Worksheet 4: Form Layout-State Inspection

Purpose: Gathers requirements for the data-entry form.

Project Name: MCSAP – Remove from Inspection form all Federal only fields.

General Information

General Information
Date of Design Session	Date main design session held
Participants	Names of BAEs and Law Enforcement Officers participating in design session. FAC may be used for this or a special project team may have been formed
Process	We will be removing fields from the Inspection form that are MCSAP only.
From Layout Pictures
Form Mechanics Fields	N/A
Form Layout Notes

Form Design – OLD

The inspection form has the following groups

Document
Inspection Description
School District
Ambulance Service
Location
Carrier
Driver
Vehicle
- EIP
- Decal and Cargo
Load
- Hazardous Material
Brake Inspection
Axle Detail
- Axles
PreSale Defect
Violation
- Mandated Defect
- MCSAP Defect
- Non MCSAP Defect
Level VI
- Package
Inspection Result
Reinspection
Summary
Special Study
Agency
Attachment

Document Group

Each Inspection form contains one Document group. The fields within the group are shown in the figure below.

Police Number—added when opening the form from the case information. Unlike most other police number fields in other forms this is required in the Inspection form.

Inspection Description Group

Each Inspection form contains one Inspection Description group. The fields within the group are shown in the figure below. This group should be filled out first as it sets of the form deleting and adding groups as well as disabling fields not needed.

Date—Enter the date the inspection was started
Time—Enter the time the inspection was started
Inspection Time Zone— Defaulted to central time zone
Inspection Report Type— Inspection report type based on the vehicle to be inspected
- Ambulance Inspection – Only State Patrol
- CMV Inspection (Non-MCSAP)
- Human Service Vehicle Inspection– Only State Patrol
- Motor Bus Inspection– Only State Patrol
- School Bus Inspection– Only State Patrol
- School Bus Presale Inspection–Only State Patrol
- MSCAP Inspection—Only Licensed CMV Inspectors
Level—MCSAP only, choose the appropriate level.
- 1—Full inspection
- 2—Walk-Around Driver/Vehicle
- 3—Driver Only
- 4—Special Inspection
- 5—Terminal Inspection
- 6—Radioactive Material Inspection
Special Checks— choose the appropriate selection that applies for the CMV non-MCAP report.
- Size and Weight Enforcement
- Alcohol Substance Check
- Traffic Enforcement
- Local Enforcement
- Post-Crash
- PBBT Inspection
- PASA Inspection
- eScreen Inspection
Drivers—put in the number of Drivers; this is used for the CMV non-MCSAP and MCSAP reports only and can be 1 or 2 drivers only. After entering this field, the appropriate number of driver groups will be added.
Total Units—put in the number of units up to 7
Axles—Put in the total number of Axles for all units up to 20
Special Studies-put in the total number of special studies, the appropriate number of groups will open
Drug Search—If a drug search was completed enter yes and the drug arrest number will display.
Ambulance Inspection Type— Select the appropriate ambulance Inspection type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- Biennial
- Level Upgrade
- Post-Crash
- Re-Inspection
- Spot Check
Ambulance Unit Type— Select the appropriate unit type
- In-Service Unit
- Reserve Unit
Ambulance Condition—Select the appropriate condition
- Sanitary
- Unsanitary
Ambulance Service Level—Select the appropriate Ambulance Service Level
- EMT B
- EMT BIV
- EMT I
- EMT P
- Other
- Specialized
Bus Inspection Type—Select the appropriate bus inspection report type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- Annual
- Post-Crash
- Spot Check
Bus Presale Inspection Type—Select the appropriate School bus pre-sale investigation type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- New
- Rebody
- Used

School District Group

The Inspection form contains 1 to 5 School District groups if the School Bus inspection report is chosen. The fields within the group are shown in the figure below. School District field is searchable.

Type—This field is always defaulted to Non-Individual as a School District is never an individual. This field is disabled but required for the master index searching to work.
School District Name—The name of the School District the bus is used for. This field can be searched using the
- Master Index
- School District Search
Street address— Enter the physical address of the school district.
Street address 2— Enter the additional physical address information if appropriate.
City— Enter the city of the school district.
State— Enter the 2-letter state abbreviation where the school district is located.
Zip Code— Enter the zip code of the school district.
County— Enter the DMV county of the school district.
Contact Last Name— Enter the last name of the primary contact for the school district.
Contact First Name— Enter the first name of the primary contact for the school district.
Contact Middle Name— Enter the middle name of the primary contact for the school district
Phone Number— Enter the phone number of the school district
Email— Enter the primary email address for contacting the school district.
Fax Number— Enter the fax number for the school district.

Ambulance Service Group

The Ambulance Service group in only used for the Ambulance inspection and there can only be one. The fields within the group are shown in the figure below. Service Name field is searchable.

