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Fill Out a Valid Dot Vehicle Inspection Form

The DOT Vehicle Inspection form is a critical document used to certify that a vehicle meets safety standards established by federal regulations. This form captures essential details about the vehicle, the inspection company, and the inspector, ensuring compliance with safety protocols. Completing this form accurately is vital for maintaining the safety and legality of commercial vehicles.

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Fill Out a Valid Dot Vehicle Inspection Form

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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 form is used during annual inspections, which are essential for maintaining vehicle integrity and adherence to federal regulations. It includes 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. A certified inspector, whose qualifications are outlined in the form, must conduct the inspection. The inspector’s signature confirms that they have met all necessary standards set by federal regulations. The form lists various vehicle components that need to be inspected, such as the brake system, steering system, and lighting devices. Each component is marked as either "OK" or "Needs Repair," providing a clear overview of the vehicle's condition. Additionally, it requires documentation of any repairs made, along with the dates of those repairs. This report must be kept on file for a minimum of fourteen months and should be readily available on board the vehicle, ensuring that safety is always a priority. By adhering to these guidelines, vehicle operators can help ensure the safety of their vehicles and the people who share the road.

Common mistakes

Filling out the DOT Vehicle Inspection form can seem straightforward, but many people make common mistakes that can lead to issues down the line. Here are seven frequent errors to watch out for:

Incomplete Information:
Many individuals forget to fill out essential sections such as the name and address of the inspecting company or the registered owner's name. This can cause delays in processing and compliance issues.
Incorrect Dates:
It’s crucial to accurately record the date of inspection. An incorrect date can lead to confusion about the vehicle's inspection status and may result in penalties.
Missing Signatures:
Both the certified inspector and the mechanic must sign the form. Omitting a signature can render the inspection invalid, leading to potential legal ramifications.
Improper Marking of Inspection Results:
When marking the condition of vehicle components, it’s important to use the correct symbols (x for OK, o for needs repair, NA for not applicable). Misusing these symbols can misrepresent the vehicle's condition.
Neglecting to Document Repairs:
Repair dates must be filled in for any components that need attention. Failing to do so can create gaps in maintenance records, which can be problematic during audits.
Not Keeping a Copy of the Report:
It’s essential to retain a copy of the inspection report on board the vehicle. Not having this documentation can lead to fines and other enforcement actions.
Ignoring Inspector Qualifications:
Ensure that the inspector meets the qualifications outlined in the regulations. Using unqualified personnel can jeopardize the safety and legality of the inspection.

By being aware of these common mistakes, you can help ensure that your DOT Vehicle Inspection form is filled out correctly, promoting safety and compliance on the road.

Preview - Dot Vehicle Inspection Form

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
		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

Need

Repair

Item

Need

Repair

Item

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:

_______________________________

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Documents used along the form

The DOT Vehicle Inspection form is a critical document used to ensure that commercial vehicles meet safety standards. However, it is often accompanied by other forms and documents that further support compliance and operational safety. Below are four key documents commonly used alongside the DOT Vehicle Inspection form.

Maintenance Record: This document tracks all maintenance and repair activities performed on the vehicle. It includes dates, descriptions of work done, and parts replaced. Keeping accurate maintenance records helps demonstrate that the vehicle has been properly maintained, which is essential for safety and compliance with regulations.
Driver Vehicle Inspection Report (DVIR): This report is completed by the driver before and after trips. It documents any defects or issues observed during a pre-trip or post-trip inspection. The DVIR serves as a communication tool between the driver and maintenance personnel, ensuring that any identified problems are addressed promptly.
Vehicle Registration Document: This document proves that the vehicle is legally registered with the state. It includes essential information such as the vehicle identification number (VIN), make, model, and owner details. Proper registration is crucial for legal operation and helps in identifying the vehicle in case of inspections or incidents.
Residential Lease Agreement: A crucial document that outlines the terms between a landlord and tenant, ensuring clarity and legal protection during the rental period. For more information, visit georgiapdf.com/.
Insurance Certificate: This certificate confirms that the vehicle is insured as required by law. It provides details about the coverage, policy number, and the insurance provider. Maintaining valid insurance is not only a legal requirement but also protects the driver and company from financial liabilities in case of accidents.

Each of these documents plays a vital role in maintaining safety and compliance within the transportation industry. Together with the DOT Vehicle Inspection form, they help ensure that vehicles are safe for operation and meet all regulatory requirements.

Similar forms

The DOT Vehicle Inspection form shares similarities with the Commercial Vehicle Safety Inspection Report (CVSIR). Both documents are designed to ensure the safety and compliance of commercial vehicles on the road. The CVSIR includes details about the vehicle's condition, including various systems such as brakes, lights, and tires, much like the DOT form. Both reports require a certified inspector to evaluate and sign off on the vehicle's readiness, thus holding the vehicle owner accountable for maintaining safety standards. Furthermore, both documents must be kept on file for a specified duration to ensure compliance with federal regulations.

Another document akin to the DOT Vehicle Inspection form is the Annual Inspection Report for Motor Carriers. This report is crucial for motor carriers as it provides a comprehensive overview of the vehicle's operational status. Similar to the DOT form, it requires the inspector to check critical components like the steering system and lighting devices. The Annual Inspection Report also emphasizes the qualifications of the inspector, ensuring that only trained individuals conduct these evaluations. This shared focus on safety and regulatory compliance highlights the importance of maintaining high standards in vehicle operation.

