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Adjustment Front Heater Rear Heater Defroster(s) Lining Air Compressor Windshield Windshield Wipers & Washer Service Brakes All Other Window Glass/Glazing ABS System Vacuum Systems Left & Right Side Flat Parking Brake Left & Right Side Convex Left & Right Crossview U-Bolts, Spring Hangers Interior Bus Mirror Headlights (Low & High Beam) 3. STEERING MECHANISM Horn Steering Wheel Free Play Turn Signals Steering Column Emergency / Hazard Lights Steering Gear Box 8 Way Warning Lights Pitman Arm Stop Arm(s) Power Steering Clearance & ID Lights Ball & Socket Joints Back Up Lights Tie Rods & Drag Links Back Up Alarm (Built 1997 & Later) Nuts Tail Lights Brake Lights White Strobe (July 2007 & Newer) 4. FRAME Operation & Condition Frame Members Audible Warning Signal Tire & Wheel Clearance Identification & Operating Labels Tow Hooks Positive Door Opening Device 5. EXHAUST Muffler Operation & Condition Free From Leaks Identification & Operating Labels Routing of Exhaust System 6. FUEL SYSTEM Operation & Condition No Visible Leak Identification & Operating Labels Securely Attached Audible Warning Signal Fuel Line 7. TIRES, WHEELS / RIMS Driver Seat & Seat Belt Operation & Condition Safety Equipment 1st Aid,Fire Ext, Tri, Fluid ClnUp, SB Cutter Rear Tread/Condition 2/32 Interior Dome Lights & Stepwell Light Front Wheels / Rims All Gauges & Dashlights Rear Wheels / Rims Manual Noise Suppression Switch (Built 2007 & Later) Passenger Seats - Condition & Secured Positive Fastening Device for Door Stepwell and Handrail Condition Service Door Operation _________________________________ ___________________________________________ OK Needs Repair Repair Date 9. HEATERS & DEFROSTERS 2. SUSPENSION Low Pressure (Light & Audible Signal) 11. MIRRORS 12. EXTERIOR LIGHTS & WARNINGS 13. REAR & SIDE EMERGENCY EXITS 10. Windshield, Glass & Wipers Repair Date Needs Repair OK Drums or Rotors Hoses and/or Tubing Air Hydraulic 1. BRAKE SYSTEM Lift Operates Properly 8. POWER / WHEELCHAIR LIFT (If Equipped) Interior Light & Door Securement Alarm Wheel Chair Securement Tracks & Tie Downs 17. OTHER This inspection report is designed to meet the periodic inspection requirements of 49 CFR 396 KANSAS STATE DEPARTMENT OF EDUCATION SCHOOL/ACTIVITY BUS INSPECTION RECORD PART I - MECHANICAL SAFETY INSPECTION Date Inspection Completed: ___________________________________ Printed Mechanic Name: Qualification Letter on File at: Spring Assembly Front Tread/Condition 4/32 (NO Recaps/Retreads) Torque Arm, Radius or Tracking Components Other than Steering Column Front Axle Beam & All Steering Components 14. ROOF HATCHES 15. WINDOW EXITS 16. INTERIOR Steering System VIN: BUS TYPE: BUS NUMBER: LBS. ACTIVITY BUS USD: MODEL YEAR: OWNERS NAME: BODY MANUFACTURER: RATED CAPACITY: GVWR: ODOMETER: USE OF BUS: SPARE BUS ROUTE BUS Mechanic Signature: * * * * * * * * * * * Distribution: Original - KHP Trooper Copy - School District / Contractor * Activity Bus May Not Be Equipped or Required SIGNATURE REQUIRED: ___________________________________ School/Contractor Official Signature - Trooper Will Fail Bus If Form is Not Signed DATE OF MANUFACTURE: (Route Bus Limited to 25 Years based on date of manufacture per KS Law) Revised February 6, 2018

KANSAS STATE DEPARTMENT OF EDUCATION … Bus/Bus-Inspection/School... · This inspection report is designed to meet the periodic inspection requirements of 49 CFR 396 kansas state

