 

 

 

Springs (cracked/broken/shifted)

 

 

 

 

Drums or Rotors

 

 

 

Fill Caps in place/intact

 

 

 

U-bolts. Hangers, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoses and/or Tubing

 

 

 

Tank(s) securely attached

 

 

 

Torque, Radius, Tracking Arms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lining

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. LIGHTING DEVICES

 

 

 

11. FRAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Warning (Low Pressure)

 

 

 

Headlamps

 

 

 

Frame Members

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tractor Protection Valve

 

 

 

Front Turn Signals

 

 

 

Tire & Wheel Clearance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Air Compressor

 

 

 

Front ID/Clearance Lamps

 

 

 

Sliding Subframe (adj. axle)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Brakes

 

 

 

Side Marker Lamps – Left

 

 

 

12. TIRES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parking Brakes

 

 

 

Side Marker Lamps -Right

 

 

 

Steering Axle Tires -Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electric Brakes

 

 

 

Rear Turn Signals

 

 

 

Steering Tires - over 4/32” tread

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hydraulic Brakes

 

 

 

Stop Lamps

 

 

 

Other Tires – Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vacuum Brakes

 

 

 

Tail Lamps

 

 

 

Other Tires – over 2/32” tread

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Warning (Sys Failure)

 

 

 

Rear ID/Clearance Lamps

 

 

 

 

 

 

 

 

 

 

 

 

 

13. WHEELS & RIMS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reflectors / Ref Tape

 

 

 

Lock/Slide Ring

 

 

 

 

2. STEERING SYSTEM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Free Play (Lash)

 

 

 

 

 

 

 

Fasteners

 

 

 

 

 

 

 

7. COUPLING DEVICES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Steering Column

 

 

 

5T H Wheel

 

 

 

Disk/Spoke Condition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Front Axle Beam

 

 

 

Pintle Hooks

 

 

 

Welds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Steering Gear Box

 

 

 

Drawbar Eye

 

 

 

 

 

 

 

 

 

 

 

 

 

List any other condition

 

 

 

 

 

 

 

 

 

 

 

 

which may affect safe

 

 

 

 

Pittman Arm

 

 

 

Drawbar Tongue

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vehicle operation

 

 

 

 

Ball & Socket Joints

 

 

 

Safety Devices

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tie Rods & Drag Links

 

 

 

8. EXHAUST SYSTEM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nuts, Bolts, Fasteners

 

 

 

Leaks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Power Steering Fluid

 

 

 

Placement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. WINDSHIELDS

 

 

 

9. SAFE LOADING

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Securement Devices

 

 

 

 

 

 

 

 

4. WIPERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARK COLUMNS AS FOLLOWS: x = OK; o = Needs repair; NA = Does not apply; Fill in Repair date as appropriate

I CERTIFY THE ANNUAL VEHICLE INSPECTION HAS BEEN DONE ACCURATELY AND COMPLETELY. I FURTHER CERTIFY THAT THIS INSPECTION COMPLIES WITH THE REQUIREMENTS OF 49 CFR §396.21.

This information must be available on board the vehicle, either as a copy of this report, or on a decal that complies with 49 CFR §396.17(c)(2). This report must be kept a minimum of fourteen months from date of completion

Certified Inspector’s Signature:

 

Date:

 

 

 

INSPECTOR QUALIFICATIONS

Certification — 49 CFR §396.19

Motor carriers are responsible for ensuring that individual(s) performing an annual inspection under §396.17 are qualified as follows:

Understands the inspection criteria set forth in Part 393 and Appendix G and can identify defective components

Is knowledgeable of and has mastered the methods, procedures, tools and equipment used when performing an inspection

Is capable of performing an inspection by reason of experience, training, or both, and qualifies in one of the following categories (check all that apply):

I.___ Successfully completed a State or Federal training program or has certificate from a State or Canadian Province which qualifies the person to perform commercial vehicle safety inspections.

Specify: _______________________________________

II.___ Have a combination of training or experience totaling at least one year as follows (check all that apply):

a.___ Participation in a truck manufacturer-sponsored training program or similar commercial training program designed to train students in truck operation and maintenance.

Where and Date: _____________________________________________________

b.___ (years) experience as a mechanic or inspector in a motor carrier maintenance program.

Name and Date: _____________________________________________________

c.___ (years) experience as a mechanic or inspector in truck maintenance at a commercial garage, fleet leasing company, or similar facility.

Name of Facility and Dates: ____________________________________________

d.___ (years) experience as a commercial vehicle inspector for a State, Provincial, or Federal Government.

Where and Dates: ____________________________________________________

I certify the above information is true and accurate to the best of my knowledge.

