Form DPS180WS 0236 "Wrecker Inspection Request Form" - Oklahoma

What Is Form DPS180WS 0236?

This is a legal form that was released by the Oklahoma Department of Public Safety - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the Oklahoma Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DPS180WS 0236 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Public Safety.

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Download Form DPS180WS 0236 "Wrecker Inspection Request Form" - Oklahoma

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Department of Public Safety
Wrecker Services Division
Fax: (405) 425-2031
WRECKER INSPECTION REQUEST FORM
Email: wrecker@dps.ok.gov
Wrecker Service: ________________________________
Class: _____________
Date: ___________
DPS#: _________________________
Contact: ___________________
Phone#: _______________
STOP: If you do not have DPS#, Call 405 425-2295 for instructions
Office Address: _______________________________ City/Zip: _______________________ County: _______________
Storage Address: ____________________________________ Directions (on-site, etc.): ____________________________
Inspection for:
Wrecker Vehicle:
Indoor Storage:
Outdoor Storage:
GVWR ____________________________
Type:
Sling:
Rollback:
Wheelift:
Sling/Lift:
Must have current tag registered in wrecker service or wrecker owner’s name
Tag#: ____________
EXP: _______
VIN#: ________________
Year: ______
Make: __________________
Business Sign: Each AA Wrecker Service and each G Wrecker Service with storage shall have a business sign at the business
location. The sign must be at least 2 feet by 4 feet with letters at least 3 inches high and shall display, at a minimum, the name of
the business and a 24 hour a day telephone number.
Yes
No
REQUIRED ON ALL VEHICLES REGARDLESS OF CLASS:
AA-SMALL TRUCK (not less than 9000# no max) :
Pass standard vehicle inspection requirement
First Aid kit
DPS# and business name centered vertically at least 3” high
Trash bags (33 gal.min.) or 5 gallon buckets (2)
One amber, rotating, flashing light with 360 degree visibility (perm. attached)
Flashlight
10# fire extinguisher or combination to 10#
Wire Cutter Pliers (8”) not intended to cut ODOT cable barriers
Warning devices (flares or triangles)
Jumper cables or Jumper Box
Push-Type broom & shovel
Safety glasses (1pr)
Tire chains or Mud & Snow tires
Traffic cones (3) MUTCD compliant
Two chains to secure the load
Adjustable pliers
Two safety chains to keep the towed vehicle attached
Rubber gloves and/or work gloves (PPE gear)
Tow lights (some rollbacks exempt only if capable of towing another vehicle)
Winches with minimum factory rated capacity of 8,000# equipped w/cable
Safety Apparel - 1 high visibility vest, jacket or shirt per vehicle
Absorbent (for liquid spills not cargo spills) At least 4 Gallons
4 Point tiedown (chains, cable or straps), if a rollback
1 hydraulic bottleneck jack or floor jack w/minimum 2½ ton rating
AA-SMALL TRUCK (not less than 9000# no max):
AA-MEDIUM TRUCK (not less than 24000#):
(must have all AA-Small Truck Equipment plus:)
Axe
Prybar
Factory or certified installed full air brakes with full tractor package
Two Scotch” Blocks with Chains attached (rollback exempt)
Air activated spring parking brake
Sling” and “Stay-bar” or wheelift device, or rollback
Two snatch blocks compatible with cable size and rating
Dollies (TM, TL and rollback exempt),
Boom(s) compatible with winch rating
Dual rear wheels
Truck hitch of adequate size and quality
(continued above right)
Winches with minimum factory rated capacity of 30,000# equipped w/cable
AA-LARGE TRUCK (not less than 44,000#)
(must have all AA-Small Truck and AA-Medium Truck Equipment plus:)
Front axle & suspension (12,000#)
10 gallons of absorbent material
Rear axle & suspension combination (32,000#)
2.5 lb Sledge/shop hammer
Full driven tandem axle
2 pair locking pliers
Winch factory rated capacity of combined 40,000# equipped w/cable
4 axle covers
Minimum wheel base (280”)
5 traffic cones (MUTCD compliant)
2 air hoses 3/8 in / 50 ft (considered as 2 or more air hoses 3/8” with combined
Minimum of 4 (four) snatch blocks that are recommended for the size of rope
minimum length of 100 ft)
contained on the winches
Cage Bolts (8)
Minimum of sixty feet (60’) of one half inch (1/2”) Grade 80 Recovery Chain
Two Air outlets on the wrecker for emergency and service line activation
with grab hooks
Metric and Standard end wrench sets with minimal 3/8 inch, 1/4 in, to 1 inch
2 (two) - one inch (1”) screw pin clevises
and 8mm to 19mm
2 (two) - one half inch (1/2”) screw pin clevises
Metric and Standard 1/2 in drive socket set and ratchet with minimum 1/4 in to
Boom(s) Wrecker unit must have a factory built or certified 25 (twenty-five) ton
1 in and 8mm to 19mm
boom rating that is an elevation and telescoping recovery boom
Hydraulic or Floor Jack with 10-ton minimum rating (hydraulic or pneumatic jack)
Wrecker unit must have a factory built or certified hydraulic telescoping wheel lift
