bus maintenance & safety inspection · primary air tank-drain and test function of check valve...

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.

*****************

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

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.

*****************

of 4 Chp108A_0419.pdf

LUBRICATION AND INSPECTION REPORT

CHP 108A (Rev. 7-05) OPI 062

CARRIER NAME UNIT NUMBER YEAR

MAKE LICENSE NUMBERMODEL

MILEAGE OR HOURS DATE BY

Form may be reproduced privately—bulk supplies are not available from the CHP

of 4 Chp108A_0419.pdf

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

bus maintenance & safety inspection · primary air tank-drain and test function of check valve...

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