iPA ALPHA MUTT - Page 72

VEHICLE HISTORY RECORD
UNIT #:
456
REPAIR ORDER #
789
VEHICLE TYPE:
Trailer
MOTOR CARRIER OPERATOR
NAME:
Innovative Products of America
STREET:
234 Tinker St
CITY, STATE/PROVINCE, ZIP CODE:
Woodstock, N.Y., 12498
LICENSE PLATE NUMBER/STATE:
3456JK
LOCATION:
Woodstock
VIN:
XXXXXX
HUB READING:
87
HOURS:
2
OWNER OF VEHICLE:
IPA
QUALIFIED INSPECTORS NAME:
Guest
DATE:
03/31/20 16:30
Status: ✔ = Ok , X = Needs Repair, NA = Not Applicable
1. Brake System
✔
X
NA
Comment
Picture
A. Service Brake
✔
✔
✔
B. Parking Brake System
✔
C. Brake Drums or Rotors
✔
D. Brake Hose
✔
E. Brake Tubing
✔
F. Low Pressure Warning Device
✔
G. Tractor Protection Valve
✔
H. Air Compressor
✔
I. Electric Brakes
✔
J. Hydraulic Brakes
✔
K. Vacuum System
✔
L. Antilock Brake System
✔
M. Auto Brake Adjusters
✔
2. Coupling Devices
A. Fifth Wheels
✔
B. Pintle Hooks
✔
C. Drawbar/Towbar Eye
✔
D. Drawbar/Towbar Tongue
✔
E. Safety Devices
✔
F. Saddle-Mounts
✔
3. Exhaust System
A. Exhaust system leaking forward or directly below the driver
/sleeper compartment.
✔
B. Bus exhaust system leaking or discharging in violation of
standard.
✔
C. Exhaust system likely to burn char, or damage the electrical
wiring, fuel supply or any combustible part of the motor vehicle.
✔
4. Fuel System
A. Visible Leak
✔
B. Fuel Tank Filter Cap Missing
✔
C. Fuel Tank Securely Attached
✔
5. Lighting Devices
A. All lighting devices and reflectors require by Part 393 shall be
operable.
✔
11-10