Form NHTSA 1273 NHTSA 1273 ATT C1 - Vehicle Inspection Form

Tire Pressure Monitoring System-Outage Rates and Repair Costs (TPMS-ORRC)

ATT C1 - Vehicle Inspection Form

TPMS-ORRC, Field Survey Pilot Test

OMB: 2127-0626

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ATTACHMENT C1

VEHICLE INSPECTION FORM



United States Department of Transportation

National Highway Traffic Safety Administration

VEHICLE INSPECTION (CAPI)

Form Approved O.M.B. No. 2127-0626

Expiration Date: XXXX


Tire Pressure Monitoring System –

Outage Rates and Repair Costs


Paperwork Reduction Act Burden Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0626 (Expiration date: XX/XX/XXXX). Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590. NHTSA Form 1273.


Formatting conventions:

Questionnaire item

///PROGRAMMING LOGIC///

Explanatory notes



Programmer Notes:

  • All variables are assumed to be numeric

  • For SELECT ALL THAT APPLY items, create a series of variables with _1, _2, etc. appended to original variable name to indicate selection status of each response option

  • For OTHER: SPECIFY items, create a new variable (length $ 256) with _OTHER appended to original variable name to hold open-end text


Disposition Definitions:

  • 61 = Completed inspection




MODULE INSPECTION: IF DRIVER IS PARTICIPATING AND MODELYEAR≥2004


///Generate MASTERID and communicate to driver interviewer for syncing///


TPMSTAPE Has an attempt been made to cover up any indicator lights on the dash (e.g., with tape)?

  1. YES

  2. NO


///TURN IGNITION FROM LOCK (0) TO ON (II) POSITION AND PAUSE 5 SECONDS///

TPMSON Select all TPMS-related indicator lights or readouts visibly illuminated on the dash (allowing for minor stylistic variations or differences in wording):

[SELECT ALL THAT APPLY FROM GRAPHICAL GRID]

///VALIDATE: SELECTION OF “NONE VISIBLE” MEANS NO OTHER OPTIONS ARE SELECTED///

  1. WORDS ON DIGITAL READOUT: “CHECK {LEFT FRONT} TIRE PRESSURE”

  1. WORDS ON DIGITAL READOUT: “TIRE PRESSURE TOO LOW”

  1. WORDS ON DIGITAL READOUT: “TPMS SYSTEM MALFUNCTION”


  1. OTHER: SPECIFY

  1. NONE VISIBLE


WARN1 Are ANY indicator lights (other than TPMS indicators) illuminated in ON (II) position?

  1. YES

  2. NO

98. DON’T KNOW


///TURN IGNITION FROM ON (II) TO START (III) POSITION AND PAUSE 5 SECONDS///

TPMSSTART Select all TPMS-related indicator lights or readouts visibly illuminated on the dash (allowing for minor stylistic variations or differences in wording):

[SELECT ALL THAT APPLY FROM GRAPHICAL GRID]

///VALIDATE: SELECTION OF “NONE VISIBLE” MEANS NO OTHER OPTIONS ARE SELECTED///

  1. SOLID

  1. FLASHING

  1. SOLID

  1. FLASHING

  1. WORDS ON DIGITAL READOUT: “CHECK {LEFT FRONT} TIRE PRESSURE”

  1. WORDS ON DIGITAL READOUT: “TIRE PRESSURE TOO LOW”

  1. WORDS ON DIGITAL READOUT: “TPMS SYSTEM MALFUNCTION”


  1. OTHER: SPECIFY

  1. NONE VISIBLE


WARN2 Are any other indicator lights (other than TPMS indicators) illuminated in START (III) position?

  1. YES

  2. NO

98. DON’T KNOW





  • IF TPMSON NE 9 AND TPMSSTART IN 2,4,9 THEN TPMSMALF=1; indicator(s) working @ ON, system malfunction @ START

  • ELSE IF TPMSON NE 9 AND TPMSSTART IN 1,3,5,6,7,8 THEN TPMSMALF=2; indicator(s) working @ ON, low pressure only @ START

  • ELSE IF TPMSON=9 AND TPMSSTART=11 THEN TPMSMALF=3; no TPMS indicator(s) @ ON, no TPMS indicator(s) @ START

  • ELSE IF TPMSON NE 9 AND TPMSSTART=11 THEN TPMSMALF=4; indicator(s) @ ON, no indicator(s) @ START

  • ELSE TPMSMALF=5; status unclear, screen out



OBSERVER: Before proceeding with observation, communicate TPMS indicator status (TPMSMALF=1,2,3,4,5) to interviewer verbally or using pre-determined hand signal, and await interviewer code match confirmation.







