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Commercial Vehicle Inspection Program (CVIP) periodic safety inspection record per NSC 11.
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Inspection Items
Circle or mark the applicable column for each item: P = Pass | F = Fail | N/A = Not applicable. Record notes for any F.
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Power Train | |||||
| 1 | Engine: starts, runs smoothly, no abnormal noise | ||||
| 2 | Engine mounts: secure, no cracks or excessive movement | ||||
| 3 | Transmission: shifts correctly, no leaks, mount secure | ||||
| 4 | Drive shaft: no excessive play, U-joints tight | ||||
| 5 | Clutch (if applicable): engages smoothly, free play within spec | ||||
| Brakes | |||||
| 6 | Service brake performance: stopping distance within standard | ||||
| 7 | Brake drums / rotors: within wear limits, no cracks or scoring | ||||
| 8 | Brake linings / pads: thickness above minimum, even wear | ||||
| 9 | Slack adjusters: within stroke limits, auto-adjusters functional | ||||
| 10 | Air system: compressor build-up time, governor cut-in/cut-out | ||||
| 11 | Air lines and fittings: no leaks, chafing or damage | ||||
| 12 | Air dryer: operational, no excessive moisture in system | ||||
| 13 | ABS: warning light cycles correctly, no active faults | ||||
| 14 | Park brake: holds loaded vehicle on grade | ||||
| Steering | |||||
| 15 | Steering wheel free play: within allowable limits | ||||
| 16 | Power steering: fluid level, no leaks, pump operational | ||||
| 17 | Steering linkage: tie rods, drag link, kingpins within wear limits | ||||
| 18 | Steering gear / box: no excessive play, properly secured | ||||
| Suspension | |||||
| 19 | Leaf springs: no broken leaves, center bolts secure, U-bolts tight | ||||
| 20 | Air suspension (if fitted): bags intact, ride height correct, no leaks | ||||
| 21 | Shock absorbers: no leaks, mountings secure | ||||
| 22 | Axle alignment: no evidence of misalignment or shift | ||||
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Tires, Wheels & Hubs | |||||
| 23 | Tire tread depth: above minimum (4.8mm steer, 1.6mm drive/trailer) | ||||
| 24 | Tire condition: no cuts, bulges, exposed cord or sidewall damage | ||||
| 25 | Tire inflation: correct pressure per placard | ||||
| 26 | Wheel fasteners: torqued to spec, no cracks or elongated holes | ||||
| 27 | Hub seals: no leaks, wheel bearings adjusted correctly | ||||
| 28 | Rims: no cracks, dents, weld repairs or excessive corrosion | ||||
| Lamps, Electrical & Body | |||||
| 29 | Headlights (high/low beam): operational, aim correct | ||||
| 30 | Tail lights, brake lights, turn signals: operational | ||||
| 31 | Clearance / marker / identification lamps: operational | ||||
| 32 | Reflectors and conspicuity tape: present, clean, undamaged | ||||
| 33 | Wiring: secured, no chafing or exposed conductors | ||||
| 34 | Frame / chassis: no cracks, excessive corrosion or unapproved modifications | ||||
| 35 | Body and cab: structural integrity, doors and latches functional | ||||
| Coupling & Fuel System | |||||
| 36 | Fifth wheel / pintle hook: latches secure, no cracks, properly lubricated | ||||
| 37 | Kingpin: within wear limits, no damage | ||||
| 38 | Safety chains (if applicable): correct rating, properly attached | ||||
| 39 | Fuel tank: secure mounting, no leaks, cap seals | ||||
| 40 | Fuel lines and fittings: no leaks, properly secured | ||||
Defects & Action Required (list any item marked F: reference item # from checklist)
| Item # | Defect description | Action taken / reported to | Rectified by / date |
|---|---|---|---|
Declaration
I declare that I have inspected this commercial vehicle in accordance with the Commercial Vehicle Inspection Program (CVIP) requirements and NSC Standard 11. All items have been inspected and results recorded accurately. Any deficiencies identified prevent certification until rectified and re-inspected.