"Annual Vehicle Inspection Report" - Nevada

Annual Vehicle Inspection Report is a legal document that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada.

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Download "Annual Vehicle Inspection Report" - Nevada

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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
BRAKE SYSTEM
OK
Repair Date
OK
Repair Date
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)
HORN
NO cracks or vision reducing matter except as in 49 CFR 393.60
Inspection Garage/Company Name
Street Address
Telephone Number
City, State, Zip Code
Printed Name of Qualified Inspector
Qualified Inspector’s Signature
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
BRAKE SYSTEM
OK
Repair Date
OK
Repair Date
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)
HORN
NO cracks or vision reducing matter except as in 49 CFR 393.60
Inspection Garage/Company Name
Street Address
Telephone Number
City, State, Zip Code
Printed Name of Qualified Inspector
Qualified Inspector’s Signature