Tow Truck Inspection Sheet Form PDF Details

Ensuring the safety and readiness of tow trucks for road use is a critical responsibility of tow truck operators and maintenance crews. In light of this, the Tow Truck Inspection Sheet acts as an essential tool for maintaining compliance with safety standards set by the Nevada Transportation Authority and federal regulations, specifically under 49 CFR 396.17(c) and Appendix G to Subchapter B. This comprehensive form covers a wide array of inspection points, including but not limited to the condition of tires, brake systems, wheels and rims, suspension, lighting devices, exhaust system, safe loading capabilities, steering mechanisms, windshield wipers, coupling devices, fuel system, frame, windshield glazing, and additional equipment like winches, cables, and safety chains. The form requires details such as the motor carrier's name, inspection date, address, unit number, vehicle make, model, and year, as well as specific information regarding repairs and inspector qualifications. Each component is meticulously checked to ensure it meets safety requirements, with a focus on operability, absence of leaks, proper attachment, and ensuring no cracks or damage that could impair the vehicle's performance or pose a risk on the road. Achieving a certification indicates that the tow truck has passed a rigorous inspection and is deemed safe for operation, underscoring the importance of this annual review in promoting road safety and compliance with federal and state transportation regulations.

QuestionAnswer
Form NameTow Truck Inspection Sheet Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestow truck equipment list, tow truck equipment, tow truck inspection, tow truck inspection checklist pdf

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Nevada Transportation Authority

ANNUAL VEHICLE INSPECTION REPORT

CERTIFICATION: This vehicle has been inspected in accordance with 49 CFR 396.17(c) and Appendix G to 49 CFR Subchapter B.

Motor Carrier Name

 

 

Inspection Date

 

 

 

 

 

 

Street Address, City, State and Zip Code

 

 

Unit Number

 

 

 

 

 

Vehicle Year, Make and Model

 

 

License Plate Number and Issuing State

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

TIRES

OK

Repair Date

OK

Repair Date

BRAKE SYSTEM

Steering axle tires tread

 

 

 

 

Service Brakes

All other tires tread

 

 

 

 

Parking Brakes

 

 

 

 

 

 

WHEELS & RIMS

 

 

 

 

Drums & Rotors

 

 

 

 

 

 

Wheels & Rims

 

 

 

 

Brake Hose

Fasteners

 

 

 

 

Hydraulic Brakes

 

 

 

 

 

 

Lock or Side Ring

 

 

 

 

Brake Tubing

Welds

 

 

 

 

Electric Brakes

 

 

 

 

 

 

SUSPENSION

 

 

 

 

Air Compressor

Spring Assembly

 

 

 

 

Vacuum Systems

 

 

 

 

 

 

Cracked, Broken, Loose or Missing Parts

 

 

 

 

Low Pressure Warning Devices

 

 

 

 

 

 

Torque, Radius or Tracking Components

 

 

 

 

Tractor Protection Valve

LIGHTING DEVICES

 

 

 

 

EXHAUST SYSTEM

 

 

 

 

 

 

All lighting devices and reflectors required by section 393 shall

 

 

 

 

NO leak at a point forward of or directly below the driver/sleeper

be operable

 

 

 

 

compartment

 

 

 

 

 

 

SAFE LOADING

 

 

 

 

DOES NOT leak into atmosphere

Vehicle part(s) or condition such that the spare tire or any part of

 

 

 

 

NO part of exhaust system so located as would likely result in

the load or dunnage CANNOT fall onto the roadway

 

 

 

 

burning, charring or damaging the electrical wiring, fuel supply or

 

 

 

 

 

any combustible part of the motor vehicle.

 

 

 

 

 

 

Protection against shifting cargo

 

 

 

 

STEERING MECHANISM

 

 

 

 

 

 

WINDSHIELD WIPERS

 

 

 

 

Steering Wheel Free Play

Power unit DOES NOT have inoperative wiper, missing or

 

 

 

 

Front Axle Beam & Steering Components Other Than Steering

damaged parts.

 

 

 

 

Column

COUPLING DEVICES

 

 

 

 

Steering Column

 

 

 

 

 

 

Drawbar/Towbar Eye

 

 

 

 

Steering Gear Box

Drawbar/Towbar Tongue

 

 

 

 

Pitman Arm

 

 

 

 

 

 

Safety Devices

 

 

 

 

Power Steering

 

 

 

 

 

 

Saddle-Mounts

 

 

 

 

Ball & Socket Joints

Fifth Wheels

 

 

 

 

Tie Rods & Drag Links

 

 

 

 

 

 

Pintle Hooks

 

 

 

 

Nuts

FUEL SYSTEM

 

 

 

 

Steering System

 

 

 

 

 

 

NO visible leak

 

 

 

 

FRAME

Fuel Tank Filler Cap Present

 

 

 

 

Frame Members

 

 

 

 

 

 

Fuel Tank Securely Attached

 

 

 

 

Tire & Wheel Clearance

WINDSHIELD GLAZING

 

 

 

 

Adjustable Axle Assembly (sliding subframes)

 

 

 

 

 

 

NO cracks or vision reducing matter except as in 49 CFR 393.60

 

 

 

 

HORN

 

 

 

 

 

 

 

 

 

 

 

Inspection Garage/Company Name

 

 

Street Address

 

 

 

 

 

Telephone Number

 

 

City, State, Zip Code

 

 

 

 

Printed Name of Qualified Inspector

 

 

Qualified Inspector’s Signature

 

 

 

 

 

 

Nevada Transportation Authority

TOW TRUCK ANNUAL VEHICLE INSPECTION REPORT

CERTIFICATION: This vehicle has been inspected in accordance with 49 CFR 396.17(c) and Appendix G to 49 CFR Subchapter B.

