Title Page

  • Conducted on

  • Employee's Name

  • DC Location

  • Prepared by

  • Reason for Training

Air Recovery

  • After starting the tractor, did the driver confirm that the compressor recovers 10-15 psi per minute at 1000 rpm?

Air Down

  • Did the driver shut off the tractor and pull the key out?

  • Did the driver chock the wheels?

  • Did the driver get back in the cab?

  • Did the driver release brakes (red and yellow knobs in)?

  • Did the driver confirm that after initial air loss of 10-15 psi, they were losing no more than 3 psi per minute?

  • Did the driver apply pressure to the foot service brake?

  • Did the driver confirm that after initial loss of 10-15 psi, they were losing no more than 4 psi per minute?

  • After putting the key in the 'on' position, did the driver check warning light and buzzer by fanning down the foot service brake?

  • Did the driver confirm that when pressure reached 60 psi, a warning light and buzzer came on indicating that they were losing air?

  • After turning the key 'off', did the driver continue to fan brakes down to 20-40 psi where both knobs should pop out indicating that you are out of air and your spring brakes are set (red knob pops out first so you can maintain control of the tractor?

Brake Check

Tractor and Trailer Service Brakes

  • Did the driver drive 3-5 mph, applying the foot brake without touching the steering wheel?

  • Did it pull to one side or the other? If so, this would indicate a possible brake adjustment, tire, or suspension problem, and would need to be serviced.

Trailer Parking Brake

  • Did the driver turn the red knob out and yellow knob in?

  • Did the driver put the truck in low gear and tug?

Tractor Parking Brake

  • Did the driver turn the yellow knob out and red knob in?

  • Did the driver put the truck in low gear and tug?

In Cab Inspection

After starting the truck:

  • The driver confirms that the heater, defroster, and blower work properly (driver demonstrates this)?

  • The driver confirms that the gauges work properly (points to each gauge, explains what it is, and shows that it is illuminated)?

Did the driver confirm the following:

  • The gear shifter is in working order (secure, straight; not cracked, bent, or broken) and the range selector (T-bar) works properly?

  • The horns (city and air) work properly and driver demonstrates this?

  • The foot pedals are properly grooved, free of grease, oil, debris, and obstructions; clutch has 1"-2" of free play and travels to the floor with no obstruction?

  • The steering wheel is secured to steering column; not cut, cracked, bent, or broken; no more than 10 degrees or 2" of free play in a 20" steering wheel?

  • The door seal is secure and not cut, cracked, bent, broken, or leaking?

  • The doors and door latches are secure; not bent, broken, or excessively worn; and latch properly?

  • The mirrors are secure and not cracked, bent, or broken; clean and properly adjusted for ME?

  • The windshield washer works properly (driver demonstrates this)?

  • The wiper blades are secure, not excessively worn, and in contact with the windshield?

  • The wiper arms are secure, work properly, free of debris, and not cracked, bent, or broken?

  • The windshield seal is secure and not cracked, broken, or leaking?

  • The windshield is secured, not cracked or broken, clean and free of debris? No more than a 1" crack is permitted.

  • The dashboard is clean and free of debris?

  • The safety belt is secured; not cut, frayed, or broken; latches properly?

  • There is 1 replacement fuse for every major fuse in the truck (unless the truck is equipped with circuit breakers)?

  • The 3 red reflective triangles are not cracked, bent, or broken; secured inside the cab)?

  • The 10-lb. ABC fire extinguisher is fully charged and secured inside the cab?

Trailer (Passenger Side)

After putting the key in the 'on' position:

  • The driver checks the high beams are in working order by turning them on and walking around the truck & trailer?

After closing and latching the hood (no key):

  • The driver checks the brake lights by asking an examiner to watch the brake lights and watching for confirmation inside the mirror that they worked?

  • The driver checks the 4-way hazards by turning on the hazards and walking around the truck & trailer?

  • The driver checks the turn signals by signaling each direction and walking around the truck & trailer?

  • The driver confirms that the low beams and running lights are turned on by walking around the truck and trailer, and confirming all are in working order including the license plate light?

