Van Trailer Federal Inspection
No Problem Found
Repairs Completed
Repairs Needed
Date
Trailer Number
RO Number
Shop
FRONT
LEFT SIDE
REAR
INTERIOR (IF APPLICABLE)
RIGHT SIDE
UNDERSIDE
LFO PSI
LFO Tread
LFI PSI
LFI Tread
RFI PSI
RFI Tread
RFO PSI
RFO Tread
LRO PSI
LRO Tread
LRI PSI
LRI Tread
RRI PSI
RRI Tread
RRI PSI
RRO Tread
LF Thickness
LF Stroke
RF Thickness
RF Stroke
LR Thickness
LR Stroke
RR Thickness
RR Stroke
Comments
Technician (Signature)
Service Manager / Foreman (Signature)
CERTIFICATION: THIS VEHICLE WAS INSPECTED IN ACCORDANCE WITH SECTION 396.17-23, APPENDIX G OF THE FEDERAL MOTOR CARRIER’S SAFETY REGULATION.
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