Appendix G:
Commercial Vehicle Inspection Report
Commercial Vehicle Inspection Report Template
| 10 | BRAKE SYSTEM |
|---|---|
| AIR BRAKES | |
| 101A | 20% DEFECT FACTOR |
| 1011 | Adjustment |
| 1012 | Brake - inoperative |
| COMPONENTS | |
| 10131 | Internal |
| 10132 | External |
| LININGS / PADS | |
| 10141 | Loose |
| 10142 | Contaminated |
| 10143 | Thickness |
| STEERING AXLE BRAKES | |
| 10151 | Brake inoperative |
| 10152 | Chambers mismatched |
| 10153 | Adjusters mismatched |
| LININGS / PADS | |
| 101541 | loose |
| 101542 | contaminated |
| 101543 | thickness |
| AIR SUPPLY HOSE / TUBING | |
| 101611 | damaged |
| 101612 | leaking |
| 101613 | improper splice |
| 101614 | restricted / crimped |
| TANKS | |
| 101621 | fastener loose / missing |
| 10163 | Compressor |
| 10164 | Air Loss Rate |
| SAFETY DEVICES LOW PRESSURE WARNING | |
| 101711 | missing |
| 101712 | inoperative |
| 101713 | improper operation |
| TRACTOR PROTECTION SYSTEM | |
| 101721 | missing |
| 101722 | inoperative |
| 101723 | function improperly |
| HYDRAULIC BRAKES | |
| 1021 | Fluid leaking |
| 1022 | Fluid level low |
| 1023 | Pedal reserve |
| 1024 | Pedal fade |
| BRAKE HOSE / TUBING | |
| 10251 | Damaged |
| 10252 | Restricted |
| 1026 | Fluid / Failure Warning Device |
| POWER ASSIST ELECTRIC BRAKES | |
| 1031 | Inoperative |
| DRUMS / ROTORS | |
| 1041 | Cracked |
| 1042 | Broken / missing |
| 105 | Parking Brake |
| 11 | EXHAUST SYSTEM |
| 111 | LEAKING (NON DIESEL) |
| 112 | LOCATION |
| 113 | LENGTH OF SYSTEM (BUSES ONLY) |
| 12 | FUEL SYSTEM |
| 121 | DRIPPING LEAK TANK |
| 1221 | Insecure |
| 1222 | Fastener loose / missing |
| 1223 | Cap missing |
| 13 | STEERING SYSTEM |
| 131 | IMPROPER MODIFICATIONS |
| 132 | STEERING WHEEL - freeplay |
| STEERING COLUMN | |
| 1331 | Fasteners loose / missing |
| 1332 | U-joint defective |
| 1333 | Steering wheel loose |
| COMPONENT / LINKAGE | |
| 1341 | Cracked |
| 1342 | Repair welded |
| STEERING BOX | |
| 1351 | Cracked |
| 1352 | Fasteners loose / missing |
| 1353 | Mounts cracked |
| PITMAN ARM | |
| 1361 | Loose |
| POWER STEERING | |
| 1371 | Cylinder loose |
| BALL & SOCKET JOINT | |
| 1381 | Worn |
| 1382 | Stud nut loose / missing |
| TIE-ROD / DRAG LINK | |
| 1391 | Clamp loose / missing |
| 1392 | Threaded joint loose |
| 14 | SUSPENSION SYSTEM |
| AXLE | |
| 1411 | Front - beam cracked |
| 1412 | Fasteners loose / missing |
| SPRING ASSEMBLY LEAVES | |
| 14211 | Cracked |
| 14212 | Missing / separated |
| 14213 | Loose / displaced |
| 1422 | Main Leaf - broken |
| 1423 | Coil Spring - broken |
| 1424 | Rubber Spring - missing |
| 1425 | Torsion Bar - broken |
| AIR SUSPENSION | |
| 1431 | Leaking |
| 1432 | Deflated |
| 144 | Composite Spring - cracked |
