DVIR (MC) DVIR (MC) HiddenWho is this from? Total Safety Systems HiddenFull Company Information, with address Total Safety Systems, 225 S Tower Ave, Centralia, WA 98531 HiddenShop Notification Email This form recycles. If you have just made a submission and are seeing this, you are successful. Please drive safely and have a great day!Base or Start City Location* What would you like to do?* Who are you?* First Last Are you the driver of the vehicle* Yes No Driver Name* First Last Do you have any ELD malfunctions to report?* Please identify the ELD issue.* Unit does not power on. User input cannot be made. Unit does not provide required information. Other Please describe ELD other:* SauconPlease Check this box to enable description.* Enable Please describe issue in detail.*Is this inspection for today's date?* Please enter date of inspection*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What are we doing?Please make a selectionSpecific DamageReport Mechanical IssueTire Service TrackingA/V Inspection (entertainment)Interior InspectionExterior inspectionHeating Inspection or A/C InspectionEmergency Exits InspectionEquipment Info - Motor CoachEquipment Number* 0030 0034 0038 0060 0100 0400 0420 0422 0600 0602 0610 0812 0814 0860 0880 0882 1000 1020 1040 1060 1062 1080 1082 2000 2020 2022 2024 Beginning Mileage*Actual Mileage only, please do not include decimals.Ending Mileage*Actual Mileage only, please do not include decimals.Total MileageRating InfoPlease rate the condition of your Vehicle.* What area was less than perfect?* Seats Windows Floors Bathroom Luggage Area Drivers Area Smell Please upload a photo of what was less than perfect.Max. file size: 20 MB.Please describe why your vehicle was not clean. HiddenWash Crew Production Log Seats Windows Floors Bathroom Luggage Area Drivers Area Smell Pre-Trip DVIR InspectionsBefore driving off, a driver must verify that the vehicle is roadworthy and in safe operating condition (Part 396.13 Driver Inspection). He or she must review the last Driver Vehicle Inspection Report (DVIR) to ensure that any repairs to correct the defects noted on the report have been performed. By scrolling to the bottom of this page and selecting your equipment number, you may review previous information and complete repair confirmations as needed. Federal law requires that each driver review the previous daily vehicle inspection report (DVIR) and document that it has been reviewed and whether defects were found. Did you review the previous report?* Is vehicle safe and or legal to operate?* It should be noted that the driver of a passenger-carrying commercial motor vehicle subject to this regulation must prepare and submit a report even if no defect or deficiency is discovered by or reported to the driver.Provide your Email* Enter Email Confirm Email If you are calling this vehicle Out Of Service (OOS) you will be required to re-inspect the equipment and sign off on the repairs to ensure a compliant repair process is met. By calling this vehicle OOS, you agree to complete the review process, a notification and request will be sent to you for review upon completion of the repair. I have checked the following DOT required items prior to operating the equipment noted. I will identify the items needing attention by selecting the appropriate check box(s).* Service Brake Parking Brake Steering Mechanism Lighting Devices and Reflectors Tires Horn Windshield Wipers Rear Vision Mirrors Wheels and Rims Emergency Equipment §396.11 Driver vehicle inspection report(s). (a) Equipment provided by motor carrier. (1) Report required. Every motor carrier shall require its drivers to report, and every driver shall prepare a report in writing at the completion of each day's work on each vehicle operated, except for intermodal equipment tendered by an intermodal equipment provider. The report shall cover at least the following parts and accessories:Define Service Brake Issue* Define Parking Brake Issue* Define Steering Issue* Define Lights and Reflectors Issue* Define Tires Issue* Define Horn Issue* Define Windshield Wipers Issue* Define Mirrors Issue* Define Wheels and Rims Issue* Define Emergency Equipment Issue* Driver Signature* Reset signature Signature locked. Reset to sign again Pre-Trip | Post-Trip InspectionIs there any new equipment damage that you need to report?* Are there any defects that need to be reported to the maintenance department for repairs* Does this equipment need priority cleaning?* Which area of the vehicle is exhibiting new damage?* Front Left Side Right Side Rear What type of front damage are you reporting?* Paint, scratches, dents or other finish surface damage Body damage, scrapes, gouges, rips or tears in body materials Broken glass, chipped glass or fogged windows Lighting, reflectors or other illumination devices Tires, wheels, lugs or other wheel related items Other items not described above Please take front image and upload now* Drop files here or Select files Max. file size: 20 MB. Please provide front note here What type of left side damage are you reporting?* Paint, scratches, dents or other finish surface damage Body damage, scrapes, gouges, rips or tears in body materials Broken glass, chipped glass or fogged windows Lighting, reflectors or other illumination devices Tires, wheels, lugs or other wheel related items Other items not described above Please take left side image and upload now* Drop files here or Select files Max. file size: 20 MB. Please provide left side note here What type of right side damage are you reporting?* Paint, scratches, dents or other finish surface damage Body damage, scrapes, gouges, rips or tears in body materials Broken glass, chipped glass or fogged windows Lighting, reflectors or other illumination devices Tires, wheels, lugs or other wheel related items Other items not described above Please take right side image and upload now* Drop files here or Select files Max. file size: 20 MB. Please provide right side note here What type of rear damage are you reporting?