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Adjustment Front Heater

Rear Heater

Defroster(s)

Lining

Air Compressor Windshield

Windshield Wipers & Washer

Service Brakes All Other Window Glass/GlazingABS System

Vacuum Systems Left & Right Side Flat

Parking Brake Left & Right Side Convex

Left & Right Crossview

U-Bolts, Spring Hangers Interior Bus Mirror

Headlights (Low & High Beam)

3. STEERING MECHANISM Horn

Steering Wheel Free Play Turn Signals

Steering Column Emergency / Hazard Lights

Steering Gear Box 8 Way Warning Lights

Pitman Arm Stop Arm(s)

Power Steering Clearance & ID Lights

Ball & Socket Joints Back Up Lights

Tie Rods & Drag Links Back Up Alarm (Built 1997 & Later)

Nuts Tail Lights

Brake Lights

White Strobe (July 2007 & Newer)

4. FRAME Operation & Condition

Frame Members Audible Warning Signal

Tire & Wheel Clearance Identification & Operating Labels

Tow Hooks Positive Door Opening Device

5. EXHAUST

Muffler Operation & Condition

Free From Leaks Identification & Operating Labels

Routing of Exhaust System

6. FUEL SYSTEM Operation & Condition

No Visible Leak Identification & Operating Labels

Securely Attached Audible Warning Signal

Fuel Line

7. TIRES, WHEELS / RIMS Driver Seat & Seat Belt Operation & Condition

Safety Equipment 1st Aid,Fire Ext, Tri, Fluid ClnUp, SB Cutter

Rear Tread/Condition 2/32 Interior Dome Lights & Stepwell Light

Front Wheels / Rims All Gauges & Dashlights

Rear Wheels / Rims Manual Noise Suppression Switch (Built 2007 & Later)

Passenger Seats - Condition & Secured

Positive Fastening Device for Door Stepwell and Handrail Condition

Service Door Operation

_________________________________

___________________________________________

OKNeedsRepair

RepairDate 9. HEATERS & DEFROSTERS

2. SUSPENSION

Low Pressure (Light & Audible Signal)

11. MIRRORS

12. EXTERIOR LIGHTS & WARNINGS

13. REAR & SIDE EMERGENCY EXITS

10. Windshield, Glass & Wipers

RepairDate

NeedsRepair

OK

Drums or Rotors

Hoses and/or Tubing

Air

Hydraulic 1. BRAKE SYSTEM

Lift Operates Properly

8. POWER / WHEELCHAIR LIFT (If Equipped)

Interior Light & Door Securement AlarmWheel Chair Securement Tracks & Tie Downs

17. OTHER

This inspection report is designed to meet the periodic inspection requirements of 49 CFR 396

KANSAS STATE DEPARTMENT OF EDUCATION SCHOOL/ACTIVITY BUS INSPECTION RECORDPART I - MECHANICAL SAFETY INSPECTION

Date Inspection Completed: ___________________________________ Printed Mechanic Name:

Qualification Letter on File at:

Spring Assembly

Front Tread/Condition 4/32 (NO Recaps/Retreads)

Torque Arm, Radius or Tracking Components

Other than Steering ColumnFront Axle Beam & All Steering Components

14. ROOF HATCHES

15. WINDOW EXITS

16. INTERIOR

Steering System

VIN:

BUS TYPE: BUS NUMBER:

LBS.

ACTIVITY BUS

USD:

MODEL YEAR:

OWNERS NAME:

BODY MANUFACTURER:

RATED CAPACITY:

GVWR:

ODOMETER: USE OF BUS:

SPARE BUS

ROUTE BUS

Mechanic Signature:

**

*

**

*

*

*

*

*

*

Dis

tribu

tion:

Orig

inal

- K

HP

Tro

oper

C

opy

- Sch

ool D

istri

ct /

Con

tract

or*A

ctiv

ity B

us M

ay N

ot B

e E

quip

ped

or R

equi

red

SIGNATURE REQUIRED: ___________________________________ School/Contractor Official Signature - Trooper Will Fail Bus If Form is Not Signed