| TRACKING COMPONENTS | |
| 1451 | Loose / cracked |
| 1452 | Broken / missing |
| 15 | FRAME |
| FRAME MEMBERS | |
| 1511 | Broken / loose / sagging |
| 1512 | Web cracked |
| 1513 | Flange cracked |
| 152 | Sliding Sub Frame |
| 16 | TIRES |
| 161 | Tread Depth |
| 162 | Non - Highway Type |
| 163 | Clearance |
| CONDITION | |
| 1641 | Flat / leaking |
| 1642 | Ply separation |
| 1643 | Cord exposed |
| 1644 | Cord damaged |
| 1645 | Undertread missing |
| 1646 | Overloaded (No Special Permit) |
| 1646 | Front tires rebuilt (Buses Only) |
| 17 | WHEELS / RIMS |
| 171 | LOCK RING - defective |
| 172 | RIM - cracked |
| 173 | DISC WHEEL - cracked |
| 174 | STUD HOLE - damaged |
| 175 | SPOKE WHEEL - cracked |
| 176 | TUBELESS ADAPTER - crack |
| 177 | FASTENER - loose / missing |
| WELDS | |
| 1781 | Cracked |
| 1782 | Repair welded |
| 1783 | Welded repairs (Steering Axle) |
| 179 | HUB - cracked / welded |
| 18 | BODY |
| VAN BODY / OPEN TRAILERS | |
| 1811 | Upper rail |
| 1812 | Lower rail |
| 1813 | Floor Crossmembers |
| 1814 | Side Panels |
| (19) | (WINDSHIELD) |
| 20 | WINDSHIELD WIPERS |
| 201 | INOPERATIVE |
| 202 | MISSING |
| 203 | DAMAGED / INEFFECTIVE |
| (21) | (HORN) |
| 22 | LIGHTING SYSTEM |
| 221 | HEADLAMP |
| 222 | TAILAMP |
| 223 | PROJECTING LOAD LAMP |
| 224 | STOP LAMP |
| 225 | TURN SIGNAL LAMP |
| 23 | COUPLING DEVICES |
| FIFTH WHEEL | |
| 2311 | Horizontal movement |
| 2312 | Kingpin engagement |
| 2313 | Lower coupler |
| 23133 | Mounting |
| 23134 | Mount plate / pivot bracket |
| 23135 | Sliders |
| 231354 | Components - cracked |
| 23136 | Lower Plate - cracked |
| 2314 | Upper coupler |
| PINTLE ASSEMBLY | |
| 2321 | Cracked |
| 2322 | Repair welded |
| 2323 | Horn |
| 2324 | Mounting |
| DRAWBAR | |
| 2331 | Cracked |
| 2332 | Hinge points - movement |
| 2333 | Slider components |
| 2334 | Eye |
| SAFETY DEVICES | |
| 2341 | Insufficient strength |
| 2342 | Missing |
| 2343 | Unattached / ineffective |
| 2344 | Improper repairs |
| SADDLE MOUNTS | |
| 2351 | Cracked / broken |
| 2352 | Fasteners missing / ineffective |
| 2353 | Mounting loose |
| 2354 | Horizontal movement |
| BALL BEARING TURNTABLE | |
| 2361 | Flange |
| 2362 | Mounting |
| 24 | LOAD SECURITY |
| 241 | Insecure Load / Components |
| 242 | Tiedown Assemblies |
| 243 | Intermodal Container Securement |
| 25 | DANGEROUS GOODS |
| PLACARDS | |
| 2511 | Missing |
| 2512 | Improper |
| LABELS | |
| 2521 | Missing |
| 2522 | Improper |
| DOCUMENTATION | |
| 2531 | Missing |
| 2532 | Improper |
| TRAINING | |
| 2541 | Unqualified driver |
| 2542 | Expired certificate |
| 2543 | Missing certificate |
Buses
| 26 | MOTOR COACHES / BUSES |
|---|---|
| EMERGENCY WINDOWS | |
