1A22

• Conducted on

  Date

• Client / Site

• Trailer Model

  Enclosed Trailer

  Flat Deck Trailer

  Snow Mobile Trailer (Single)

  Snow Mobile Trailer (Double)

  Other

Hitch

• Tug test performed.

  Yes

  No

  N/A

• Gross trailer weight at or lower than vehicle's tow rating.

  Yes

  No

  N/A

• Vehicle ball hitch clip secured and is correct size for trailer.

  Yes

  No

  N/A

• Trailer coupler locked/secured with coupler latch pin.

  Yes

  No

  N/A

• Trailer chains twisted (if needed) to correct length and crossed.

  Yes

  No

  N/A

• Trailer plug connected and working.

  Yes

  No

  N/A

• Jack in stored/secured position.

  Yes

  No

  N/A

Lamps & Reflectors

• All running, marker, brake, turn signal and hazard lamps are functioning. All reflectors are secure, not damaged.

  Yes

  No

  N/A

Body & Frame

• Cross members and main frame are not cracked, bent, or broken, license plate secure and visible and matches registration which is present.

  Yes

  No

  N/A

• Leaf springs & U-bolts are secure, not damaged. Axle(s) secure, not damaged.

  Yes

  No

  N/A

Tires & Rims

• Tires are full, not leaking. Side walls have no abrasions, bulges or cuts. Tread depth above 3mm with even wear.

  Yes

  No

  N/A

• Rims are not cracked, bent, or broken. Lug nuts tight & secure.

  Yes

  No

  N/A

• Spare tire available, not damaged.

  Yes

  No

  N/A

Securement, Cargo, & Levelness

• Cargo weight distributed properly over axles.

  Yes

  No

  N/A

• Cargo is properly secured and protected.

  Yes

  No

  N/A

• All doors are locked, secured, not damaged.

  Yes

  No

  N/A

• 2 wheel chocks available.

  Yes

  No

  N/A

• Employee Sign Off

  Sign