SAFETY INSPECTION REPORT – TRAILERS

"*" indicates required fields

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TECHNICIAN*

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.

TANK & FITTINGS

TEST DATES

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TYRE TREAD DEPTHS

TYRE PRESSURE

DEFECT REPORT


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By signing I consider that the above defects have been rectified satisfactory.
This field is for validation purposes and should be left unchanged.

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