Section 5310 Blank Inspection Form - Phoenix
CITY OF PHOENIX
PUBLIC TRANSIT DEPARTMENT – OPERATIONS DIVISION
VEHICLE MAINTENANCE INSPECTION
|Location: |Inspection Date: |Bus #: |
|Coordinated: |Follow-Up Inspection Date: |
|Lic. # : |Vin: |Make/Model: |
|Hub: |Scheduled: |Inspector: |
|PAS = Item Passed DEF = Item Defective COR = Item Corrected OS = Out Of Service |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Driver’s Area | | | | | |Front Dash Area | |
| | | | | | |Windshield | |
| | | | | | |Front/Side Visors | |
| | | | | | |Registration & Holder | |
| | | | | | |Annual Inspection |Expiration Date: |
| | | | | | |Emissions Test |Expiration Date: |
|Safety Equip. | | | | | |Fire Suppression |Expiration Date: |
|Safety Equip. | | | | | |Fire Extinguisher |Expiration Date: |
|Safety Equip. | | | | | |Triangles | |
| | | | | | |Accelerator/Brake Pedal | |
| | | | | | |Operator Seat & Belt | |
| | | | | | |Mirrors & Mirror Controls | |
| | | | | | |Wipers/Washer | |
| | | | | | |Horn/Steering Wheel | |
| | | | | | |Dash Panels & Lights | |
| | | | | | |Brake Air Leak Test | |
| | | | | | |Low Air Light /Alarm | |
| | | | | | |Warning Light/Alarms | |
| | | | | | |Check Gas: | |
| | | | | | |Fire Detector: | |
| | | | | | |Check VMS: | |
| | | | | | |Farebox Operation: | |
| | | | | | |Speedometer | |
| | | | | | |Transmission Controls | |
| | | | | | |Parking Brake | |
| | | | | | |AC/Defrost /Heat | |
| | | | | | |Reading Lights/Interior Dome | |
| | | | | | |Lights | |
| | | | | | |Front Door Operation & Overhead| |
| | | | | | |Lights | |
| | | | | | |Rear Door Operation & Overhead | |
| | | | | | |Lights | |
| | | | | | |DVIR Booklet | |
|Camera System | | | | | |Red Light Off | |
| | | | | | |Green Light On | |
| | | | | | |Parameters Ok | |
| | | | | | |Driver’s Barrier/ | |
| | | | | | |Side & Ceiling Panels | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Interior Equip. | | | | | |DVR S/N: | |
|Serial Num. & | | | | | | | |
|Operation | | | | | | | |
| | | | | | |PA S/N: | |
| | | | | | |Radio S/N: | |
| | | | | | |SMDT S/N: | |
| | | | | | |Farebox S/N: | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
| Interior | | | | | |Standee Sign/Line | |
| | | | | | |Radio Box & Drawers | |
| | | | | | |Ceiling Panels & Lofts | |
| | | | | | |Informational Signage/ | |
| | | | | | |Car Cards / Decals | |
| | | | | | |Stanchions/ Passenger Assists | |
| | | | | | |Floor Covering/ | |
| | | | | | |Step Well & Step Well Lights | |
| | | | | | |Passenger Seats | |
| | | | | | |Upper Level Modesty Panels | |
| | | | | | |Rear Door Modesty Panels | |
| | | | | | |Turntable Bellows | |
| | | | | | |Windows/Operation | |
| | | | | | |Emergency Exits | |
| | | | | | |Vandalism/Graffiti | |
| | | | | | |Cleanliness/Appearance | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Systems Check | | | | | |APC Test | |
| | | | | | |Rear Door Sensitive Edges | |
| | | | | | |Stop Request System | |
|Accessibility | | | | | | | |
|Features | | | | | | | |
|Kneeling System | | | | | |Operation | |
|Front Door | | | | | | | |
|Kneeling System Rear | | | | | |Operation | |
|Door | | | | | | | |
|Wheelchair Lift/Ramp | | | | | |Operation & Condition | |
|Wheelchair | | | | | |Operation & Condition | |
|Securements | | | | | | | |