Tow Company Name

 

 

Inspection Date

 

 

 

 

 

 

Street Address, City, State and Zip Code

 

 

Unit Number

 

 

 

 

 

Year, Make,Model and License Plate

 

 

Vehicle Identification Number

 

 

 

 

 

 

TIRES

OK

Repair Date

OK

Repair Date

BRAKE SYSTEM

Steering axle tires tread

 

 

 

 

Service Brakes

 

 

 

 

 

 

All other tires tread

 

 

 

 

Parking Brakes

WHEELS & RIMS

 

 

 

 

Drums & Rotors

Wheels & Rims

 

 

 

 

Brake Hose

Fasteners

 

 

 

 

Hydraulic Brakes

 

 

 

 

 

 

Lock or Side Ring

 

 

 

 

Brake Tubing

Welds

 

 

 

 

Electric Brakes

 

 

 

 

 

 

SUSPENSION

 

 

 

 

Air Compressor

Spring Assembly

 

 

 

 

Vacuum Systems

Cracked, Broken, Loose or Missing Parts

 

 

 

 

Low Pressure Warning Devices

 

 

 

 

 

 

Torque, Radius or Tracking Components

 

 

 

 

Tractor Protection Valve

LIGHTING DEVICES

 

 

 

 

EXHAUST SYSTEM

All lighting devices and reflectors required by section 393 shall

 

 

 

 

NO leak at a point forward of or directly below the driver/sleeper

be operable

 

 

 

 

compartment

SAFE LOADING

 

 

 

 

DOES NOT leak into atmosphere

Vehicle part(s) or condition such that the spare tire or any part of

 

 

 

 

NO part of exhaust system so located as would likely result in

the load or dunnage CANNOT fall onto the roadway

 

 

 

 

burning, charring or damaging the electrical wiring, fuel supply or

 

 

 

 

 

any combustible part of the motor vehicle.

 

 

 

 

 

 

Protection against shifting cargo

 

 

 

 

STEERING MECHANISM

WINDSHIELD WIPERS

 

 

 

 

Steering Wheel Free Play

Power unit DOES NOT have inoperative wiper, missing or

 

 

 

 

Front Axle Beam & Steering Components Other Than Steering

damaged parts.

 

 

 

 

Column

 

 

 

 

 

 

COUPLING DEVICES

 

 

 

 

Steering Column

Drawbar/Towbar Eye

 

 

 

 

Steering Gear Box

 

 

 

 

 

 

Drawbar/Towbar Tongue

 

 

 

 

Pitman Arm

 

 

 

 

 

 

Safety Devices

 

 

 

 

Power Steering

Saddle-Mounts

 

 

 

 

Ball & Socket Joints

 

 

 

 

 

 

Fifth Wheels

 

 

 

 

Tie Rods & Drag Links

Pintle Hooks

 

 

 

 

Nuts

 

 

 

 

 

 

FUEL SYSTEM

 

 

 

 

Steering System

NO visible leak

 

 

 

 

FRAME

Fuel Tank Filler Cap Present

 

 

 

 

Frame Members

Fuel Tank Securely Attached

 

 

 

 

Tire & Wheel Clearance

 

 

 

 

 

 

WINDSHIELD GLAZING

 

 

 

 

Adjustable Axle Assembly (sliding subframes)

NO cracks or vision reducing matter except as in 49 CFR 393.60

 

 

 

 

HORN

 

 

 

 

 

 

 

OK

Repair Date

OK

Repair Date

 

Winch/Cable Condition

 

 

 

 

Bucket Condition

 

 

 

 

 

 

Boom & Boom Support/ Slide back shall be operable

 

 

 

 

Shovel

Stinger shall be operable

 

 

 

 

Fire Extingusiher/ Triangles

 

 

 

 

 

 

Amber Lights shall be operable

 

 

 

 

Safety Chains/ Hooks

 

 

 

 

 

 

 

 

 

 

 

Broom

Inspection Garage/Company Name

 

 

Printed Name of Qualified Inspector

 

 

 

 

Telephone Number

 

 

Qualified Inspector's Signature

 

 

 

 

 

 

TSA FORMS\WEBSITE

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Vehicle parts or condition such, FUEL SYSTEM, and DrawbarTowbar Eye DrawbarTowbar in tow truck equipment list

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TSA Formswebsite, Telephone Number, and Qualified Inspectors Signature of tow truck equipment list

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