Truck Attachment, Fifth Wheel Coupling and Uncoupling Assessment

• Site conducted

  Select

• Truck No:

• Conducted on

  Date
• Location
  Address

1.Ground and Safety Check:

• Verify that the ground is flat, stable, and free from obstructions ?

  Yes

  No

  N/A

• Confirm that the work area is clear of hazards ?

  Yes

  No

  N/A

• Ensure adequate lighting if working in low-light conditions ?

  Yes

  No

  N/A

2.Mechanic's Presence:

• Ensure the presence of a mechanic throughout the entire process ?

  Yes

  No

  N/A

Coupling Process:

3.Fifth Wheel Inspection:

• Check that the fifth wheel is in the open position ?

  Yes

  No

  N/A

• Verify proper lubrication of the fifth wheel ?

  Yes

  No

  N/A

• Confirm that the fifth wheel handle is extended ?

  Yes

  No

  N/A

4.Alignment and Engagement:

• Ensure accurate alignment of the truck with the trailer.

  Yes

  No

  N/A

• Verify that the kingpin on the trailer aligns perfectly with the open fifth wheel on the truck.

  Yes

  No

  N/A

• Confirm secure engagement of the kingpin with the fifth wheel.

  Yes

  No

  N/A

5.Safety Checks:

• Confirm that the kingpin is securely locked within the fifth wheel.

  Yes

  No

  N/A

• Verify that all electrical connections (e.g., brake lights, turn signals) are properly connected and operational.

  Yes

  No

  N/A

• Ensure that air connections (e.g., brake lines) are securely connected and free from damage.

  Yes

  No

  N/A

Uncoupling Process:

6.Preparation for Uncoupling:

• Confirm that the truck is positioned correctly for uncoupling ?

  Yes

  No

  N/A

• Ensure that the parking brake is engaged ?

  Yes

  No

  N/A

• Verify the placement of wheel chocks to secure the trailer wheels ?

  Yes

  No

  N/A

7.Lowering Landing Legs

• Confirm that the trailer's landing legs are lowered to support its weight ?

  Yes

  No

  N/A

• Ensure that the landing legs make gentle and even contact with the ground ?

  Yes

  No

  N/A

8.Disconnecting Connections:

• Carefully disconnect all electrical connections between the truck and trailer ?

  Yes

  No

  N/A

• Disconnect air connections, such as brake lines, to release pressure ?

  Yes

  No

  N/A

9.Disengaging Lock:

• Ensure that the fifth wheel lock is released and fully disengaged ?

  Yes

  No

  N/A

10.Separation:

• Verify that the truck moves forward smoothly to disengage from the trailer ?

  Yes

  No

  N/A

• Confirm that the fifth wheel slides out from under the trailer as they separate ?

  Yes

  No

  N/A

Supervisor's Post-Task Checks:

• Confirm that the mechanic was actively involved, providing oversight during the process ?

  Yes

  No

  N/A

• Verify that safety measures, including the use of wheel chocks and the engagement of parking brakes, were followed diligently ?

  Yes

  No

  N/A

• Inspect the fifth wheel and kingpin engagement to ensure correctness ?

  Yes

  No

  N/A

• Review the status of all electrical and air connections to confirm proper connection or disconnection ?

  Yes

  No

  N/A

• Examine the overall condition of the truck and trailer for visible signs of damage, wear, or maintenance issues.

  Yes

  No

  N/A

Signature

• Truck Attachment is Safe to Operate ?

  Safe

  At Risk

  N/A

• Driver name & signature:

  Sign

• Mechanic name & signature:

  Sign

• Supervisor name & signature:

  Sign