Dot Vehicle Inspection Template

Dot Vehicle Inspection Template

The Dot Vehicle Inspection form is a crucial document used to certify that a commercial vehicle has undergone a thorough annual inspection. This form ensures that the vehicle complies with federal and state regulations, thereby promoting safety on the road. It details the inspection process, including the technician’s qualifications, vehicle components assessed, and any necessary repairs noted during the evaluation.

To ensure your vehicle is compliant and safe, fill out the Dot Vehicle Inspection form by clicking the button below.

Content Overview

The DOT Vehicle Inspection form is a crucial document in ensuring the safety and compliance of commercial vehicles. This comprehensive form captures essential information about the vehicle, such as the registered owner's details, inspection date and time, as well as the inspector's qualifications. It outlines the components inspected, including the brake system, steering, tires, and lighting devices, providing a clear record of each item's condition. Inspectors must certify that they meet all regulatory requirements and possess the skills necessary for an accurate assessment, as mandated by 49 CFR §396.17. The form includes specific checkboxes to indicate whether each component is in good condition or needs repair, along with designated spaces to document repair dates. The inspector's verification assures that the vehicle complies with both federal regulations and applicable state laws. Maintaining this documentation is not only a legal obligation but also a vital part of promoting road safety, making it essential that a copy of the report remains onboard the vehicle. Observing these procedures safeguards not just the drivers but also other road users.

Dot Vehicle Inspection Sample

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:

_______________________________

Document Attributes

Fact Name Description
Inspection Requirement Annual vehicle inspections are mandatory under 49 CFR §396.17, ensuring all commercial vehicles comply with safety standards.
Inspecting Technician's Credentials The inspector must meet qualifications outlined in 49 CFR §396.19, which includes training and experience in vehicle inspections.
Inspection Report Content The report must include details such as the inspector's name, vehicle info, and the condition of various components like brakes and tires.
Record Retention The inspection report must be kept for at least fourteen months from the date of completion, as required by federal regulations.
State-Specific Compliance Each state may have additional regulations that complement federal requirements; compliance with those is crucial for safe vehicle operation.
Inspection Certification Signing the report certifies the technician has the necessary skills and that the inspection meets federal and state regulations.

Dot Vehicle Inspection: Usage Instruction

To fill out the Dot Vehicle Inspection form accurately, it's important to pay close attention to each section and provide the necessary information. Following these steps will ensure the completion of the form is both efficient and thorough.

  1. Identify the inspecting company or agency: In the first section, write the name and address of the inspecting company or agency at the top of the form.
  2. Enter the registered owner's information: Fill in the registered owner's name, along with their complete address (street, city, state, and zip code).
  3. Input date and time: Write the date and time of the inspection in the designated fields.
  4. Record the certified inspector's details: Print or type the certified inspector's name along with their certification number.
  5. Document vehicle information: Fill out the vehicle identification number (VIN), license plate number and state, vehicle make and model, and model year.
  6. Inspect vehicle components: Go through the listed vehicle components one by one and mark them as “OK,” “Needs Repair,” or “Does Not Apply” (NA) as appropriate. Be sure to fill in the repair date for any items that need repair.
  7. Sign and certify: The certified inspector should sign the form certifying that the inspection has been performed accurately and completely. Also, enter the date of signature.
  8. Document inspector qualifications: If applicable, provide the necessary qualifications of the inspector on the form as outlined, including training or experience.
  9. Keep the report on file: Ensure this inspection report is kept on board the vehicle, or file it in the designated records, adhering to the retention requirements.

Frequently Asked Questions

  1. 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 as set by federal regulations. It covers various components of the vehicle, including the brake system, steering system, and lighting devices, among others. Completing this form helps to identify any issues that could impact safety on the road, ensuring that all vehicles remain compliant and safe for use.

  2. What information is required on the form?

    The form requires several key details. You must include the name and address of the inspecting agency, the registered owner's name, and the vehicle's identifying information, such as the license plate number and Vehicle Identification Number (VIN). It also captures the date of inspection and the name of the certified inspector. Additionally, each vehicle component inspected must be marked as either OK or needing repair.

  3. How long should the inspection report be kept?

    The report must be maintained for a minimum of fourteen months from the date of inspection. This retention period ensures that there is a record available for review, which can be important during audits or in case of incidents related to the vehicle.

  4. Who can perform the vehicle inspections?

    Only qualified individuals can conduct these inspections. They should understand the inspection criteria set forth in the regulations and must be knowledgeable about the methods and tools required. Training programs or relevant experience in vehicle maintenance or inspections can qualify an individual for this role.

