Tow Vehicle Safety Equipment Inspection Form
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1State of Arkansas Towing & Recovery Board
Office Use Only
7418 North Hills Boulevard • North Little Rock, Arkansas 72116 • Office 501/682-3801
NO: __________________________
FAX . 501/682-3589 •
Mail artowing@arkansas.gov • Website
E.
Exp. __________________________
TOW VEHICLE SAFETY EQUIPMENT INSPECTION FORM
[
Any Arkansas certified law enforcement officer is authorized to examine the vehicle noted below
and sign the inspection form. A separate form must be used for each tow vehicle.]
CONSENT TOW VEHICLE
NON CONSENT TOW VEHICLE
Firm ____________________________________________________________
City ____________________________
Vehicle Year ______________ Make _________________________________
Model _________________________
VIN Number ____________________________________ Commercial Tag Number _____________________________
Gross Vehicle Weight Rating : Light
Medium
Heavy
Type : Wrecker Hauler Rollback
9,000-15,000 lbs.
15,001-33,000 lbs.
33,001 + lbs.
Please write Y- Yes or N -No or N/A -Not Applicable for each safety item listed below.
Fire Extinguisher, ABC Type of at least a nine (9) pound capacity. [ Two 4.5 pound extinguishers are acceptable]
Amber Flashing Lights which are visible on a 360⁰ rotation around the tow vehicle. Lights must be visible in bright
daylight for highway and/or right-of-way use when engaged in hooking, unhooking or winching vehicles.
Ability to attach Tail, Turn and Stop Lights to the rear of the towed vehicle for visibility when towing.
Safety Chains or Straps to secure a vehicle to the tow vehicle.
Flares. Reflective Cones or Triangle Safety Signals or other similar safety devices.
Shovel and Broom for tow vehicles used in accident recovery.
Tow Business Name and Phone Number, not less than 2” in size, permanently affixed [paint or decal] on each
side of the tow vehicle and visible from a distance of fifty (50) feet and displayed in a legible manner.
Light and Air Brake Hook-Ups required on equipment capable of towing semi-trucks and/or trailers.
Safety Straps for wheel lift equipment as required by the equipment manufacturer.
Winch(s) on Tow Vehicles used for recovery and/or hoisting and carrying a vehicle during transport shall have a
minimum capacity of (L) 8,000 pounds and minimum cable size of 3/8” in diameter. Winch capacity and cable size
shall increase proportionally with Gross Vehicle Weight Ratings.
Dual Rear Wheels and rated at a minimum of 9,000 GVWR.¹
Trailer, Dolly or Other separately hitched towing device to transport or facilitate the movement of vehicles on
vehicles on public roadways.
Medium Duty Tow Vehicle (excluding rollbacks) equipped with an under-lift device rated at no less than
6,500 pounds at full extension.²
Heavy Duty Tow Vehicle with tandem rear axles equipped with an under-lift device rated at no less than
12,000 pounds at full extension.²
Three (3) Photographs •Commercial license tag. • Entire driver’s side of the tow vehicle. [For verification of tow
vehicle type, take from a distance] • Passenger side of the tow vehicle
INSPECTION Date : ___________________ Time : _________
Location : _________________________________
AM/PM
Inspecting Officer : _________________________________ _______Badge Number : ____________________________
Officer.Signature : __________________________________ Agency __________________________________________
Owner.Signature : ____________________________________________ Date _______________________________
¹ Requirement waived for any truck where the safety permit application was filed 90 days after July 1, 1994.
² Requirement waived for any truck where the safety permit application was filed 90 days after June 27, 2006.
Minimum Requirements: Refer to Rule 7 of Rules & Regulations; ACA §27-50-1201 et seq.
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