Type—This field is always defaulted to Non-Individual as an Ambulance Service is never an individual. This field is disabled but required for the master index searching to work.
Service Name—The name of the Ambulance Service the vehicle is used for. This field can be searched using the
- Master Index
- Ambulance Search
Provider #— Enter the provider number of the ambulance service.
Street address— Enter the physical address of the ambulance service.
Street address 2— Enter the additional physical address information if appropriate.
City— Enter the city of the ambulance service.
State— Enter the 2-letter state abbreviation where the ambulance service is located.
Zip Code— Enter the zip code of the school district.
County— Enter the DMV County of the ambulance service.
Contact Last Name— Enter the last name of the primary contact for the ambulance service.
Contact First Name— Enter the first name of the primary contact for the ambulance service.
Contact Middle Name— Enter the middle name of the primary contact for the ambulance service
Phone Number— Enter the phone number of the ambulance service
Email— Enter the primary email address for contacting the ambulance service.
Fax Number— Enter the fax number for the ambulance service.

Carrier Group

Each Inspection form contains one Carrier group. The fields within the group are shown in the figure below. US DOT # field is searchable.

Driver Group

Each Inspection form contains one or two driver groups. The fields within the group are shown in the figure below. Last Name field is searchable.

Vehicle Group

Each Inspection form contains one Vehicle / Equipment group. On the CMV report the number of Vehicle Groups can increase up to 7. The fields within the group are shown in the figure below. Registration Number field is searchable.

EIP Group

This group opens for every vehicle group where Vehicle Type is Intermodal Chassis when MCSAP Inspection type is chosen.

Decal and Cargo Group

This group opens for every vehicle group when MCSAP Inspection type is chosen.

Load Group

Each CMV/MCSAP Inspection form contains one load group. This group is not used for the Ambulance/bus inspection reports. The fields within the group are shown in the figure below.

Up to 3 HazMat groups may open depending upon how many Total HazMat Types are entered.

Brake Inspection Group

Each Inspection form contains up to 10 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.

Violation Group

One of the violation groups will appear based upon what report type is being created.

Violation Group(MCSAP)

Each Inspection form contains up to 999 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.

Violation Group(Non-MCSAP)

Each Inspection form contains up to 999 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.

Violation Group(Mandated)

Each Inspection form contains up to 999 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.

Violation Group(Pre Sale)

Each Inspection form contains up to 999 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports. This is the only report that displays all the violations upon opening.

Inspection Result Group

Each Inspection form contains one Inspection Result groups. This information will display on all reports. Depending upon the type of report certain fields will populate.

The three radio buttons are used to determine which report to display for printing a CMV Inspection report.

In-Person—Violator must correct situation and have an officer sign off
Mail-In—Violator must correct situation and mail back to agency
No Return—Violator receives Warning report without any follow up needed

For MCSAP Inspections the result field will gray out and automatically populate based on form criteria.

Re-Inspection Group

The re-inspection group is only opened if an officer reinspection is required.

Summary Group

Each Inspection form contains one Summary group. The fields within the group are shown in the figure below. Both “Narrative” field has 2000 max for characters.

Form Design – New

The inspection form has the following groups

Document
Inspection Description
School District
Ambulance Service
Location
Carrier
Driver
Vehicle
- EIP – DELETE
- Decal and Cargo – DELETE
Load
- Hazardous Material – DELETE
Brake Inspection – DELETE
Axle Detail Size Weight Remove PBBT
- Axles – keep Size Weight remove PBBT.
PreSale Defect
Violation
- Mandated Defect
- MCSAP Defect – DELETE
- Non MCSAP Defect
Level VI – DELETE
- Package – DELETE
Inspection Result
Reinspection
Summary
Special Study – DELETE
Agency
Attachment

Document Group

Each Inspection form contains one Document group. The fields within the group are shown in the figure below.

Inspection Report—Remove MCSAP from list.

Inspection Description Group

Each Inspection form contains one Inspection Description group. The fields within the group are shown in the figure below. This group should be filled out first as it sets of the form deleting and adding groups as well as disabling fields not needed.

