Form B

Front 1

Mirrors and spot mirrors

Back 1

All mounting bolts and nuts are present and tight.

Front 2

Outside and inside door latch

Back 2

Working. *Demonstrate*

Front 3

Door hinges

Back 3

All bolts and nuts are present and tight.

Front 4

Fire extinguisher

Back 4

No less than 10 B.C. and it is fully charged.

Front 5

Steps

Back 5

No debris. All bolts are present and tight.

Front 6

Exhaust system

Back 6

No leaks. All bolts, nuts and straps present and tight.

Front 7

Storage box

Back 7

Holds emergency equipment, reflective triangles and spare fuses.

Front 8

Fuel tank

Back 8

No leaks. Straps are secured. All bolts and nuts are present and tight. Fuel cap is present with no leaks or damage.

Front 9

Fuel check

Back 9

I would visually check fuel here as I would the other side to make sure the crossover lines are working and hoses have no cuts or leaks.

Front 10

Back of cab headboard and front of trailer

Back 10

Front of trailer, clearance lights are secured and working.

Front 11

Airlines

Back 11

Secured to tractor and trailer with no cuts, kinks or leaks.

Front 12

Glad hands

Back 12

No leaks, good rubber and properly coupled.

Front 13

Electrical cord

Back 13

Secured to tractor and trailer. No cuts, cracks or frays.

Front 14

Catwalk and steps

Back 14

No debris. All bolts and nuts present and tight.

Front 15

Drive line

Back 15

Properly lubed. All bolts and nuts are present and tight.

Front 16

Fifth wheel airline

Back 16

No cuts, kinks or leaks.

Front 17

Torque arm

Back 17

All bolts and nuts are present and tight with good bushings.

Front 18

Apron

Back 18

No broken welds or cracks.

Front 19

Kingpin

Back 19

Straight and not bent. Jaws locked around shank.

Front 20

Skid plate

Back 20

Properly lubed, no daylight between apron and skid plate.

Front 21

Locking arm

Back 21

Locked in place.

Front 22

Slider

Back 22

Properly lubed. No missing or broken teeth in the locked position.

Front 23

Platform and frame

Back 23

All bolts and nuts are present and tight. No cracks or broken welds.

Front 24

I WILL CHECK BOTH AXLES AT THE SAME TIME

Back 24

.

Front 25

Spring hangers and mounts

Back 25

All bolts and nuts are present and tight. No damage or broken welds.

Front 26

Leaf springs

Back 26

No more than 25% missing or broken.

Front 27

U-Bolts

Back 27

All bolts and nuts are present and tight. Keeps axle in alignment.

Front 28

Brake hose

Back 28

Secured. No cuts, kinks or leaks.

Front 29

Brake chamber

Back 29

No leaks and no dents.

Front 30

Slack adjuster

Back 30

Push rod is straight and not bent. Properly lubed. No more than 2 inch of play when the brakes are applied and it is at a 90 degrees angle.

Front 31

Brake drum

Back 31

No contamination and no cracks.

Front 32

Brake pads

Back 32

No contamination and no less than 1/4 inch of life left.

Front 33

Wheels

Back 33

Inside, inside, inside and outside, no cracks, no dent and no welds.

Front 34

Lug nuts

Back 34

All present and tight. Rust and white powder will indicate looseness.

Front 35

Sealed hub

Back 35

No leaks. All bolts and nuts are present and tight.

Front 36

Valve stem

Back 36

Could be crossed but not touching or leaking. Check with tire air gauge and inflate to manufacturer’s specifications and replace dust cap.

Front 37

Tires

Back 37

Inside, inside, inside and outside, no cuts, bulges or leaks. Thread depth must be no less than 2/32 of an inch. Can be re-grooved, recapped, but not mismatched evenly worn. No spacers and no debris.

Front 38

Suspension air bags

Back 38

No cuts, kinks or leaks with good rubber. Mounts are secured. All bolts and nuts present and tight.

Front 39

Shocks

Back 39

No leaks. All bolts and nuts are present and tight with good bushings.

Front 40

Tractor tail lights

Back 40

Tail, brake, turn signal and hazard lights are all working and there is proper clearance between the tires and the landing gear.