DRIVER VEHICLE INSPECTION REPORT
“POST-TRIP” REPORT: At the conclusion of each day’s work, drivers are required by 49 CFR
396.11to list any defect or deficiency reported by others or discovered by them for any vehicle they operated during the day weighing more than 17,001 pounds. In all instances, the driver must sign the
report. A separate report must be prepared for each vehicle the driver operated. The employer shall maintain the original report, the certification of any repairs, and the certification of the driver’s review for three months. Today’s copy of the DVIR must be carried in this vehicle.
_________________________ |
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____________(am) (pm) |
Vehicle ID |
Mileage In |
Date |
Time |
________________________________________ |
_______________________________________ |
Driver’s printed name |
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Driver’s signature |
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NO DEFECTS were discovered by or reported to me regarding this vehicle.
YES, DEFECTS were discovered by or reported to me regarding
this vehicle as identified below:
REPAIR |
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REPAIR |
REPAIR NOT |
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NEEDED |
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REPAIRED* |
NEEDED |
REQUIRED |
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REPAIRED* |
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Service brakes** |
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Trailer brake connections |
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Parking brake** |
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Coupling devices |
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Steering mechanism |
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Windshield Wipers |
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Tires |
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Horn |
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Emergency equipment |
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Wheels and Rims |
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Rear-vision mirrors |
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Lights and reflectors |
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* For each completed repair indicated above, the person making the repair (the “mechanic”) must sign below certifying the repair was made. ** 49 CFR Part 396.25 requires that only qualified employee’s inspect, maintain, service, and repair brakes.
____________________________________ |
______________________________________ |
________________ |
Mechanic’s signature |
Mechanic’s printed name |
Date of repair |
EMPLOYER CAN CHECK IF REPAIR NOT REQUIRED, AND THEN SIGN BELOW CERTIFYING REPAIR NOT REQUIRED. |
____________________________________ |
______________________________________ |
________________ |
Employer’s representative signature |
Employer’s representative printed name |
Date of decision |
“PRE-TRIP” REPORT: Before operating this vehicle, the driver must (1) perform PennDOT’s pre- trip inspection process, (2) review the last vehicle inspection report above, and (3) sign below to acknowledge that the driver has reviewed the previous report and been satisfied that the required repairs have been performed. If repairs are still needed for the safe operation of this vehicle, the vehicle must not be operated until such repairs are made.
NO MORE REPAIRS NEEDED
I acknowledge that all repairs identified above as needed for the safe operation of this vehicle have been completed, and that my visual pre-trip inspection of the vehicle did not uncover any subsequent or additional defects.
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____________(am) (pm) |
Vehicle ID |
Mileage Out (= In?) |
Date |
Time |
____________________________________ |
___________________________________ |
Driver’s printed name |
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Driver’s signature |
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PSATS CDL Program Form DVIR