Roadside report follow-up sheet
One-page fillable PDF. Download it, enter the information in a PDF reader, and save your completed copy.
Download fillable PDFCompleted information stays in the copy you save. This page does not collect your entries.
Start with the complete report
Use all pages of the actual inspection report and any instructions supplied with it. Record the carrier, driver, equipment, report number, issuing State, inspection date, and receipt details. Confirm whether an intermodal provider also needs the report.
Separate release from paperwork
Record any out-of-service restriction and the responsible person’s repair and release verification. The 15-day paperwork response does not authorize use of an out-of-service vehicle. Track certification and return instructions separately so the deadline cannot hide the operating restriction.
Keep the evidence connected
Record where the report, repair evidence, certification, and response confirmation are maintained. This worksheet is an office tracking aid; use the required report for its certification and response. Additional findings can be documented on a continuation sheet identified with the same report number.

