One more thought about this, there's a difference between having the monitor powerdown after a few minutes of inactivity and actually having the PC go into sleep mode.
For a cab, I'd think sleep mode is not strictly necessary, just power it down when your down with it (i mean the whole thing, and that's pretty easy to wire up an external switch for).
For just the monitor, if the screensaver timeout doesn't appear to be working, try one of the command line tools for powering the monitor down. if that DOES work, then you know it's just something interfering that's making windows THINK it's in use when it's not.
Maybe a mouse or trackball is occasionally spitting out deltas when it shouldn't, or a keywiz is generating keystrokes (that happened to me at one point when I had it hooked up to an underpowered USB hub).
Worst case, you could write a bat file to execute the "turn off the monitor" program, then hook it up to a hotkey and just press a couple buttons on your CP to put the monitor to sleep.
Check out nircmd for a slick little utility to turn the monitor off
http://www.nirsoft.net/utils/nircmd.html