bus maintenance & safety inspection · primary air tank-drain and test function of check valve...
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Page 1 of 4 Chp108A_0419.pdfForm may be reproduced privately—bulk supplies are not available from the CHP
SIGNATURES OF INSPECTORS
AUGUST INSPECTION DATE
DECEMBER INSPECTION DATE
APRIL INSPECTION DATE
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE
JANUARY INSPECTION DATE FEBRUARY INSPECTION DATE MARCH INSPECTION DATE
STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
BUS MAINTENANCE & SAFETY INSPECTION
CHP 108A (Rev. 7-05) OPI 062 * Inspection of these items meet the minimum requirements of 34505 CVC
CARRIER NAME UNIT NUMBER
YEAR MAKE LICENSE NUMBER JAN OK DEF
MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE
FEB OK DEF
MAR OK DEF
APR OK DEF
MAY OK DEF
JUN OK DEF
JUL OK DEF
AUG OK DEF
SEP OK DEF
OCT OK DEF
NOV OK DEF
DEC OK DEF
Fire extinguisher, first aid kit, and reflective warning devicesHorn, defroster, gauges, odometer, and speedometerDriver seat, passenger seats, padding, interior, and floor conditionWindshield wipers, windows, mirrors, and supportsAll interior and exterior lights, signals, reflectorsElectrical wiring-condition and protectionBatteries-water level, terminals, and cablesWarning devices-air, oil, temperature, exit, and/or vacuumHeaters, defrosters, switches, and ventsDoors, exterior, paint, and markingRadiator and water hoses-coolant level, condition, and/or leaksBelts-compressor, fan, water, and/or alternatorAir hoses and tubing-leaks, condition, and/or protectionFuel system-tank, hoses, tubing, and/or pump-leaksExhaust system, manifolds, piping, muffler-leaks and/or conditionEngine-mounting, excessive grease and/or oilClutch adjustment-free playAir filter, throttle linkageStarting and charging systemHydraulic brake system-adjustment, components, and/or conditionHydraulic master cylinder-level, leaks, and/or conditionHoses and tubing-condition, protectionAir brake system-adjustment, compartments, and/or condition1 minute air or vacuum loss testAir compressor governor-cut in and cut out pressure (85-130)Primary air tank-drain and test function of check valveOther air tanks-drain and check for contaminationTires-tread depth, inflation, conditionWheels, lug nuts, and studs-cracks, looseness, and/or conditionParking brake-able to hold the vehicleEmergency stopping system-labeled, operativeBrakes do not release after complete loss of service airSteering system-mounting, free lash and componentsSteering arms, drag links, and/or tie rod endsSuspension system-springs, shackles, u-bolts, and/or torque rodsFrame and cross members-cracks and/or conditionDrive shaft, universal joints, and/or guardsTransmission and differential-mounting, leaks, and/or conditionWheel seals-leaks and/or conditionUnder carriage-clean and secure
1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.29.30.31.32.33.34.35.36.37.38.39.40.