ODOMETER Odometer reading

/RANGE 1-1,000,000/


EMAG Does the vehicle contain visible equipment that could cause electromagnetic interference (e.g., radar detector)?

  1. YES

  2. NO


///LOOP: X = {LF, LR, RR, RF}///

STEMCON_X What is the condition of the valve stem on the X tire?

  1. GOOD

  2. POOR (E.G., CRACKED OR CORRODED)

  3. NO VALVE STEM VISIBLE


///ASK IF STEMCON_X = 1,2, Not missing valve stem on X tire///

STEMMAT_X Of what material is the valve stem on the X tire made?

  1. RUBBER OR PLASTIC

  2. METAL

  3. OTHER MATERIAL


CAPCON_X What is the condition of the valve cap on the X tire?

  1. GOOD

  2. POOR (E.G., CRACKED OR CORRODED)

  3. NO VALVE CAP VISIBLE


///ASK IF CAPCON_X = 1,2, Not missing valve cap on X tire///

CAPMAT_X Of what material is the valve cap on the X tire made?

  1. RUBBER OR PLASTIC

  2. METAL

  3. OTHER MATERIAL



///END LOOP///


SPARE Does the vehicle appear to have one or more spare tires (mini- or full-size) or non-matching wheels installed?

  1. YES

  2. NO


///SET DISPO = 61, Completed inspection///


END MODULE INSPECTION




MODULE NON-RESPONSE: ALL VEHICLES APPROACHED


///Set MASTERID to contain site ID and timestamp to enable linking with Driver Interview///


DATE [INTERNAL]


TIME [INTERNAL]


SITENUM [INTERNAL]


BODY_OBS Body type of vehicle

  1. SUV

  2. AUTO (INCLUDES SEDAN/WAGON/HATCHBACK)

  3. VAN (INCLUDES TRADITIONAL AND MINIVANS)

  4. LIGHT TRUCK


MAKE_OBS Make of vehicle

  1. BMW

  2. BUICK

  3. CADILLAC

  4. CHEVROLET

  5. CHRYSLER

  6. DODGE

  7. FORD

  8. GMC

  9. HONDA

  10. HYUNDAI

  11. JEEP

  12. KIA

  13. LEXUS

  14. MAZDA

  15. MERCEDES

  16. NISSAN

  17. RAM

  18. SUBARU

  19. TOYOTA

  20. VOLKSWAGEN

  21. OTHER: SPECIFY

98. DON’T KNOW


LANG_OBS Language spoken

  1. ENGLISH

  2. SPANISH

  3. OTHER

98. DON’T KNOW


AGE_OBS Age of driver

  1. YOUNG ADULT (Up to 25)

  2. ADULT (25-69)

  3. SENIOR (70 and over)

98. DON’T KNOW


SEX_OBS Sex of driver

  1. MALE

  2. FEMALE

98. DON’T KNOW


OCCUPAD Number of ADULT occupants (if ages are unclear, count all as adult)

/RANGE 1-10/

98. DON’T KNOW


OCCUPCH Number of CHILD occupants (if ages are unclear, count all as adult)

/RANGE 1-10/

98. DON’T KNOW


DAMG_OBS Is there damage to the vehicle?

  1. NONE VISIBLE (ALLOWING FOR PAINT SCRAPES, WINDOW ISSUES, WIPER ISSUES)

  2. MINOR (E.G., DENTED FENDERS/BODY PANELS)

  3. MAJOR (E.G., MAJOR DAMAGE TO HOOD, FRONT END, REAR END, DOORS THAT WOULD MAKE PARTS OF VEHICLE UNUSABLE)

98. DON’T KNOW


HITCH Is the vehicle equipped with a rear hitch?

  1. YES

  2. NO

98. DON’T KNOW


ELEC_OBS Is the car a hybrid or electric?

  1. YES

  2. NO

98. DON’T KNOW


FUEL_OBS Fuel type purchased

  1. DIESEL

  2. REGULAR (GENERALLY 87 OCTANE)

  3. MID-GRADE (GENERALLY 89 OCTANE)

  4. PREMIUM (GENERALLY 91 OCTANE)

  5. OTHER

98. DON’T KNOW


PAY Where was payment for fuel made?

  1. AT PUMP

  2. IN STORE

98. DON’T KNOW


END MODULE NON-RESPONSE



NHTSA Form 1273 8/19/15


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