  5. What happens if a vehicle component is marked as needing repair?

    If any part of the vehicle is marked as needing repair, it indicates that there is a significant issue that must be addressed before the vehicle can operate safely. Repairs should be performed promptly, and the date these repairs are completed should be documented on the form. A follow-up inspection may also be required to ensure compliance.

  6. How is the form used in regulatory compliance?

    The DOT Vehicle Inspection form serves as evidence that a thorough inspection has been conducted in accordance with federal regulations. It certifies that the inspecting technician is qualified and that the vehicle has been evaluated against safety standards. This documentation can be critical during roadside inspections and is also used for fleet management compliance purposes.

Common mistakes

When completing the DOT Vehicle Inspection form, many users common mistakes can lead to inaccuracies or complications. One prevalent error is not filling in the registered owner’s name accurately. This information is crucial as it identifies who is responsible for the vehicle. A misspelled name or incorrect address can create issues if the inspection needs to be referenced later. Always double-check this information before finalizing the form.

Another mistake involves how items are marked in the inspection columns. The instructions clearly state that items should be marked as "OK," "Needs repair," or "Does not apply." However, it's easy to get carried away or not mark an item at all. An unmarked item could lead to assumptions that the condition is acceptable when it may not be. Consistency and clarity in marking the columns are vital for accurate reporting.

Failure to include repair dates is also a frequent error. After identifying components that need repairs, it's important to document the repair date. This information is not only necessary for accurate record-keeping but is also essential for compliance purposes. Omitting this detail may result in confusion about whether the issue was rectified or remains outstanding.

Another common oversight is neglecting to sign the inspection report. Both the certified inspector and possibly the mechanic need to provide their signatures to validate the inspection. Missing signatures can render the inspection report void or lead to further complications if an audit occurs. Ensure all required signatures are present before submitting the form.

Lastly, individuals often forget to check the qualifications of the inspector. It’s important to ensure that the inspector meets the required standards stated in the DOT regulations. Incomplete or incorrect information about the inspector’s qualifications can bring potential liabilities. Make it a point to verify and accurately list the qualifications to ensure compliance with federal requirements.

Documents used along the form

Along with the DOT Vehicle Inspection form, several other documents are commonly utilized in vehicle safety and compliance. Each of these forms serves a specific purpose, contributing to the overall maintenance and regulation of commercial vehicles.

  • Vehicle Maintenance Log: This document tracks all maintenance activities performed on the vehicle. It includes dates, types of services, and any repairs made, ensuring an accurate history of vehicle care.
  • Driver Vehicle Inspection Report (DVIR): This report is filled out by the driver at the beginning or end of their trip. It details any defects or issues found during a pre-trip or post-trip inspection, ensuring that any safety concerns are promptly reported.
  • Fuel and Mileage Records: These logs track fuel purchases and mileage. They help monitor fuel efficiency and identify any irregularities in vehicle performance that may relate to maintenance or operational issues.
  • Accident Report Form: In the event of a collision, this document records the details of the incident, including time, location, and circumstances. It is crucial for insurance and liability purposes.
  • Compliance Checklist: This checklist ensures that all required regulatory requirements have been met. It addresses federal, state, and local regulations for safety, emissions, and other vehicle standards.
  • Service Order or Work Order: This document outlines the services to be performed on a vehicle. It provides instructions for mechanics and track any associated costs and labor details for maintenance activities.
  • Registration and Title Documents: These documents establish ownership of the vehicle and confirm that it is registered with the appropriate authorities. They are necessary for legal operation on public roads.

The interaction between these documents ensures that compliance with safety regulations is maintained. Together, they help operators manage their fleets effectively, minimize risks, and uphold the standards required for commercial transportation.