The Pre-Trip Inspection Checklist is yet another document that resembles the DOT Vehicle Inspection form. This checklist is typically used by drivers before embarking on a journey to ensure that their vehicle is roadworthy. Like the DOT form, it covers essential vehicle components, including brakes, tires, and lights. The pre-trip checklist serves as a proactive measure, allowing drivers to identify potential issues before they become serious problems. Both documents promote safety and accountability, underscoring the necessity for regular inspections in the transportation industry.

The Vehicle Maintenance Record is also similar to the DOT Vehicle Inspection form, as it tracks the ongoing maintenance and repairs of a vehicle. This document details the history of inspections, repairs, and any issues that have been addressed over time. Much like the DOT form, it emphasizes the importance of keeping vehicles in optimal condition to ensure safety on the road. Both records serve as vital tools for vehicle owners and operators to maintain compliance with regulations and to document the vehicle's maintenance history for future reference.

In addition to the importance of vehicle inspections and compliance, it's crucial to have a clear understanding of ownership documentation for mobile homes. A key resource for this is the Mobile Home Bill of Sale, which serves as a guide for ensuring that the transfer of ownership is executed properly, thereby protecting the interests of both buyers and sellers in the mobile home market.

Lastly, the Brake Inspection Report is closely related to the DOT Vehicle Inspection form, particularly in its focus on one critical aspect of vehicle safety: the braking system. This report outlines the condition of the brakes, detailing any necessary repairs or adjustments needed to ensure safe operation. Similar to the DOT form, it requires certification from a qualified inspector, ensuring that the evaluation is conducted by someone with the appropriate training and experience. Both documents highlight the importance of thorough inspections and the need for compliance with federal standards to keep commercial vehicles safe on the roads.

Dos and Don'ts

When filling out the DOT Vehicle Inspection form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below is a list of recommended practices and common pitfalls to avoid.

Do ensure all required fields are completed. This includes the name of the inspecting company, date, time, and details of the vehicle.
Do double-check the vehicle identification number (VIN). Ensure it matches the vehicle being inspected to prevent discrepancies.
Do mark the inspection items accurately. Use the appropriate symbols: "x" for OK, "o" for needs repair, and "NA" for items that do not apply.
Do include repair dates. If any items need repair, clearly indicate the dates when repairs are scheduled or completed.
Do keep a copy of the completed form on board the vehicle. This ensures compliance with regulations and provides a reference for future inspections.
Don't rush through the inspection. Take the necessary time to thoroughly check each component to ensure safety and compliance.
Don't forget to sign and date the form. The inspector's signature certifies the accuracy of the inspection and must be included before submission.

Key takeaways

Filling out and using the DOT Vehicle Inspection form is crucial for maintaining vehicle safety and compliance. Here are key takeaways to consider:

Complete All Sections: Ensure every section of the form is filled out accurately, including the inspector's name, vehicle details, and inspection results.
Mark Inspection Results Clearly: Use the designated symbols (x for OK, o for needs repair, NA for not applicable) to indicate the status of each vehicle component.
Document Repairs: For any items needing repair, clearly note the repair date to maintain an accurate record of vehicle maintenance.
Inspector Qualifications Matter: Verify that the inspector is qualified according to the standards outlined in 49 CFR §396.19. This includes understanding inspection criteria and having the necessary training.
Keep the Report Accessible: The inspection report must be available on board the vehicle, either as a copy or as a decal, as per 49 CFR §396.17(c)(2).
Retain Records: Maintain the inspection report for a minimum of fourteen months from the date of completion to comply with federal regulations.
Brake Inspector Qualifications: Ensure that any brake inspections are performed by qualified personnel, as outlined in 49 CFR §396.25.
Signatures Required: Both the inspector and the employer/supervisor must sign the form, certifying that the inspection has been completed accurately.

Following these guidelines will help ensure that your vehicle remains safe and compliant with federal regulations.

How to Use Dot Vehicle Inspection

Completing the DOT Vehicle Inspection form is an important step in ensuring that your vehicle meets safety standards. This process involves providing specific details about the vehicle and the inspection itself. Follow these steps carefully to ensure that all necessary information is accurately recorded.

Begin by filling in the Name and Address of the inspecting company or agency at the top of the form.
Next, enter the Registered Owner’s Name and the Date of the inspection.
Record the Time of the inspection.
Provide the Street, City, State, Zip Code of the registered owner.
Fill in the Certified Inspector’s Name (print or type) along with their City, State, Zip Code.
Indicate the License Plate Number/State and the Vehicle Identification Number (VIN).
List the Vehicle Make, Model, and Model Year.
For each vehicle component inspected, mark the appropriate column with an x for OK, an o for needs repair, or NA if it does not apply.
Fill in the Repair Date for any components that need repair.
After inspecting all components, ensure the Certified Inspector’s Signature is provided along with the Date.
Finally, check the inspector qualifications section to ensure compliance with the required standards and fill in any necessary information.

After completing the form, keep a copy on board the vehicle or display it as a decal, as required. This report must be maintained for at least fourteen months from the completion date. Make sure all information is accurate to avoid any issues in the future.