Page 212 - Driving Commercial Vehicles Manual+

driving commercial vehicles

Your driver examiner will give you a blank form to complete and return during
your test. Part of your grade will be based on how completely and accurately
you fill out this trip inspection report.

fast fact Pre-trip Inspection Test sample report

If any defect was identified
2222222
and repaired during your 2222222
pre-trip inspection, your TRIP INSPECTION REPORT DRIVER’S LICENCE NO.
report must note the defect
x x
and show a signature that Type of Inspection: □ Pre-trip Inspection □ Post-trip Inspection x x
87654
409
87654
409
certifies the defect was Bus/Truck/Tractor # ___________________ Odometer Reading ___________________ □ Km
□ Miles
corrected.
□ I detected no defect or defi ciency in this commercial motor vehicle.
x x
If a defect does not affect □ I found the following defects as noted below:
you operating your vehicle □ Air Compressor □ Drive Lines □ Load Security Devices
□ Air Lines
□ Lubrication System(s)
□ Emergency Equipment
safely, repairs may wait □ Axles □ Emergency Windows/Exits □ Mirrors
□ Mud Flaps
□ Battery(s)
□ Engine
but the defect must still □ Belts/Hoses □ Exhaust System □ Oil Pressure
be recorded and it must □ Body/Frame □ Fire Extinguishers □ Rear End
x x
□ First Aid Kit
□ Recording Device(s)
□ Brakes/Adjustment
be noted that the defect □ Brakes - Service System □ Fluid Leaks □ Seats
□ Brakes - Parking System
□ Suspension
□ Frame
doesn’t require immediate □ Charging System □ Fuel System □ Steering Mechanism
□ Transmission(s)
□ Clutch
□ Heaters/Defrosters
repair. □ Cooling System □ Horns □ Wheels/Tires/Studs
□ Coupling Devices □ Inspection Decal/Licence Plates □ Windows/Visibility
□ Documents (insurance, permits, etc.) □ Interior Lights □ Wipers/Washers
□ Doors/Compartments □ Lights/Refl ectors x x
□ Other
54
54
Trailer(s) #1 _____________________________ #2 __________________________________
2
2
#
2
1
#
1
#
1
warning! # □ □ Air Lines/Glad Hands # □ □ Coupling - Kingpin # □ □ Load Security/Dunnage
□ □ Doors/Compartments
□ □ Axles
□ □ Mud Flaps
□ □ Body/Frame □ □ Inspection Decal/Plates □ □ Suspension
□ □ Brakes/Adjustment □ □ Landing Gear □ □ Wheels/Tires/Studs
You may not be able to safely □ □ Coupling Devices x x □ □ Lights/Refl ectors □ □ Other
inspect all components on Remarks: Adjusted left brake on rear axleAdjusted left brake on rear axle
Replaced left rear taillight
vehicles with low ground Replaced left r ear taillight
Fuel gauge not working – not corrected
clearance or air suspension. Fuel gauge not working – not corr ected
The components that you
can’t inspect or access D a v e D r i v e r J a n u a r y 10, 2011 9:10 x x
January 10, 2011 9:10
Dave Driver
□ AM
should be checked by a SIGNATURE OF PERSON INSPECTING VEHICLE DATE TIME □ PM
mechanic as part of regular
preventative maintenance Carrier/Agent’s Report
of your vehicle. □ Above defects corrected.
x x
x x
□ Above defects need not be corrected for safe operation of vehicle.
r
a
y
10,
2011
e
v
r
D
Dave Driver J January 10, 2011 9:10 x
x
a
D
a
r
u
n
e
9:10
i
v
□ AM
SIGNATURE DATE TIME □ PM
Driver
Driver
TITLE
MV2930 (022009)
198