Title Page
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PO NUMBER (8 digit number starting with 58) MUST include picture showing seal number PO on docket and pallet amount
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Temp Reading for First pallet loaded
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Temp Reading for Middle pallet loaded
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Temp Reading for Last pallet loaded
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Picture 1 - Doors Open showing the last 2 pallets (securing bars on and secure if applicable)
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Picture 2 - Doors shut and seal on; step back from the trailer and show doors in full.
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Picture 3 - close up of the seal, showing seal through trailer lugs and a clear identification of the seal number
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Input Seal Number
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Verify Seal Number before signing off
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Has the seal number been checked against paperwork
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Are there any damages and have they been removed
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Has a check been done to make sure there are NO mixed pallets
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Signature and name of driver ( I agree the seal number matches the paperwork and is sealed correctly)
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Signature and name of MSA
Non-Conformances
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After initial inspection - why was the trailer declined? (if applicable)
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Please provide pictorial evidence to above question (if applicable)
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Signature
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Name
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Date and Time