*
**
*****************
*
Page 2 of 4 Chp108A_0419.pdfForm may be reproduced privately—bulk supplies are not available from the CHP
SIGNATURES OF INSPECTORS
AUGUST INSPECTION DATE
DECEMBER INSPECTION DATE
APRIL INSPECTION DATE
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE
JANUARY INSPECTION DATE FEBRUARY INSPECTION DATE MARCH INSPECTION DATE
STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
BUS MAINTENANCE & SAFETY INSPECTION
CHP 108A (Rev. 7-05) OPI 062 * Inspection of these items meet the minimum requirements of 34505 CVC
CARRIER NAME UNIT NUMBER
YEAR MAKE LICENSE NUMBER JAN OK DEF
MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE
FEB OK DEF
MAR OK DEF
APR OK DEF
MAY OK DEF
JUN OK DEF
JUL OK DEF
AUG OK DEF
SEP OK DEF
OCT OK DEF
NOV OK DEF
DEC OK DEF
Fire extinguisher, first aid kit, and reflective warning devicesHorn, defroster, gauges, odometer, and speedometerDriver seat, passenger seats, padding, interior, and floor conditionWindshield wipers, windows, mirrors, and supportsAll interior and exterior lights, signals, reflectorsElectrical wiring-condition and protectionBatteries-water level, terminals, and cablesWarning devices-air, oil, temperature, exit, and/or vacuumHeaters, defrosters, switches, and ventsDoors, exterior, paint, and markingRadiator and water hoses-coolant level, condition, and/or leaksBelts-compressor, fan, water, and/or alternatorAir hoses and tubing-leaks, condition, and/or protectionFuel system-tank, hoses, tubing, and/or pump-leaksExhaust system, manifolds, piping, muffler-leaks and/or conditionEngine-mounting, excessive grease and/or oilClutch adjustment-free playAir filter, throttle linkageStarting and charging systemHydraulic brake system-adjustment, components, and/or conditionHydraulic master cylinder-level, leaks, and/or conditionHoses and tubing-condition, protectionAir brake system-adjustment, compartments, and/or condition1 minute air or vacuum loss testAir compressor governor-cut in and cut out pressure (85-130)Primary air tank-drain and test function of check valveOther air tanks-drain and check for contaminationTires-tread depth, inflation, conditionWheels, lug nuts, and studs-cracks, looseness, and/or conditionParking brake-able to hold the vehicleEmergency stopping system-labeled, operativeBrakes do not release after complete loss of service airSteering system-mounting, free lash and componentsSteering arms, drag links, and/or tie rod endsSuspension system-springs, shackles, u-bolts, and/or torque rodsFrame and cross members-cracks and/or conditionDrive shaft, universal joints, and/or guardsTransmission and differential-mounting, leaks, and/or conditionWheel seals-leaks and/or conditionUnder carriage-clean and secure
1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.29.30.31.32.33.34.35.36.37.38.39.40.
*
**
*****************
*
Page 3 of 4 Chp108A_0419.pdf
STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
LUBRICATION AND INSPECTION REPORT
CHP 108A (Rev. 7-05) OPI 062
CARRIER NAME UNIT NUMBER YEAR
MAKE LICENSE NUMBERMODEL
TRA
NSM
ISSI
ON
MILEAGE OR HOURS DATE BY
LUB
RIC
ATI
ON
OIL
CH
AN
GE
OIL
AD
DED
FILT
ER C
HA
NG
E
TRA
NSM
ISSI
ON
DIF
FER
ENTI
AL
WH
EEL
BEA
RIN
GS
BA
TTER
IES
BR
AK
E A
DJU
STM
ENT
TIR
E PR
ESSU
RE
A L
EVEL
SER
VIC
E
B L
EVEL
SER
VIC
E
C L
EVEL
SER
VIC
E
MILEAGE OR HOURS DATE BY
LUB
RIC
ATI
ON
OIL
CH
AN
GE
OIL
AD
DED
FILT
ER C
HA
NG
E
DIF
FER
ENTI
AL
WH
EEL
BEA
RIN
GS
BA
TTER
IES
BR
AK
E A
DJU
STM
ENT
TIR
E PR
ESSU
RE
A L
EVEL
SER
VIC
E
B L
EVEL
SER
VIC
E
C L
EVEL
SER
VIC
E
Form may be reproduced privately—bulk supplies are not available from the CHP
Page 4 of 4 Chp108A_0419.pdf
STATE OF CALIFORNIA DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REPAIR REPORT CHP 108A (Rev. 7-05) OPI 062
MILEAGE OR HOURS DATE REPAIR
CARRIER NAME UNIT NUMBER YEAR
MAKE LICENSE NUMBERMODEL
Form may be reproduced privately—bulk supplies are not available from the CHP
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