"Ohio School Bus Inspection Form" - Ohio

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Ohio School Bus Inspection Form
PRINT LEGIBLY
Driver _____________________________
Date: ___________________________
Score: _______________
100 - deduction shown below
School/Agency ______________________
A score of 80 or better is passing.
OBI: ___________________________
Mileage: _____________
Bus # _______ Bus Type: C T MS
Circle One
Mark items inspected with 3
Mark items missed/defects with O Draw line through items not used and mark with NA
START TIME: ____________
AUTOMATIC FAILURE if not attempted
___ Air Brakes
___ Spacers
___ Air Brake Check
Hoses
Bud Type Wheels
Storage Tank
ABS
___ Splash Guards
STEP I. OVERVIEW
Service Brake
Air Chambers
___ Suspension
___ Leaning to One Side
Low Pressure Light
Slack Adjusters
Mounts
___ Hazards
Buzzer
Push Rods
Springs
___ Leaks
Emergency Spring Brake
Drums
Air Bags
Fresh Oil
OR
Linings
Torsion Springs
Coolant
___ Hydraulic Brake Check
___ Hydraulic Brakes
U-Bolts
Fuel
Pump 3 times - Hold 5 seconds
Lines
Shocks
STEP II. ENGINE COMPARTMENT
Calipers
___ Air Brakes
CONTROL PANEL
___ Hood
Rotors
Hoses
Indicator Lights & Switches
Hinges
ABS
___ Instrument Panel Lights
LIGHTS
___ Moisture
Air Chambers
___ Turn Signal
Left
Right
___ Clearance Lights
___ Wiring
Slack Adjusters
___ Hazard Lights
F
S
R
___ Hoses
Push Rods
___ High Beams
___ Warning Lights
___ Belts
Drums
___ Override
F
S
R
___ Oil
Linings
___ Master Warning Lights
___ Turn Signals
___ Coolant
___ Hydraulic Brakes
Amber
Red
Left
F
S
R
___ Air Compressor
Lines
___ Service Door
Right
F
S
R
___ Power Steering Fluid
Calipers
Step Light
___ Hazard Lights
___ Power Steering Fluid Pump
Rotors
___ Fans
F
R
___ Steering System
Heater
___ Head Lights
STEP V. INSIDE - WALKBACK
Steering Shaft
Defroster
Low Beam
___ Amber Warning Lights
Gear Box
Air Conditioner
High Beam
F
R
Hoses
___ Dome Lights
___ Tail Lights
___ Seats
Pittman Arm
___ Windshield Washers
___ Brake Lights *
___ Emergency Exits
Drag Link
Windshield Wipers
___ Back-Up Lights *
Window
Steering Arms
___ Noise Suppression Switch
___ Beeper
Roof
Tie Rod
___ Radio Check
___ Strobe Light
CHASSIS
___ Alternator
STEP IV. WALK-AROUND
___ Frame
STEP VI. OPERATION INSPECTION
___ Water Pump
___ Air Storage Tanks
BUS BODY
___ Driver’s Seat
___ Washer Fluid Level
Air Lines
___ Damage to Bus
___ Seat Belt
___ Turbo Charger
___ Battery Box
Dents
___ Steering
STEP III. INSIDE CAB
___ Drive Shaft
Scratches
___ Horn
___ Entry Check
___ Exhaust System
Vandalism
___ Parking Brake
OSHP Sticker
___ Fuel Tank
___ Mirror Brackets
___ Service Brake
Cage
SAFETY EQUIPMENT
___ Reflectors
___ Engine
___ Fire Extinguisher
Line
Reflective Tape
___ Transmission
___ Fusees
Cap
F
S
R
Clutch
Reflectors
___ Emergency Door
___ Suspension
REAR AXLE
___ First Aid Kit
Floor Cleanliness
___ Tires
Emer. Assist. Cards
___ Wheelchair Access
Inflation
________________
___ Body Fluid Kit
Operate Door
Condition
___ Flashlight
END TIME
FOR PRETRIP HERE
Operate Lift
Depth
___ Electric Fuses
___ Rim
FRONT AXLE
Circuit Breakers
___ Lugs
___ Tires
________________
___ Windshield
___ Axle Seals
Inflation
TOTAL TIME
Mirrors
FOR PRETRIP
Condition
Visor
Depth
MUST BE COMPLETED FOLLOWING DRIVING EVALUATION:
GAUGES AND BRAKE CHECK
___ Rims
___ Safe Start
STEP VII. POST-TRIP INSPECTION
___ Lugs
ABS Light
___ Set Parking Brake
___ Hub Oil Seal
___ Oil
Put in Neutral
___ Splash Guards
___ Fuel
___ Turn Off All Switches
___ Suspension
___ Ammeter
___ Check for Students
Mounts
Voltmeter
Check Seats for Damage
Springs
___ Temperature
Check Interior for Cleanliness
U-Bolts
___ Air Pressure
___ Check Automatic Transmission Weekly
Shocks
___ Complete Reports
ENTER POST-TRIP END TIME ON DRIVING EVALUATION AS END TIME
F=Front
S=Side
R=Rear
* Engine Off, Key On, or with a Helper
Number of errors ________ X 2 points = _______ Total Points to Deduct
Deduct total points from 100 for each item missed, enter score above.
This form has been reviewed with the driver.
