Inspection Report Sample Forms (.pdf) - CalACT

VISUAL INSPECTION SHEETGuide for Inspection:The Following Items Should Be Inspectedon Every Coach of Each OrderCoach ManufacturerCoach NumberTest LocationCurb WeighFMVSSStickersFinish andColorInterior PanelFasteningTowingDevicesDoor ControlITEM REQUIREMENT INSPECTIONINSTRUCTIONInterior LightingExterior LightingFuel TankChassisElectricalBatteriesHVACWheelchairAccessPower PlantMaxium curbweight of ___lb.Affixed toVehicleSmooth Bodysurfaces & paintAbsence of roughedges or surfacesProvision of towingeyes (front/rear)Opening time of____sec.Lighting operablewithout engineAll vehicle lightsoperableFill rate and fillerlocationWeld, axles,suspension,steering, wheels,and brakesWiring and junctionboxesSecured and polarizedwiring accessfor jump startCapacity andperformanceClear lift or rampaccess, andsecurment areaMounting andarragementMeasure on certifiedscaleLocate StickerVisually inspect allsurfaces for flawaVisually inspect forproper installationVerify presence oftowing eyesVerify door openingtime frameSwitch on all interiorlightsSwitch on and verifylamps are onRESULTWeight________Pass / FailPass / FailPass / FailPass / FailPass / FailPass / FailPass / FailInspect filler for easy Pass / Failaccess and checkInspect fill rate for leaks,and interference, Pass / FailCheck fluid levels, welds,undercoatingair lines, brake slack,and lug nutsInspect for loose orstretched wiresInspect compartmentand jumpercable accessOperate AC, checkcompressor, condenser,flow, andtemperatureOperate lift or ramp,inspect operation,measure Check for areas looselines, leaks, andnoises. Check fluidlevels, belts align-Pass / FailPass / FailPass / FailPass / FailPass / FailINSPECTOR/DATEREMARK/NOTES

DISCREPANCY SHEETVEHICLE NO:MANUFACTURE:DATE OF FINAL INSPECTION:MODEL:YEAR:CLIENT:DEFECT # DESCRIPTION OF DEFECT OK INSP INTL123456789101112131415161718192021222324252627282930Inspectors Signature:Date:

Federal Motor Vehicle Safety StandardsAPPLICATION CHECK SHEETStandard No. Standard Discription Applicable No Applicable101 Controls and Displays102 Transmission Shift Lever, Starter Interlock, and Transmission Braking Effect103 Windshield Wiping and Washing System104 Windshield Defrostion and Washing System105 Hydraulic Braking System106 Brake Hoses107 Reflecting Surfaces108 Lamps, Reflective Devices, and Associated Equipment109 New Pneumatic Tires110 Tire Selection and Rims111 Rear View Mirrors112 Headlamp Concealment Devices113 Hood Latch System114 Theft Protection115 Vehicle Identification Number Basic Requirement116 Motor Vehicle Brake Fluid117 Retreaded Pneumatic Tires118 Power Operated Window, Partition, and Roof Panel Systems119 New Pneumatic Tires fo Vehicles Other Than Passenger Cars120 Tire Selection and Rim for Motor Vehicles Other Than Passenger Cars121 Air Brake System122 Motor Brake Systems: Motor Cycles123 Motor Cycle Controls and Display124 Accelerator Control System126 Truck Camper Loading127 Reserve128 Reserve129 New Non Pneumatic Tires for Passenger Cars130 Reserve131 School Bus Safety Devices201 Occupant Protection in Interiro Impact202 Head Restraints203 Impact Protection for Driver From the Steering Control204 Steering Control Rearward Displacement205 Glazing Materials206 Door Locks and Retention Components207 Seating Systems208 Occupant Crash Protection209 Seat Belt Assemblies210 Seat Belt Assemby Anchorage's211 Wheel Nuts, Wheel Discs, and Hub Caps212 Windshield Mounting213 Child Restraint Systems214 Side Impact Protection216 Roof Crush Resistance217 Bus Emergency Exit and Release218 Motor Helmets219 Windshield Zone Intrusion220 School Bus Rollover Protection221 School Bus Body Joint Strength222 School Bus Passenger Seating and Crash Protection301 Fuel Sy stem Integrity302 Flammability of Interior Materials303 Fuel System Intergrity of Compressed Natural Gas Vehicles (CNG)304 Compressed Natural Gas Fuel Container Intergrity