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EATC FORM 114: INSPECTION OF COMMERCIAL VEHICLE
CONTRACTOR
LOCATION:
CONTRACT NUMBER
DATE/TIME
VECHICLE# (LICENSE PLATE):
CARGO:
OPERATOR'S NAME:
CONSIGNOR:
INSPECTOR'S NAME:
CONSIGNEE:
INSPECTOR'S TELEPHONE:
INSPECTOR’S UNIT
Circle (PASS) or (FAIL) for each inspected area.
If the area does not apply, write “N/A” in the remarks block
EXPLAIN DISCREPANCIES IN REMARKS SECTION
| ITEMS |
| STANDARD |
| STAUS |
| REMARKS |
| LIGHTS (FRONT/REAR) |
| Operational, not broken |
| Pass |
| Fail |
| BRAKE LIGHTS |
| Operational, not broken |
| Pass |
| Fail |
| TURN SIGNALS |
| Operational, not broken |
| Pass |
| Fail |
| REAR VIEW MIRROR |
| Not Broken, not Loose |
| Pass |
| Fail |
| STEERING ASSEMBLY |
| Steering not restricted |
| Pass |
| Fail |
| WINDSHIELD WIPER |
| Operational, with fluid |
| Pass |
| Fail |
| METERING DEVICES |
| Operational |
| Pass |
| Fail |
| HORN |
| Operational |
| Pass |
| Fail |
| OIL PRESSURE |
| Not in red |
| Pass |
| Fail |
| FUEL LEVEL |
| Over half tank |
| Pass |
| Fail |
| FIRE EXTINGUISHER |
| Accessible &full |
| Pass |
| Fail |
| BRAKES (HAND/FOOT) |
| Operational |
| Pass |
| Fail |
| TIRE CONDITION |
| Front tires 1/4 in (6.35mm) |
Rear tires 3/16 in (4.762mm)
| TIRE PRESSURE |
| Inflated to standard |
| Pass |
| Fail |
| MUFFLER |
| Attached & Secure |
| Pass |
| Fail |
| FLATBED CONDITION |
| No holes larger than 4in |
| Pass |
| Fail |
| GROUNDING DEVICE |
| Driver Knowledge |
| Pass |
| Fail |
| FUEL METERING DEVICE |
| Operational |
| Pass |
| Fail |
| WHEELS CHOCKED |
| Chalks available, used during (un)loading |
| Pass |
| Fail |
| CONDITION OF CARGO COMPARTMENT |
| Clean, clear of debris |
| Pass |
| Fail |
| REFRIGERATION DEVICE |
| Operational |
| Pass |
| Fail |
| SERVICABLE DOOR LATCH |
| Operational |
| Pass |
| Fail |
| LOCKING DOOR |
| Operational |
| Pass |
| Fail |
| COVERS ON CARGO |
| Not torn |
| Pass |
| Fail |
| CARGO PROPERLY TIED DOWN |
| IAW Manuel and US Rep guidance |
| Pass |
| Fail |
| MARKING OF TRUCKS |
| IAW Manuel |
| Pass |
| Fail |
| CARGO DOCUMENTATION |
| Signed, Correct Cargo |
| Pass |
| Fail |
| DRIVER'S IDENTIFCATION |
| Driver’s license, Insurance Card |
| Pass |
| Fail |
SIGNATURE OF INSPECTOR
EATC FORM 114 (1JAN2006) *SUPERSEDES EATC 114 DATED 1MAR 2000
