Information

  • Document No.

  • Equipment #

  • Location

  • Work Group

  • EMC/IRT

  • Customer

  • Conducted on

  • Auditor

  • Location
  • Appropriate Driver's License

  • Comment

  • Medical Card w/ D.M.V. Stamp

  • Comment

  • Current Registration & Insurance Card

  • Comment

  • Completed Pretrip

  • Comment

  • Proper Journey Management Plan

  • Comment

  • Brakes Properly Adjusted

  • Comment

  • Any Air Leaks of Concern

  • Comment

  • Springs, Steering, and Walking Beams in Good Shape

  • Comment

  • Frame Damage

  • Comment

  • Clutch Working Properly

  • Comment

  • Tires and Wheels in Good Shape

  • Comment

  • Air Bags in Good Shape

  • Comment

  • Brake Cans Leaking

  • Comment

  • Cracks in Frame

  • Comment

  • Fifth Wheel in Good Shape

  • Comment

  • Does Your Fifth Wheel Clunk While Driving

  • Comment

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

  • Comment

  • All Controls Working Properly

  • Comment

  • Glad Hands, Seals, And Hoses in Good Shape

  • Comment

  • Has Trailer King Pin been Inspected

  • Comment

  • Landing Gear in Proper Working Order

  • Comment

  • Belly Gates in Proper Working Order

  • Comment

  • Side Boards Good

  • Comment

  • Does Equip. Look Clean & Cared For

  • Comment

  • Have you turned in a repair request or contacted supervision about issue ?

  • Who was contacted and what steps were taken to mitigate repairs ?

  • When was supervision contacted

Employee Information

  • EE Name

  • EE #

  • EE Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.