Form may be reproduced privately—bulk supplies are not available from the CHP
Chp108_0419.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
TRUCK AND/OR TRACTOR MAINTENANCE & SAFETY INSPECTION
CHP 108 (Rev. 6-05) OPI 062
* Inspection of these items meets the minimum requirements of 34505.5 CVC
CARRIER NAME UNIT #
YEAR MAKE LICENSE #
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
MILEAGE
OK DEF
1. Fire extinguisher and reflective warning devices
40. Under carriage-clean and secure
* 39. Wheel seals-leaks and/or condition
38. Transmission and differential-mounting, leaks, and/or condition
37. Drive shaft, universal joints, and/or guards
* 36. Frame and cross members-cracks and/or condition
* 35. Suspension system-springs, shackles, u-bolts, and/or torque rods
* 34. Connecting devices- fifth wheel, pintle hitch, and/or safety devices
* 33. Steering arms, drag links, and/or tie rod ends
* 32. Steering system-mounting, free lash, and components
* 31. Brakes release after complete loss of service air
* 30. Emergency stopping system-labeled and operative
* 29. Parking brake-able to hold the vehicle
* 28. Wheels, lug nuts, and studs-cracks, looseness, and/or condition
* 27. Tires-tread depth, inflation, and condition
* 26. Other air tank-drain and check for contamination; securement
* 25. Primary air tank-drain and test check valve
* 24. Air compressor governor cut-in and cut-out pressures (85-130)
* 23. 1 minute air or vacuum loss test
* 22. Air brake system-adjustment, components, and/or condition
* 21. Hoses and tubing-condition and protection
* 20. Hydraulic master cylinder level, leaks, and/or condition
* 19. Hydraulic brake system-adjustment, components, and/or condition
* 18. Tractor-protection valve
17. Starting and charging system
16. Air filter, throttle linkage
15. Clutch adjustment-free play
14. Engine-mounting, excessive grease and/or oil
13. Exhaust system, manifolds, piping, muffler; leaks and/or condition
12. Fuel system-tank, hoses, tubing, and/or pump; leaks
* 11. Air hoses and tubing leaks, condition, and/or protection
* 10. Belts-compressor, fan, water pump, and/or alternator
9. Radiator and water hoses- coolant level, condition, and/or leaks
* 8. Warning devices-air, oil, temperature, anti skid, and/or vacuum
7. Batteries-water level, terminals, and cables
6. Electrical wiring-condition and protection
5. All lights, signals, reflectors, mudflaps
4. Windshield wipers, window cracks
3. Mirrors and supports
2. Horn, defroster, gauges, odometer, and speedometer
SIGNATURES OF INSPECTORS
JANUARY INSPECTION DATE FEBRUARY INSPECTION DATE MARCH INSPECTION DATE APRIL INSPECTION DATE
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE AUGUST INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE DECEMBER INSPECTION DATE
