Vehicle Inspection & DVIR · PDF template

Free DOT Annual Inspection Form

A periodic (annual) DOT inspection form structured around the 49 CFR 396 Appendix A inspection items, for the once-a-year qualified-inspector check every regulated commercial vehicle needs. Use it alongside our fleet calculators to size the costs this template tracks, or browse fleet management software when you are ready to automate the workflow. See all downloads in the template library, and check the fleet glossary for any unfamiliar terms.

Built and reviewed by the FleetOpsClub research team. Preview it free below.

  • Inspection items grouped to mirror the federal Appendix A minimum standards (brakes, steering, lighting, frame, tires, and more)
  • Pass / fail / repaired columns so out-of-service items are tracked to closure
  • Inspector qualification and certification fields required to make the report valid
  • Vehicle, carrier, and inspection-date header for the report record
  • Editable CSV. Yours to keep
  • Print or save as PDF
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How to use it

  1. 1

    Confirm the inspection is performed (or supervised) by a qualified inspector who meets 49 CFR 396.19. Verify the current qualification rule.

  2. 2

    Work through each component group, marking pass, fail, or repaired for every item.

  3. 3

    Place any vehicle with a failed out-of-service item out of service until the defect is corrected.

  4. 4

    Complete the inspector certification and record the inspection report number and date.

  5. 5

    File the report and affix the inspection decal/sticker per your jurisdiction; retain the record for the required period.

What's inside

  • Inspection items grouped to mirror the federal Appendix A minimum standards (brakes, steering, lighting, frame, tires, and more)
  • Pass / fail / repaired columns so out-of-service items are tracked to closure
  • Inspector qualification and certification fields required to make the report valid
  • Vehicle, carrier, and inspection-date header for the report record
  • A printable layout you can keep on file for the required retention period

Preview the template

Here's a real sample of the layout — the actual columns and structure you'll work in. The complete template, plus the editable spreadsheet, unlocks the moment you enter your email.

Preview

DOT Annual Inspection Form

Report Header

Carrier / Company name
Vehicle / Unit number
VIN
Make / model / year
Inspection date
Odometer reading
Inspection report number

Inspection Items (mark pass / fail / repaired)

+12 more fields in this section

Inspector Certification

+5 more fields in this section

Frequently asked questions

Quick answers to the questions buyers usually ask once the category, software, or rollout details start getting more specific.

A

Federal rules require a qualified inspector: someone who meets the training, certification, or experience criteria in 49 CFR 396.19. It does not have to be a third-party shop, but the person must be documented as qualified. Verify the current qualification rule before relying on this.

A

49 CFR 396.17(c) bars a carrier from using a commercial motor vehicle unless each Appendix A component has passed an inspection "at least once during the preceding 12 months", and requires that documentation of that inspection (the report itself, or a sticker or decal based on it) is on the vehicle. A passing state or provincial inspection that meets the Appendix A standards covers 12 months counted from the end of the month it was performed in. Some states run their own equivalent programs; confirm whether your jurisdiction's program satisfies the federal requirement.

A

Any item that meets the out-of-service criteria must be repaired before the vehicle returns to revenue service. Document the repair, re-inspect the failed item, and only then certify the vehicle as passing.

A

49 CFR 396.21(b)(1) requires the original or a copy of the inspection report to be retained for fourteen months from the date of the report, kept where the vehicle is housed or maintained, and 396.21(b)(2) requires it to be available for inspection on demand of an authorized federal, state or local official. That is separate from the proof of inspection that 396.17(c) requires to be carried on the vehicle.

A

The federal minimum covers brakes, steering, suspension, frame, tires and wheels, coupling devices, exhaust and fuel systems, lighting, windshield glazing and wipers, and emergency equipment: the component groups in 49 CFR 396 Appendix A. Some carriers and states check additional items beyond that federal minimum, so confirm your program's exact list.

Sources

Every figure, section number and deadline on this page was read at a primary source on the date shown. Regulations are amended — check the source before you rely on it.