Chaparral Energy DOT Trailer Inspection

• Trailer Inspection Form

• Client / Site

• Conducted on

  Date

• Prepared by

• TRAILER #

• LOCATION

Trailer

• DOT Annual Inspection 396.17

  Yes

  No

  N/A

• Brakes, Brake Connections and Breakaway systems 393.43

  Yes

  No

  N/A

• Coupling Devices; King Pin; Hitch 393.70

  Yes

  No

  N/A

• Lights ( tail, brake, turn-signal, 4-way, clearance & marker) 393.11

  Yes

  No

  N/A

• Landing Gear 393.201

  Yes

  No

  N/A

• Suspension System 393.207

  Yes

  No

  N/A

• Tires, Rims and Lugs ( Tire tread shall be at least 2/32 of an inch) 393.75

  Yes

  No

  N/A

• Conspicuity Tape / Reflectors 393.13

  Yes

  No

  N/A

• Tag-392.2

  Yes

  No

  N/A

• Comments

• Inspector Signature

  Sign