+----------------+--------+-------+---+-----------------+--------------+
| **BUS SAFETY   |        |       |   | **10. PRE-USE   | [ٱ           |
| INSPECTION**   |        |       |   | INSPECTION**    | ]{dir="rtl"} |
|                |        |       |   |                 | **REJECTED** |
| **CHECKLIST**  |        |       |   |                 |              |
+----------------+--------+-------+---+-----------------+--------------+
|                |        |       |   | **MILES:        |              |
|                |        |       |   | \_\_\_\         |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | DATE\_\_\       |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | TIME\_\         |              |
|                |        |       |   | _\_\_\_\_\_\_** |              |
+----------------+--------+-------+---+-----------------+--------------+
| **1. INCIDENT  | **2.   |       |   | INSPECTOR       |              |
| NAME/NUMBER**  | O      |       |   | NAME:\_\_       |              |
|                | RDER/R |       |   | \_\_\_\_\_\_\_\ |              |
|                | EQUEST |       |   | _\_\_\_\_\_\_\_ |              |
|                | NU     |       |   | \_\_\_\_\_\_\_\ |              |
|                | MBER** |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | TITLE\_\_\_     |              |
|                |        |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   |                 |              |
|                |        |       |   | PRINT           |              |
+----------------+--------+-------+---+-----------------+--------------+
| **3.           |        |       |   | [ٱ]{dir="rt     |              |
| OWNER/VENDOR   |        |       |   | l"}**ACCEPTED** |              |
| NAME & COMPANY |        |       |   |                 |              |
| NUMBER**       |        |       |   |                 |              |
+----------------+--------+-------+---+-----------------+--------------+
| **4.           |        | **5.  |   | **MILES:        |              |
| AGREEMENT, PO, |        | EXPI  |   | \_\_\_\         |              |
| CONTRACT NO.** |        | RES** |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | DATE\_\_\       |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | TIME\_\         |              |
|                |        |       |   | _\_\_\_\_\_\_** |              |
+----------------+--------+-------+---+-----------------+--------------+
| **6. MAKE**    | **7.   |       |   | VENDOR          |              |
|                | MODEL, |       |   | SIGNATURE:      |              |
|                | TYPE** |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | TITLE\_\_\_     |              |
|                |        |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   |                 |              |
|                |        |       |   | PRINT           |              |
+----------------+--------+-------+---+-----------------+--------------+
| **8. SERIAL    |        | **9.  |   | INSPECTOR       |              |
| NO./VIN**      |        | LI    |   | NAME:\_\_\_\_   |              |
|                |        | CENSE |   | \_\_\_\_\_\_\_\ |              |
|                |        | NO.** |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   | TITLE\_\_\_     |              |
|                |        |       |   | \_\_\_\_\_\_\_\ |              |
|                |        |       |   | _\_\_\_\_\_\_\_ |              |
|                |        |       |   |                 |              |
|                |        |       |   | PRINT           |              |
+----------------+--------+-------+---+-----------------+--------------+

+---------------------------+---+---+---+---+---+---------------------+---+---+
| **\* Safety Items, [Do    | P |   | R |   |   | **Bus Specialty     | Y | N |
| Not Accept Until          | r |   | e |   |   | Requirements**      | e | o |
| Repaired]{.underline}**   | e |   | l |   |   |                     | s |   |
|                           | - |   | e |   |   |                     |   |   |
|                           | U |   | a |   |   |                     |   |   |
|                           | s |   | s |   |   |                     |   |   |
|                           | e |   | e |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           | Y | N | Y | N |   |                     |   |   |
|                           | e | o | e | o |   |                     |   |   |
|                           | s |   | s |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 1\. DOT inspection in     |   |   |   |   |   | **1. PERSONAL       |   |   |
| previous 12 mths when     |   |   |   |   |   | PROTECTIVE          |   |   |
| required \*               |   |   |   |   |   | EQUIPMENT (PPE):**  |   |   |
|                           |   |   |   |   |   | Flame Resistant     |   |   |
|                           |   |   |   |   |   | Clothing, Boots,    |   |   |
|                           |   |   |   |   |   | Gloves, Hardhat &   |   |   |
|                           |   |   |   |   |   | Fire Shelter.       |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 2\. Gauges and lights \*  |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 3\. Seat belts \*         |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 4\. Glass and mirrors \*  |   |   |   |   |   | **2. SAFETY CAGE:** |   |   |
|                           |   |   |   |   |   | Nets WILL NOT be    |   |   |
|                           |   |   |   |   |   | accepted.           |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 5\. Wipers and horn \*    |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 6\. Clutch pedal: proper  |   |   |   |   |   | **3. EMERGENCY      |   |   |
| adjustment, ¾" free       |   |   |   |   |   | DOORS:** Marked     |   |   |
| travel                    |   |   |   |   |   | with 1-inch letters |   |   |
|                           |   |   |   |   |   | and identified with |   |   |
|                           |   |   |   |   |   | a red electric lamp |   |   |
|                           |   |   |   |   |   | that works when     |   |   |
|                           |   |   |   |   |   | lights are needed.  |   |   |
