florida school bus safety inspection form

FLORIDA SCHOOL BUS SAFETY INSPECTION FORM
Status Code
√ = Ite m OK
X = Ne e ds Re pair
_____________________________________________________________District School Board___
Bus#______________Mileage________________RO#_________________Date________________
(or as note d)
O = Out of Se rvice
Chassis/Body_____________________________ Capacity______________Model Year__________
N/A Not Applicable
Shop Location_____________________________________________________________________
Status
Code
COMMENTS
(Note Specific Deficiencies)
INSPECTION ITEMS
Tech.
Initials
A. INSIDE BUS
1. Emergency Equipment - Fire Ext. (pressure/tag/mount), First Aid Kit,
Body Fluid Cleanup Kit and Reflectors
2. Registration and Insurance Card
3. Neutral Safety Switch, Shifter and Noise Abatement Switch
4. Engine Controls - Key Switch, Accelerator and Engine Shutdown
5. Gauges, Indicators, Dash and Switch Panel Lights, Engine Warning
Lights/ Buzzers and ABS Warning Light
6. Air Brake System - Gauge(s), Build-Up, Governor, Park Brake,
Adjustment, Air Leaks, Low Air Warning, PP-1 Pop-Off and Pedal
7. Hydraulic Brakes - Warning Light, Gauge, Pedal Travel and
Fade, Power Assist and Park Brake
8. Windshield Wipers and Washers - Operation, Park and Blades
9. Heaters, Defrosters, Auxiliary Dash or Header Fan(s)
10. Dome and Step Well Lights
11. Service Door - Operation, Control and Overhead Pad
12. Horns
13. Mirror Adjustment and Condition - Rear vision, Cross-view, Side-view and Interior
14. Driver’s Seat and Seat Belt
15. Passenger Seats - Frames, Mounting, Pads, Cuts, Bottoms, Modesty
Panels, Stanchions, Passenger Securement Devices and Webbing Cutter
16. Emergency Doors, Windows, Hatches and Passenger Check System
Operation, Buzzers, Labeling and Overhead Pad
17. Windshield, Side and Rear Windows - Cracks, Fogging, Latches and Visor
18. Wheelchair Lift, Door and Securement System - (if equipped)
19. Two-Way Radio Operation - (if equipped)
20. Interior Wiring, Cab Hoses and Fire Wall Seals
21. General Condition of Bus Interior - Floor, Step well, Grab Rail(s),
Paneling, Broom Mounting, Loose Objects Secured and Engine Cover
B. OUTSIDE BUS
1. Headlights, Turn Signals, Hazard, Brake, Tail, Backup
Lights, Backup Alarm and Park Lights
2. Clearance, Side Marker, ID Lights, Reflectors and Strobe Light
3. Pupil Warning Lights
4. Stop Arm(s) and Student Crossing Arm - Wiring, Air or Vacuum Leak and Decal
5. General Condition of Bus Exterior - Mirrors, Bumpers, Body Damage, Paint
Reflective Marking, Lettering, Emergency Door, Engine Hood and Cleanliness
C. ENGINE COMPARTMENT
1. Steering - Play, Column, Steering Gear Box Mounting, Pitman Arm,
Drag Link, Steering Arm, Tie Rod & Ends and Idler Arm
2. Batteries - Hold Down, Terminals, Cables, Cleanliness, Slide Tray and Load Test
3. Fluid Levels and Condition - Brake, Power Steering,
Oil, Transmission, Windshield Washer, Coolant (Antifreeze __________°F) and DEF
4. Belts and All Hoses - Tightness, Condition, Routing and Belt Alignment
5. Accessory Mounting and Condition – Power Steering Pump,
Air Compressor and Filter,
Water Pump, Fan, Alternator and Air Cleaner (Restriction) ________________(H 2 O)
6. Wiring - Routing and Condition
1
Rule 6A-3.0171
Form 2017-IF (effective March 2017)
Status
Code
COMMENTS
INSPECTION ITEMS
(Note Specific Deficiencies)
Tech.
Initials
7. Fuel System and Lines
8. Radiator - Mounting, Cap, Reservoir and Fan Shroud
D. UNDERNEATH BUS
1. Front Suspension - I-Beam, U-Bolts, Springs, Spring Mounts, Shackles, Pins and
Bushings, Shocks, Kingpins, Wheel Bearings, Seals, A-Frames, Bushings and Ball
Joints
2. Front Brakes - Hoses, Lines, Chambers, Slack Adjusters, Push rods, Linings, Drums,
Rotors and Wheel Cylinders or Calipers. Check and Adjust MSA-Equipped Brakes.
Do Not Adjust ASA-Equipped Brakes
3. Engine Mounts, Transmission Mounts and Starter Mounting
4. Transmission - Bolts, Linkage, Lines, Filter and Cooler
5. Fluid Leaks - Oil, Coolant, Transmission, Power Steering and DEF
6. Fuel and DEF Tank - Leaks, Mounting, Hoses and Wiring
7. Brake Equipment – ABS, Lines, Valves, Reservoir Mounting and Bleed Reservoirs
8. Driveline - Shafts, U-Joints, Yokes, Hanger Bearings, Guards Driveshaft and Park brake
9. Rear Suspension - Axle Housing, Vent, Differential, Springs, U-Bolts, Shocks, Spring
Shackles, Pins and Bushings, Hangers, Seals and Wheel Bearings
10.Rear Brakes - Hoses, Lines, Chambers, Slack Adjusters, Push rods, Linings, Drums,
Rotors and Wheel Cylinders or Calipers. Check and Adjust MSA-Equipped Brakes.
Do Not Adjust ASA-Equipped Brakes
11.Body Securement and Structure - Hold Downs, Floor, Outriggers, Braces,
Skirts and Chassis Frame Rails
12.Exhaust System - Leaks, Mounting, Muffler, Tailpipe and DEF System
13.Wheels and Tires - Tread Depth, Pressure, Damage, Matching, Alignment
and Wheel Hardware
E. LUBRICATION & MAINTENANCE (OPTIONAL)
1. Change Oil and Replace Oil Filter(s)
Qts. _______________
2. Replace Fuel Filter(s) Primary/Secondary and Drain Separator
3. Replace Transmission Filter(s)
Qts. _______________
4. Replace Air Compressor Filter (if applicable)
5. Replace Power Steering Filter
Pts. ______________
6. Replace Engine Air Cleaner Filter
7. Replace Coolant Filter (if applicable)
8. Test Starting and Charging System
Amps _________ Volts __________
9. Lubricate Chassis and Body
Lbs. ______________
10.Air Conditioning If equipped, perform A/C system preventive maintenance
according to manufacturer recommendations and district procedure.
F. ROAD TEST
1. Brake Performance - Park Brake, Stopping Distance and Equalization
2. Engine, Transmission and Driveline - Engine Performance, Governor and Shifting
3. Steering and Handling - Free Play, Power Assist, Column and Tracking
2
Rule 6A-3.0171
Form 2017-IF (effective March 2017)
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