  • Did the driver confirm that the cross members are in working order (secure and not cracked, bent, or broken; none missing; no more than 1 rivet or bolt missing per member)? More than 1 rivet or bolt missing indicates a weak floor.

  • Did the driver confirm that the D.O.T. reflective tape is secure, clean, and not excessively worn?

  • Did the driver confirm that the landing gear pads are in working order (secure and not cracked, bent, or broken; free of debris and in the up position; handle is secured in the stowed position)?

  • Did the driver confirm that the landing gear and braces are in working order (secure and not cracked, bent, or broken)?

  • Did the driver confirm that the bulkhead is secure and not excessively damaged?

  • Did the driver confirm that the exhaust is secure and not cracked, bent, or leaking?

Rear of Trailer

  • Did the driver confirm that the header board is secure and not excessively damaged?

  • Did the driver confirm that the door seals are secure and seal properly?

  • Did the driver confirm that the locking latch is secured in the locked position and not cracked, bent, or broken?

  • Did the driver confirm that the locking handle and rods are secure and not cracked, bent, or broken?

  • Did the driver confirm that the doors and door hinges are secure; not cracked, bent or broken; and all bolts are present & tight?

  • Did the driver confirm that all taillights are secure, red in color, and not cracked, bent, or broken?

  • Did the driver confirm that the license plate light is secure and not cracked, bent, or broken?

  • Did the driver confirm that the license plate is secure, clean, and up to date?

  • Did the driver confirm that the DOT reflective tape is secure, clean, and not excessively worn?

  • Did the driver confirm that the DOT bumper is secure, not cracked, bent, or broken, and not excessively worn?

Mud Flaps

  • Did the driver confirm that the mud flaps are at proper height (no more than 6 inches from the ground) and contain reflective sheeting?

  • Did the driver confirm that the mud flaps are secure and not broken or missing?

Tires - 2nd Trailer Axle

  • Did the driver confirm no more than 3" between duals, free of debris?

  • Did the driver confirm that tire pressure is between 100-110 PSI checked cold and with a tire gauge or tire thumper?

  • Did the driver confirm that all valve caps are present and tight?

  • Did the driver confirm that the valve stem is secured, straight, and not cracked, bent, broken, or leaking?

  • Did the driver confirm that there are no tread separating cuts, cupping, or bulging anywhere on the tires?

  • Did the driver confirm that the tread depth is no less than 2/32" in all major grooves?

  • Did the driver confirm that the tires can be recapped or regrooved?

  • Did the driver confirm that the tires are the same type and size?

Brakes - 2nd Trailer Axle

  • Did the driver confirm that the brake drum is secure and not cracked, bent, or broken; is round; no excessive wear or repair welds; free of oil, grease, and debris?

  • Did the driver confirm that the brake shoes are secure and not cracked, bent, or broken; no less than 1/4" of wear left on the pads; and free of oil, grease, and debris?

  • Did the driver confirm that the s-cam shaft to s-cam roller is secure and not cracked, bent, or broken?

  • Did the driver confirm that the push rod slack adjuster is secured with a pin & cotter pin, and not cracked, bent, or broken? No more than 1" of play in the slack adjuster.

  • Did the driver confirm that the brake chamber and clamp are secure and not cracked, bent, broken, or leaking, and all bolts are present and tight?

  • Did the driver confirm that air lines to the brake chamber are not cracked, bent, broken, or leaking?

  • Did the driver confirm that air lines to the brake chamber are secure to the frame and brake chamber?

  • Did the driver confirm that air lines and relay valves are secure and not cracked, bent, broken, or leaking? Air lines must be at least 18" off the ground.

2nd Trailer Axle Suspension

  • Did the driver confirm that the air bags are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the shocks are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the rocker arm is secure and not cracked, bent, or broken?

  • Did the driver confirm that the rocker arm hanger is secure and not cracked, bent, or broken?

Tires - 1st Trailer Axle

  • Did the driver confirm that the valve stem is secure, straight, not cracked, bent, broken, or leaking; all valve caps are present and tight; tire pressure is between 100-110 PSI checked cold with a tire gauge or tire thumper; no more than 3" between duals; free of debris?