|                           |   |   |   |   |   | 393.92              |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | 1\. No emergency    |   |   |
|                           |   |   |   |   |   | exit sign over rear |   |   |
|                           |   |   |   |   |   | door (if            |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | cage in rear)       |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | 2\. If required     |   |   |
|                           |   |   |   |   |   | roof hatch minimum  |   |   |
|                           |   |   |   |   |   | size is             |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | 13"X17"             |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | 3\. All exits shall |   |   |
|                           |   |   |   |   |   | be properly labeled |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 7\. Cooling system: check |   |   |   |   |   |                     |   |   |
| radiator and hoses        |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 8\. Oil level/condition:  |   |   |   |   |   |                     |   |   |
| full and clean            |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 9\. Battery: check for    |   |   |   |   |   |                     |   |   |
| corrosion, loose          |   |   |   |   |   |                     |   |   |
| terminals, tie downs      |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 10\. Fuel system \*       |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 11\. Electrical system:   |   |   |   |   |   |                     |   |   |
| alternator and starter    |   |   |   |   |   |                     |   |   |
| working                   |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 12\. Engine running:      |   |   |   |   |   |                     |   |   |
| check for knocks and      |   |   |   |   |   |                     |   |   |
| leaks                     |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 13\. Transmission: check  |   |   |   |   |   | **4. DRIVE SHAFT    |   |   |
| for leaks                 |   |   |   |   |   | PROTECTION:** Must  |   |   |
|                           |   |   |   |   |   | have at least one   |   |   |
|                           |   |   |   |   |   | guard or bracket at |   |   |
|                           |   |   |   |   |   | the end of the      |   |   |
|                           |   |   |   |   |   | shaft that would    |   |   |
|                           |   |   |   |   |   | prevent whipping of |   |   |
|                           |   |   |   |   |   | the shaft in the    |   |   |
|                           |   |   |   |   |   | event of failure.   |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 14\. Steering (*See       |   |   |   |   |   |                     |   |   |
| specialty items*) \*      |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 15\. Tie rods, ball       |   |   |   |   |   |                     |   |   |
| joints: check for         |   |   |   |   |   |                     |   |   |
| looseness or bent \*      |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 16\. Lubrication: check   |   |   |   |   |   |                     |   |   |
| for dry fittings          |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 17\. Brakes (*See         |   |   |   |   |   | **5. EXHAUST        |   |   |
| specialty items*) \*      |   |   |   |   |   | SYSTEM:**           |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | Gas Powered Buses:  |   |   |
|                           |   |   |   |   |   | Tailpipe will exit  |   |   |
|                           |   |   |   |   |   | at or within 6"     |   |   |
|                           |   |   |   |   |   | forward of the rear |   |   |
|                           |   |   |   |   |   | most part of the    |   |   |
|                           |   |   |   |   |   | bus.                |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | Diesel Buses:       |   |   |
|                           |   |   |   |   |   | Tailpipe will exit  |   |   |
|                           |   |   |   |   |   | within 15" of the   |   |   |
|                           |   |   |   |   |   | rear most part of   |   |   |
|                           |   |   |   |   |   | the bus or to the   |   |   |
|                           |   |   |   |   |   | rear of all doors   |   |   |
|                           |   |   |   |   |   | or windows designed |   |   |
|                           |   |   |   |   |   | to be opened except |   |   |
|                           |   |   |   |   |   | windows designed to |   |   |
|                           |   |   |   |   |   | open solely as      |   |   |
|                           |   |   |   |   |   | emergency exits     |   |   |
|                           |   |   |   |   |   | 393.83              |   |   |
|                           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   | No exhaust leaks    |   |   |
|                           |   |   |   |   |   | will be tolerated,  |   |   |
|                           |   |   |   |   |   | no temp repairs.    |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 18\. Drive line/U-joints: |   |   |   |   |   |                     |   |   |
| check for looseness       |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 19\. Springs and shocks   |   |   |   |   |   |                     |   |   |
| \*                        |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 20\. Differential: check  |   |   |   |   |   |                     |   |   |
| for leaks                 |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 21\. Exhaust system (*See |   |   |   |   |   |                     |   |   |
| specialty items*) \*      |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 22\. Frame \*             |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 23\. Tire and wheels: ¼"  |   |   |   |   |   |                     |   |   |
| front, 3/16" rear tread   |   |   |   |   |   |                     |   |   |
| required \*               |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 24\. Accessories: jack,   |   |   |   |   |   | **6. SPARE TIRE:**  |   |   |