Employee ______________________________________

________________

Signature of Mechanic/Inspector

Date

Motor Carrier/Company ____________________________________

________________

Signature of Employer/Supervisor

Date

Evidence of Inspector Qualification is on file at:

_______________________________

BRAKE INSPECTOR QUALIFICATIONS

Certification — 49 CPR §396.25

“Brake Inspector” means any employee of a motor carrier who is responsible for ensuring all brake inspections, maintenance, service, or repairs to any commercial motor vehicle, subject to the motor carrier’s control, meet the applicable Federal standards.

No motor carrier shall require or permit any employee who does not meet minimum brake inspector qualifications to be responsible for the inspection, maintenance, service or repairs of any brakes on its commercial motor vehicles.

Minimum Qualifications

Understands and can perform brake service and inspection

Is knowledgeable of and has mastered the methods, procedures, tools and equipment necessary to perform brake service and inspection

Is capable of performing brake service or inspection by reason of experience, training, or both, and qualifies in one of the following categories (check all that apply):

I.___Has successfully completed an apprenticeship program sponsored or approved

by a State, Canadian Province, a Federal agency or labor union, or has a certificate from a State or Canadian Province which qualifies the person to perform brake service or inspections.

Specify: ________________________________________________________________

II.___ Has brake-related training or experience or a combination thereof totaling at least one year as follows (check all that apply):

a.___Participation in a brake maintenance or inspection training program sponsored by a brake or vehicle manufacturer or similar commercial training program.

Where and Date:_______________________________________________

b.___ (years) experience performing brake maintenance or inspection in a motor carrier maintenance program.

Name and Date:_______________________________________________

c.___ (years) experience performing brake maintenance or inspection at a commercial garage, fleet leasing company, or similar facility.

Name of Facility and Dates:______________________________________

I certify the above information is true and accurate to the best of my knowledge.

Employee ______________________________________

________________

Signature of Mechanic/Inspector

Date

Motor Carrier/Company ____________________________________

________________

Signature of Employer/Supervisor

Date

Evidence of Inspector Qualification is on file at:

_______________________________

Form Specifications

Fact Name Description
Purpose The DOT Vehicle Inspection form is used to document the annual inspection of commercial vehicles to ensure they meet safety standards.
Governing Law This inspection complies with federal regulations outlined in 49 CFR §396.17 and state-specific regulations.
Inspector Qualifications Inspectors must be qualified under 49 CFR §396.19, ensuring they understand inspection criteria and can identify defects.
Record Keeping The inspection report must be kept for a minimum of fourteen months from the completion date.
Components Inspected The form includes checks for essential vehicle components such as brakes, lights, tires, and steering systems.
Repair Documentation Inspectors must indicate whether components are OK or need repair, along with the repair dates.
Certification Statement The inspector certifies the inspection was completed accurately and complies with federal regulations.
Technician Signature A certified inspector must sign the form, affirming their qualifications and the accuracy of the inspection.
State-Specific Forms Each state may have its own version of the inspection form, tailored to comply with local regulations.
Inspection Frequency Annual inspections are mandated for commercial vehicles to ensure ongoing compliance with safety standards.

Dot Vehicle Inspection: Usage Guidelines

Filling out the DOT Vehicle Inspection form is essential for ensuring that a vehicle meets safety standards. The following steps will guide you through the process. Make sure to have all necessary information at hand before you begin.

  1. Start by entering the name and address of the inspecting company or agency at the top of the form.
  2. Fill in the registered owner's name and the date of the inspection.
  3. Record the time of the inspection.
  4. Provide the street address, city, state, and zip code of the inspecting company.
  5. Print or type the certified inspector’s name in the designated area.
  6. If the vehicle owner is different from the registered owner, fill in their name and address details.
  7. Enter the vehicle identification number (VIN) and license plate number along with the state of registration.
  8. Indicate the vehicle make, model, and model year.
  9. For each vehicle component inspected, mark the appropriate column with an "x" for OK, "o" for needs repair, or "NA" for does not apply.
  10. For any item that needs repair, fill in the repair date in the corresponding section.
  11. At the bottom of the form, the certified inspector must sign and date the inspection report.
  12. Ensure that the information regarding inspector qualifications is filled out accurately.
  13. Finally, confirm that evidence of inspector qualification is on file and fill in that information as required.

Your Questions, Answered

What is the purpose of the DOT Vehicle Inspection form?

The DOT Vehicle Inspection form serves to document the results of an annual vehicle inspection. It ensures that commercial vehicles meet safety and operational standards as outlined in federal regulations. By completing this form, inspectors confirm that vehicles are safe for operation and compliant with the necessary regulations.

Who is qualified to conduct the inspections documented on this form?

