iPA ALPHA MUTT - Page 74

VEHICLE HISTORY RECORD
UNIT #:
456
REPAIR ORDER #
789
VEHICLE TYPE:
Trailer
MOTOR CARRIER OPERATOR
NAME:
Innovative Products of America
STREET:
234 Tinker St
CITY, STATE/PROVINCE, ZIP CODE:
Woodstock, N.Y., 12498
LICENSE PLATE NUMBER/STATE:
3456
LOCATION:
Woodstock
VIN:
XXXXXX
HUB READING:
87
HOURS:
2
OWNER OF VEHICLE:
IPA
QUALIFIED INSPECTORS NAME:
Guest
DATE:
03/31/20 16:30
Status ✔ = Checked Ok, X = Unsatisfactory, S = Serviced, O =Out of Service
1. Front
X
S
✔
O
Comment
Picture
A. Inspect 7-Way Receptacle
✔
B. Inspect Glad Hands, Rubber
✔
C. Inspect King Pin & Plate, Max 18" Wear
✔
D. Inspect Clearance Light
✔
2. Rear
A. Inspect Mud Flap & Brackets
✔
B. Reflectors & License Plate Light
✔
C. Reflector Door Hold Backs for All Doors
✔
D. 2 Red T-light, 2 Red Stop/Turn Lights
✔
E. 2 Red Clearance Lights
✔
F. 3 Red ID Lights
✔
✔
3. General
A. Inspect & Lubricate Landing Gear
✔
✔
✔
B. Inspect Sand Shoes; Flat
✔
C. Inspect Bracing for Legs
✔
4. Sub Frame
A. Inspect Rails and Crossmembers
✔
B. Inspect Spring, Hangars, Saddles & U-Bolts
✔
C. Inspect Wheel Fasteners
✔
5. Sides
✔
A. Inspect Market Lights
✔
B. Inspect Conspicuity Tap
✔
C. Inspect Bottom & Top Rails, Sheared Rivets
✔
D. Check Hub Oil Level/Vents on Grease Caps
✔
6. Identification
A. Inspect Unit Numbers Front and Rear
✔
B. Inspect License Plate Match Registration
✔
C. Inspect Document Box on Trailer Nose
✔
D. Inspect FHWA Certificate in Document
✔
7. Underride Support & Bar
✔
A. Steps, Anti-Slip Dock Bumpers
✔
8. Inside (if Empty)
A. Inspect Walls for Kemlite Damage
✔
B. Inspect Scuff Liner, E-Trac, Pallet Stops
✔
9. Egress and Ingress
A. Inspect All Grab Handles, Steps & Platforms
✔
B. Inspect & Lubricate All Doors, Door Hinges
✔
C. Lubricate Roll Up Door, Rollers, Hinges & Latch
✔
11-12