My Safety Manager VM VIP

My Safety Manager

Vehicle Maintenance Violation Response
Unfortunately, it appears that you have violated one or more Federal Vehicle Maintenance regulations.

Please explain the situation that led to this violation and the steps that you plan on taking to preventing this from this violation happening again.
Name*

First NameLast Name
Your Company's DOT Number:
Date of Violation*

MonthDayYear
Date

Vehicle Maintenance Violation Response
Violation Type (Select 1)*

Brake ViolationLighting ViolationTire ViolationFailure to Conduct Pre-Trip/Post-Trip

Vehicle Maintenance Violation Response

Brake Violations
Violation Type (Select 1)*

Brake Adjustment ViolationBrake Hoses/Tubes ViolationABS Light Violation

Vehicle Maintenance Violation Response

Lighting Violations
Violation Type (Select 1)*

Lighting ViolationReflective Sheeting Violation

Vehicle Maintenance Violation Response

Tire Violations
Violation Type (Select 1)*

Tire Inflation ViolationTire Tread Depth Violation

Vehicle Maintenance Violation Response

Brake Adjustment Violation
Are you aware that each commercial motor vehicle manufactured on or after October 20, 1993, and equipped with a hydraulic brake system, shall meet the automatic brake adjustment system requirements of Federal Motor Vehicle Safety Standard No. 105?*

YesNo
Are you aware that each commercial motor vehicle manufactured on or after October 20, 1994, and equipped with an air brake system must meet the automatic brake adjustment system requirements of Federal Motor Vehicle Safety Standard No. 121? (393.53(b))*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Video 4
Video 5
Video 6
Video 7
Additional Resources

(Optional)
Inspecting Air Brake Systems
Inspecting Air Brake Systems Part 2
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Brake Hoses/Tubes Violation
Did you know that brake tubing and hose must—(1) Be long and flexible enough to accommodate without damage all normal motions of the parts to which it is attached;(2) Be secured against chaffing, kinking, or other mechanical damage; and(3) Be installed in a manner that prevents it from contacting the vehicle's exhaust system or any other source of high temperatures? (393.45 (b) (1-3))*

YesNo
Are you aware that all connections for air, vacuum, or hydraulic braking systems shall be installed so as to ensure an attachment free of leaks, constrictions or other conditions which would adversely affect the performance of the brake system? (393.45 (2)(d))*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 4
Video 3
Additional Resources

(Optional)
Inspecting Air Brake Systems
Inspecting Air Brake Systems Part 2
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

ABS Light Violations Violation
Are you aware that each truck tractor manufactured after 3/1/98 shall be equipped with an electrical circuit that is capable of signaling a malfunction that affects the generation or transmission of response or control signals to the vehicle's antilock brake system? (393.55 (2))*

YesNo
Are you aware that each semi-trailer that was manufactured after 3/1/01 shall be equipped with an electrical circuit that is capable of signaling a malfunction in the trailer's antilock brake system, and shall have the means for connection of this ABS malfunction circuit to the towing vehicle? (393.55 (3))*

YesNo
Are you aware that any trailer manufactured after 3/1/98 must be equipped with an ABS malfunction indicator lamp which meets the requirements of FMVSS No. 121? (393.55 (3)(e)*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Additional Resources

(Optional)
CVSA Brake Safety Tips
Inspecting Air Brake Systems
Inspecting Air Brake Systems Part 2
CVSA Brake Inspection Checklist
Air Brake Preventative Maintenance
Air Brake System Info
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Lighting Violations
Did you know that 393.9 -Inoperable Required Lamp violations is the most frequently cited vehicle violation during roadside inspections in each of the last 5 years?*

YesNo
Did you know that all 28 truck tractor lights and all 23 semi-trailer lights noted in Table 1 of 393.11 are required to be operational at all times? 393.11*

YesNo
Are you aware that lamps and reflective devices/material required by 393.9 must not be obscured by the tailboard, or by any part of the load, or its covering by dirt, or other added vehicle or work equipment, or otherwise. 393.9(b)*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Video 4
Video 5
Video 6
Video 7
Additional Resources