|Palm Switches | | | | | |Operation & Condition | |
|Wheel Chair Stop | | | | | |Operation & Condition | |
|Request Chimes & | | | | | | | |
|Lights | | | | | | | |
|Enunciation | | | | | | | |
|System | | | | | | | |
| | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Air Conditioning | | | | | |Operation | |
| | | | | | |Compressor/Belt | |
| | | | | | |Refrigerant - Level | |
| | | | | | |Hoses & Valves | |
| | | | | | |Cores/Filters | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Undercarriage | | | | | |King Pins/ | |
| | | | | | |Wheel Bearings | |
| | | | | | |Steering Components | |
| | | | | | |Springs, Bellows | |
| | | | | | |Radius Rods | |
| | | | | | |Sway Bar, Bushings | |
| | | | | | |Shock Absorber/Bushings | |
| | | | | | |Engine/Trans Mounts | |
| | | | | | |Air Leaks | |
| | | | | | |Driveshaft/Protection | |
| | | | | | |Bulkheads | |
| | | | | | |Differential | |
| | | | | | |Body/Chassis Mounts | |
| | | | | | |Fuel System | |
| | | | | | |Under Body Hoses & Lines | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Brakes | | | | | |Brake Chambers | |
| | | | | | |Brake Interlock | |
| | | | | | |Relay Valves | |
| | | | | | |Air Lines/Hoses | |
| | | | | | |Slack Adjusters/ | |
| | | | | | |Check Travel | |
| | | | | | |Air Tanks/Dryers | |
| | | | | | |Wheels/Seals/ Fasteners | |
| | | | | | |Brake Shoes/Lining | |
| | | | | | |Springs/Rollers | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Engine | | | | | |Oil/Grease Leaks | |
|Compartment | | | | | | | |
| | | | | | |Cooling System | |
| | | | | | |Clamps & Brackets | |
| | | | | | |Belts/Guards | |
| | | | | | |Hoses/Lines | |
| | | | | | |Auxiliary Components | |
| | | | | | |Exhaust/Turbo | |
| | | | | | |Wiring/Batteries | |
| | | | | | |Fan Drive | |
| | | | | | |Transmission | |
| | | | | | |Engine S/N: | |
| | | | | | |Transmission S/N: | |
| | | | | | |A/C Compressor S/N: | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
|Exterior Lights & Body| | | | | |Brake Lights | |
|Condition | | | | | | | |
| | | | | | |License Plate Light | |
| | | | | | |Back-Up Lights & Alarm | |
| | | | | | |Tail Lights | |
| | | | | | |Marker Lights | |
| | | | | | |Hazard & Decel Lights | |
| | | | | | |Head Lights High & Low | |
| | | | | | |Turn Signals | |
| | | | | | |Reflectors | |
| | | | | | |General Body Condition | |
| | | | | | |Bike Rack | |
| | | | | | |Accident Damage | |
| | | | | | |Bumpers | |
| | | | | | |Owner/Operator Decals / | |
| | | | | | |Exterior Decals | |
| | | | | | |Paint | |
| | | | | | |Destination/Route Signs | |
| | | | | | |Cleanliness/Appearance | |
| | | | | | |Tires & Wheels | |
|Area |PAS |DEF |COR |OS |Repair Comp. |Item Inspected |Comments |
| | | | | |Date | | |
| | | | | | | | |
|Component | | | | | |Engine | |
|Cleaning | | | | | | | |
| | | | | | |Transmission | |
| | | | | | |Radiator | |
| | | | | | |Condensers | |
| | | | | | | | |
|Bus Placed Out Of | | | | | |1) | |
|Service For: | | | | | | | |
| | | | | | |2) | |
List Open Items Not Completed In the Thirty-Day Time Frame Below:
|Open Repair |Reason |Part Number |
| | | |
| | | |
| | | |
Below Are The Deficiencies Found On The Post-PMI Audits:
PMI Deficiencies
|Bus Number |Deficiencies |
| | |
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