Maalt Transport

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Tractor ID

• Trailer ID

7 Point Brake Test

• Did the driver complete a Static Air Test?

  Yes

  No

  N/A

• Did the driver complete a Applied Air Test?

  Yes

  No

  N/A

• Did the driver complete a Low Air Warning Test?

  Yes

  No

  N/A

• Did the driver complete a Emergency Brake Test?

  Yes

  No

  N/A

• Did the driver complete a Air Governor Test?

  Yes

  No

  N/A

• Did the driver complete a Parking Brake Test?

  Yes

  No

  N/A

• Did the driver complete a Service Brake Test?

  Yes

  No

  N/A

Passenger Side Engine Compartment

• Did the driver check the windshield, windshield wiper, Hoses, Wires, Water Pump, Fan Blades, Fluids, Frame

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the suspension system (leaf springs, spring hangers, shock absorber, saddle)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the brake system (brake lines, brake chamber, push rod, slack adjuster, brake pads, brake linings, brake drum)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the tires for tread depth (4/32), inflation, condition

  Repaired

  Not Repaired

  N/A

Driver Side Compartment

• Did the driver check the windshield, windshield wiper, Hoses, Wires, Water Pump, Fan Blades, Fluids, Frame

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the suspension system (leaf springs, spring hangers, shock absorber, saddle)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the brake system (brake lines, brake chamber, push rod, slack adjuster, brake pads, brake linings, brake drum)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the tires for tread depth (4/32), inflation, condition

  Repaired

  Not Repaired

  N/A

Tractor Inspection

• Did the driver inspect the drivers door, emergency equipment, mirrors, side steps, battery box, fuel tank, catwalk, airlines, glad hands, electrical line, Frame cross members, drive shafts to include PTO drive shaft

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the 5lb. fire extinguisher

  Repaired

  Not Repaired

  N/A

5th Wheel

• Did the driver inspect the trailer apron, 5th Wheel release handle, sliding 5th Wheel locking pins, 5th Wheel mounting bolts, kingpin, locking jaws, mud flaps, reflectors, lights

  Repaired

  Not Repaired

  N/A

Drive Axles

• Did the driver inspect the suspension system (leaf springs, spring hangers, shock absorber, saddle)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the brake system (brake lines, brake chamber, push rod, slack adjuster, brake pads, brake linings, brake drum)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the tires for tread depth (2/32), inflation, condition

  Repaired

  Not Repaired

  N/A

Trailer

• Did the driver inspect the front of the trailer, landing gear, lights and reflectors, DOT tape (50% minimum on side)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the 10lb. Fire extinguisher.

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the suspension system (leaf springs, spring hangers, shock absorber, saddle)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the brake system (brake lines, brake chamber, push rod, slack adjuster, brake pads, brake linings, brake drum)

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the tires for tread depth (2/32), inflation, condition

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the rear of the trailer, lights and reflectors, DOT tape ( 100% across the rear)

  Repaired

  Not Repaired

  N/A

In Cab Inspection

• Did the driver inspect the seat belt, seat, mirrors, gauges, windshield, windshield wipers, windshield wiper fluid, heater / defroster, lights and reflectors, signals, steering wheel, horns

  Repaired

  Not Repaired

  N/A

• Did the driver inspect the Permit Book and dispose of all expired permits.

  Yes

  No

  N/A