Fleet Management News & Business Info | Commercial Carrier Journal
Issue link: http://read.uberflip.com/i/85081
MID TRIP INSPECTION STANDARD SERVICE CODE (DOMT) TIRES (Minimum Tread Depth Requirement Inspection) PASS PASS FAIL FAIL PASS PASS FAIL FAIL PASS PASS FAIL FAIL PASS PASS FAIL FAIL PASS FAIL LOCATION NAME _____________________________________ LOCATION NO. ___________ BRAND __________________ WORK ORDER NO. _____________________________________ COMPANY NAME _______________________________________ DRIVER NAME _______________________________________________ TRACTOR NUMBER ______________________________________ TRAILER NUMBER ____________________________________________ TECH'S FIRST NAME TODAY'S DATE / / COMMENTS: ______________________________________________________ ______________________________________________________________ PASS PASS FAIL FAIL PASS PASS FAIL FAIL PASS PASS FAIL FAIL PASS PASS FAIL FAIL BRAKES (Brake Shoe Minimum Thickness / Condition) PASS FAIL PASS FAIL PASS FAIL PASS FAIL PASS FAIL COMMENTS: ______________________________________________________ ______________________________________________________________ PASS FAIL PASS FAIL PASS FAIL PASS FAIL LIGHTS / CONSPICUITY TAPE / OTHER CIRCLE ANY MAJOR OUT OF SERVICE SAFETY ITEMS AND DOCUMENT IN COMMENTS SECTION. COMMENTS: ___________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ADDITIONAL COMMENTS: __________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 1-800-824-7467 YOU BREAK DOWN. WE SHOW UP. THIS INSPECTION IS PERFORMED IN AN EFFORT TO HELP YOU PREPARE FOR YOUR NEXT LEVEL 1 INSPECTION. IT IS RECOMMENDED THAT A WALK AROUND AND PRE-TRIP INSPECTION IS PERFORMED DAILY. WE HAVE DOCUMENTED THE ITEMS NOTED ABOVE THAT WERE FOUND DURING THIS INSPECTION. THIS IS NOT A COMPLETE DOT LEVEL 1 MEASURED INSPECTION AND WE MAKE NO CLAIMS, WRITTEN OR IMPLIED, AS TO THE SAFETY OF YOUR VEHICLE. PLU 815062 V.1 PASS FAIL PASS FAIL DATE OF LAST DOT INSPECTIONS TRAILER / / TRACTOR CHECKLIST Flaps Air Leaks Wheel Seals Fluid Leaks Exhaust Windshield Mirrors Fire Extinguisher Triangles / / PASS FAIL With our Mid-Trip Inspection, you can avoid these letters and keep your trucks Rolling Safely and On Time. Let us help you prepare for your next Level 1 inspection. The Mid-Trip Inspection Form Write 370 on Reader Service Card or visit ccjdigital.com/info