DATE OF MANUFACTURE:(Route Bus Limited to 25 Years based on date of manufacture per KS Law)

Revised February 6, 2018

Identification and Operating Labels

Window Exits

Opens and Closes

Interior Identification and Operating Labels

Audible Warning Signal

Seat Belt - Installed & Condition

Sun Visor/Shield *

Manual Noise Suppression Switch (2007)*

Interior Mirror *

Rear &/or Side Emergency Door(s)

Operation & Condition

Audible Warning Signal *

Interior Identification and Operating Labels

Positive Door Opening Device

Roof Hatch(es) Audible Alarm NOT Required

Opens and Closes

1.

2.

4.

Owner Identification

"SCHOOL BUS" Lettering *

Emergency Exits Exterior Identification

Reflective Tape Marked *

Handicapped ID Placard if Needed

EXTERIOR LIGHTS & WARNINGS

VEHICLE EXTERIOR

MECHANICAL INSPECTION COMPLETE

General Appearance & Cleanliness

EXTERIOR MIRRORS5.

TIRES, WHEELS / RIMS

Windshield Condition

All Other Glass/Glazing

Windshield Wipers

Rear Vision System Flat- Right & Left

Rear Vision System Convex- Right & Left

9. EMERGENCY EXITS

6.

3.

Front Tread Depth 4/32 - NO Re-Treads

Rear Tread Depth 2/32

Wheels / Rims

Headlights (low & high beam)

Horn

Turn Signals

Emergency Flashers/Hazard Lights

8-Way Warning Lights *Stop Arm(s) *

Clearance & ID Lights

Back Up Lights

Back Up Alarm (Built 1997 and later) * Tail Lights

Brake Lights

White Strobe Light (July 1, 2007 & newer) *

ABS Warning Light (If Equipped Should Not Be On)

Air Brakes (If Equipped)11.

Air Gauge

Low Pressure Light

Low Pressure Audible Signal

DIS

TRIB

UTI

ON

:

Orig

inal

- KH

P Tr

oope

rC

opy

- Sch

ool D

istri

ct /

Con

tract

or

FAIL FAIL

First Aid Kit (Mounted, Identified & Accessible)

EMERGENCY EQUIPMENT

Fire Extinguisher (Mounted, Identified & Accessible)

Body Fluid Clean Up Kit (Mounted, Id & Accessible)

Disabled Vehicle Safety Triangles (Condition/Stored)

Seatbelt/Web Cutter (Equipped & Accessible)

10.

12.

DRIVER'S COMPARTMENT

WINDSHIELD, GLASS, WIPERS & WASHERS

8. INTERIOR

Interior is Clean & Maintained

Interior Dome Lighting

Free From Any Unnecessary Projections

Seats Secured & Maintained

Activ

ity B

us m

ay n

ot b

e eq

uipp

ed o

r req

uire

d

*

7. SERVICE DOOR/STEPWELL AREA

Door Properly Opens and ClosesStep-Well Light Activates When Door OpensNon-Skid Material on StepsHandrail Condition & Clearance

Windshield Washer

Front Cross View - Right & Left Side

Lift Operates Properly

13. POWER / WHEELCHAIR LIFT (If Equipped)

Interior Light & Door Alarm

Wheel Chair Securement (Tracks & Tiedowns)

Positive Fastening Device for Door

VIN:

KANSAS STATE DEPARTMENT OF EDUCATION SCHOOL/ACTIVITY BUS INSPECTION RECORD

USD: BUS NUMBER: DATE OF MANUFACTURE:(Route Bus Limited to 25 Years based on date of manufacture per KS Law)

PART II - KHP INSPECTION

TROOPER DOES NOT SIGN UNLESS SCHOOL/ACTIVITY BUS PASSES - REPAIRED FAILS SHOULD BE NOTED IN COMMENTS

Date of Inspection: _________________________

Trooper Signature: _______________________________________ Radio #: K‐ __________

Comments: ___________________________________

__________________________________________

KHP Control Number: _________________________ (Inspection Sticker #)

Revised February 6, 2018