Vehicle Condition | Form – Northwest Navigator Safety System

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Who is this from?

Northwest Navigator Safety System

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Full Company Information, with address

Northwest Navigator Luxury Coaches, 13940 N Rivergate Blvd, Portland, Oregon 97203

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Shop Notification Email

This form recycles. If you have just made a submission and are seeing this, you are successful. Please drive safely and have a great day!

Base or Start City Location*

What would you like to do?*

Who are you?*

First Last

Are you the driver of the vehicle*

Yes
No

Driver Name*

First Last

Do you have any ELD malfunctions to report?*

Please identify the ELD issue.*

Unit does not power on.
User input cannot be made.
Unit does not provide required information.
Other

Please describe ELD other:*

Saucon

Please Check this box to enable description.*

Enable

Please describe issue in detail.*

Is this inspection for today's date?*

Please enter date of inspection*

What are we doing?

Equipment Info - Motor Coach

Equipment Number*

Beginning Mileage*

Actual Mileage only, please do not include decimals.

Ending Mileage*

Actual Mileage only, please do not include decimals.

Total Mileage

Rating Info

Please rate the condition of your Vehicle.*

What area was less than perfect?*

Seats
Windows
Floors
Bathroom
Luggage Area
Drivers Area
Smell

Please upload a photo of what was less than perfect.

Max. file size: 20 MB.

Please describe why your vehicle was not clean.

Hidden

Wash Crew Production Log

Seats
Windows
Floors
Bathroom
Luggage Area
Drivers Area
Smell

Pre-Trip DVIR Inspections

Before driving off, a driver must verify that the vehicle is roadworthy and in safe operating condition (Part 396.13 Driver Inspection). He or she must review the last Driver Vehicle Inspection Report (DVIR) to ensure that any repairs to correct the defects noted on the report have been performed. By scrolling to the bottom of this page and selecting your equipment number, you may review previous information and complete repair confirmations as needed.

Federal law requires that each driver review the previous daily vehicle inspection report (DVIR) and document that it has been reviewed and whether defects were found. Did you review the previous report?*

Is vehicle safe and or legal to operate?*

It should be noted that the driver of a passenger-carrying commercial motor vehicle subject to this regulation must prepare and submit a report even if no defect or deficiency is discovered by or reported to the driver.

Provide your Email*

Enter Email Confirm Email

If you are calling this vehicle Out Of Service (OOS) you will be required to re-inspect the equipment and sign off on the repairs to ensure a compliant repair process is met. By calling this vehicle OOS, you agree to complete the review process, a notification and request will be sent to you for review upon completion of the repair.

I have checked the following DOT required items prior to operating the equipment noted. I will identify the items needing attention by selecting the appropriate check box(s).*

§396.11 Driver vehicle inspection report(s). (a) Equipment provided by motor carrier. (1) Report required. Every motor carrier shall require its drivers to report, and every driver shall prepare a report in writing at the completion of each day's work on each vehicle operated, except for intermodal equipment tendered by an intermodal equipment provider. The report shall cover at least the following parts and accessories:

Define Service Brake Issue*

Define Parking Brake Issue*

Define Steering Issue*

Define Lights and Reflectors Issue*

Define Tires Issue*

Define Horn Issue*

Define Windshield Wipers Issue*

Define Mirrors Issue*

Define Wheels and Rims Issue*

Define Emergency Equipment Issue*

Driver Signature*

Pre-Trip | Post-Trip Inspection

Is there any new equipment damage that you need to report?*

Are there any defects that need to be reported to the maintenance department for repairs*

Does this equipment need priority cleaning?*

Which area of the vehicle is exhibiting new damage?*

Front
Left Side
Right Side
Rear

What type of front damage are you reporting?*

Paint, scratches, dents or other finish surface damage
Body damage, scrapes, gouges, rips or tears in body materials
Broken glass, chipped glass or fogged windows
Lighting, reflectors or other illumination devices
Tires, wheels, lugs or other wheel related items
Other items not described above

Please take front image and upload now*

Drop files here or

Max. file size: 20 MB.

Please provide front note here

What type of left side damage are you reporting?*

Paint, scratches, dents or other finish surface damage
Body damage, scrapes, gouges, rips or tears in body materials
Broken glass, chipped glass or fogged windows
Lighting, reflectors or other illumination devices
Tires, wheels, lugs or other wheel related items
Other items not described above

Please take left side image and upload now*

Drop files here or

Max. file size: 20 MB.

Please provide left side note here

What type of right side damage are you reporting?*

Paint, scratches, dents or other finish surface damage
Body damage, scrapes, gouges, rips or tears in body materials
Broken glass, chipped glass or fogged windows
Lighting, reflectors or other illumination devices
Tires, wheels, lugs or other wheel related items
Other items not described above

Please take right side image and upload now*

Drop files here or

Max. file size: 20 MB.

Please provide right side note here

What type of rear damage are you reporting?*

Paint, scratches, dents or other finish surface damage
Body damage, scrapes, gouges, rips or tears in body materials
Broken glass, chipped glass or fogged windows
Lighting, reflectors or other illumination devices
Tires, wheels, lugs or other wheel related items
Other items not described above

Please take rear image and upload now*

Drop files here or

Max. file size: 20 MB.

Please provide rear note here

Please provide additional comments here

Clock In/Out/Switch Equipment

Did you have any charter issues to report today?*

Department

Please describe the charter issues that you had today.*

Work Order

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VIN (last 6 of VIN) (OLD AND HIDDEN)

Look for the VIN tag that you saw when you did your pre-trip inspection as required by law. You would have seen this when you checked your License and Insurance information.

Make*

If you get this wrong on a consistent basis, you will be required to take remedial training to help you identify what equipment type you are driving.

