Conview Air Brake System Circle Check

• Site / Customer

• Conducted on

  Date

• Auditor Name

• Location
  Address
Vehicle #

• Appropriate Driver's License

  Yes

  No

• Comment

• Yes

  No

  N/A

• Current Registration & Insurance Card

  Yes

  No

• Comment

• Yes

  No

  N/A

• Completed Pretrip

  Yes

  No

• Comment

• Yes

  No

  N/A

• Proper Journey Management Plan

  Yes

  No

• Comment

• Brakes Properly Adjusted

  Yes

  No

• Comment

• Any Air Leaks of Concern

  Yes

  No

• Comment

• Spring or Steering Damage

  Yes

  No

• Comment

• Frame Damage

  Yes

  No

• Comment

• Clutch Working Properly

  Yes

  No

• Comment

• Tires and Wheels in Good Shape

  Yes

  No

• Comment

• Air Bags in Good Shape

  Yes

  No

• Comment

• Brake Cans Leaking

  Yes

  No

• Comment

• Cracks in Sub Frame

  Yes

  No

• Comment

• Hydraulic leaks

  Yes

  No

• Comment

• Hinge Pin in Good Shape

  Yes

  No

• Comment

• Tail Gate in Good Shape

  Yes

  No

• Comment

• Tail Gate Latches in Good Working Order

  Yes

  No

• Comment

• Any Major Oil Leaks (Motor,Trans,Diff,Steering)

  Yes

  No

• Comment

• All Controls Working Properly

  Yes

  No

• Comment

• Prop Rod in Good Working Order

  Yes

  No

• Comment

• Is This Equip. In Good Working Order

  Yes

  No

• Comment

• Does Equip. Look Clean & Cared For

  Yes

  No

• Comment

• Side Boards Good? Are there Holes in the Bed

  Yes

  No

• Comment

• Have you turned in a Repair Request

  Select Yes No

  • Yes
  • No

• Comment

• Is vehicle safe to operate?

  Yes

  No

  N/A

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• Employee Signature

  Sign

• Date and time of approval

  Date

• Approver's signature

  Sign