Date—Enter the date the inspection was started
Time—Enter the time the inspection was started
Inspection Time Zone— Defaulted to central time zone
Inspection Report Type— Inspection report type based on the vehicle to be inspected
- Ambulance Inspection – Only State Patrol
- CMV Inspection (Non-MCSAP)
- Human Service Vehicle Inspection– Only State Patrol
- Motor Bus Inspection– Only State Patrol
- School Bus Inspection– Only State Patrol
- School Bus Presale Inspection–Only State Patrol
- MSCAP Inspection—Only Licensed CMV Inspectors
Level—MCSAP only, choose the appropriate level.
- 1—Full inspection
- 2—Walk-Around Driver/Vehicle
- 3—Driver Only
- 4—Special Inspection
- 5—Terminal Inspection
- 6—Radioactive Material Inspection
Special Checks— choose the appropriate selection that applies for the CMV non-MCAP report.
- Size and Weight Enforcement
- Alcohol Substance Check
- Traffic Enforcement
- Local Enforcement
- Post-Crash
- PBBT Inspection
- PASA Inspection
- eScreen Inspection
Drivers— ONLY ONE DRIVER
- put in the number of Drivers; this is used for the CMV non-MCSAP and MCSAP reports only and can be 1 or 2 drivers only. After entering this field, the appropriate number of driver groups will be added.
Total Units—put in the number of units up to 7
Axles—Put in the total number of Axles for all units up to 20
Special Studies-put in the total number of special studies, the appropriate number of groups will open
Drug Search—If a drug search was completed enter yes and the drug arrest number will display.
Ambulance Inspection Type— Select the appropriate ambulance Inspection type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- Biennial
- Level Upgrade
- Post-Crash
- Re-Inspection
- Spot Check
Ambulance Unit Type— Select the appropriate unit type
- In-Service Unit
- Reserve Unit
Ambulance Condition—Select the appropriate condition
- Sanitary
- Unsanitary
Ambulance Service Level—Select the appropriate Ambulance Service Level
- EMT B
- EMT BIV
- EMT I
- EMT P
- Other
- Specialized
Bus Inspection Type—Select the appropriate bus inspection report type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- Annual
- Post-Crash
- Spot Check
Bus Presale Inspection Type—Select the appropriate School bus pre-sale investigation type. This field will open additional groups for the Post Crash and Spot Check reports. Additional validation rules will be in effect.
- New
- Rebody
- Used

School District Group

The Inspection form contains 1 to 5 School District groups if the School Bus inspection report is chosen. The fields within the group are shown in the figure below. School District field is searchable.

Type—This field is always defaulted to Non-Individual as a School District is never an individual. This field is disabled but required for the master index searching to work.
School District Name—The name of the School District the bus is used for. This field can be searched using the
- Master Index
- School District Search
Street address— Enter the physical address of the school district.
Street address 2— Enter the additional physical address information if appropriate.
City— Enter the city of the school district.
State— Enter the 2-letter state abbreviation where the school district is located.
Zip Code— Enter the zip code of the school district.
County— Enter the DMV county of the school district.
Contact Last Name— Enter the last name of the primary contact for the school district.
Contact First Name— Enter the first name of the primary contact for the school district.
Contact Middle Name— Enter the middle name of the primary contact for the school district
Phone Number— Enter the phone number of the school district
Email— Enter the primary email address for contacting the school district.
Fax Number— Enter the fax number for the school district.

Ambulance Service Group

The Ambulance Service group in only used for the Ambulance inspection and there can only be one. The fields within the group are shown in the figure below. Service Name field is searchable.

Type—This field is always defaulted to Non-Individual as an Ambulance Service is never an individual. This field is disabled but required for the master index searching to work.
Service Name—The name of the Ambulance Service the vehicle is used for. This field can be searched using the
- Master Index
- Ambulance Search
Provider #— Enter the provider number of the ambulance service.
Street address— Enter the physical address of the ambulance service.
Street address 2— Enter the additional physical address information if appropriate.
City— Enter the city of the ambulance service.
State— Enter the 2-letter state abbreviation where the ambulance service is located.
Zip Code— Enter the zip code of the school district.
County— Enter the DMV County of the ambulance service.
Contact Last Name— Enter the last name of the primary contact for the ambulance service.
Contact First Name— Enter the first name of the primary contact for the ambulance service.
Contact Middle Name— Enter the middle name of the primary contact for the ambulance service
Phone Number— Enter the phone number of the ambulance service
Email— Enter the primary email address for contacting the ambulance service.
Fax Number— Enter the fax number for the ambulance service.

Fed Location to fixed location

Carrier Group

Each Inspection form contains one Carrier group. The fields within the group are shown in the figure below. US DOT # field is searchable.

Driver Group

Each Inspection form contains one or two driver groups. The fields within the group are shown in the figure below. Last Name field is searchable.

Vehicle Group

Each Inspection form contains one Vehicle / Equipment group. On the CMV report the number of Vehicle Groups can increase up to 7. The fields within the group are shown in the figure below. Registration Number field is searchable.

EIP Group – DELETE GROUP

This group opens for every vehicle group where Vehicle Type is Intermodal Chassis when MCSAP Inspection type is chosen.

Decal and Cargo Group – DELETE GROUP

This group opens for every vehicle group when MCSAP Inspection type is chosen.

Load Group – DELETE HAZ MAT

Each CMV/MCSAP Inspection form contains one load group. This group is not used for the Ambulance/bus inspection reports. The fields within the group are shown in the figure below.

Up to 3 HazMat groups may open depending upon how many Total HazMat Types are entered.

Brake Inspection Group

Each Inspection form contains up to 10 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.

Violation Group

One of the violation groups will appear based upon what report type is being created.

Violation Group(MCSAP) – DELETE GROUP

Each Inspection form contains up to 999 Violation groups. The fields within the group are shown in the figure below. The “Additional Violation Description “field is optional and used to add additional statute or ordinance description information. This information will display on all reports.