EFS Commercial Motor Vehicle Inspection, Trailer only. Rev 5

• Trailer Number. Registration State and #

• Vehicle type

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Vehicle Mileage

• Tire size

Brake Check

• Does the Brake Modulator Activate ALL Electric Trailer Brakes when applied?

  Yes

  No

  N/A

• Is the Emergency Break Away Cable in good condition and properly attached to the towing unit?

  Yes

  No

  N/A

• Does the Emergency Break Away Device on the trailer work when the pin is pulled?

  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, is it Legible? If not there must be a Hard copy available on the Trailer.

  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?

  Yes

  No

  N/A

• Does the Trailer Registration Plate match the Registration Number indicated on the Registration card?<br>

  Yes

  No

  N/A

• Does the Trailer Vin Number match the Vin Number indicated on the Registration card?<br>

  Yes

  No

  N/A

• When does the Registration on the Trailer Expire?

  Date

• Are the License Plates on the Trailer properly Mounted and Legible?

  Yes

  No

  N/A

• Is the Trailer Number on the vehicle and is it Legible?

  Yes

  No

  N/A

• Is the Electrical Connection between the Truck and Trailer in good working condition?

  Yes

  No

  N/A

• Are the Electrical Wires are in good condition with no cuts or frays?

  Yes

  No

  N/A

• Are all Trailer Lights functioning properly, including but not limited to the license plate lamps?

  Yes

  No

  N/A

• Are all Lighting Device Lenses in good condition?

  Yes

  No

  N/A

• Is there a 20lb Fire Extinguisher on the Trailer and is it in proper operating condition?

  Yes

  No

  N/A

• Are there Mud Flaps on the Trailer if Required?

  Yes

  No

  N/A

• Using a Tire Gauge, check the Tires for proper Inflation. Are they within specifications?

  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)?

  Yes

  No

  N/A

• Do the Lug Nuts Appear to be Tight on all of the wheels?

  Yes

  No

  N/A

• Are the Rims in good condition with no Bends or Cracks?

  Yes

  No

  N/A

• Does the vehicle have a set of Wheel Chocks?

  Yes

  No

  N/A

• If Required are the Wheel Chocks being Used?

  Yes

  No

  N/A

• is there a Spare Tire for the Trailer?

  Yes

  No

  N/A

• Does the Trailer Frame appear to be free of any defects and in good general condition?

  Yes

  No

  N/A

• Are the Safety Chains Crossed, in good condition and Properly Attached to the towing unit?

  Yes

  No

  N/A

• Are all items on the Trailer Properly Secured?

  Yes

  No

  N/A

• Are all Securement Devices in good condition?

  Yes

  No

  N/A

• If Rods are being used to Secure Iron in the Racks, do the Rods have R-Clips in them?

  Yes

  No

  N/A

• Is the DOT reflective tape on the trailer?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the Iron Certification Current and are the certification bands in good, readable condition?

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Is the Vehicle Safe to Operate?

  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.