  • Did the driver confirm that the tires are the same type and size, can be recapped or regrooved; tread depth is no less than 2/32" in all major grooves; no tread separation, cuts, cupping, or bulging anywhere on the tires?

Brakes - 1st Trailer Axle

  • Did the driver confirm that the brake drum is secure, not cracked, bent, or broken; round, no excessive wear or repair welds; free of oil, grease, and debris?

  • Did the driver confirm that the brake shoes are secure, not cracked, bent, or broken; no less than 1/4" of wear left on pads; free of oil, grease, and debris?

  • Did the driver confirm that the S-cam shaft to s-cam roller is secure and not cracked, bent, or broken?

  • Did the driver confirm that the push rod slack adjuster is secure with a pin and cotter pin; not cracked, bent, or broken; and no more than 1" of play in the slack adjuster?

  • Did the driver confirm that the brake chamber and clamp are secure and not cracked, bent, broken, or leaking; all bolts are present and tight?

  • Did the driver confirm that the air lines to the brake chamber are secure to the frame and brake chamber; not cracked, bent, broken, or leaking?

  • Did the driver confirm that the air lines and relay valves are secure and not cracked, bent, broken, or leaking; air lines are at least 18" off the ground?

Tandem

  • Did the driver confirm that the locking handle is secured in locked position and not cracked, bent, or broken?

  • Did the driver confirm that the tandem slide rail is secure and not cracked, bent, or broken; holes are round, not excessively worn; pin is secure in hole and not cracked, bent, or broken?

1st Trailer Axle Suspension

  • Did the driver confirm that the air bags are secure and not cracked, bent, broken or leaking?

  • Did the driver confirm that the shocks are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the rocker arm is secure and not cracked, bent, or broken?

  • Did the driver confirm that the rocker arm hanger is secure and not cracked, bent, or broken?

Trailer (Driver's Side)

  • Did the driver confirm that cross members are secure, not cracked, bent, or broken, and none missing; no more than 1 rivet or bolt missing per cross member?

  • Did the driver confirm that DOT reflective tape is secure and clean, not excessively worn?

  • Did the driver confirm that the landing gear pads are secure and not cracked, bent, or broken; free of debris and in the up position; handle is secured in the stowed position?

  • Did the driver confirm that the landing gear and braces are secure and not cracked, bent, or broken?

Mud Flaps

  • Did the driver confirm that the mud flaps are secure and not broken or missing; are at proper height no more than 6" off the ground and contain reflective sheeting?

5th Wheel - Coupling System

  • Did the driver confirm that the locking arm is secured in locked position and not cracked, bent, or broken?

  • Did the driver confirm that the locking jaw is secured around the king pin shank and not cracked, bent, or broken?

  • Did the driver confirm that the king pin is secured to the apron and not cracked, bent, or broken?

  • Did the driver confirm that the trailer apron is secured to the trailer and not cracked, bent, or broken?

  • Did the driver confirm that the 5th wheel is secure to the platform and not cracked, bent, or broken; no repair welds; properly greased; no light between 5th wheel and trailer apron?

  • Did the driver confirm that the 5th wheel platform is secure to the frame and not cracked, bent, or broken; all bolts present and tight; no repair welds?

Rim

  • Did the driver confirm that the hub is secure and not cracked, broken, or leaking; all bolts are present and appear to be tight; sight glass if present is at proper level, otherwise driver opens cap and ensures there is at least 1" of 90 weight gear lube?

  • Did the driver confirm that the lug nuts are secure, none missing, and appear to be tight; if loose, the driver tightens them with a lug wrench?

  • Did the driver confirm that the rim is secure and not cracked, bent, or broken; round; no repair welds?

Drive Tires

  • Did the driver confirm that the valve stem is secure, straight, and not cracked, bent, broken, or leaking; all valve caps are present and tight; tire pressure is between 100-110 PSI checked cold with a tire gauge or thumper; no more than 3" between duals; free of debris?

