PSE Trailer Preventative Maintenance

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and Time audit began

  Date

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• PSE vehicle ID number

• USDOT Identification Number is visible

• check for current DOT inspection Sticker

  Yes

  No

  N/A

DOT Items To Check (include items 1-55)

• Remove all tires and inspect brakes

  Safe

  At Risk

  N/A

• Clean and repack wheel bearings

  Safe

  At Risk

  N/A

• Install and date dot sticker

  Safe

  At Risk

  N/A

Electric Brakes

• Test emergency brake away battery

  Safe

  At Risk

  N/A

• Inspect & repair if necessary brake away switch & wiring

  Safe

  At Risk

  N/A

• Brake percentage left axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Brake percentage right axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

Hydraulic Brakes

• Inspect master cylinder and top off fluid

  Safe

  At Risk

  N/A

• Inspect brake lines for damage & leaks

  Safe

  At Risk

  N/A

• Brake percentage left axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Brake percentage right axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Check axle condition & hub assemblies

  Safe

  At Risk

  N/A

Air Brakes

• Adjust and lube slack adjusters

  Safe

  At Risk

  N/A

• Test emergency brakes

  Safe

  At Risk

  N/A

• Check for air leaks

  Safe

  At Risk

  N/A

• Brake percentage left axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Brake percentage left axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Brake percentage right axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

• Brake percentage right axle

  100 percent

  75 percent

  50 percent

  10 percent

  needs brakes immediately

TIRES

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Driver and Passenger Wheel/Tire Trim Rings in Place

  Safe

  At Risk

  N/A

• Rear Driver and Passenger Wheel/Tire Trim Rings in Place

  Safe

  At Risk

  N/A

Other

• Electric and air connections

  Safe

  At Risk

  N/A

• Header board

  Safe

  At Risk

  N/A

• 5th wheel plate & king pin

  Safe

  At Risk

  N/A

• Landing gear

  Safe

  At Risk

  N/A

• Lights- stop/turn/marker/tail lights

  Safe

  At Risk

  N/A

• Reflectors

  Safe

  At Risk

  N/A

• Mud flaps

  Safe

  At Risk

  N/A

• Rear bumper

  Safe

  At Risk

  N/A

• Suspension

  Safe

  At Risk

  N/A

• Frame & cross members

  Safe

  At Risk

  N/A

• Springs & U Bolts

  Safe

  At Risk

  N/A

• Electrical wiring

  Safe

  At Risk

  N/A

• Air lines & hoses

  Safe

  At Risk

  N/A

• Shocks & shackles

  Safe

  At Risk

  N/A

• Rails

  Safe

  At Risk

  N/A

• Side Boards

  Safe

  At Risk

  N/A

• Deck

  Safe

  At Risk

  N/A

• Trailer safety connectors

  Safe

  At Risk

  N/A

• Safety Chains

  Safe

  At Risk

  N/A

• Tires, wheels & lug nuts

  Safe

  At Risk

  N/A

• Mounted equipment

  Safe

  At Risk

  N/A

• Fire extinguisher

  Safe

  At Risk

  N/A

• Registration paper & box

  Yes

  No

  N/A

Tank (if applicable)

• Cables

  Safe

  At Risk

  N/A

• Dome & gaskets

  Safe

  At Risk

  N/A

• Valves- external

  Safe

  At Risk

  N/A

• Valves- internal

  Safe

  At Risk

  N/A

Interior (if applicable)

• floor, Sides, Roof

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

SIGNATURES

• Comments?

  Yes

  No

  N/A

• All Repairs Completed?

  Yes

  No

  N/A

• All Repairs not completed (please list)

  Yes

  No

  N/A

• Signature of Mechanic Performing Service

  Sign