Maintenance Plan Template Page 2

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First Aid Kit, if equipped
Flares and Triangles, if equipped
Fire Suppression System, if equipped
These inspections are performed by
(driver, staff, etc.)
by completing a pre-trip inspection form.
See
attached. Forms are documented with the operator’s signature and a check in each box to ensure
whether items are “OK” or a defect is found. Details of the defect are noted in the comments section.
Completed pre-trip inspection forms are submitted to
(Transportation Manager or other staff)
and
reviewed before the vehicle begins service. If a defect is found during the pre-trip inspection, the
vehicle is repaired before returning to service. Once a defect is repaired it will be acknowledged in one
of the following ways:
The repair is noted on the pre-trip inspection form, along with a signature and date of repair; or
A completed work order form describing the repair is attached to the pre-trip inspection form.
Pre-trip inspection forms are filed
(where?)
and kept on file for a minimum of 14 days.
During scheduled trips and at the conclusion of transportation service the operator will note any defects
on a post-trip inspection checklist to be turned in to
(Transportation Manager or other staff)
at the end
of the day. Defects that are consistent with the safety sensitive items listed on the pre-trip inspection
are repaired before the vehicle returns to service. Defects that are not safety related are scheduled for
repair at a later date.
Preventative Maintenance Inspections
Vehicles receive scheduled preventative maintenance inspections every
(interval)
miles. Vehicle
mileages are tracked using
(manual or electronic method)
to schedule upcoming preventative
maintenance inspections. When a vehicle is due for inspection, it is taken out of service until the
inspection and all necessary repairs are completed. A preventative maintenance inspection checklist is
used to inspect components in a progressive method.
See
attached. The inspections are performed in
an A,B,A,C sequence every
(interval)
miles to ensure vehicle safety.
Agency uses a combination of in-house maintenance and outsource maintenance. The in-house
maintenance shop conducts the preventative maintenance inspections and most maintenance repairs.
Agency uses outsource maintenance shops for repairs that require special training or specialized
equipment.
Please list specialized repairs that are outsourced. For example; transmission repairs, some
A/C work, electronics repairs, some diesel engine diagnostics and repairs and vehicle warranty work.
Agency uses the following outsource maintenance facilities to conduct the preventative maintenance
inspections and repairs:
Name
Address
Phone number
Agency has provided the maintenance facility performing the preventative maintenance inspections
with the Preventative Maintenance Standards Manual to use as guidelines for performing these
inspections. See attached.
V8.25.17

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