  • Did the driver confirm that the drive tires are the same type and size; can be recapped or regrooved; tread depth no less than 2/32" in all major grooves; no tread separation, cuts, cupping or bulging?

Brakes - Drive Tires

  • Did the driver confirm that the brake drum is secured and not cracked, bent, or broken; round; no excessive wear or repair welds; free of oil, grease, and debris?

  • Did the driver confirm that the brake shoes are secure and not cracked, bent, or broken; no less than 1/4" of wear left on pads; free of oil, grease, and debris?

  • Did the driver confirm that the S-cam shaft to s-cam roller is secure and not cracked, bent, or broken?

  • Did the driver confirm that the push rod slack adjuster is secure with a pin and cotter pin; not cracked, bent, or broken; no more than 1" of play in slack adjuster?

  • Did the driver confirm that the brake chamber and clamp are secure and not cracked, bent, broken, or leaking; all bolts are present and tight?

  • Did the driver confirm that the air lines to the brake chamber are secure to the frame and brake chamber; not cracked, bent, broken, or leaking?

Suspension - Drive Tires

  • Did the driver confirm that the air bags are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the shocks are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the U-bolts and saddle are secured to the axle and not cracked, bent, or broken?

  • Did the driver confirm that the springs are secure, straight, no more than 25% cracked or broken, none missing?

  • Did the driver confirm that the spring hangers are secure to the frame and not cracked, bent, or broken?

Air and Electrical Lines

  • Did the driver confirm that the electrical line is secure to the tractor and trailer with 7 pins, 7 receivers with safety latch in position; they are not BBCCFTC (burnt, broken, cut, cracked, frayed, taped, or corroded)?

  • Did the driver confirm that the seals are soft pliable rubber grommets; not cut, cracked, broken, or leaking?

  • Did the driver confirm that the glad hands are secure to trailer in the locked position; not cracked, bent, broken, or leaking?

  • Did the driver confirm that the air lines are properly hung, not dragging on catwalk; secure to tractor; not cut, cracked, bent, broken, or leaking?

Battery Box

  • Did the driver confirm that the batteries are secure and not cracked, broken, or leaking; all wires and connectors are not BBCCFTC (burnt, broke, cut, cracked, frayed, taped or corroded); batteries that are not maintenance-free must be checked by removing caps and checking fluid level?

  • Did the driver confirm that the battery box is secure, straight, and not cracked, bent, or broken; no excessive wear; free of oil, grease, and debris?

Catwalk and Steps

  • Did the driver confirm that the catwalk and steps are secure, straight, not cracked, bent, or broken; all bolts are present and tight; no excessive wear; free of oil, grease, and debris?

Frame

  • Did the driver confirm that the frame is secure and not cracked, bent, or broken; no repair welds?

  • Did the driver confirm that the air tank and relay valve are secure and not cracked, bent, broken, or leaking?

Drive Shafts

  • Did the driver confirm that the U-joints are secure and not cracked, bent, or broken; properly greased?

  • Did the driver confirm that the drive shafts are secure, straight and not cracked, bent, or broken?

Fuel Tank

  • Did the driver confirm that the windshield washer reservoir is secure and not cracked, bent, broken, or leaking; fluid is at proper level?

  • Did the driver confirm that the steps are secure and not cracked, bent, or broken; no sign of excessive wear; free of oil, grease, and debris?

  • Did the driver confirm that the fuel cap is secure, with a soft pliable rubber seal, and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the fuel tank is secure to the frame, with no less than 2 metal bands with rubber backing to prevent against excessive wear and corrosion; not cracked, broken, or leaking?

Rim

  • Did the driver confirm that the hub is secure and not cracked, broken, or leaking; all bolts are present and appear to be tight; sight glass if present is at proper level, otherwise driver opens cap and ensures there is at least 1" of 90 weight gear lube?

  • Did the driver confirm that the lug nuts are secure, none missing, and appear to be tight; if loose, the driver tightens them with a lug wrench?

  • Did the driver confirm that the rim is secure and not cracked, bent, or broken; round; no welds?

