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INSPECTOR QUALIFICATIONS Certification 49 CFR Part 396. 19 Motor carriers are responsible for ensuring that individual s performing an annual inspection under 396. Employee Signature of Mechanic/Inspector Date Motor Carrier/Company Signature of Employer/Supervisor Evidence of Inspector Qualifications are on file at Page Part 396 - Inspection Repair and Maintenance IR1030-2. 19 are qualified as follows t Understands the inspection criteria set forth in Part 393 and Appendix G and can identify defective components t Is knowledgeable of and has mastered the methods procedures tools and equipment used when performing an inspection t Is capable of performing an inspection by reason of experience training or both and qualifies in one of the following categories check all that apply I. t Successfully completed a State or Federal training program or has certificate from a State or Canadian Province which qualifies the person to perform commercial vehicle safety inspections. Specify or II. t Have a combination of training or experience totaling at least one year as follows check all that apply A. t Participation in a truck manufacturer-sponsored training program or similar commercial training program designed to train students in truck operation and maintenance. Where and Date B. t years experience as a mechanic or inspector in a motor carrier maintenance program* Name and Date commercial garage fleet leasing company or similar facility. Name of Facility and Dates or Federal Government. Where and Dates I certify the above information is true and accurate to the best of my knowledge. 19 are qualified as follows t Understands the inspection criteria set forth in Part 393 and Appendix G and can identify defective components t Is knowledgeable of and has mastered the methods procedures tools and equipment used when performing an inspection t Is capable of performing an inspection by reason of experience training or both and qualifies in one of the following categories check all that apply I. t Successfully completed a State or Federal training program or has certificate from a State or Canadian Province which qualifies the person to perform commercial vehicle safety inspections. t Successfully completed a State or Federal training program or has certificate from a State or Canadian Province which qualifies the person to perform commercial vehicle safety inspections. Specify or II. t Have a combination of training or experience totaling at least one year as follows check all that apply A. Specify or II. t Have a combination of training or experience totaling at least one year as follows check all that apply A. t Participation in a truck manufacturer-sponsored training program or similar commercial training program designed to train students in truck operation and maintenance. t Participation in a truck manufacturer-sponsored training program or similar commercial training program designed to train students in truck operation and maintenance. Where and Date B. t years experience as a mechanic or inspector in a motor carrier maintenance program* Name and Date commercial garage fleet leasing company or similar facility. .

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