The DOT Vehicle Inspection Form is a crucial document used to verify that commercial vehicles meet safety standards as outlined by federal regulations. This form not only captures essential details about the vehicle and its components but also certifies that the inspection has been conducted by a qualified technician. Ensuring compliance with these requirements is vital for maintaining road safety and operational efficiency.
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The Dot Vehicle Inspection form plays a critical role in maintaining the safety and reliability of commercial vehicles on the road. This comprehensive document serves as an annual periodic vehicle inspection report, ensuring that each vehicle meets the stringent standards set forth by federal regulations. Key details such as the name and address of the inspecting company, the registered owner's information, and the date and time of the inspection are prominently featured. The form also requires the certified inspector's name and signature, which attests to their qualifications and adherence to the requirements outlined in 49 CFR §396.17. A thorough examination of various vehicle components is documented, including the brake system, steering, lighting devices, tires, and more. Each component is marked as either “OK” or “Needs Repair,” providing a clear indication of the vehicle's condition. Additionally, the form emphasizes the importance of qualified technicians, detailing the necessary training and experience required to perform inspections. By ensuring that this information is readily available on board the vehicle, either as a copy of the report or a compliant decal, the form plays an essential role in promoting safety and accountability within the transportation industry.
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
inspection, as listed in 49 CFR §396.17
Technician’s Signature______________________________
License Plate Number/State
Vehicle Identification Number
Vehicle Make
Vehicle Model
Model Year
Vehicle Components Inspected
OK
Need
Repair
Item
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
Motor Carrier/Company ____________________________________
Signature of Employer/Supervisor
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:______________________________________
Completing the DOT Vehicle Inspection form is essential for ensuring that your vehicle meets safety standards. Follow these steps carefully to fill out the form correctly. Once you have completed the form, you will have a record that can be kept on board the vehicle or as a decal, as required by regulations.
What is the purpose of the DOT Vehicle Inspection Form?
The DOT Vehicle Inspection Form is designed to ensure that commercial vehicles meet safety standards set by federal regulations. It documents the condition of various vehicle components, such as brakes, tires, and lighting systems. By having this form completed annually, vehicle owners can maintain compliance with safety regulations and ensure their vehicles are safe for operation on public roads.
Who is qualified to perform the inspections listed on the form?
Inspections must be conducted by certified technicians who meet specific qualifications outlined in federal regulations. These individuals should have a thorough understanding of the inspection criteria, possess the necessary tools, and have relevant experience or training. This may include completing a state or federal training program or having at least one year of experience in vehicle maintenance or inspection.
How long must the inspection report be kept on file?
The inspection report must be retained for a minimum of fourteen months from the date of completion. This ensures that records are available for review by regulatory agencies and can be used to demonstrate compliance with safety standards.
What should be done if a vehicle component is marked as needing repair?
If any component is marked as needing repair on the inspection form, it is crucial to address the issue promptly. Repairs should be made by a qualified technician to ensure that the vehicle remains safe and compliant with regulations. After repairs are completed, the technician should update the inspection form with the repair date and any relevant notes.
Is it mandatory to carry a copy of the inspection report in the vehicle?
Yes, it is mandatory to have the inspection report available on board the vehicle. This can be in the form of a physical copy of the report or a decal that complies with federal regulations. Having this documentation readily available helps demonstrate compliance during roadside inspections and contributes to overall vehicle safety.
Filling out the DOT Vehicle Inspection form can seem straightforward, but many people make common mistakes that can lead to issues down the road. One significant error is failing to provide complete information. Each section of the form requires specific details, such as the name and address of the inspecting company, the registered owner's name, and the vehicle identification number. Missing any of this information can cause delays in processing and may even result in fines.
Another frequent mistake is neglecting to mark the inspection results correctly. The form uses specific symbols—an "x" for OK, an "o" for needs repair, and "NA" for not applicable. Some individuals may forget to mark these columns or use incorrect symbols, leading to confusion about the vehicle's condition. It's essential to follow these guidelines closely to ensure clarity.
People often overlook the importance of the technician's signature. This signature certifies that the inspection was completed accurately and meets federal standards. If the signature is missing or not legible, it can render the inspection invalid. Always double-check that the technician has signed and that their name is printed clearly.
Another common pitfall is not recording repair dates. If a vehicle component is marked as needing repair, the corresponding repair date must be filled in. Failing to do so can create a lack of accountability and make it difficult to track the vehicle's maintenance history. Keeping accurate records is crucial for compliance and safety.
Finally, many individuals forget to keep a copy of the completed inspection report on board the vehicle. According to regulations, this report must be available either as a copy or on a decal. Not having this documentation readily accessible can lead to penalties during inspections by authorities. Always ensure that the report is stored in a safe and visible location within the vehicle.
The DOT Vehicle Inspection form is a crucial document for ensuring that commercial vehicles meet safety standards. However, it is often accompanied by several other forms and documents that support compliance and operational efficiency. Below is a list of these essential documents.
Utilizing these documents alongside the DOT Vehicle Inspection form enhances safety and compliance for commercial vehicles. Keeping all forms organized and accessible is vital for effective management and adherence to regulations.
When filling out the DOT Vehicle Inspection form, it is essential to approach the task with care and attention to detail. Below is a list of things you should and shouldn't do to ensure the form is completed accurately and effectively.
Completing the DOT Vehicle Inspection form is a critical responsibility. By following these guidelines, you help ensure the safety and compliance of your vehicle.
Misconceptions about the DOT Vehicle Inspection form can lead to confusion and non-compliance. Here are nine common misunderstandings:
When utilizing the DOT Vehicle Inspection form, it is essential to understand its importance in ensuring vehicle safety and compliance. Here are some key takeaways to consider: