Vehicle Inspection Report: Certification of Roadworthiness, Slides of Motor Vehicle Design

Download Vehicle Inspection Report: Certification of Roadworthiness and more Slides Motor Vehicle Design in PDF only on Docsity! Vehicle Inspection Report This report remains the property of the Illinois Department of Transportation. A copy must be filed numerically and chronologically at the Official Testing Station for a period of eighteen (18) months and must be available for inspection by employees of the Illinois Department of Transportation. Mark each field below Pass or Fail with an "X". If any item on this form does not apply, leave it blank. The submission of this form certifies the accuracy and completeness of the inspection in accordance with 49 CFR 396.21. This inspection does not meet USDOT motorcoach inspection. For further information regarding this inspection, call (217) 785-1181. This inspection may not include all the required equipment to operate a vehicle on Illinois' highways.Printed 10. Company Name 11. Company City 12. Odometer Reading 13. Date of Test 14. Start Time 15. End Time AM PM PMAM 16. Model Year 17. Vehicle Type 18. Trailer Make 19. Vehicle Make 20. Single Wheel Axle 22. Test Fee 23. Date C/S Applied 24. Time C/S Applied 21. Double Wheel Axle AM PM 25. CST Name 26. CST Signature 27. CST ID# 28. Retest CST Name 29. Retest CST Signature 30. Retest CST ID# Brakes Pass Fail Absence of Braking Adjustment Breakaway Device Drums or Rotors Hoses or Tubes Hydraulic Master Leaks (Air or Fluid) Linings or Pads Mismatch Across Axle Missing/Broken/Loose Components/ABS Parking Brake Power Assist Unit Tractor Protection Valve Coupling Devices Pass Fail Drawbar or Towbar Eye Drawbar or Towbar Tongue Fifth Wheel Pintle Hook Saddle Mounts Safety Devices Engine and Underbody Components Pass Fail Air Compressor Exhaust System Pass Fail Leaks Located as not to cause damage Bus - Gas Powered: Discharge Excess 6" Forward from Rear Bus - Other than Gas Powered Discharge Excess 15" Forward from Rear Discharge Forward of Door or Opening Window Exterior Pass Fail Back Up Alarm (Refuse Hauler Only) Frame Pass Fail Adjustable Axle Assemblies Cracked or Broken Member Loose or Missing Fasteners Tire Wheel Clearance Fuel System Pass Fail Fuel Cap Leaks Missing or Loose Components Instruments and Indicator Panel Pass Fail Brake Failure Indicator Light Low Pres./Vacuum Warning Device Ind. Light Lighting Devices and Reflectors Pass Fail Back Up Clearance Hazards Headlights Identification License Plate Parking Reflectors Side Marker Stop (Brake) Tail Turn Signal Safe Loading Pass Fail Cargo Secure Front End Structure Spare Tire Steering Mechanism Pass Fail Ball and Socket Joint Binding, Jamming or Loose Parts Drag Links Free Play Pitman Arm Power Assist Unit Steering Column Steering Gear Box Steering System Modification Steering Wheel Tie Rods Suspension Pass Fail Air Suspension Axle Positioning Parts Coil Springs Rubber Springs Springs or Shackles Torque/Radius/Tracking Components Tires- Non Steering Axle Pass Fail Contact with Vehicle Flat or Leak Improper Load, Size or Use Tire Condition Tread Depth Tires- Steering Axle Pass Fail Boot or Ply Repair Bus-Recap or Retread Contact with Vehicle Flat or Leak Improper Load, Size or Use Mismatch Radial or Bias Regrooved (Unless Urban or Suburban) Tire Condition Tread Depth Wheels and Rims Pass Fail Cracked or Welded Repairs Lock Rings Lugs or Fasteners Wheel Locating (Bolt) Hole Windshield Pass Fail Windshield Windshield Wiper Pass Fail Windshield Wiper Special Vehicles Only Pass Fail Battery Body Bumper Color Door or Latches Dual Brake Emergency Exits Fire Extinguisher Heater or Defroster Horn Hoses or Cables King Pins Lettering Mirrors Muffler Seat Anchoring Seat Belt Shocks and Struts Splash Guards Steps or Floor Covering Warning devices Wheel Alignment Wheel Bearing Window other than Windshield Windshield Washer Remarks 1. 6 Month 3. US DOT Number 4. Reject over 30 days 6. Station 7. License Plate 8. Vehicle Identification Number 9. Certificate of Safety Number 2. 12 Month 5. Replacement C/S