Title Page

  • Date of Inspection

  • Was this report requested by the current Owner

  • Owners Name

  • Owners Address

  • City

  • State/Province

  • Zip Code

  • Customers Name

  • Customers Address

  • City

  • State/Province

  • Zip Code

  • Current Owners Name

  • Owners Address

  • City

  • State/Province

  • Zip Code

  • Same as the Billing Address?

  • Billing Address

  • City

  • State/Province

  • Zip Code

  • Email

  • Where to send the report?

Unit Information

  • Year of Manufacturing

  • Manufacturer

  • Make

  • Model

  • Is this a Driveable Unit

  • Vin#

  • Engine Model

  • Location The Inspection was Conducted

Exterior Inspection

Exterior Photos of Unit

  • Front

  • Curbside (Passenger Side)

  • Rear

  • Roadside (Drivers Side)

  • Under The Unit (Video)

  • Roof Top

Wheels and Frame Assemblies

Wheel Assembly

  • Number of axles on this unit

  • Is this a Drive unit (MotorHome)

Front Steerage Wheel Curbside

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is there a Center Curbside Wheel (Triple axle)

Streetside Steerage Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is there a Center Curbside Wheel (Triple axle)

Forward or SIngle Curbside Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is there a Center Curbside Wheel (Triple axle)

Curbside Center Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is There A Rear Curbside Wheel

Back Curbside Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

Forward or Single Streetside Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is there a Center Curbside Wheel (Triple axle)

Center Curbside Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Is there a Rear Curbside Wheel

Back Streetside Rear Wheel

  • Tire Condition

  • Tire Tread Condition

  • Amount of Tread Remaining

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

Spare Tire

  • Is There A Spare TIre On This Unit

  • Tire Condition

  • Tire Tread Condition

  • Tire Brand

  • Tire Size

  • Is the DOT Date Available?

  • DOT Date (Week - Year)

  • Load Capacity (Lb) (kg)

  • Load Range Grade

  • Explain (Other)

  • Maximum Tire Pressure (psi)

  • Current Air Pressure in Tire (psi)

  • Spare Tire Rack Type

  • Spare Tire Rack and Tools

Forward or Single Rear Axle

  • Axle Type

  • Define (Other)

  • Was Rust visible on Axle

  • Level of rust visible on axle

  • Was there signs of physical damage to axle

  • Define damage

  • Were there signs of oil stains

  • Define Stains

Center Rear Axle

  • Is There a Center Axle

  • Axle Type

  • Define Other Type

  • Was Rust visible on Axle

  • Level of rust visible on axle

  • Was there signs of physical damage to axle

  • Define damage

  • Were there signs of oil stains

  • Define Stains

Back Rear Axle

  • Is There a Rear Axle

  • Axle Type

  • Define Other Type

  • Was Rust visible on Axle

  • Level of rust visible on axle

  • Was there signs of physical damage to axle

  • Define damage

  • Were there signs of oil stains

  • Define Stains

Suspension System

  • Condition of U-Bolts and Nuts

  • Condition of Leaf Springs

  • Condition of Hangers

  • Condition of Shackles

  • Condition of Spring Equalizer

  • Suspension Bolts

  • Are Wet bolts present

Condition of Frame

  • Was there signs of Physical Damage on the Frame

  • Were there signs of Rust

  • Level of Rust

Hitch and Stabilizing Systems

  • Type of Unit

  • Tongue Jack Type

  • Condition of Tongue Jack Operation

  • Coupler Operational

  • Condition of Safety Chains

  • Condition of Stabilizers

  • Condition of Weight Distribution System

  • Condition of Sway Control System

  • Type of Landing Gear

  • Condition of Front Landing Gear

  • Front Landing Gear Operation

  • Type of Rear Stabilizing System

  • Condition of Rear Stabilizing System

  • Rear Stabilizing System Operation

  • Visible leaks or Mechanical Issues with Jacks

  • Type of Pin Box

  • Goose Neck Adaptor

  • Is this Unit a Bumper Pull System

  • Is there a rear tow system

  • Condition of towing receiver

  • Type of Power Connection (7 pin or 4 pin)

