Ill. Admin. Code tit. 92, pt. 447, ILLUSTRATION A
Illinois Department
of TransportationSchool Bus Brake
Division of Traffic SafetyInspection Report
3215 Executive Park Drive
P.O. Box 19212
Springfield, Illinois 62794-9212
District or Contractor:
Name ___________________________________________________
Address __________________________________________________
City/State ______________ Zip ________ Telephone ( )_____________
School Bus Unit Number ________________ Chassis Make __________
Chassis Year ______________ Chassis V.I.N. _____________________
Illinois law requires all school buses to be safety inspected at least once every six months or 10,000 miles, whichever occurs first. In addition, the Illinois Department of Transportation requires that a visual brake inspection be performed on every school bus operated in Illinois at least once a year or every 10,000 miles, whichever occurs first.
A completed School Bus Brake Inspection Report must be presented to the Certified Safety Tester each time a school bus is taken to an Official Testing Station for a safety inspection.
I attest that the entire brake system on the school bus listed above was visually inspected and found to be operating in accordance with the manufacturer's specifications or was repaired to perform in accordance with the manufacturer's specifications. The visual inspection of the brake system was performed on _____________________________________ by a qualified
(date)
mechanic employed by __________________________________________________________________. The mileage
(business/school district where brake inspection was completed)
on this school bus was______________ when the visual brake inspection was performed.
(mileage)
__________________________________________________ _________________________
(name of authorized school district official or contractor) (date)
Please print or type
__________________________________________________
(signature of authorized school district official or contractor)
__________________________________________________
(title)
Ill. Admin. Code tit. 92, pt. 447, ILLUSTRATION A