OBI signature _____________________________________________
Driver signature ________________________________________________
Revised 11/12
Ohio School Bus Inspection Form
PRINT LEGIBLY
Driver _____________________________
Date: ___________________________
Score: _______________
100 - deduction shown below
School/Agency ______________________
A score of 80 or better is passing.
OBI: ___________________________
Mileage: _____________
Bus # _______ Bus Type: C T MS
Circle One
Mark items inspected with 3
Mark items missed/defects with O Draw line through items not used and mark with NA
START TIME: ____________
AUTOMATIC FAILURE if not attempted
___ Air Brakes
___ Spacers
___ Air Brake Check
Hoses
Bud Type Wheels
Storage Tank
ABS
___ Splash Guards
STEP I. OVERVIEW
Service Brake
Air Chambers
___ Suspension
___ Leaning to One Side
Low Pressure Light
Slack Adjusters
Mounts
___ Hazards
Buzzer
Push Rods
Springs
___ Leaks
Emergency Spring Brake
Drums
Air Bags
Fresh Oil
OR
Linings
Torsion Springs
Coolant
___ Hydraulic Brake Check
___ Hydraulic Brakes
U-Bolts
Fuel
Pump 3 times - Hold 5 seconds
Lines
Shocks
STEP II. ENGINE COMPARTMENT
Calipers
___ Air Brakes
CONTROL PANEL
___ Hood
Rotors
Hoses
Indicator Lights & Switches
Hinges
ABS
___ Instrument Panel Lights
LIGHTS
___ Moisture
Air Chambers
___ Turn Signal
Left
Right
___ Clearance Lights
___ Wiring
Slack Adjusters
___ Hazard Lights
F
S
R
___ Hoses
Push Rods
___ High Beams
___ Warning Lights
___ Belts
Drums
___ Override
F
S
R
___ Oil
Linings
___ Master Warning Lights
___ Turn Signals
___ Coolant
___ Hydraulic Brakes
Amber
Red
Left
F
S
R
___ Air Compressor
Lines
___ Service Door
Right
F
S
R
___ Power Steering Fluid
Calipers
Step Light
___ Hazard Lights
___ Power Steering Fluid Pump
Rotors
___ Fans
F
R
___ Steering System
Heater
___ Head Lights
STEP V. INSIDE - WALKBACK
Steering Shaft
Defroster
Low Beam
___ Amber Warning Lights
Gear Box
Air Conditioner
High Beam
F
R
Hoses
___ Dome Lights
___ Tail Lights
___ Seats
Pittman Arm
___ Windshield Washers
___ Brake Lights *
___ Emergency Exits
Drag Link
Windshield Wipers
___ Back-Up Lights *
Window
Steering Arms
___ Noise Suppression Switch
___ Beeper
Roof
Tie Rod
___ Radio Check
___ Strobe Light
CHASSIS
___ Alternator
STEP IV. WALK-AROUND
___ Frame
STEP VI. OPERATION INSPECTION
___ Water Pump
___ Air Storage Tanks
BUS BODY
___ Driver’s Seat
___ Washer Fluid Level
Air Lines
___ Damage to Bus
___ Seat Belt
___ Turbo Charger
___ Battery Box
Dents
___ Steering
STEP III. INSIDE CAB
___ Drive Shaft
Scratches
___ Horn
___ Entry Check
___ Exhaust System
Vandalism
___ Parking Brake
OSHP Sticker
___ Fuel Tank
___ Mirror Brackets
___ Service Brake
Cage
SAFETY EQUIPMENT
___ Reflectors
___ Engine
___ Fire Extinguisher
Line
Reflective Tape
___ Transmission
___ Fusees
Cap
F
S
R
Clutch
Reflectors
___ Emergency Door
___ Suspension
REAR AXLE
___ First Aid Kit
Floor Cleanliness
___ Tires
Emer. Assist. Cards
___ Wheelchair Access
Inflation
________________
___ Body Fluid Kit
Operate Door
Condition
___ Flashlight
END TIME
FOR PRETRIP HERE
Operate Lift
Depth
___ Electric Fuses
___ Rim
FRONT AXLE
Circuit Breakers
___ Lugs
___ Tires
________________
___ Windshield
___ Axle Seals
Inflation
TOTAL TIME
Mirrors
FOR PRETRIP
Condition
Visor
Depth
MUST BE COMPLETED FOLLOWING DRIVING EVALUATION:
GAUGES AND BRAKE CHECK
___ Rims
___ Safe Start
STEP VII. POST-TRIP INSPECTION
___ Lugs
ABS Light
___ Set Parking Brake
___ Hub Oil Seal
___ Oil
Put in Neutral
___ Splash Guards
___ Fuel
___ Turn Off All Switches
___ Suspension
___ Ammeter
___ Check for Students
Mounts
Voltmeter
Check Seats for Damage
Springs
___ Temperature
Check Interior for Cleanliness
U-Bolts
___ Air Pressure
___ Check Automatic Transmission Weekly
Shocks
___ Complete Reports
ENTER POST-TRIP END TIME ON DRIVING EVALUATION AS END TIME
F=Front
S=Side
R=Rear
* Engine Off, Key On, or with a Helper
Number of errors ________ X 2 points = _______ Total Points to Deduct
Deduct total points from 100 for each item missed, enter score above.
This form has been reviewed with the driver.
OBI signature _____________________________________________
Driver signature ________________________________________________
Revised 11/12