| lug wrench, mounted spare |   |   |   |   |   | Full size, mounted  |   |   |
|                           |   |   |   |   |   | on wheel required   |   |   |
|                           |   |   |   |   |   | on all buses: tire  |   |   |
|                           |   |   |   |   |   | must be secured.    |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 25\. Body and interior    |   |   |   |   |   |                     |   |   |
| condition: describe &     |   |   |   |   |   |                     |   |   |
| locate damage on back     |   |   |   |   |   |                     |   |   |
| side of form              |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   | **7. STEERING       |   |   |
|                           |   |   |   |   |   | SYSTEM:** 393.209   |   |   |
|                           |   |   |   |   |   | See table in CFR    |   |   |
|                           |   |   |   |   |   | book for maximum    |   |   |
|                           |   |   |   |   |   | steering lash       |   |   |
|                           |   |   |   |   |   | allowed. Gear box,  |   |   |
|                           |   |   |   |   |   | u-joints, ball      |   |   |
|                           |   |   |   |   |   | joints and tie rods |   |   |
|                           |   |   |   |   |   | must be in good     |   |   |
|                           |   |   |   |   |   | condition. Power    |   |   |
|                           |   |   |   |   |   | steering systems    |   |   |
|                           |   |   |   |   |   | will NOT have ANY   |   |   |
|                           |   |   |   |   |   | leaks. Belts in     |   |   |
|                           |   |   |   |   |   | good condition,     |   |   |
|                           |   |   |   |   |   | steering wheel      |   |   |
|                           |   |   |   |   |   | spokes may not be   |   |   |
|                           |   |   |   |   |   | cracked or missing. |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 26\. Emergency Equipment  |   |   |   |   |   |                     |   |   |
| required:\_\_\_Fire       |   |   |   |   |   |                     |   |   |
| Extinguisher              |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| \_\_\_\_Spare fuses       |   |   |   |   |   |                     |   |   |
| \_\_\_\_Reflectors        |   |   |   |   |   |                     |   |   |
| \_\_\_\_Chock Blocks \*   |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| 27\. Operator(s) properly |   |   |   |   |   |                     |   |   |
| licensed:                 |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| State\_\_\_\_\_\_ License |   |   |   |   |   |                     |   |   |
| No.\_\_\_\                |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| Class\_\_\_\_\_           |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| Endors                    |   |   |   |   |   |                     |   |   |
| ements\_\_\_\_\_\_\_\_Med |   |   |   |   |   |                     |   |   |
| Cert Exp                  |   |   |   |   |   |                     |   |   |
| Dat                       |   |   |   |   |   |                     |   |   |
| e\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   | **8. BRAKES:**      |   |   |
|                           |   |   |   |   |   | Parking brake must  |   |   |
|                           |   |   |   |   |   | hold, air brakes    |   |   |
|                           |   |   |   |   |   | must meet front     |   |   |
|                           |   |   |   |   |   | protection regs and |   |   |
|                           |   |   |   |   |   | have low air        |   |   |
|                           |   |   |   |   |   | warning devices and |   |   |
|                           |   |   |   |   |   | working air         |   |   |
|                           |   |   |   |   |   | pressure gauge.     |   |   |
|                           |   |   |   |   |   | Slack adjusters     |   |   |
|                           |   |   |   |   |   | must be properly    |   |   |
|                           |   |   |   |   |   | adjusted. Brake     |   |   |
|                           |   |   |   |   |   | lining will conform |   |   |
|                           |   |   |   |   |   | to specs. NO leaks  |   |   |
|                           |   |   |   |   |   | of air or fluid     |   |   |
|                           |   |   |   |   |   | allowed.            |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
| **11. RELEASE             |   |   |   |   |   |                     |   |   |
| INSPECTION**              |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| **MILES\_\_\_\_\          |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| DATE\_\_\_\_\_\_\         |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| TIME\_\_\_\_\             |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_** |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| VENDOR                    |   |   |   |   |   |                     |   |   |
| SIGNATURE:\_\_            |   |   |   |   |   |                     |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\ |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| \_\_\_\_\_TITLE\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\ |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| INSPECTOR                 |   |   |   |   |   |                     |   |   |
| NAME:\_\_\_\_\_\_\_\_     |   |   |   |   |   |                     |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\ |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| \_\_\_\_TITLE\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
| \_\_\_\_\_\_\_\_\_\_\_\_\ |   |   |   |   |   |                     |   |   |
| _\_\_\_\_\_\_\_\_\_\_\_\_ |   |   |   |   |   |                     |   |   |
|                           |   |   |   |   |   |                     |   |   |
| Print                     |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   | **COMMENTS:**       |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+
|                           |   |   |   |   |   |                     |   |   |
+---------------------------+---+---+---+---+---+---------------------+---+---+