Page 1 of 4
Chp108A_0419.pdf
Form may be reproduced privately—bulk supplies are not available from the CHP
SIGNATURES OF INSPECTORS
AUGUST INSPECTION DATE
DECEMBER INSPECTION DATE
APRIL INSPECTION DATE
MAY INSPECTION
DATE JUNE INSPECTION DATE JULY INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE
JANUARY INSPECTION DATE FEBRUARY INSPECTION DATE MARCH INSPECTION DATE
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
BUS MAINTENANCE & SAFETY INSPECTION
CHP 108A (Rev. 7-05) OPI 062
* Inspection of these items meet the minimum requirements of 34505 CVC
CARRIER NAME UNIT NUMBER
YEAR MAKE
LICENSE NUMBER
JAN
OK DEF
MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE
MILEAGE
MILEAGE
FEB
OK DEF
MAR
OK DEF
APR
OK DEF
MAY
OK DEF
JUN
OK DEF
JUL
OK DEF
AUG
OK DEF
SEP
OK DEF
OCT
OK DEF
NOV
OK DEF
DEC
OK DEF
Fire extinguisher, first aid kit, and reflective warning devices
Horn, defroster, gauges, odometer, and speedometer
Driver seat, passenger seats, padding, interior, and floor condition
Windshield wipers, windows, mirrors, and supports
All interior and exterior lights, signals, reflectors
Electrical wiring-condition and protection
Batteries-water level, terminals, and cables
Warning devices-air, oil, temperature, exit, and/or vacuum
Heaters, defrosters, switches, and vents
Doors, exterior, paint, and marking
Radiator and water hoses-coolant level, condition, and/or leaks
Belts-compressor, fan, water, and/or alternator
Air hoses and tubing-leaks, condition, and/or protection
Fuel system-tank, hoses, tubing, and/or pump-leaks
Exhaust system, manifolds, piping, muffler-leaks and/or condition
Engine-mounting, excessive grease and/or oil
Clutch adjustment-free play
Air filter, throttle linkage
Starting and charging system
Hydraulic brake system-adjustment, components, and/or condition
Hydraulic master cylinder-level, leaks, and/or condition
Hoses and tubing-condition, protection
Air brake system-adjustment, compartments, and/or condition
1 minute air or vacuum loss test
Air compressor governor-cut in and cut out pressure (85-130)
Primary air tank-drain and test function of check valve
Other air tanks-drain and check for contamination
Tires-tread depth, inflation, condition
Wheels, lug nuts, and studs-cracks, looseness, and/or condition
Parking brake-able to hold the vehicle
Emergency stopping system-labeled, operative
Brakes do not release after complete loss of service air
Steering system-mounting, free lash and components
Steering arms, drag links, and/or tie rod ends
Suspension system-springs, shackles, u-bolts, and/or torque rods
Frame and cross members-cracks and/or condition
Drive shaft, universal joints, and/or guards
Transmission and differential-mounting, leaks, and/or condition
Wheel seals-leaks and/or condition
Under carriage-clean and secure
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Page 2 of 4
Chp108A_0419.pdf
Form may be reproduced privately—bulk supplies are not available from the CHP
SIGNATURES OF INSPECTORS
AUGUST INSPECTION DATE
DECEMBER INSPECTION DATE
APRIL INSPECTION DATE
MAY INSPECTION DATE JUNE INSPECTION DATE JULY INSPECTION DATE
SEPTEMBER INSPECTION DATE OCTOBER INSPECTION DATE NOVEMBER INSPECTION DATE
JANUARY INSPECTION DATE FEBRUARY INSPECTION DATE MARCH INSPECTION DATE
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
BUS MAINTENANCE & SAFETY INSPECTION
CHP 108A (Rev. 7-05) OPI 062
* Inspection of these items meet the minimum requirements of 34505 CVC
CARRIER NAME
UNIT NUMBER
YEAR MAKE
LICENSE NUMBER
JAN
OK DEF
MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE MILEAGE
FEB
OK DEF
MAR
OK DEF
APR
OK DEF
MAY
OK DEF
JUN
OK DEF
JUL
OK DEF
AUG
OK DEF
SEP
OK DEF
OCT
OK DEF
NOV
OK DEF
DEC
OK DEF
Fire extinguisher, first aid kit, and reflective warning devices
Horn, defroster, gauges, odometer, and speedometer
Driver seat, passenger seats, padding, interior, and floor condition
Windshield wipers, windows, mirrors, and supports
All interior and exterior lights, signals, reflectors
Electrical wiring-condition and protection
Batteries-water level, terminals, and cables
Warning devices-air, oil, temperature, exit, and/or vacuum
Heaters, defrosters, switches, and vents
Doors, exterior, paint, and marking
Radiator and water hoses-coolant level, condition, and/or leaks
Belts-compressor, fan, water, and/or alternator
Air hoses and tubing-leaks, condition, and/or protection
Fuel system-tank, hoses, tubing, and/or pump-leaks
Exhaust system, manifolds, piping, muffler-leaks and/or condition
Engine-mounting, excessive grease and/or oil
Clutch adjustment-free play
Air filter, throttle linkage
Starting and charging system
Hydraulic brake system-adjustment, components, and/or condition
Hydraulic master cylinder-level, leaks, and/or condition
Hoses and tubing-condition, protection
Air brake system-adjustment, compartments, and/or condition
1 minute air or vacuum loss test
Air compressor governor-cut in and cut out pressure (85-130)
Primary air tank-drain and test function of check valve
Other air tanks-drain and check for contamination
Tires-tread depth, inflation, condition
Wheels, lug nuts, and studs-cracks, looseness, and/or condition
Parking brake-able to hold the vehicle
Emergency stopping system-labeled, operative
Brakes do not release after complete loss of service air
Steering system-mounting, free lash and components
Steering arms, drag links, and/or tie rod ends
Suspension system-springs, shackles, u-bolts, and/or torque rods
Frame and cross members-cracks and/or condition
Drive shaft, universal joints, and/or guards
Transmission and differential-mounting, leaks, and/or condition
Wheel seals-leaks and/or condition
Under carriage-clean and secure
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
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Page 3 of 4
Chp108A_0419.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
LUBRICATION AND INSPECTION REPORT
CHP 108A (Rev. 7-05) OPI 062
CARRIER NAME UNIT NUMBER YEAR
MAKE LICENSE NUMBERMODEL
TRANSMISSION
MILEAGE OR
HOURS
DATE
BY
LUBRICATION
OIL CHANGE
OIL ADDED
FILTER CHANGE
TRANSMISSION
DIFFERENTIAL
WHEEL BEARINGS
BATTERIES
BRAKE ADJUSTMENT
TIRE PRESSURE
A LEVEL SERVICE
B LEVEL SERVICE
C LEVEL SERVICE
MILEAGE OR
HOURS
DATE BY
LUBRICATION
OIL CHANGE
OIL ADDED
FILTER CHANGE
DIFFERENTIAL
WHEEL BEARINGS
BATTERIES
BRAKE ADJUSTMENT
TIRE PRESSURE
A LEVEL SERVICE
B LEVEL SERVICE
C LEVEL SERVICE
Form may be reproduced privately—bulk supplies are not available from the CHP
Page 4 of 4
Chp108A_0419.pdf
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REPAIR REPORT
CHP 108A (Rev. 7-05) OPI 062
MILEAGE
OR HOURS
DATE REPAIR
CARRIER NAME UNIT NUMBER YEAR
MAKE LICENSE NUMBERMODEL
Form may be reproduced privately—bulk supplies are not available from the CHP