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Annual Vehicle Inspection Report. Instructions: Mark column entries to verify inspection: X OK, X NEEDS REPAIR, NA IF ITEMS DO NOT APPLY, REPAIRED DATE. CERTIFICATION: THIS VEHICLE HAS PASSED ALL THE INPECTION ITEMS FOR THE ANNUAL VEHICLE INSPECTION REPORT IN ACCORDANCE WITH 49 CFR 396.
ANNUAL VEHICLE INSPECTION REPORT. VEHICLE HISTORY RECORD. REPORT NUMBER. DATE FLEET UNIT NUMBER. MOTOR CARRIER OPERATOR. INSPECTOR'S NAME (PRINT OR TYPE) ADDRESS. THIS INSPECTOR MEETS THE QUALIFICATION REQUIREMENTS IN SECTION 396.19. YES. CITY, STATE, ZIP CODE. VEHICLE IDENTIFICATION ( ) AND COMPLETE . LIC. PLATE NO. VIN . OTHER. VEHICLE TYPE .
certification: this vehicle has passed all the inspection items for the annual vehicle inspection in accordance with 49 cfr part 396. 14844 (rev. 1/22) vehicle copy motor carrier operator inspector’s name (print or type) address this inspector meets the qualification requirements in section 396.19. yes city, state, zip code vehicle ...
A vehicle inspection form template is used to keep a track of a vehicle’s working condition and any damage or loss that it may have received. It is used by drivers, mechanics, and safety officers. However, you should do the vehicle inspection on daily basis.
I CERTIFY THE ANNUAL VEHICLE INSPECTION HAS BEEN DONE ACCURATELY AND COMPLETELY. I FURTHER CERTIFY THAT THIS INSPECTION COMPLIES WITH THE REQUIREMENTS OF 49 CFR §396.21. This information must be available on board the vehicle, either as a copy of this report, or on a decal that complies with 49 CFR §396.17(c)(2).
Download Printable Form 200-fs-c3 In Pdf - The Latest Version Applicable For 2024. Fill Out The Annual Vehicle Inspection Report Online And Print It Out For Free.
This Vehicle has Passed All The Inspection Items For The Annual Vehicle Inspection Report In Accordance with 49 CFR 396
(a) Every commercial motor vehicle must be inspected as required by this section. The inspection must include, at a minimum, the parts and accessories set forth in appendix G of this subchapter. The term commercial motor vehicle includes each vehicle in a combination vehicle.
Layout 1. ANNUAL VEHICLE INSPECTION REPORT. CERTIFICATION: THIS VEHICLE HAS PASSED ALL THE INSPECTION ITEMS FOR THE ANNUAL VEHICLE INSPECTION IN ACCORDANCE WITH 49 CFR PART 396. Copyright 2009 J. J. KELLER & ASSOCIATES, INC.® Neenah, WI USA (800) 327-6868 jjkeller.com Printed in the United States. ORIGINAL. 400-FS-C2 3127. Rev. 8/09.
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