(Optional)
Pre-Trip Lighting Inspection
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Reflective Tape Violations
Did you know that retroreflective sheeting shall be applied to each side of the trailer or semitrailer? Each strip of retroreflective sheeting shall be positioned as horizontally as practicable, beginning and ending as close to the front and rear as practicable. The strip need not be continuous but the sum of the length of all of the segments shall be at least half of the length of the trailer and the spaces between the segments of the strip shall be distributed as evenly as practicable. (393.13(c)*

YesNo
Did you know that retroreflective sheeting shall be applied to each side of the trailer or semitrailer? Each strip of retroreflective sheeting shall be positioned as horizontally as practicable, beginning and ending as close to the front and rear as practicable. The strip need not be continuous but the sum of the length of all of the segments shall be at least half of the length of the trailer and the spaces between the segments of the strip shall be distributed as evenly as practicable. (393.13(c)*

YesNo
Did you know that the rear of each trailer and semitrailer must be equipped with retroreflective sheeting? Each strip of retroreflective sheeting shall be positioned as horizontally as practicable, extending across the full width of the trailer, beginning and ending as close to the extreme edges as practicable. (393.13(2)*

YesNo
Did you know that two pairs of white strips of retroreflective sheeting, each pair consisting of strips 300 mm (12 inches) long, must be positioned horizontally and vertically on the right and left upper corners of the rear of the body of each trailer and semitrailer, as close as practicable to the top of the trailer and as far apart as practicable? (393.13(3)*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Additional Resources

(Optional)
Pre-Trip Lighting Inspection
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Tire Maintenance Violations
Are you aware that No motor vehicle shall be operated on any tire that—(1) Has body ply or belt material exposed through the tread or sidewall,(2) Has any tread or sidewall separation,(3) Is flat or has an audible leak, or (4) Has a cut to the extent that the ply or belt material is exposed? (393.75(a))*

YesNo
Are you aware that no motor vehicle shall be operated on a tire which has a cold inflation pressure less than that specified for the load being carried? (393.75(i))*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
DOT Tire Regulations
Video 2
Video 3
Video 4
Additional Resources

(Optional)
Pre-Trip Tire Inspection Steps
CVSA Tips For Avoiding Tire Violations
FMCSA Tire Safety Tips
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Tire Tread Depth Violations
Are you aware that any tire on the front wheels of a bus, truck, or truck tractor shall have a tread groove pattern depth of at least 4⁄32 of an inch when measured at any point on a major tread groove? (393.75(b))*

YesNo
Are you aware that all other tires shall have a tread groove pattern depth of at least 2⁄32 of an inch when measured in a major tread groove? (393.75(c))*

YesNo
DOT Tread Depth Regulations
Video 2
Video 3
Video 4
Video 5
Pre-Trip Tire Inspection Steps
CVSA Tips For Avoiding Tire Violations
FMCSA Tire Safety Tips
Read The Regulation To Learn More

Vehicle Maintenance Violation Response

Pre-Trip Inspections Violations
Pre-Trip Inspections
Before operating the vehicle, the driver must inspect the vehicle and be satisfied that it is in safe operating condition. If the last vehicle inspection report notes any deficiencies, the driver must review and sign to acknowledge and certify that the required repairs were made.*

TrueFalse
Pre-Trip/Post-Trip Inspection Expectations from the FMCSA

Vehicle Maintenance Violation Response

Driver Certification
Did you watch each video listed above?*

YesNo
Important Note

We are doing everything that we can to help improve our CSA BASIC scores in the Vehicle Maintenance category and we appreciate your help and support!

We take safety and compliance very seriously. Ensuring that we're operating safely and within all appliciable regulations is a top priority.

Please remember that repeated violations of the Vehicle Maintenance regulations can be grounds for termination of our relationship.
What led to this VM violation?*
Could we have avoided this VM violation? If so, How?*
What steps should be taken to avoid violating this VM regulation again?*
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Vehicle Maintenance Violation Response

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Vehicle Maintenance Violation Response

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Vehicle Maintenance Violation Response

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Vehicle Maintenance Violation Response

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Vehicle Maintenance Violation Response

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Vehicle Maintenance Violation Response

Vehicle Maintenance Violation Response