The Department must have a current Certificate of Insurance on file covering this vehicle. The insurance verification form from the wrecker
service will not be accepted, only our form will be accepted. Please contact your insurance company if they have not already sent in a Certificate
of Insurance for the vehicle listed.
DPS 180WS 0236 9/2018
Department of Public Safety
Wrecker Services Division
Fax: (405) 425-2031
WRECKER INSPECTION REQUEST FORM
Email: wrecker@dps.ok.gov
Wrecker Service: ________________________________
Class: _____________
Date: ___________
DPS#: _________________________
Contact: ___________________
Phone#: _______________
STOP: If you do not have DPS#, Call 405 425-2295 for instructions
Office Address: _______________________________ City/Zip: _______________________ County: _______________
Storage Address: ____________________________________ Directions (on-site, etc.): ____________________________
Inspection for:
Wrecker Vehicle:
Indoor Storage:
Outdoor Storage:
GVWR ____________________________
Type:
Sling:
Rollback:
Wheelift:
Sling/Lift:
Must have current tag registered in wrecker service or wrecker owner’s name
Tag#: ____________
EXP: _______
VIN#: ________________
Year: ______
Make: __________________
Business Sign: Each AA Wrecker Service and each G Wrecker Service with storage shall have a business sign at the business
location. The sign must be at least 2 feet by 4 feet with letters at least 3 inches high and shall display, at a minimum, the name of
the business and a 24 hour a day telephone number.
Yes
No
REQUIRED ON ALL VEHICLES REGARDLESS OF CLASS:
AA-SMALL TRUCK (not less than 9000# no max) :
Pass standard vehicle inspection requirement
First Aid kit
DPS# and business name centered vertically at least 3” high
Trash bags (33 gal.min.) or 5 gallon buckets (2)
One amber, rotating, flashing light with 360 degree visibility (perm. attached)
Flashlight
10# fire extinguisher or combination to 10#
Wire Cutter Pliers (8”) not intended to cut ODOT cable barriers
Warning devices (flares or triangles)
Jumper cables or Jumper Box
Push-Type broom & shovel
Safety glasses (1pr)
Tire chains or Mud & Snow tires
Traffic cones (3) MUTCD compliant
Two chains to secure the load
Adjustable pliers
Two safety chains to keep the towed vehicle attached
Rubber gloves and/or work gloves (PPE gear)
Tow lights (some rollbacks exempt only if capable of towing another vehicle)
Winches with minimum factory rated capacity of 8,000# equipped w/cable
Safety Apparel - 1 high visibility vest, jacket or shirt per vehicle
Absorbent (for liquid spills not cargo spills) At least 4 Gallons
4 Point tiedown (chains, cable or straps), if a rollback
1 hydraulic bottleneck jack or floor jack w/minimum 2½ ton rating
AA-SMALL TRUCK (not less than 9000# no max):
AA-MEDIUM TRUCK (not less than 24000#):
(must have all AA-Small Truck Equipment plus:)
Axe
Prybar
Factory or certified installed full air brakes with full tractor package
Two Scotch” Blocks with Chains attached (rollback exempt)
Air activated spring parking brake
Sling” and “Stay-bar” or wheelift device, or rollback
Two snatch blocks compatible with cable size and rating
Dollies (TM, TL and rollback exempt),
Boom(s) compatible with winch rating
Dual rear wheels
Truck hitch of adequate size and quality
(continued above right)
Winches with minimum factory rated capacity of 30,000# equipped w/cable
AA-LARGE TRUCK (not less than 44,000#)
(must have all AA-Small Truck and AA-Medium Truck Equipment plus:)
Front axle & suspension (12,000#)
10 gallons of absorbent material
Rear axle & suspension combination (32,000#)
2.5 lb Sledge/shop hammer
Full driven tandem axle
2 pair locking pliers
Winch factory rated capacity of combined 40,000# equipped w/cable
4 axle covers
Minimum wheel base (280”)
5 traffic cones (MUTCD compliant)
2 air hoses 3/8 in / 50 ft (considered as 2 or more air hoses 3/8” with combined
Minimum of 4 (four) snatch blocks that are recommended for the size of rope
minimum length of 100 ft)
contained on the winches
Cage Bolts (8)
Minimum of sixty feet (60’) of one half inch (1/2”) Grade 80 Recovery Chain
Two Air outlets on the wrecker for emergency and service line activation
with grab hooks
Metric and Standard end wrench sets with minimal 3/8 inch, 1/4 in, to 1 inch
2 (two) - one inch (1”) screw pin clevises
and 8mm to 19mm
2 (two) - one half inch (1/2”) screw pin clevises
Metric and Standard 1/2 in drive socket set and ratchet with minimum 1/4 in to
Boom(s) Wrecker unit must have a factory built or certified 25 (twenty-five) ton
1 in and 8mm to 19mm
boom rating that is an elevation and telescoping recovery boom
Hydraulic or Floor Jack with 10-ton minimum rating (hydraulic or pneumatic jack)
Wrecker unit must have a factory built or certified hydraulic telescoping wheel lift
The Department must have a current Certificate of Insurance on file covering this vehicle. The insurance verification form from the wrecker
service will not be accepted, only our form will be accepted. Please contact your insurance company if they have not already sent in a Certificate
of Insurance for the vehicle listed.
DPS 180WS 0236 9/2018