| 2611 | Number |
| 2612 | Size |
| 2613 | Operation |
| 27 | SCHOOL / SCH. PURPOSE |
| 271 | STOP ARM |
| 272 | ALTERNATING OVERHEAD LIGHTS |
| 273 | "SCHOOL BUS" sign |
| 274 | "DO NOT PASS" sign |
| 275 | CROSSOVER MIRRORS |
| 276 | DEFROSTERS |
| 28 | LOADNG RAMPS / LIFTS |
| 281 | RAMP SECUREMENT |
| 282 | RAMP STUCTURE |
| 283 | RAMP FUNCTION |
| 284 | POWER LIFT |
| 29 | PASSENGER RESTRAINTS |
| 291 | NUMBER |
| 292 | CONDITION / FUNCTION |
| 30 | WHEEL CHAIR RESTRAINTS |
| 301 | NOT SO EQUIPPED |
| 302 | NUMBER (ACCESSIBLE.TRANSIT ONLY) |
| 303 | CONDITION / FUNCTION |
| 31 | SAFETY EQUIPMENT |
| FIRST AID KIT | |
| 3111 | Missing |
| 3112 | Incomplete |
| 3113 | Securement / access |
| AXE OR CLAW BAR | |
| 3121 | Missing |
| 3122 | Securement / access |
| FIRE EXTINGUISHER | |
| 3131 | Not so equipped |
| 3132 | Not fully charged |
| 3133 | Rating |
| 3134 | Securement / access |
| 32 | DOORS |
| EMERGENCY DOORS | |
| 3211 | Operation |
| 3212 | Locked (IF ON ROAD) |
| 3213 | Access |
| 3214 | Width (PDPV ONLY) |
| PASSENGER DOORS | |
| 3221 | Operation |
| 3222 | Width (PDPV ONLY) |
| 33 | DRIVERS LICENCES |
| 331 | NO LICENCE |
| 332 | IMPROPER LICENCE |
| 333 | AIR BRAKE ENDORSEMENT |
| 334 | UNDER SUSPENSION |
| 335 | FAIL TO PRODUCE LICENCE |
| 34 | HOURS OF WORK |
| 341 | FAIL TO CARRY LOG |
| 342 | FAIL TO MAINTAIN LOG |
| 343 | FAIL TO COMPLETE GRID |
| 344 | DRIVE AFTER 13 HOURS |
| 345 | DRIVE AFTER 15 HRS ON DUTY |
| 346 | DRIVE AFTER 60-70-120 HRS |
| (35) | (SEAT BELT) |
| 351 | FAIL TO WEAR |
| (36) | (TRIP INSPECTION) |
| 361 | NO REPORT |
| 362 | NO INSPECTION OF VEHICLE |
| 363 | IMPROPER INSPECTION |
| (37) | (INSURANCE) |
| 371 | NO CERTIFICATE |
| 372 | NO INSURANCE |
| (38) | (REGISTRATION) |
| 381 | IMPROPER PERMIT |
| 382 | NO PERMIT |
| 383 | SWITCHED PLATES |
| (39) | (CVOR) |
| 391 | NO VALID CVOR |
| 392 | FAIL TO CARRY CERTIFICATE |
| (40) | (AXLE WEIGHTS) |
| 401 | SINGLE AXLE |
| 402 | DUAL AXLE |
| 403 | TRIPLE AXLE |
| (41) | (GROSS WEIGHTS) |
| 411 | ALLOWABLE |
| 412 | REGISTERED |
| (42) | (O/O LOADS) |
| 421 | WIDTH |
| 422 | LENGTH |
| 423 | VIOLATE PERMIT |
Vehicle Makes - Codes
| CHEVROLET | CHEV |
| DATSUN | DAT |
| DIAMOND REO | DIAT |
| DODGE | DODG |
| EAGLE | EGIL |
| FORD | FORD |
| FREIGHTLINER | FRHT |
| FWD | FWD |
| GMC | GMC |
| HINO | HINO |
| INTERNATIONAL (Navistar) |
INTL |
| ISUZU | ISU |
| IVECO | IVEC |
| JEEP | JEEP |
| KENWORTH | KW |
| MERCEDES BENZ | MERZ |
| MITSUBISHI | MITS |
| OSHKOSH | OSHK |
| PETERBILT | PTRB |
| TOYOTA | TOYT |
| VOLVO | VOLV |
| VOLVO GMC | VOGM |
| WHITE (Autocar / West.Star / Construckr) |
WHIT |
| WHITEIGMC (Aero / Brigadeer / General) |
WHGM |
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