EFS Commercial Motor Vehicle Inspection, Flowback Tank. Rev 1A

• Trailer Number.

• Registration Plate (Tag) number and state.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Tire size

Brake Check (with power unit attached)

• Apply the parking brake. Does it hold when transmission is engaged and pulling against it? (CFR49 393.40)

  Yes

  No

  N/A

• Move the vehicle forward and apply the brakes. Do the brakes grab firmly with no slippage? (CFR49 393.40)

  Yes

  No

  N/A

• Is there any air leaks in the system or does the air pressure go down after holding the brake down for 30 seconds with the engine off? (CFR49 396.3)

  Yes

  No

  N/A

• Are air hoses damaged, rubbing on metal, or crimped? (CFR49 393.45)

  Yes

  No

  N/A

• Are brake shoes chipped or missing? (CFR49 393.47)

  Yes

  No

  N/A

• Are air chambers damaged? (CFR49 396.3)

  Yes

  No

  N/A

• Are air chambers secure to vehicle? (CFR49 396.3)

  Yes

  No

  N/A

• Are Glad Hands connected properly? (CFR 393.46)

  Yes

  No

  N/A

• Are Glad Hands or connectors damaged? (CFR49 393.46)

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Outside the vehicle Inspection

• Vehicle picture.

  Media

• Is there an Annual Inspection Decal on the trailer and is it legible? (If not there must be a Hard copy available on the Trailer.) (CFR49 396.17)

  Yes

  No

  N/A

• When does the Annual Inspection on the trailer expire?

  Date

• Is there a copy of the trailer registration document on the trailer? (trailer registration + blanket renewal) (State Regulations)

  Yes

  No

  N/A

• Does the trailer registration plate (tag) match the registration (tag) number indicated on the registration card? (state Regulations)<br>

  Yes

  No

  N/A

• Does the trailer VIN number match the VIN number indicated on the registration card? (State Regulations)<br>

  Yes

  No

  N/A

• When does the registration on the trailer expire?

  Date

• Are the license plates (tags) on the trailer properly mounted and legible? (State Regulations)

  Yes

  No

  N/A

• Is the trailer equipment number on the vehicle and is it legible? (CFR49 390.21)

  Yes

  No

  N/A

• Is the electrical connection between the truck and trailer in good working condition? (CFR49 393.28)

  Yes

  No

  N/A

• Are the electrical wires are in good condition with no cuts or frays? (CFR49 393.28)

  Yes

  No

  N/A

• Are all trailer lights functioning properly, including but not limited to the license plate lamps? (CFR49 393.9)

  Yes

  No

  N/A

• Are all lighting device lenses in good condition? (CFR49 393.11)

  Yes

  No

  N/A

• Is there a 20lb fire extinguisher on the trailer and is it in proper operating condition? (monthly & annual inspections)

  Yes

  No

• Are there mud flaps on the trailer if required? (State Regulation)

  Yes

  No

  N/A

• Using a tire gauge, check the tires for proper inflation. Are they within specifications? (CFR49 393.75)

  Yes

  No

  N/A

• Are the tires free of excessive wear and damage? Is the Tread Depth within allowable limits (4/32 Steer Axle, 2/32 others)? (CFR49 393.75)

  Yes

  No

  N/A

• Do the lug nuts appear to be tight on all of the wheels? (CFR49 393.205)

  Yes

  No

  N/A

• Are the rims in good condition with no bends or cracks? (CFR49 393.205)

  Yes

  No

  N/A

• is there a spare tire for the trailer?

  Yes

  No

• Does the trailer frame appear to be free of any defects and in good general condition? (CFR49 393.201)

  Yes

  No

  N/A

• Are all items attached to the tank properly secured? (CFR49 393.100)

  Yes

  No

  N/A

• Are all Securement devices in good condition? (CFR49 393.104)

  Yes

  No

  N/A

• Is there DOT reflective tape on the trailer? (50% sides - 100% rear) (CFR49 393.13)

  Yes

  No

  N/A

• Is the paint on the trailer, the iron and on the equipment in good condition?

  Yes

  No

• Is the high pressure iron certification current and are the certification bands in good, readable condition?

  Yes

  No

• Do "Confined Space Warning" signs appear on or above all man hatches?

  Yes

  No

• Are all man hatches closed and securely fastened?

  Yes

  No

• Are sight glass tubes installed and in good clear condition?

  Yes

  No

• Are hand rails on fixed ladders and on top of the tank in good condition, all welds free from cracks or other damage?

  Yes

  No

• Are fixed ladders securely attached to the tank?

  Yes

  No

• Are ladder and all rung/tread welds free from cracks or other damage?

  Yes

  No

• Is ladder free from loose screws, bolts, or other metal parts?

  Yes

  No

• Is ladder free of cracks, splits, broken uprights, or rungs/treads?

  Yes

  No

• Are rungs/treads/steps free of grease and oil?

  Yes

  No

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Is this Vehicle Safe to Operate? (CFR49 396.7)

  Safe

  At Risk

  N/A

Audit Certification

• Auditor signature

  Sign

• Auditor comments

• Mechanics signature after repairs have been completed. Date repairs have been completed.

  Sign

• Mechanics comments / notes.