Qualified inspectors must meet specific criteria outlined in federal regulations. They should have a thorough understanding of inspection criteria, possess relevant training or experience, and be knowledgeable about the tools and methods used in vehicle inspections. This may include completion of a state or federal training program or significant experience in vehicle maintenance and inspection.

What are the key components inspected on the DOT Vehicle Inspection form?

The form includes a checklist of critical vehicle components such as the brake system, steering system, tires, lighting devices, and more. Each component is marked as either "OK," "Needs Repair," or "Does Not Apply." This systematic approach ensures that all essential aspects of vehicle safety are evaluated during the inspection.

How long must the inspection report be retained?

According to federal regulations, the inspection report must be kept for a minimum of fourteen months from the date of completion. This retention period allows for accountability and ensures that records are available for review by regulatory authorities if necessary.

What happens if a vehicle needs repairs?

If a vehicle is marked as needing repairs, the inspection report must include the specific components that require attention along with the dates of the required repairs. It is the responsibility of the vehicle owner or operator to ensure that necessary repairs are made in a timely manner to maintain compliance and safety.

Where should the completed inspection report be kept?

The completed inspection report must be available on board the vehicle. This can be in the form of a physical copy of the report or a decal that complies with regulatory requirements. Having this information readily accessible is crucial for inspections by law enforcement or regulatory agencies.

What qualifications are necessary for brake inspectors?

Brake inspectors must meet specific qualifications to ensure they can perform brake service and inspections effectively. This includes understanding the methods and tools necessary for brake maintenance, as well as having relevant training or experience. Inspectors must also comply with the minimum qualifications set forth in federal regulations to ensure safety standards are upheld.

Can the inspection be conducted by anyone?

No, inspections cannot be conducted by just anyone. Only those who meet the qualifications specified in the regulations are authorized to perform inspections. This requirement ensures that inspections are thorough and accurate, maintaining the safety of commercial vehicles on the road.

Common mistakes

  1. Incomplete Information: Many individuals fail to fill out all required fields. Missing details such as the registered owner's name or the vehicle identification number can lead to delays or complications.

  2. Incorrect Markings: Some people mistakenly mark the inspection columns inaccurately. Using "x" for items needing repair instead of "o" can misrepresent the vehicle's condition.

  3. Neglecting Repair Dates: It is common for individuals to forget to enter repair dates for items marked as needing repair. This oversight can complicate tracking maintenance and compliance.

  4. Failure to Certify: Some inspectors overlook the certification section. Without a signature, the report may not be valid, raising questions about the inspection's authenticity.

  5. Ignoring Compliance Requirements: Individuals often do not verify that the inspection complies with 49 CFR §396.21. This can lead to legal issues or penalties if the inspection does not meet federal standards.

Documents used along the form

The DOT Vehicle Inspection form is a crucial document for ensuring the safety and compliance of commercial vehicles. Along with this form, several other documents may be necessary to maintain proper records and adhere to regulations. Below is a list of related forms that are commonly used in conjunction with the DOT Vehicle Inspection form.

  • Driver Vehicle Inspection Report (DVIR): This report is completed by the driver at the end of their shift. It details any defects or issues found during the operation of the vehicle and ensures that they are addressed before the next use.
  • Maintenance Records: These documents track all maintenance performed on a vehicle, including routine services and repairs. Keeping accurate maintenance records helps ensure compliance with safety regulations and can prevent costly repairs down the line.
  • Accident Report Form: In the event of an accident involving a commercial vehicle, this form is used to document the details of the incident. It is essential for insurance claims and legal matters.
  • Driver Qualification File (DQF): This file contains important information about a driver’s qualifications, including their driving history, training records, and medical certifications. It helps employers verify that drivers meet all necessary requirements.
  • Bill of Lading: This document serves as a contract between the shipper and carrier. It outlines the details of the shipment, including the type of goods being transported and the terms of delivery.
  • Hours of Service (HOS) Logs: Drivers must maintain logs to track their driving hours and ensure compliance with federal regulations regarding rest periods. This is crucial for preventing fatigue-related accidents.
  • Fuel Purchase Receipts: These receipts document fuel purchases made for the vehicle. They are important for accounting and can also be used to calculate fuel efficiency.
  • Inspection Sticker or Decal: After passing the vehicle inspection, a sticker or decal is often placed on the vehicle. This serves as proof that the vehicle has met safety standards and is roadworthy.
  • Insurance Documentation: Proof of insurance coverage is necessary for all commercial vehicles. This documentation ensures that the vehicle is protected in case of an accident or damage.

Utilizing these forms and documents alongside the DOT Vehicle Inspection form helps maintain compliance with safety regulations and promotes the safe operation of commercial vehicles. Keeping organized records not only protects the interests of the company but also enhances the safety of all road users.

