Fillable 2020 Mip Inspection Report Form P1 (Minnesota)

Fill Online, Printable, Fillable, Blank 2020 Mip Inspection Report Form P1 (Minnesota) Form

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2020 Mip Inspection Report Form P1 (Minnesota)

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The 2020 Mip Inspection Report Form P1 (Minnesota) form is 1 page long and contains:

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  • 2 check-boxes
  • 23 other fields

Country of origin: US
File type: PDF

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13. Decal #
1. Date mm/dd/yyyy
2.Insp.Location (Street Address)
3. City, State ZIP
4.Time in
5. Time Out
am
pm
am
pm
7.Year
8.VIN
9. Unit #
10.Odometer
11.Lic#
12.State
C
H
14.Owner Name
15.Owner Street Address
16. City, State, ZIP
17.Carrier Name
18.Carrier Street Address
19.City, State, ZIP
20.Owner USDOT#
21. Carrier USDOT#
22.Inspector Name
23.Inspector #
PASS
FAIL
N/A
PASS
FAIL
N/A
1. BRAKE SYSTEM
5. LIGHTING DEVICES
a. Service Brakes a. Headlamps
1.) Adjustment b. Tail lamps
2.) Pads
c.
Brake lamps
b. Parking Brake System
d.
Turn Signals
c. Brake Drum or Rotors
e.
Marker/ID/Clearance Lamps
d. Brake Hose
f
. Conspicuity Tape/Reflectors
e. Brake Tubing
6. SAFE LOADING
f. Low Pressure/Vacuum/or Low Air Warning Device
7. STEERING MECHANISM
g. Tractor Protection Valve a. Steering Wheel Free Play(Lash)
h. Air Compressor
b. Steering Column
i. Electric Brakes c. Front Axle Beam & All Components Other Than Steering
j. Hydraulic Brakes ( including power assist) d. Steering Gear Box Column
k. Vacuum Systems e. Pitman Arm
l. ABS f. Power Steering
1. Power Unit Warning Light g. Ball & Socket Joints
2. Towed Unit Warning Light h. Tie Rods & Drag Link
3. System malfunction
i. Nuts
m. Automatic Slack Adjusters j. Steering System
n. Breakaway Brakes - trailers
8
. SUSPENSION
a. U-Bolts
2. COUPLING DEVICES
b. Spring Assembly
a. 5
th
Wheel & Mounting/King Pin c. Torque, Radius, or Tracking Components
b. Pintle Hooks & Mounting Ball hitch
9
. FRAME/INCLUDING CROSS FRAMES
c. Drawbar /Towbar Eye a. Frame Members
d. Drawbar/Towbar Tongue b. Tire & Wheel Clearance
e .Safety Devices (chains, cables, hooks)
c. Adjustable Axle Assemblies (sliding subframes)
& Locking Devices - Trailer Only
f. Saddle Mounts
10.
TIRES
g. Locking Devices
11. WHEELS & RIMS
a. Lock or Slide Ring (Split Rim)
3
. EXHAUST SYSTEM
b. Wheels & Rims
c. Fasteners (lugs)
4
. FUEL SYSTEM
d. Welds
a. Visible Leak
1
2. WINDSHIELDS/Glazing
b. Fuel Cap
13.
WIPERS/WASHER & DEFROSTERS
c. Securement of Tank
1
4. MOTORCOACH SEATS
15. REAR VISION MIRRORS 19. REAR END PROTECTION
16. HORN 20. CAB & BODY COMPONENTS
17. FIRE EXTINGUISHER 21. WHEEL FLAPS
18. EMERGENCY WARNING DEVICES 22. DRIVELINE/DRIVESHAFT
THIS VEHICLE IS IN COMPLIANCE WITH 49 CFR 396.17 APPENDIX G
I hereby certify that the above information is true and accurate.
Inspector Signature
This is the only vehicle inspection form approved by the Minnesota State Patrol (01/01/2020)
Y
N
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2020 Mip Inspection Report Form P1 (Minnesota)

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Completed 21 July 2020

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