Trailer inspection - Ebert Construction

• Conducted on

  Date

• Personnel

  Select Kevin Roehl Bruce Ternes Drew Rasmussen Gary Evers Greg Hayes Jack Koerner Jim Sisell Joe Yakymi Jordan Korczak Josh Nichols Justin Gloege Justin Ruzicka Kurt Krienke Matt Buswell Mike Ebert Randy Pavey Red Larson Richard Danielson Rob Erdman Rob Jurmu Scott Bursch Steve Plafcan Todd Brandt Wayne Bruder

  • Kevin Roehl
  • Bruce Ternes
  • Drew Rasmussen
  • Gary Evers
  • Greg Hayes
  • Jack Koerner
  • Jim Sisell
  • Joe Yakymi
  • Jordan Korczak
  • Josh Nichols
  • Justin Gloege
  • Justin Ruzicka
  • Kurt Krienke
  • Matt Buswell
  • Mike Ebert
  • Randy Pavey
  • Red Larson
  • Richard Danielson
  • Rob Erdman
  • Rob Jurmu
  • Scott Bursch
  • Steve Plafcan
  • Todd Brandt
  • Wayne Bruder

Trailer Description

• Trailer number

  Select ST- 1 ST- 2 Blanket trailer 18' cement form trailer T-7 B-1 B-2 B-3 B-4 B-5 B-7 T-40 T-20 B-11 T-4 T-3 T-2 T-1 D-1 ST-3

  • ST- 1
  • ST- 2
  • Blanket trailer
  • 18' cement form trailer
  • T-7
  • B-1
  • B-2
  • B-3
  • B-4
  • B-5
  • B-7
  • T-40
  • T-20
  • B-11
  • T-4
  • T-3
  • T-2
  • T-1
  • D-1
  • ST-3

Inspection

• Is the reflectors and required signs in good condition?<br>

  Yes

  No

  N/A

• Are the brakes, signal and plate lights working?

  Yes

  No

  N/A

• Are the tires, including wear, air pressure and lug nuts good?

  Yes

  No

  N/A

• Is the trailer in overall good condition?<br>

  Yes

  No

  N/A

• Is the load secured and weight even?

  Yes

  No

  N/A

• Is the visibility in tow vehicle mirrors okay?

  Yes

  No

  N/A

• Do you know the weight, height and width limits for your load?<br>

  Yes

  No

  N/A

• Is the pin securing ball mount to receiver intact?

  Yes

  No

  N/A

• Is the hitch coupler secured?

  Yes

  No

  N/A

• Is the spring bar hinges and safety clips in place?

  Yes

  No

  N/A

• Are the safety chains properly attached?

  Yes

  No

  N/A

• Is the electrical wiring and plugs in good condition?<br>

  Yes

  No

  N/A

List any other items that need to be addressed or corrected.

• Enter list items here.

• Signature

  Sign