Shop Approval And Inspector Certifications (Page 2 of 3) in pdf

Shop Approval And Inspector Certifications Page 2

Brake Inspector Qualification

CERTIFICATION

I, _________________________________, hereby certify that I am knowledgeable and

understand the requirements for performing the brake service or inspection task and I can

identify the defective components in compliance with the regulations of the U.S. Department of

Transportation for brake service or inspection tasks contained in 49 CFR Part 396 Appendix G. I

hereby agree to comply with all such regulations governing the annual brake service and

inspection tasks.

A qualified inspector must meet one or more of the following requirements. Please check those

applicable.

______Has successfully completed an apprenticeship program sponsored by a State,

Canadian province, a Federal Agency or a labor union.

______Has successfully completed a training program approved by a State or Federal agency.

______Has a certificate from a State or Canadian province qualifying me to perform the

assigned brake service or inspection task.

______Has brake related training or experience or a combination totaling at least one year.

Such training may consist of:

______Participation in a training program sponsored by a brake or vehicle manufacturer or

similar commercial training program designed to train students in brake maintenance

or inspection similar to the assigned brake service or inspection tasks.

______Experience performing brake maintenance or inspection similar to the assigned brake

Service or inspection task in a motor carrier maintenance program.

______Experience performing brake maintenance or inspection similar to the assigned brake

service or inspection task at a commercial garage, fleet leasing company or similar

facility.

______Has passed the air brake knowledge and skills test for a Commercial Drivers’ License.

____________________________________

Signature of Brake Inspector

I,_______________________________, hereby certify that ________________________ has

Met the requirements for a qualified inspector to perform the brake service or inspection task in

compliance with the regulations of the U.S. Department of Transportation for qualified inspectors

contained in 49 CFR Part 396.25

Dated this______day of______________,20______.

____________________________________

Signature of Owner/Supervisor

____________________________________

Name of Shop

Shop Approval And Inspector Certifications Page 2