Trailer Safety
Type of Inspection
Inspection Location
Choose One
PS Poland
PS Hollis
PS Kingfield
WENA
WEBAPA
WEPLCT
WEVA
WECAL
Other
Inspector
No Truck Present
Choose One
N/A
No Defects on Truck
Choose One
No Defect Found
Annual Inspection Sticker
Choose One
Missing
Out of Date
Not Legible
Other
Registration
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Missing
Out of Date
Other
Choose One
Repaired
Not Repaired
Brakes
Choose One
Front
Rear
Choose One
Driver Side
Passenger Side
Choose One
Brake Lines / Hoses
Worn / Cracked
Inoperable
Air Leak / Air Pressure
Brake Chamber Damaged
Other
Chassis, Locks, Pins
Choose One
Locking Pins Not Engaged
Locking Pins Stuck
Handle Inoperable
Other
Choose One
Door Inoperable
Seat Belt Inoperable
Other
Frame / Body
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Driver Side
Passenger Side
Undercarrage
Choose One
Top Frame Rail Damage
Bottom Frame Rail Damage
Crossmember Damage
Other
Lamps and Relectors
Choose One
Driver Side
Passenger Side
Choose One
Brake Lamp
Turn Signal
Marker Light
Reflector
Other
Suspension
Choose One
Driver Side
Passenger Side
Choose One
Front
Rear
Choose One
Defective
U-Bolt / Fastener Loose or Missing
Other
Wheels, Hubs, Fasteners
Choose One
Driver Side
Passenger Side
Choose One
Front
Rear
Choose One
Fasteners Loose
Wheel Damaged
Hub Low Oil
Wheel Seal Leak
Tire Inflation System Leak
Other
Coupling Devices
Choose One
Damaged
Other
Tires
Choose One
Front
Rear
Choose One
Driver Side Inside
Driver Side Outside
Passenger Side Inside
Passenger Side Outside
Choose One
Damaged
Flat
Tread Depth
Exposed Cords
Leaking
Other
Bumper
Choose One
Missing
Damaged
Other
Mud Flaps
Choose One
Driver Side
Passenger Side
Choose One
Missing
Damaged
Other
Doors
Choose One
Damaged Hinges
Inoperable
Missing
Other
Landing Gear
Choose One
Damaged
Inoperable
Other
Floor
Choose One
Damaged
Other
Other Comments
Notes
Truck Safety
Type of Inspection
Inspection Location
Choose One
PS Poland
PS Hollis
PS Kingfield
WENA
WEBAPA
WEPLCT
WEVA
WECAL
Other
Inspector
No Trailer Present
Choose One
N/A
No Defects on Truck
Choose One
No Defect Found
Stickers
Choose One
IFTA
NYHUT
Registration
Annual Inspection
Other
Choose One
Repaired
Not Repaired
Permit Book
Choose One
Registration
Insurance
Platform Science Cab Card
Accident Hotline Card
Other
Choose One
Repaired
Not Repaired
Brakes
Choose One
Drive
Steer
Choose One
Driver Side
Passenger Side
Choose One
Brake Lines / Hoses
Worn / Cracked
Inoperable
Air Leak / Air Pressure
Other
Doors / Seats
Choose One
Driver Side
Passenger Side
Choose One
Door Inoperable
Seat Inoperable
Seat Belt Inoperable
Other
Safety Equipment
Choose One
Missing Emergency Traingles
Missing Fire Extinguisher
Fire Extinguisher Not Charged
Other
Exhaust System
Choose One
Exhaust Leak
Other
Fuel System
Choose One
Fuel Line Leak
Fuel Tank Leak
Other
Heater and Defroster
Choose One
Heater Inoperable
Windshield Defrost Inoperable
Other
Lamps and Relectors
Choose One
Driver Side
Passenger Side
Choose One
Front
Rear
Choose One
Head Lamp
Brake Lamp
Turn Signal
Marker Light
Reflector
Other
Suspension
Choose One
Driver Side
Passenger Side
Choose One
Front
Rear
Choose One
Defective
U-Bolt / Fastener Loose or Missing
Other
Wheels, Hubs, Fasteners
Choose One
Driver Side
Passenger Side
Choose One
Front
Rear
Choose One
Fasteners Loose
Wheel Damaged
Hub Low Oil
Wheel Seal Leak
Tire Inflation System Leak
Other
Coupling Devices
Choose One
Fails to Lock
5th Wheel Plate Damaged
Fasteners Missing or Loose
Release Handle Bent
Other
Driver Controls
Choose One
Gauges
Visual Indicators
Accelerator Pedal
Engine Brake
Other
Frame / Body
Choose One
Driver Side
Passenger Side
Choose One
Damaged
Loose
Other
Glass and Mirrors
Choose One
Driver Side
Passenger Side
Choose One
Door Mirror
Hood Mirror
Windshield
Window
Other
Choose One
Cracked
Broken
Missing
Horn
Choose One
Air Horn Inoperable
City Horn Inoperable
Steering Wheel
Choose One
Excessive Play
Pulling
Other
Tires
Choose One
Drive
Steer
Choose One
Driver Side
Passenger Side
Choose One
Damaged
Flat
Tread Depth
Exposed Cords
Leaking
Other
WS Wiper, Washer Fluid
Choose One
Wiper Inoperable
Wiper Blade Damaged
Fluid Low
Choose One
Repaired
Not Repaired
Other Comments
Notes
Submit