Steer Tires

  • Did the driver confirm that the valve stem is secure, straight, and not cracked, bent, broken, or leaking; all valve caps are present and tight; tire pressure is between 100-110 PSI checked cold with a tire gauge only?

  • Did the driver confirm that the drive tires are the same type and size; can be recapped or regrooved; tread depth no less than 4/32" in all major grooves; no tread separation, cuts, cupping or bulging?

Brakes

  • Did the driver confirm that the brake drum is secured and not cracked, bent, or broken; round; no excessive wear or welds; free of oil, grease, and debris?

  • Did the driver confirm that the brake shoes are secure and not cracked, bent, or broken; no less than 1/4" of wear left on pads; free of oil, grease, and debris?

  • Did the driver confirm that the S-cam shaft to s-cam roller is secure and not cracked, bent, or broken?

  • Did the driver confirm that the push rod slack adjuster is secure with a pin and cotter pin; not cracked, bent, or broken; no more than 1" of play in slack adjuster?

  • Did the driver confirm that the brake chamber and clamp are secure and not cracked, bent, broken, or leaking; all bolts are tight?

  • Did the driver confirm that the air lines to the brake chamber are secure to the frame and brake chamber; not cracked, bent, broken, or leaking?

Front Suspension

  • Did the driver confirm that the shocks are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the U-bolts and saddle are secured to the axle and not cracked, bent, or broken?

  • Did the driver confirm that the springs are secure, straight, no more than 25% cracked or broken, none missing?

  • Did the driver confirm that the spring hangers are secure and not cracked, bent, or broken?

Steering

  • Did the driver confirm that the Pittman arm, drag link, steering knuckle, and tie rod are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the steering gear box is secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the U-joints are secure and properly greased, and not cracked, bent, or broken?

  • Did the driver confirm that the steering wheel shaft is secure, straight, and not cracked, bent, or broken?

Under the Hood - Driver Side

  • Did the driver confirm that the frame is secure, not cracked, bent or broken, and no repair welds?

  • Did the driver confirm that the starter is secure and not cracked, bent or broken; wires are not BBCCFTC (burnt, broke, cut, cracked, frayed, taped or corroded)?

  • Did the driver confirm that the air compressor and air lines are secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the power steering reservoir is secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the fan blade belts are secure and not cut, broke, or frayed; no more than 1/2" play and none missing?

  • Did the driver confirm that the water pump is secure and not cracked, bent, broken, or leaking?

Under the Hood - Passenger Side

  • Did the driver confirm that the frame is secure and not cracked, bent, or broken; no repair welds?

  • Did the driver confirm that the fan blades are secure, not cracked, bent, or broken, and none missing?

  • Did the driver confirm that the fan shroud is secure and not cracked, bent, or broken?

  • Did the driver check the antifreeze level by using the sight glass?

  • Did the driver confirm that the radiator and radiator hoses are secure and not cracked, bent, broken or leaking; clamps are secure and tight?

  • Did the driver confirm that the water pump is secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the alternator belts are secure, not cut, broke, frayed, no more than 1/2" play and none missing?

  • Did the driver confirm that the alternator wires are secure and not burnt, broke, cut, frayed, taped, or corroded?

  • Did the driver confirm that the alternator is secure and not cracked, bent, or broken?

  • Did the driver confirm that the turbo is secure and not cracked, bent, broken, or leaking?

  • Did the driver confirm that the oil fill tube is secure and not cracked, bent, broken, or leaking?

Front

  • Did the driver confirm that the marker lights (at top of tractor) are secure, all present, and not cracked or broken?

  • Did the driver confirm that the fender mirrors are secure, clean, and not cracked, bent, or broken?

  • Did the driver confirm that the headlights are secure, clean, and not cracked?

  • Did the driver confirm that the grill is secure, free of debris, and not cracked, bent, or broken?

  • Did the driver confirm that the bumper is secure and not cracked, bent, or broken?

  • Did the driver confirm that the license plate is secure, clean, and up to date?

Conclusion

  • Observer's Signature

  • Evaluation Conclusion

  • Employee's Signature

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