PSF Pre-Trip Inspection Evaluation

• PSF Pre-Trip Inspection

• Drivers name

• Conducted on

  Date

• Prepared by

• Truck number
  Address

• Trailer number

Evaluation Specifics

• Evaluation type

  Select Initial Final

  • Initial
  • Final

• Type of brakes

  Select hydraulic Air

  • hydraulic
  • Air

Engine Start

• Emergency/Safety Equipment....FE, Fuse, R

• Heater/Defroster....demonstrate

• Horn(s)....demonstrate

• Windshield...clean, stickers, obstrk, damage

• Wipers...secure, damage, smooth, demonstrate

• Brake Pedal....Free, Bind/Noise

• Brake Leak check...demonstrate, 3x5

• Accelerator pedal...Free, Blind

• Safety start....clutch, neutral, PB

• Steering wheel...demonstrate, 10 degrees or 2", PS

• Gauges (warning lights off)...Amm/V, Oil, Water

• ABS (light comes on then goes off)

• Signal, 4-way, Bright, dash indicators

Brake Checks

• Trailer Hand valve

• Parking brake...truck/trailer

• Service brake...truck/trailer

Engine Compartment

• Transmission Fluid

• Oil level

• Coolant level

• Power steering fluid

• ATF

• Leaks....(O, F, C) on ground

• Belts...(C, F, W), 1/2-3/4

• Water Pump...Not leaking, S

• Alternator...C, wires, S

• Brake Master Cylinder...fluid/ level & leaks

Front Axle

• Tires...I, abc or O/D, even wear, VS, TD 4/32"

• Hub oil/axle seal...Leaks, level

• Steering box...MP, Cracks, Leaks, S

• Steering Linkage...C, B, MP, Joints

Front Suspension

• Springs...M, B, C, S

• Mounts/Hangers...MP, S, Bush

• U-bolts...C, S

• Shock Absorber...S, Leaks

Driver/Fuel Area/Under

• Doors/Mirrors...demonstrate, C,S

• Battery Box...S

• Fuel tank/cap...S, leaks

• Drive shaft...Joints, C, S

• Exhaust System...Leaks, holes, C, S

• Frame / CM...Cracks or bends, MP, S

• Hydraulic tank/cap...S, Leaks

Service area/Coupling

• Stinger...Bent, crack, welds, pins, S

• Receiver...Bent, crack, welds, S

• Mounting bolts...S/Missing

• Hitch Ball, Pintle hook...C, B, W, S

• Safety chains...Latched, length, crossed, S

• Electric lines...C, 4/7, S, Expose, Bare, Broke, Tape, Pinch, Worn, Rub

• Coupler...Safety latch, pin, S

• Coupling Mounting bolts...S/Missing

• Draw Bar...C, T, W

• Landing gear...Raised, Safety pin, pad, C, S

• Draw Bar Box/Storage...closed, S

Rear Axle

• Rims...Flange, Cracks/Welds

• Axle seal...Leaks, Level

• Lug nuts...S/Missing, Rust trails

• Tires...I, C/SW, TD, 2/32", D

• Mud flaps...C, S

Rear Suspension

• Springs...C

• Mounts/Hangers...C, S

• U-bolts...C, S

• Shock absorber...S, Leaks

• Torque Arm...C, Bush, S

Brakes

• Lining and drums...1/4", C, S

• Hoses/Lines...C, Rubs, Leaks

• Breakaway control module......

Rear/Side Vehicle

• Truck/Trailer gates...Closed, seated, S

• Trailer frame...C

• Spare tire...S

Notes

• Comments:

  Yes

  No

  N/A

Pre-Trip Score - Passing Scores: CMV w/Trailer = 15 or less (10 w/o trailer)

• Pre-Trip Score Results

  Select Pass Training Needed

  • Pass
  • Training Needed

• Evaluator's Signature:

  Sign

• Reviewed all marked evaluations with the driver

  Yes

  No

  N/A

• Evaluator's Signature:

  Sign

• Driver's Signature:

  Sign