Similar forms

The DOT Vehicle Inspection form shares similarities with several other documents that are also used to ensure vehicle safety and compliance. Below is a list of ten such documents, along with their specific similarities to the DOT Vehicle Inspection form.

  • Annual Maintenance Report: Like the DOT Vehicle Inspection form, this report details the maintenance activities performed on a vehicle over a year, ensuring that all systems are functioning correctly and that any repairs needed are documented.
  • Pre-Trip Inspection Checklist: This checklist is used by drivers before departing on a trip. It ensures that essential vehicle components, such as brakes and lights, are operational, similar to the inspection criteria in the DOT form.
  • Safety Inspection Certificate: Issued after a vehicle passes a safety inspection, this certificate confirms compliance with safety regulations, much like the certification included in the DOT Vehicle Inspection form.
  • Commercial Vehicle Inspection Report (CVIR): This report is required for commercial vehicles and includes a detailed assessment of the vehicle's condition, mirroring the thorough inspection process outlined in the DOT form.
  • Brake Inspection Report: Focused specifically on the brake system, this report outlines the condition and functionality of brakes, akin to the brake system evaluation in the DOT Vehicle Inspection form.
  • Vehicle Maintenance Log: This log tracks all maintenance activities performed on a vehicle, ensuring that repairs and inspections are documented, similar to the repair dates noted in the DOT form.
  • State Vehicle Inspection Form: Many states require a specific inspection form for vehicles to ensure compliance with local regulations, resembling the structure and purpose of the DOT Vehicle Inspection form.
  • Fleet Inspection Report: This report is used by fleet operators to assess the condition of multiple vehicles, ensuring that each meets safety standards, paralleling the individual assessments in the DOT form.
  • Driver Vehicle Inspection Report (DVIR): This report is completed by drivers after each trip, highlighting any issues found during operation, similar to the identification of repair needs in the DOT form.
  • Accident Report Form: While focused on incidents, this form documents vehicle conditions before and after an accident, ensuring safety compliance, much like the preemptive safety checks in the DOT Vehicle Inspection form.

Dos and Don'ts

When filling out the DOT Vehicle Inspection form, it's crucial to get it right. Here’s a straightforward list of what to do and what to avoid:

  • Do ensure all sections are filled out completely.
  • Do use clear and legible handwriting or type the information.
  • Do double-check the vehicle identification number (VIN) for accuracy.
  • Do mark the condition of each component accurately (OK, Needs Repair, NA).
  • Do include the repair dates for any items marked as needing repair.
  • Do sign and date the form after completing it.
  • Don't leave any sections blank unless they do not apply.
  • Don't use abbreviations that may confuse the reader.
  • Don't forget to provide your qualifications if required.
  • Don't submit the form without ensuring it complies with all regulations.

Following these guidelines will help ensure that your inspection report is accurate and compliant. Take your time, and don’t rush through the process.

Misconceptions

Understanding the Dot Vehicle Inspection form is crucial for ensuring vehicle safety and compliance. However, several misconceptions can lead to confusion. Here are four common misunderstandings:

  • The inspection form is optional. Many believe that completing the Dot Vehicle Inspection form is not mandatory. In reality, it is required by law for commercial vehicles to undergo annual inspections, and the form serves as proof of compliance.
  • Only the owner is responsible for the inspection. Some people think that only the vehicle owner needs to ensure the inspection is completed. However, it is the responsibility of the motor carrier to ensure that qualified individuals perform the inspections.
  • Any technician can sign off on the inspection. There is a misconception that any mechanic can complete and sign the inspection report. In fact, the technician must meet specific qualifications outlined in federal regulations, ensuring they are trained and knowledgeable about the inspection criteria.
  • Inspection results are not time-sensitive. A common belief is that the results of the inspection are valid indefinitely. In truth, the inspection report must be kept for a minimum of fourteen months, and any repairs noted must be addressed promptly to maintain safety standards.

Addressing these misconceptions can help ensure that vehicles remain safe and compliant on the road.

Key takeaways

Filling out and using the DOT Vehicle Inspection form is essential for ensuring vehicle safety and compliance with federal regulations. Here are some key takeaways:

  • Accurate Information is Crucial: Ensure that all sections of the form, including the inspecting company’s name, vehicle details, and inspector’s qualifications, are filled out accurately. Missing or incorrect information can lead to compliance issues.
  • Inspection Criteria Must Be Followed: The inspection must adhere to the criteria outlined in 49 CFR §396.17. This includes checking various vehicle components such as brakes, tires, and lighting devices.
  • Documentation is Required: The completed inspection report must be kept on board the vehicle or as a decal. It should be available for at least fourteen months from the date of completion.
  • Inspector Qualifications Matter: Inspectors must meet specific qualifications, including training and experience in vehicle inspection. Ensure that the inspector's credentials are documented and on file.