Carrier
Carrier address
Driver
Truck / tractor no.
Trailer no(s).
Odometer
Location
Items inspected: tick any with a defectTick: Defect
- Service brakes, incl. trailer brake connections
- Parking brake
- Steering mechanism
- Lighting devices and reflectors
- Tires
- Horn
- Windshield wipers
- Rear vision mirrors
- Coupling devices
- Wheels and rims
- Emergency equipment
- Air lines
- Fifth wheel
- Exhaust
- Fuel system
- Frame and assembly
- Suspension
- Body / doors
- Other
Condition
No defects foundDefects found (describe below)
Mechanic certification
Above defects correctedAbove defects need not be corrected for safe operation
Driver signatureDate
Mechanic / carrier signatureDate
Reviewing driver signatureDate
The federal DVIR rule is 49 CFR 396.11. This form is not legal advice.
Tips for using it
- Describe a defect in plain words a mechanic can act on: which item, which side, what is wrong.
- Fill in the trailer number as well as the truck number when pulling a trailer.
- The reviewing driver signs to show they have seen the report and the repair certification.
- Keep the reports together by vehicle so the history is easy to find.
Questions
- What does a DVIR need to include?
- The federal rule lists the vehicle, any defects found, the driver's signature, a certification that defects were repaired or did not need repair, and the next driver's review. Read 49 CFR 396.11 for the exact requirements for your operation.
- Is this form legal advice?
- No. It is a blank form that follows the items in the rule. Check the regulation and your own compliance advisor for what applies to you.
- Can I add my company name and logo?
- Yes. Type the company name and choose a logo above the form; both print in the header. The logo never leaves your browser.