EQUIPMENT INSPECTION FORM

EQUIPMENT INSPECTION FORM
EQUIPMENT DETAILS
Name of Registered Owner
Base Plate Number
Registered State
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Equipment VIN
Equipment Make
Equipment Color
Equipment Model
EQUIPMENT RETURN INSPECTION
Inspector’s Name
Location of Inspection
Phone Number

Area Code Phone Number
Mark:

N/A: Not Applicable | S: Satisfactory | D: Defective | M: Correction Made
1. Fuel (if applicable)
2. Speedometer Mileage
3. Hubodometer Mileage
Check Parking Brakes
One Way Check Valve
Check for Excessive Fuel, Oil, Air, and Exhaust Leaks
Inspect Airhoses
Check all Lights, Reflectors, Signals
Check Gauges for Proper Operation
Inspect Trailer Light Cord (Pig Tail)
Check Windshield Wipers
Inspect All Glass
Check Spring, Hangers, Equalizers & U-Bolts
Check Mirrors
Check Wheels & Seal Leakage
Inspect Emergency Equipment
Check 5th Wheel
Check Batteries, Secure Cover in Place
Check Low Air Warning Must Operate 55 psi Minimum
Inspect Emergency Equipment
Record Tire Tread Depth (32nds)
L Steer
R Steer
LFO
LFI
RFO
RFI
LRO
LRI
RRO
RRI
I hereby certify that I am a qualified to inspect the Equipment, with full knowledge of applicable regulations, and that on
I hereby certify that I am qualified to inspect the Equipment, with full knowledge of applicable regulations and that on the date below, I inspected the Equipment described above, that this is a true and correct report of the Equipment of such inspection.

Month Day Year
Date
Name

First Name Last Name
Sign

Clear
Rental End-Date

Month Day Year
Date
Should be Empty:

EQUIPMENT INSPECTION FORM

EQUIPMENT DETAILS

EQUIPMENT RETURN INSPECTION

Mark:

Record Tire Tread Depth (32nds)