FORM C

Question 1

BETWEEN TRACTOR AND TRAILER

CHECK ALL LINES AND FITTINGS

Answer 1

ON TIGHT, NO CRACKS, NO LEAKS

Question 2

CHECK BOTH GLAD HANDS

Answer 2

ON TIGHT, PROPERLY CONNECTED, NO LEAKS

Question 3

FRONT OF TRAILER

Answer 3

NO DAMAGE

Question 4

FIFTH WHEEL

FIFTH WHEEL PLATFORM

Answer 4

ON TIGHT, NO MISSING HARDWARE

Question 5

MAKE SURE THE FIFTH WHEEL

Answer 5

IS PROPERLY GREASED

Question 6

NO DAYLIGHT

Answer 6

BETWEEN FIFTH WHEEL AND APRON

Question 7

JAW

Answer 7

LOCKED AROUND THE KINGPIN

Question 8

FIFTH WHEEL SKID PLATE AND KINGPIN SHANK

Answer 8

NO DAMAGE

Question 9

RELEASE ARM

Answer 9

ON TIGHT, WORKING PROPERLY, NO MISSING NUTS OR BOLTS

Question 10

APRON

Answer 10

NO CRACKS, NO DAMAGE

Question 11

MOUNTING BOLTS

Answer 11

ON TIGHT, NONE MISSING OR BROKEN

Question 12

SIDE OF TRAILER

SIDE OF TRAILER

Answer 12

NOT DAMAGED

Question 13

REFLECTORS

Answer 13

SECURE, CLEAN, NO DAMAGE

Question 14

ALL LIGHTS

Answer 14

ON TIGHT, CLEAN, WORKING PROPERLY, NO DAMAGE (PROPER COLOR)

Question 15

LANDING GEAR ASSEMBLY

Answer 15

ON TIGHT, NO MISSING NUTS OR BOLTS, NO CRACKS, NONE MISSING HARDWARE, CHECK THE CROSS MEMBERS, NOT BROKEN, NO DAMAGE

Question 16

LANDING GEAR FEET

Answer 16

ROLLS UP AND DOWN EASY

Question 17

LANDING GEAR HANDLE

Answer 17

SECURE, WORKING PROPERLY, NO DAMAGE, NO MISSING NUTS OR BOLTS

Question 18

TRAILER RIBS

Answer 18

NOT BENT, NO DAMAGE

Question 19

TRAILER FLOOR

Answer 19

NO HOLES, NO DAMAGE

Question 20

REAR OF TRAILER

SUB-FRAME

Answer 20

ON TIGHT, NO CRACKS, NO DAMAGE

Question 21

CROSS-BAR

Answer 21

ON TIGHT, NOT BENT, NO DAMAGE

Question 22

ALL LINES AND FITTINGS

Answer 22

ON TIGHT, NO CRACKS, NO LEAKS

Question 23

REAR SUSPENSION SYSTEM

SPRING HANGER

Answer 23

ON TIGHT, SECURE, NOT BENT, CRACKED, NO MISSING NUTS OR BOLTS

Question 24

TORK ARM

Answer 24

NOT BENT, BROKEN, OR CRACKS, NO DAMAGE, NO MISSING NUTS OR BOLTS (BUSHINGS NOT DAMAGE)

Question 25

LEAF SPRING

Answer 25

ON TIGHT, NOT BENT, BROKEN, CRACKED, NOT SHIFTED

Question 26

U BOLT AND SPRING MOUNT

Answer 26

ON TIGHT AND SECURE, NO MISSING NUTS AND BOLTS

Question 27

REAR BRAKE SYSTEM

BRAKE LINE AND FITTINGS

Answer 27

ON TIGHT, NO LEAKS, NO CRACKS

Question 28

BRAKE CHAMBER AND CLAMP

Answer 28

ON TIGHT, NO LEAKS, NO MISSING NUTS OR BOLTS

Question 29

SLACK ADJUSTER AND PUSH ROD

Answer 29

ON TIGHT WITH NO MORE THAN 2” OF PLAY

Question 30

BRAKE DRUM

Answer 30

NO GREASE, NO CRACKS

Question 31

BRAKE SHOE

Answer 31

NO OIL, NO LESS THAN 1/4 OF LINING

Question 32

REAR TRAILER TIRES

Answer 32

DEPTH OF TREAD IS EVENLY WORN AND NO LESS THAN 2/32” NOT DAMAGED, BETWEEN 95 AND 100 PSI, CHECK AIR WITH PRESSURE GAUGE

Question 33

SIDE OF TIRE

Answer 33

NO BUBBLES, NO CUTS

Question 34

RIMS

Answer 34

NOT BENT, BROKEN, OR CRACKS, NO WELDS

Question 35

LUG NUTS

Answer 35

ON TIGHT, NO RUST, NONE MISSING, (BOLT HOLES NOT DAMAGED)

Question 36

HUB OIL SEAL

Answer 36

ON TIGHT, SECURE, NO LEAKS, FILLED AT THE PROPER LEVEL, NO MISSING NUTS OR BOLTS

Question 37

AIR STEM AND CAP

Answer 37

ON TIGHT, NO LEAKS

Question 38

SPACER

Answer 38

NO GARBAGE BETWEEN TIRES

Question 39

BACK OF TRAILER

CHECK ALL MY LIGHTS AND REFLECTORS

Answer 39

ON TIGHT, CLEAN, NOT DAMAGE, WORKING PROPERLY

Question 40

LICENSE PLATE

Answer 40

SECURE, NOT DAMAGED

Question 41

BOTH MUD FLAPS

Answer 41

NO MORE THAN 6” FROM THE GROUND, NOT DAMAGED

Question 42

RIGHT SIDE OF TRACTOR AND TRAILER

Answer 42

THIS SIDE IS THE SAME AS THE OTHER SIDE