Form 200-FS-C3 "Annual Vehicle Inspection Report"

What Is an Annual Vehicle Inspection Report?

Form 200-FS-C3, Annual Vehicle Inspection Report, is a document that drivers are supposed to file annually in order to make sure their vehicle is in good condition. The purpose of the form is to collect information about the vehicle inspection that has taken place and determine whether certain parts of the vehicle need repair or not.

Alternate Name:

  • Truck Inspection Form.

Form 200-FS-C3 must be completed by a vehicle inspector who is qualified in accordance with the Code of Federal Regulations, Title 49. This form was developed by the U.S. Department of Transportation - Federal Motor Carrier Safety Administration and was last revised on March 1, 1994. An Annual Vehicle Inspection Report Form is available for download below.

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How to Fill Out an Annual Vehicle Inspection Report?

Form 200-FS-C3 can be used to gather information about tractors, trailers, trucks, and other similar vehicles. To complete the form, the inspector must fill out three parts:

  1. Vehicle History Record. In the first part of the document, the inspector is required to provide the report's number, the date when it was completed, and the unit fleet number.
  2. Information About the Inspection. Here, the inspector must identify the vehicle, designate information about the motor carrier operator and vehicle type. In addition to this, the inspector must state their name and the location of the inspecting agency.
  3. Vehicle Components Details. This is the biggest part of the report since here the inspector must state the condition of the vehicle components. This part is divided into 13 sections, each one of them is dedicated to a particular car system or mechanism. The inspector is supposed to check them all and mark an appropriate box in the form if components are okay, need repair, and the date when they were repaired. These sections include:
    • Brake System. In this section, the inspector must indicate the condition of the brake hose, brake tubing, air compressor, electric brakes, hydraulic brakes, vacuum systems, etc;
    • Steering Mechanism. Here the inspector must state whether the steering column, steering gearbox, ball and socket joints, or other components of the steering mechanism need repair;
    • Fuel System. While checking the fuel system of the vehicle, the inspector must make sure there are no visible leaks, the fuel tank is securely attached to the vehicle, and the fuel tank cap is not missing;
    • Tires. The inspector must check all of the tires and confirm they do not need to be changed or fixed.

During the vehicle inspection, the inspector must also check the vehicle's coupling devices, exhaust system, frame, windshield wipers, and other components.

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Download Form 200-FS-C3 "Annual Vehicle Inspection Report"