  • Is the cover for the pin connection attached and on the connection

  • Did each pin test proper voltage

Chassis 12 Volt DC Systems

Chassis Battery

  • Is There a 12-volt Chassis Battery

  • 12-Volt Chassis Battery - Location

  • 12-Volt Chassis Battery - Box Condition

  • 12-Volt Chassis Battery - Cables and Terminal Conditions

  • 12-Volt Chassis Battery - Vented and Secured

  • 12-Volt Chassis Battery - Matched for Size and Age

  • 12-Volt Chassis Battery - Indication of recent Service

  • 12-Volt Chassis Battery – Type of Batteries

  • Was a specific gravity test conducted

  • Was there any cell out of the normal range per battery? (1.20 to 1.265)

Chassis 12-volt DC Lights

  • What type of 12v DC power connection to Tow Vehicle is available on this unit

  • Condition of the 7-pin Cord (Physical Damage, Corrosion)

  • Condition of the 4 pin 12v DC Connector

  • Physical Condition of the Breakaway Switch

  • Type of Test performed on the Breakaway system

  • What was Amperage Reading

  • Are All Front Clearance Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are All Streetside Marker Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are All Rear Clearance Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are All Curbside Marker Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are Left Turn and Left Brake Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are Right Turn and Right Brake Lights Operational

  • Are Some Operational Or Are all Non-Operational

  • Are All All Backup Lights Operational

  • Are Some Operational Or Are all Non-Operational

Life Safety Alarms

  • Is Propane and CO Detector together in one unit

  • Was Propane Detector Tested

  • Propane Detector Test results

  • Propane Detector Make

  • Model

  • Serial Number

  • Propane Detector Date

  • Propane Detector Test method

  • Was the CO Detector Tested

  • CO Detector Make / Model /Serial Number

  • CO Detector Date

  • CO Detector Test method

  • Was Detector Tested

  • Detector Test results

  • Detector Make

  • Model

  • Serial Number

  • Detector Date

  • Detector Test method

  • Was Smoke Detector Tested

  • Smoke Detector Test results

  • Smoke Detector Make

  • Model

  • Serial Number

  • Smoke Detector Date

  • Smoke Detector Test method

  • Was the Fire Extinguisher Present (1A: 10B:C) 2.5lb

  • Is the Extinguisher at its Proper Charge

Propane Tanks, Lines, and Connections

  • Visual condition of tank(s)

  • Condition of mounts, brackets, and bolts

  • What is the fuel level a the time of inspection

  • What is the listed capacity of each tank

  • Confirm the proper installation of the regulator(s)

  • Was a System Operational 50% Pressure Test performed

  • Initial pressure reading of system with 50% load

  • Was an adjustment needed for the regulator

  • What was the pressure adjusted to

  • What was the reading for the Pressure Lockup Test

  • Was the Lockup pressure within specifications

  • What was the result of the test

  • Was a Time Pressure Test Performed

  • What was the pressure at the beginning of the test

  • What was the pressure at the end of the 15 minute test

  • What was the result of this test

  • Was a Bubble Leak Test performed after all test equipment was removed

  • What was the result of this test

  • LP Test Signature

  • Is the LP system a DOT type tank or an ASME Tank.

  • What is the manufacturer of the ASME tank

  • What was the Date of Manufacture

  • Is the regulator cover installed

  • Is there an "Extended-A-Stay" valve installed

  • For DOT tanks, what is the configuration

  • What is the size of cylinder #1

  • Are there additional Cylinders

  • What is the size of cylinder #2

  • Are there additional Cylinders

  • What is the size of cylinder #3

  • Are there additional Cylinders

  • What is the size of cylinder #4

  • Condition of all flexible hoses and connections

Driveable Units

  • Is This a Driveable Unit

  • Check condition of wiper blades

  • Check oil level

  • Oil level good

  • Transmission Level Checked

  • Transmission level Good

  • Engine Coolant level Checked

  • Level of Coolant level Good

  • Brake fluid Checked

  • Level of Brake fluid Good

GENERAL NOTES/COMMENTS

GENERAL NOTES/COMMENTS

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The Inspection is Completed

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