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(OLD HIDDEN) Model Year

This also would be found during your pre-trip inspection on the licensing and insurance information you must review prior to driving the equipment.

What is wrong with vehicle?*

Describe Engine Check Light*

Describe Engine issue*

Describe Transmission issue*

Describe tires and wheels issue*

Describe heating and air conditioning issue*

Describe body and glass issue*

Describe audio and visual issue*

Describe bathroom issue*

Describe seats and interior issue*

Describe Other*

Please upload an image of your defect if applicable

Max. file size: 20 MB.

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Driver Reviewing Repairs Signature

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Have the repairs noted been corrected at this time?

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Date

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Final Review Signature

Tire Service Tracking

What are we doing?*

New tire input
Tire and Wheel Swap
Tire Replacement
Tread depth inspection

Tire and wheel swap is an existing mounted tire moved somewhere. Tire repalcement includes a dismount and remount on exsitign wheel.

Tread Depth*

Where did the old tire go?

Back to stock
Swapped on another axle
Junk pile or lease return
For repairs

Exterior Inspection

Does the vehicle appear to have new or extensive damage?*

Yes
No

One image of Damage is Required*

Max. file size: 20 MB.

Front of Vehicle

Max. file size: 20 MB.

Left Side of Vehicle

Max. file size: 20 MB.

Right Side of Vehicle

Max. file size: 20 MB.

Rear of Vehicle

Max. file size: 20 MB.

Audio Visual and Entertainment Inspection

Does the vehicle have a microphone?*

Yes
No

Does the vehicle have a microphone for tour guides to speak on during a trip?

Please take a picture of the microphone now.

Max. file size: 20 MB.

Does the microphone work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Does the vehicle have an entertainment system?*

Yes
No

Does the vehicle have a DVD player with one or more monitors for passengers to watch while they are on a trip?

Please take a picture of the dash unit now.*

Max. file size: 20 MB.

Please take a picture of the DVD Player or other controls now.

Max. file size: 20 MB.

Does the entertainment system work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Does the vehicle have an Auxiliary Input?*

Yes
No

This will be a 1/8 inch jack typically to plug in an Ipod or other media device with a speaker cord.

Does the Auxiliary input work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Does the vehicle have an USB Input?*

Yes
No

This is a USB type slot for a stick or computer cable which may also allow an Ipod or phone charger cord to hook up to the stereo unit.

Does the USB input work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Does the vehicle have one or more 12 Volt Power receptacles?*

Yes
No

These are the round cigarette lighter looking power sources.

Do the 12 volt outlets work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Does the vehicle have one or more 110 Volt Power receptacles?*

Yes
No

These are the normal looking house type power outlets. If the vehicle has these, it will be equipped with an inverter.

Do the 110 volt outlets work?*

Yes
No

You may need to start the vehicle to determine if it is working.

Interior Inspection

Is the interior clean?*

Yes
No

Is the interior Presentable?*

Yes
No

Should the vehicle be considered for repair or replacement of interior?*

Yes
No

Please take image now of drivers area.*

Max. file size: 20 MB.

Please take image now from front facing rear.*

Max. file size: 20 MB.

Please take image now from rear facing front.*

Max. file size: 20 MB.

Specific Damage Observed

Please briefly describe the specific damage now.*

Upload one photo of specific damage now (required).*

Max. file size: 20 MB.

Upload second image now (optional).

Max. file size: 20 MB.

Upload third image now (optional).

Max. file size: 20 MB.

Upload fourth image now (optional).

Max. file size: 20 MB.

Heating Inspection or A/C Inspection

Please upload photograph of A/C control panels now (required).*

Max. file size: 20 MB.

Please upload Second photograph of A/C control panels now (optional).

Max. file size: 20 MB.

Please upload Third photograph of A/C control panels now (optional).

Max. file size: 20 MB.

Emergency Exits Inspection

Number of Emergency Doors in vehicle*

Are all emergency Doors properly labelled?*

Yes
No

Did you test the main entry door emergency release?*

Yes
No

Does the main emergency release work properly on the main entry door?*

Yes
No

Did you test each door for proper operation?*

Yes
No

Do the emergency door lights operate properly for each door tested?*

Yes
No

Number of Push Out windows in vehicle*

Are all emergency Doors properly labelled?*

Yes
No

Did you test each push out window proper operation?*

Yes
No

Do they all operate properly?*

Yes
No

Number of Roof hatches in vehicle*

Are all roof hatches properly labelled?*

Yes
No

Did you test each roof hatch for proper operation?*

Yes
No

Do they all operate properly?*

Yes
No

Are any repairs required at this time?*

Yes
No

Vehicle Condition | Form

Vehicle Condition Form

DVIR (MC)

This form recycles. If you have just made a submission and are seeing this, you are successful. Please drive safely and have a great day!

Saucon

Equipment Info - Motor Coach

Rating Info

Pre-Trip DVIR Inspections

Pre-Trip | Post-Trip Inspection

Work Order

Driver Reviewing Repairs Signature

Tire Service Tracking

Exterior Inspection

Audio Visual and Entertainment Inspection

Interior Inspection

Specific Damage Observed

Heating Inspection or A/C Inspection

Emergency Exits Inspection

Equipment Number0420

Pre-Trip - Inspection

Equipment Number1000

Post Trip - Inspection

Equipment Number1000

Pre-Trip - Inspection

Equipment Number1040

Post Trip - Inspection

Equipment Number1040

Pre-Trip - Inspection

Equipment Number1040

Pre-Trip - Inspection

Equipment Number0880

Post Trip - Inspection

Equipment Number1000

Post Trip - Inspection

Equipment Number0880

Pre-Trip - Inspection

Equipment Number1020

Pre-Trip - Inspection

Having Problems? Contact System Admin