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ANNUAL VEHICLE INSPECTION REPORT
VEHICLE HISTORY RECORD
REPORT
FLEET UNIT NUMBER
NUMBER
DATE
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
INSPECTION AGENCY/LOCATION (OPTIONAL)
TRACTOR
TRAILER
TRUCK
(OTHER)
VEHICLE COMPONENTS INSPECTED
NEEDS REPAIRED
NEEDS REPAIRED
NEEDS REPAIRED
OK
ITEM
OK
ITEM
OK
ITEM
REPAIR
DATE
REPAIR
DATE
REPAIR
DATE
1. BRAKE SYSTEM
4. FUEL SYSTEM
9. FRAME
a. Service Brakes
a. Visible leak
a. Frame Members
b. Parking Brake System
b. Fuel tank filler cap missing
b. Tire and Wheel Clearance
c. Brake Drums or Rotors
c. Fuel tank securely
c. Adjustable Axle
d. Brake Hose
attached
Assemblies (Sliding
e. Brake Tubing
5. LIGHTING DEVICES
Subframes)
f. Low Pressure Warning
All lighting devices and
10. TIRES
Device
reflectors required by Section
a. Tires on any steering axle
g. Tractor Protection Valve
393 shall be operable.
of a power unit.
h. Air Compressor
6. SAFE LOADING
b. All other tires.
i. Electric Brakes
a. Part(s) of vehicle or
11. WHEELS AND RIMS
j. Hydraulic Brakes
condition of loading such
a. Lock or Side Ring
k. Vacuum Systems
that the spare tire or any
b. Wheels and Rims
part of the load or dunnage
c. Fasteners
2. COUPLING DEVICES
can fall onto the roadway.
d. Welds
a. Fifth Wheels
b. Protection against shifting
12. WINDSHIELD GLAZING
b. Pintle Hooks
cargo
Requirements and exceptions
c. Drawbar/Towbar Eye
7. STEERING MECHANISM
as stated pertaining to any
d. Drawbar/Towbar Tongue
a. Steering Wheel Free Play
crack, discoloration or vision
e. Safety Devices
b. Steering Column
reducing matter (reference
f. Saddle-Mounts
c. Front Axle Beam and All
393.60 for exceptions)
Steering Components
13. WINDSHIELD WIPERS
3. EXHAUST SYSTEM
Other Than Steering
Any power unit that has an
a. Any exhaust system
Column
inoperative wiper, or missing
determined to be leaking at
d. Steering Gear Box
or damaged parts that render
a point forward of or directly
e. Pitman Arm
it ineffective.
below the driver/sleeper
f. Power Steering
List any other condition which may
compartment.
g. Ball and Socket Joints
prevent safe operation of this
b. A bus exhaust system
h. Tie Rods and Drag Links
vehicle.
leaking or discharging to
i. Nuts
the atmosphere in violation
j. Steering System
of standards (1), (2) or (3).
8. SUSPENSION
c. No part of the exhaust
a. Any U-bolt(s), spring
system of any motor vehicle
hanger(s), or other axle
shall be so located as
positioning part(s) cracked,
would be likely to result in
broken, loose or missing
burning, charring, or
resulting in shifting of an
damaging the electrical
axle from its normal position.
wiring, the fuel supply, or
b. Spring Assembly
any combustible part of the
c. Torque, Radius or Tracking
motor vehicle.
Components.
X
X
NA
INSTRUCTIONS: MARK COLUMN ENTRIES TO VERIFY INSPECTION:
OK,
NEEDS REPAIR,
IF ITEMS DO NOT APPLY,
REPAIRED DATE
CERTIFICATION: THIS VEHICLE HAS PASSED ALL THE INSPECTION ITEMS FOR THE ANNUAL VEHICLE INSPECTION REPORT IN
ACCORDANCE WITH 49 CFR 396.
© Copyright 1994 & Published by J. J. KELLER & ASSOCIATES, INC.• Neenah, WI 54957-0368
200-FS-C3
PRINTED IN THE U.S.A.
Rev. 3/94
ORIGINAL
ANNUAL VEHICLE INSPECTION REPORT
VEHICLE HISTORY RECORD
REPORT
FLEET UNIT NUMBER
NUMBER
DATE
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
INSPECTION AGENCY/LOCATION (OPTIONAL)
TRACTOR
TRAILER
TRUCK
(OTHER)
VEHICLE COMPONENTS INSPECTED
NEEDS REPAIRED
NEEDS REPAIRED
NEEDS REPAIRED
OK
ITEM
OK
ITEM
OK
ITEM
REPAIR
DATE
REPAIR
DATE
REPAIR
DATE
1. BRAKE SYSTEM
4. FUEL SYSTEM
9. FRAME
a. Service Brakes
a. Visible leak
a. Frame Members
b. Parking Brake System
b. Fuel tank filler cap missing
b. Tire and Wheel Clearance
c. Brake Drums or Rotors
c. Fuel tank securely
c. Adjustable Axle
d. Brake Hose
attached
Assemblies (Sliding
e. Brake Tubing
5. LIGHTING DEVICES
Subframes)
f. Low Pressure Warning
All lighting devices and
10. TIRES
Device
reflectors required by Section
a. Tires on any steering axle
g. Tractor Protection Valve
393 shall be operable.
of a power unit.
h. Air Compressor
6. SAFE LOADING
b. All other tires.
i. Electric Brakes
a. Part(s) of vehicle or
11. WHEELS AND RIMS
j. Hydraulic Brakes
condition of loading such
a. Lock or Side Ring
k. Vacuum Systems
that the spare tire or any
b. Wheels and Rims
part of the load or dunnage
c. Fasteners
2. COUPLING DEVICES
can fall onto the roadway.
d. Welds
a. Fifth Wheels
b. Protection against shifting
12. WINDSHIELD GLAZING
b. Pintle Hooks
cargo
Requirements and exceptions
c. Drawbar/Towbar Eye
7. STEERING MECHANISM
as stated pertaining to any
d. Drawbar/Towbar Tongue
a. Steering Wheel Free Play
crack, discoloration or vision
e. Safety Devices
b. Steering Column
reducing matter (reference
f. Saddle-Mounts
c. Front Axle Beam and All
393.60 for exceptions)
Steering Components
13. WINDSHIELD WIPERS
3. EXHAUST SYSTEM
Other Than Steering
Any power unit that has an
a. Any exhaust system
Column
inoperative wiper, or missing
determined to be leaking at
d. Steering Gear Box
or damaged parts that render
a point forward of or directly
e. Pitman Arm
it ineffective.
below the driver/sleeper
f. Power Steering
List any other condition which may
compartment.
g. Ball and Socket Joints
prevent safe operation of this
b. A bus exhaust system
h. Tie Rods and Drag Links
vehicle.
leaking or discharging to
i. Nuts
the atmosphere in violation
j. Steering System
of standards (1), (2) or (3).
8. SUSPENSION
c. No part of the exhaust
a. Any U-bolt(s), spring
system of any motor vehicle
hanger(s), or other axle
shall be so located as
positioning part(s) cracked,
would be likely to result in
broken, loose or missing
burning, charring, or
resulting in shifting of an
damaging the electrical
axle from its normal position.
wiring, the fuel supply, or
b. Spring Assembly
any combustible part of the
c. Torque, Radius or Tracking
motor vehicle.
Components.
X
X
NA
INSTRUCTIONS: MARK COLUMN ENTRIES TO VERIFY INSPECTION:
OK,
NEEDS REPAIR,
IF ITEMS DO NOT APPLY,
REPAIRED DATE
CERTIFICATION: THIS VEHICLE HAS PASSED ALL THE INSPECTION ITEMS FOR THE ANNUAL VEHICLE INSPECTION REPORT IN
ACCORDANCE WITH 49 CFR 396.
© Copyright 1994 & Published by J. J. KELLER & ASSOCIATES, INC.• Neenah, WI 54957-0368
200-FS-C3
PRINTED IN THE U.S.A.
Rev. 3/94
ORIGINAL