UPC Trailer Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Trailer

• Type of Trailer

  Select Underground Pole Dump

  • Underground
  • Pole
  • Dump

• Trailer Number

• Registration is with unit

  Yes

  No

  N/A

• Two wheel chocks are available

  Yes

  No

  N/A

• Tires and rims are in good condition and properly inflated

  Yes

  No

  N/A

• Lights are in proper working order

  Yes

  No

  N/A

• Tie downs are properly rated and in good condition

  Yes

  No

  N/A

• Binders are properly rated and in good condition

  Yes

  No

  N/A

• Binding chains are at least grade 8

  Yes

  No

  N/A

• Tongue of trailer is free of clutter

  Yes

  No

  N/A

• Connection cables to truck are in good condition and working properly

  Yes

  No

  N/A

• Boards on trailer have no visible damage

  Yes

  No

  N/A

• Trailer has current DOT inspection

  Yes

  No

  N/A

• Trailer has current tag

  Yes

  No

  N/A

• Trailer is free of dirt and debris

  Yes

  No

  N/A

• Pole straps have tags and show no signs of damage

  Yes

  No

  N/A

Motorized Equipment

• Type of Equipment

  Select Excavator Trencher Rubber Tire Backhoe Dingo

  • Excavator
  • Trencher
  • Rubber Tire Backhoe
  • Dingo

• Equipment Number

• Equipment has rollover protection and seat belt shows signs of use

  Yes

  No

  N/A

• Equipment has fire extinguisher with current annual inspection

  Yes

  No

  N/A

• Equipment is free of hydraulic leaks

  Yes

  No

  N/A

• Tracks/tires are not visibly worn

  Yes

  No

  N/A

• Operator's manual is with unit

  Yes

  No

  N/A

• Comments

• Additional Pictures

  Yes

  No

  N/A

• Inspector's Signature

  Sign