Similar forms

  • Annual Safety Inspection Report: Similar to the Dot Vehicle Inspection form, this report documents the safety checks performed on a vehicle. It includes details about the inspection date, vehicle condition, and any repairs needed, ensuring compliance with safety regulations.
  • Commercial Vehicle Maintenance Log: This document tracks routine maintenance performed on a vehicle. It often includes records of repairs, part replacements, and inspections, similar to how the Dot Vehicle Inspection form documents vehicle condition and repairs.
  • Pre-Trip Inspection Checklist: Drivers utilize this checklist before departing. It covers key components like brakes and lighting, mirroring the inspections noted in the Dot Vehicle Inspection form to guarantee vehicle safety.
  • Accident Report Form: This form captures details of any accidents involving the vehicle. It parallels the Dot Vehicle Inspection form by requiring information about the vehicle's condition and any factors that may have contributed to the incident.
  • Vehicle Registration Document: This legal document records details about the vehicle, such as the owner and identification number. Like the Dot Vehicle Inspection form, it serves as an official record related to vehicle compliance and responsibilities.
  • Driver Vehicle Inspection Report (DVIR): This report is completed by drivers at the end of their shift. It lists any vehicle defects, much like the findings of the Dot Vehicle Inspection form, ensuring that issues are documented for follow-up.
  • Trailer Inspection Checklist: Similar to the vehicle inspection form, this checklist focuses on the safety and operational integrity of trailers. It includes many of the same components, ensuring thorough inspection of transport vehicles.
  • Fleet Maintenance Schedule: This schedule outlines maintenance intervals for a fleet of vehicles. It relates to the Dot Vehicle Inspection form as it ensures that each vehicle receives regular checks and repairs, contributing to overall safety.
  • Service Work Order: This document requests specific repairs or maintenance. It has similarities with the Dot Vehicle Inspection form, particularly in detailing required repairs and the condition of vehicle components.
  • Vehicle Safety Compliance Certification: This certification confirms adherence to safety standards for commercial vehicles. Its purpose aligns with the Dot Vehicle Inspection form, emphasizing the importance of safe vehicle operation and inspection outcomes.

Dos and Don'ts

When completing the DOT Vehicle Inspection form, adhere to the following guidelines to ensure accuracy and compliance:

  • DO provide complete and accurate information for each section of the form.
  • DO use clear and legible handwriting if filling out the form manually.
  • DO mark vehicle components accurately as "OK," "Needs Repair," or "Does Not Apply."
  • DO include all required signatures, including the technician's and the inspector's.
  • DON'T leave any section incomplete; every field should be addressed.
  • DON'T overlook listing the vehicle's identification number and license plate information.
  • DON'T forget to document repair dates for items marked as needing repair.
  • DON'T submit the form without ensuring it complies with all federal and state regulations.

Following these practices will help maintain compliance and ensure safe operation of the vehicle.

Misconceptions

The DOT Vehicle Inspection form is essential for maintaining safety on our roads, yet several misconceptions about it persist. Understanding these misunderstandings can help improve compliance and enhance safety standards.

  • Misconception 1: The inspection can be done by anyone.
  • This is inaccurate. Only certified inspectors qualified under federal regulations can perform DOT vehicle inspections. They must meet specific training and experience criteria to ensure they are capable of identifying safety-related issues.

  • Misconception 2: The form is just a formality and does not require thorough checks.
  • Contrary to this belief, each inspection must be thorough and detailed. The unfamiliarity with the requirements can lead to incomplete inspections, which can compromise safety and lead to vehicular accidents.

  • Misconception 3: Once the inspection is completed, no further action is needed until the next year.
  • This is misleading. While the inspection is valid for a year, ongoing maintenance is crucial. Any issues identified during the inspection must be repaired promptly to ensure the vehicle remains in safe operating condition.

  • Misconception 4: The inspection report does not need to be kept on file.
  • In reality, the report must be kept for at least fourteen months. It serves as a record of compliance and can be requested for review by regulatory authorities if needed.

  • Misconception 5: The form does not need to be physically on the vehicle.
  • This is incorrect. The inspection report or a compliance decal must be available on board the vehicle. This requirement ensures that both drivers and law enforcement can verify that the vehicle has passed all necessary inspections.

  • Misconception 6: All components inspected are the same each year.
  • While many components are consistently checked, the specific focus can change depending on the findings from previous inspections or updates in federal regulations. Inspectors should always be up-to-date with current standards and practices.

Key takeaways

Filling out the Dot Vehicle Inspection form correctly is essential for vehicle safety and compliance. Here are key takeaways to ensure the process is smooth and effective:

  • The form requires detailed information about the inspecting company and vehicle owner.
  • Only certified inspectors should complete the inspection. Ensure the inspector's qualifications are properly documented.
  • Mark each inspection item clearly as OK, Needs Repair, or Does Not Apply.
  • Be thorough when inspecting each component, including brakes, tires, and lighting devices.
  • Document any repairs needed and the respective dates next to each item.
  • This inspection must comply with the requirements of 49 CFR §396.21.
  • Keep a copy of the inspection report on the vehicle or display a compliant decal.
  • Retain the inspection report for a minimum of 14 months after completion.
  • Make sure the inspector signs the report and includes the date of inspection.
  • Understanding the specific qualifications required for brake inspectors is crucial. Ensure they meet those standards.

Follow these guidelines to ensure a thorough and compliant vehicle inspection process.

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