BUS SAFETY INSPECTION 10.

PRE-USE INSPECTION REJECTED

CHECKLIST MILES: ___________ DATE__________ TIME________
1. INCIDENT NAME/NUMBER 2. ORDER/REQUEST NUMBER
INSPECTOR NAME:________________________________ TITLE__________________
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3. OWNER/VENDOR NAME & COMPANY NUMBER
ACCEPTED
4. AGREEMENT, PO, CONTRACT NO. 5. EXPIRES MILES: ___________ DATE__________ TIME________

6. MAKE 7. MODEL, TYPE

VENDOR SIGNATURE:______________________________ TITLE__________________
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8. SERIAL NO./VIN 9. LICENSE INSPECTOR NAME:__________________________________ TITLE__________________
NO. PRINT

* Safety Items, Do Not Accept Until Repaired Pre-Use Release

Yes No Yes N
Bus Specialty Requirements Yes No
o
1. DOT inspection in previous 12 mths when required * 1. PERSONAL PROTECTIVE EQUIPMENT
2. Gauges and lights * (PPE): Flame Resistant Clothing, Boots, Gloves,
Hardhat & Fire Shelter.
3. Seat belts *
4. Glass and mirrors * 2. SAFETY CAGE: Nets WILL NOT be accepted.
5. Wipers and horn *
6. Clutch pedal: proper adjustment, ¾” free travel 3. EMERGENCY DOORS: Marked with 1-inch
7. Cooling system: check radiator and hoses letters and identified with a red electric lamp that
works when lights are needed. 393.92
8. Oil level/condition: full and clean
1. No emergency exit sign over rear door (if
9. Battery: check for corrosion, loose terminals, tie downs cage in rear)
10. Fuel system * 2. If required roof hatch minimum size is
11. Electrical system: alternator and starter working 13”X17”
12. Engine running: check for knocks and leaks 3. All exits shall be properly labeled
13. Transmission: check for leaks 4. DRIVE SHAFT PROTECTION: Must have at
14. Steering (See specialty items) * least one guard or bracket at the end of the shaft that
would prevent whipping of the shaft in the event of
15. Tie rods, ball joints: check for looseness or bent *
failure.
16. Lubrication: check for dry fittings
17. Brakes (See specialty items) * 5. EXHAUST SYSTEM:
18. Drive line/U-joints: check for looseness Gas Powered Buses: Tailpipe will exit at or within 6”
forward of the rear most part of the bus.
19. Springs and shocks *
Diesel Buses: Tailpipe will exit within 15” of the rear
20. Differential: check for leaks most part of the bus or to the rear of all doors or
21. Exhaust system (See specialty items) * windows designed to be opened except windows
22. Frame * designed to open solely as emergency exits 393.83
23. Tire and wheels: ¼” front, 3/16” rear tread required * No exhaust leaks will be tolerated, no temp repairs.
24. Accessories: jack, lug wrench, mounted spare 6. SPARE TIRE: Full size, mounted on wheel
25. Body and interior condition: describe & locate damage on required on all buses: tire must be secured.
back side of form 7. STEERING SYSTEM: 393.209 See table in
26. Emergency Equipment required:___Fire Extinguisher CFR book for maximum steering lash allowed. Gear
____Spare fuses ____Reflectors ____Chock Blocks * box, u-joints, ball joints and tie rods must be in good
condition. Power steering systems will NOT have
27. Operator(s) properly licensed: ANY leaks. Belts in good condition, steering wheel
State______ License No.________________ Class_____ spokes may not be cracked or missing.
Endorsements________Med Cert Exp Date____________
8. BRAKES: Parking brake must hold, air brakes
must meet front protection regs and have low air
warning devices and working air pressure gauge.
11. RELEASE INSPECTION
Slack adjusters must be properly adjusted. Brake
MILES_________________ DATE___________________ TIME________________ lining will conform to specs. NO leaks of air or fluid
allowed.
VENDOR
SIGNATURE:________________________________TITLE______________________________ COMMENTS:
INSPECTOR
NAME:_____________________________________TITLE_______________________________
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