* Paint, scratches, dents or other finish surface damage Body damage, scrapes, gouges, rips or tears in body materials Broken glass, chipped glass or fogged windows Lighting, reflectors or other illumination devices Tires, wheels, lugs or other wheel related items Other items not described above Please take rear image and upload now* Drop files here or Select files Max. file size: 20 MB. Please provide rear note here Please provide additional comments hereClock In/Out/Switch Equipment Did you have any charter issues to report today?Work OrderHiddenVIN (last 6 of VIN) (OLD AND HIDDEN) Look for the VIN tag that you saw when you did your pre-trip inspection as required by law. You would have seen this when you checked your License and Insurance information.Make*Prevost H3Prevost H3 ADATEMSA TS30MCI J CoachVolvoSetraFreightliner ChassisSprinter VanSprinter Van ADAFord Chassis DIESEL (100)Ford ChassisIf you get this wrong on a consistent basis, you will be required to take remedial training to help you identify what equipment type you are driving. Hidden(OLD HIDDEN) Model Year This also would be found during your pre-trip inspection on the licensing and insurance information you must review prior to driving the equipment. What is wrong with vehicle?* Engine, Check engine light on dash Engine Transmission Tires and wheels Heating and Air Conditioning Body and Glass Audio Visual Entertainment Bathroom Seats and Interior Other Describe Engine Check Light* Describe Engine issue* Describe Transmission issue* Describe tires and wheels issue* Describe heating and air conditioning issue* Describe body and glass issue* Describe audio and visual issue* Describe bathroom issue* Describe seats and interior issue* Describe Other*Please upload an image of your defect if applicableMax. file size: 20 MB.HiddenDriver Reviewing Repairs SignatureHiddenHave the repairs noted been corrected at this time? HiddenDate MM slash DD slash YYYY HiddenFinal Review Signature Reset signature Signature locked. Reset to sign again Tire Service TrackingWhat are we doing?* New tire input Tire and Wheel Swap Tire Replacement Tread depth inspection Tire and wheel swap is an existing mounted tire moved somewhere. Tire repalcement includes a dismount and remount on exsitign wheel.Tread Depth*2/324/326/328/3210/3213/3214/32Where did the old tire go? Back to stock Swapped on another axle Junk pile or lease return For repairs Exterior InspectionDoes the vehicle appear to have new or extensive damage?* Yes No One image of Damage is Required*Max. file size: 20 MB.Front of VehicleMax. file size: 20 MB.Left Side of VehicleMax. file size: 20 MB.Right Side of VehicleMax. file size: 20 MB.Rear of VehicleMax. file size: 20 MB.Audio Visual and Entertainment InspectionDoes the vehicle have a microphone?* Yes No Does the vehicle have a microphone for tour guides to speak on during a trip? Please take a picture of the microphone now.Max. file size: 20 MB.Does the microphone work?* Yes No You may need to start the vehicle to determine if it is working.Does the vehicle have an entertainment system?* Yes No Does the vehicle have a DVD player with one or more monitors for passengers to watch while they are on a trip? Please take a picture of the dash unit now.*Max. file size: 20 MB.Please take a picture of the DVD Player or other controls now.Max. file size: 20 MB.Does the entertainment system work?* Yes No You may need to start the vehicle to determine if it is working. Does the vehicle have an Auxiliary Input?* Yes No This will be a 1/8 inch jack typically to plug in an Ipod or other media device with a speaker cord.Does the Auxiliary input work?* Yes No You may need to start the vehicle to determine if it is working.Does the vehicle have an USB Input?* Yes No This is a USB type slot for a stick or computer cable which may also allow an Ipod or phone charger cord to hook up to the stereo unit. Does the USB input work?* Yes No You may need to start the vehicle to determine if it is working.Does the vehicle have one or more 12 Volt Power receptacles?* Yes No These are the round cigarette lighter looking power sources. Do the 12 volt outlets work?* Yes No You may need to start the vehicle to determine if it is working.Does the vehicle have one or more 110 Volt Power receptacles?* Yes No These are the normal looking house type power outlets. If the vehicle has these, it will be equipped with an inverter. Do the 110 volt outlets work?* Yes No You may need to start the vehicle to determine if it is working.Interior InspectionIs the interior clean?* Yes No Is the interior Presentable?* Yes No Should the vehicle be considered for repair or replacement of interior?* Yes No Please take image now of drivers area.*Max. file size: 20 MB.Please take image now from front facing rear.*Max. file size: 20 MB.Please take image now from rear facing front.*Max. file size: 20 MB.Specific Damage ObservedPlease briefly describe the specific damage now.* Upload one photo of specific damage now (required).*Max. file size: 20 MB.Upload second image now (optional).Max. file size: 20 MB.Upload third image now (optional).Max. file size: 20 MB.Upload fourth image now (optional).Max. file size: 20 MB.Heating Inspection or A/C InspectionPlease upload photograph of A/C control panels now (required).*Max. file size: 20 MB.Please upload Second photograph of A/C control panels now (optional).Max. file size: 20 MB.Please upload Third photograph of A/C control panels now (optional).Max. file size: 20 MB.Emergency Exits InspectionNumber of Emergency Doors in vehicle* None 1 2 3 4 5 6 7 or more Are all emergency Doors properly labelled?* Yes No Did you test the main entry door emergency release?* Yes No Does the main emergency release work properly on the main entry door?* Yes No Did you test each door for proper operation?* Yes No Do the emergency door lights operate properly for each door tested?* Yes No Number of Push Out windows in vehicle* None 1 2 3 4 5 6 7 or more Are all emergency Doors properly labelled?* Yes No Did you test each push out window proper operation?* Yes No Do they all operate properly?* Yes No Number of Roof hatches in vehicle* None 1 2 3 4 5 6 7 or more Are all roof hatches properly labelled?* Yes No Did you test each roof hatch for proper operation?* Yes No Do they all operate properly?* Yes No Are any repairs required at this time?* Yes No
