SAFETY INSPECTION REPORT – TRAILERS

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Company

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TANK ID*

DATE*

MAKE*

SERVICE TYPE*

TECHNICIAN*

First Name Last Name

GROUND OPERATION*

SPLITTER LINE*

RUBBER LINED & NONE RUBBER LINED TANK SAFTEY INSPECTION REPORT

A "Y" in the appropiate box will signify that the service has been carried out and or that the inspection is satisfactory.
A "X" in the appropiate box will signify that the inspection shows a defect requiring immediate attention.
A "M" in the appropiate box will signify a fault which does not require immediate attention at the time.

TRAILER - RUNNING GEAR/DOE No.

LEGAL PLATES - POSITION/SECURITY/LEGIBILITY | 1*

ALL WARNINGS SIGNS | 1*

TRAILER COUPLING/RUBBER PLATE - SECURITY/CONDITION | 11*

PIN WEAR - OVALITY/AIRLINES - FUNCTION/CONDTION | 12*

LANDING LEGS - SECURITY/LUBRICATE/OPERATION | 13*

SIDE GUARDS/REAR UNDER RUN GUARDS - CONDITION | 9*

WINGS & SPRAY SUPPRESSION - SECURITY/CONDITION | 14*

WHEELS - FRACTURE/DAMAGE | 6*

WHEEL STUDS & NUTS - SECURITY/TORQUE/CONDITION | 6*

TYRES - CONDITION/WEAR/PRESSURES | 8*

REAR MARKINGS/REFLECTORS - SIDE & REAR | 62*

ABS & EBS SYSTEMS - OPERATION | 38*

SIDE LAMPS/FRONT & REAR OUTLINE MARKERS | 63*

LAMPS/TAIL LIGHTS/STOP LIGHTS/INDICATORS/FOG LAMPS | 66*

ELECTRICAL WIRING/SUSIE PLUGS - SECURITY | 42*

LIFT AXLE - OPERATION

PARK BRAKE - OPERATION/FUNCTION | 59*

CHASSIS - CONDITION/CRACKS | 41*

BRAKES - MECHANICAL BRAKE CONNECTIONS/LINKAGES | 59*

BRAKES - CLEVIS PIN - WEAR | 59*

BRAKES - LININGS - WEAR & ADJUSTMENT | 59*

BRAKES - DISCS/DRUM - WEAR & CRACKS | 59*

BRAKES - PIPES/RESEVOIRS/VALVES/CHAMBERS - SECURITY & LEAKS | 61*

BRAKES - SLACK ADJUSTERS - OPERATION & ADJUSTMENT | 59*

BRAKES - DISCS - CALIPER OPERATION & CONDITION OF PADS | 59*

BRAKES - LOAD SENSING VALVES CONDITION/SECURITY | 59*

AXLE - CRACKS/DAMAGE | 53*

HUBS & BEARINGS - PLAY/ABNORMAL NOISE | 53*

SUSPENSION AIR SPRINGS - SECURITY/LEAKS | 48*

SUSPENSION - SPRING PINS/BUSHES/MOUNTINGS | 48*

SUSPENSION - OTHER SYSTEM DEFECTS (LEAF ETC) | 48*

SUSPENSION - SHOCK ABSORBERS - CONDITION/LEAKS | 48*

OTHER DANGEROUS DEFECTS | 74*

TANK & FITTINGS

AIR INLET SECURITY - PRESSURE GAUGE OPERATION*

HOSE RACK/LADDERS/HAND RAILS/HAZCHEM BOARDS*

OPERATION OF SPLITTER LINE*

CHECK FOR SIGNS OF LEAKING PRODUCT*

CHECK MOUNTINGS/BEARERS/VALANCES/SPILL BOX*

CHECK BRAKE INTERLOCK FOR OPERATION*

CHECK FIRE EXTINGUISHER - SEAL/DATE/CHARGE*

CONDITION OF PAINTWORK - ANY ACCIDENT DAMAGE*

CHECK LIDS FOR CRACKS/HINGES/BOLTS/OPERATION*

CHECK OPERATION OF INLET & VENT VALVE*

CHECK GROUND CONTROL OPERATION (VISI-WINK)*

CHECK MANUAL FOOT VALVE OPERATION*

CHECK GROUND OPERATED FOOT VALVE - AIR LEAKS*

CHECK MANUAL OUTLET VALVE OPERATION*

CHECK GROUND OPERATED OUTLET VALVE*

CHECK RAIN DRAINS - BLOCKAGES*

TEST DATES

MOT*

ADR*

SPARK

LEAK*

HYDRAULIC*

TYRE TREAD DEPTHS

FRONT: NEARSIDE (mm)*

FRONT: OFFSIDE (mm)*

MIDDLE: NEARSIDE (mm)*

MIDDLE: OFFSIDE (mm)*

REAR: NEARSIDE (mm)*

REAR: OFFSIDE (mm)*

TYRE PRESSURE

FRONT: NEARSIDE (psi)*

FRONT: OFFSIDE (psi)*

MIDDLE: NEARSIDE (psi)*

MIDDLE: OFFSIDE (psi)*

REAR: NEARSIDE (psi)*

REAR: OFFSIDE (psi)*

DEFECT REPORT

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

DEFECT

TECH

ACTION

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TECHNICIAN SIGNATURE*

DATE*

SUPERVISOR SIGNATURE*

DATE*

By signing I consider that the above defects have been rectified satisfactory.

RHA Conditions of Carriage

RHA Membership Certificate

SQAS

Volvo

Zero Gravity Safety Limited (Training Provider)

Recovery Safe Training Services (Training Provider)

Dulsons Training

Peers Rooney Training

Telephone: 01270 529200
Out of Hours: 01270 529200

Email

enquiries@lynchtankers.co.uk

Address

James Lynch & Sons (Transport) Ltd.
Norton Way,
Moss Lane Industrial Estate,
Sandbach,
Cheshire,
CW11 3YT