DOT Annual Safety Compliance Form for International Trucks

Complete this interactive DOT annual safety compliance form to document regulatory adherence and maintain compliance records for International trucks.

DOT Annual Compliance Form Information

This interactive DOT Annual Safety Compliance Form is designed to meet Federal Motor Carrier Safety Administration (FMCSA) requirements for comprehensive yearly safety documentation. The form ensures systematic completion of all required compliance items, provides digital record keeping, facilitates audits, and maintains proper documentation for International truck operations under DOT regulations.

Vehicle and Company Information

Company Name:

DOT Number:

Vehicle VIN:

License Plate:

Vehicle Year:

Vehicle Make:

Vehicle Model:

Odometer Reading:

Inspection Date:

Inspector Name:

Inspector License #:

Next Inspection Due:

DOT Annual Compliance Inspection Items

Complete each DOT-required annual compliance inspection item for your International truck.

Brake System Annual Inspection

Service brake performance test completed
Parking brake effectiveness verified
Air brake system pressure tested (90-120 PSI)
Brake adjustment within specifications
ABS system functionality verified
Brake warning systems operational
No air leaks detected in system
Brake documentation updated and filed

Steering System Compliance Check

Steering wheel free play within 2-inch limit
Power steering system operation verified
Steering linkage connections secure
Front wheel alignment within specifications
Steering gear box leak-free and functional
Power steering fluid level adequate
Steering return-to-center verified
No excessive steering effort required

Lighting System DOT Compliance

Headlights operational (high and low beam)
Turn signals functioning properly
Brake lights activate with pedal application
Hazard warning lights operational
Tail lights and running lights functional
Clearance and marker lights operational
License plate lights illuminated
Reflective tape and markings compliant

Tire and Wheel Safety Inspection

Tire tread depth meets DOT minimums
No tire damage, cuts, or irregular wear
Tire pressure within manufacturer specifications
Wheel rims free from cracks or damage
All lug nuts present and properly torqued
Valve stems and caps in good condition
No signs of wheel bearing problems
Tire load ratings appropriate for vehicle

Additional DOT Compliance Requirements

Complete these additional DOT compliance requirements for your International truck annual inspection.

Engine and Emissions Compliance

Engine performance within normal parameters
Diesel Particulate Filter (DPF) functional
Selective Catalytic Reduction (SCR) operational
DEF system operational with adequate fluid
No excessive exhaust smoke or emissions
Engine diagnostic codes cleared
Emission control systems functioning
Engine oil and fluid levels adequate

Safety Equipment and Systems

Fire extinguisher present and current
Emergency warning devices available
Horn operational and adequate volume
Windshield and wipers functional
Mirrors properly adjusted and secure
Seat belts operational and properly mounted
Safety systems and warnings functional
First aid kit present and current

Suspension and Frame Inspection

Suspension components secure and functional
Leaf springs free from cracks or breaks
Shock absorbers operational without leaks
Frame members free from cracks or damage
U-bolts and fasteners properly torqued
Air suspension systems functional (if equipped)
Vehicle height within specifications
No excessive frame or suspension wear

Exhaust System and Components

Exhaust pipes secure and leak-free
Exhaust system mounting brackets secure
Adequate clearance from fuel tank and lines
Muffler operational and properly mounted
Exhaust after-treatment systems functional
No exhaust leaks into cab or sleeper
Exhaust stack height compliant (if applicable)
Heat shields in place and secure

Fuel System Safety Check

Fuel tank and mounting secure
Fuel lines free from leaks or damage
Fuel cap seals properly
Fuel filter housing secure
No fuel contamination detected
Fuel gauge accurate and functional
Fuel system venting adequate
Cross-over lines secure (dual tank systems)

Coupling Devices (if applicable)

Fifth wheel locking mechanism functional
Fifth wheel plate properly lubricated
Fifth wheel mounting bolts secure
Air and electrical connections operational
Glad hands and seals in good condition
Electrical connector (7-way) functional
Kingpin and bushings within wear limits
Safety chains or cables present

Compliance Certification and Documentation

Overall Inspection Result:

Inspector Certification #:

Inspection Station Name:

Station License Number:

Inspector Digital Signature:

Digital signature will be captured here

Company Representative Signature:

Digital signature will be captured here

Defects Found and Corrective Actions

Defects or Issues Identified:

Corrective Actions Taken:

Follow-up Actions Required:

Inspector Additional Notes:

Submit DOT Compliance Form Online