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Annual Vehicles Inspection Form (#9)

Annual Vehicles Inspection Form

Today's Date:

Report Number:

Fleet Unit Number:

Motor Carrier Operator:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Vehicle Type:

Tractor

Trailer

Truck

Other

others

Vehicle Identification Number:

License Plate Number:

Inspector's First Name

Inspector's Last Name

Inspector Meets Requirements of Section 396.19.

Yes

No

Vehicle Inspected Components

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

Brake Repair:

Brake Repair Date:

Coupling Devices

Repair

Repair Date:

Repair

Repair Date:

Steering Mechanism

Checkbox Grid

	Passed Inspection	Needs Repair	N/A
Steering Column
Steering System
Steering Gear Box
Pitman Arm
Power Steering
Steering Wheel Free Play
Front Axle Beam + Related Components
Tie Rods and Drag Links
Ball and Socket Joints

Repair

Repair Date:

Suspension

Repair

Repair Date:

Exhaust System

Check All That Apply:

Repair

Repair Date:

Fuel System

Repair

Repair Date:

Frame

Repair

Repair Date:

Tires, Wheels and Rims

Repair

Repair Date:

Windshield and Wipers

Repair

Repair Date:

Other Misc:

Other Observations/Issues to Address:

I have read and agree to the Terms and Conditions and Privacy Policy

Frequently Asked Questions

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Why Content Management Is So Necessary?

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How To Get Started With it?

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Help Finding Information Online?

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How To Get Started With it?

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Help Finding Information Online?

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Why Content Management Is So Necessary?

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Still have questions?

Browse Docs

	Passed Inspection	Needs Repair	N/A
Fifth Wheels
Saddle-Mounts
Drawbar/Towbar Tongue
Drawbar/Towbar Eye
Pintle Hooks

	Passed Inspection	Needs Repair	N/A
Tire Tread
Lock or Side Ring
Wheels and Rims Not Bent
Fasteners
Welds

	Passed Inspection	Needs Repair	N/A
U-bolts, Springs, Etc. Cracked or Broken
Torque, Radius or Tracking Components
Spring Assembly

	Passed Inspection	Needs Repair	N/A
Leaks found at a point forward of or directly below the driver/sleeper compartment
Found burning, charring, or damage to the electrical wiring

	Passed Inspection	Needs Repair	N/A
Visible Leak
Fuel Tank Filler Cap Missing

	Passed Inspection	Needs Repair	N/A
Cracks or Holes That Impede Vision
Wiper Missing Parts
Wipers Fully Functional