USED TRUCK INSPECTION FORM

23
1 T 9 N 5 4 A 8 Q E R 8 2 5 1 0 4 OK See Notes X a X b X c X d X e X f X g X h X i X j X k X l X m X n X o X p X q X r X s X t 1 2 3 4 5 6 X a X b X c X d X e X f X g X h X i X j X k Inspector's Name: X u Inspections of used trucks (TA service code TIUT) are performed by TA Truck Service (a dba of TA Operating LLC) ASE Certified technicians. Inspections are performed solely to report information about a truck at the time of inspection. A “Certified Used” emblem adhered to a truck means only that the inspection reflected in this packet was conducted. This inspection, while thorough, does not and cannot address every item on a truck, and serves only as a guide and aid in the inspection process. TA does not provide implied or express warranties of any kind in connection with this inspection or the use of the “Certified Used” emblem. TA Operating LLC specifically disclaims any liability for any loss or damage arising in connection with ownership or operation of the inspected truck, and further disclaims any liability for any damage or defects not found during this inspection. See bit.ly/UsedTruckInspections for details. Transmission (if electronic Automated) Active Fault Codes Inactive Fault Codes Door tag that clearly shows the Rear Axle Model & Serial #’s (If Applicable) Photo of rear of vehicle Model PRO-SPOTTER 757 Odometer Mileage NA Engine CPL No. NA UNABLE TO READ CODES UNABLE TO READ CODES Photo of front of vehicle (Stright on hood closed) NA DPF equipped NA Engine HP Rating AUTO Connect JPRO. Print diagnostics report. USED TRUCK INSPECTION FORM Engine Make NA Engine Serial No. CUMMINS Engine Brake (Jake, None, Driveline, Exhaust) NONE Engine Family Code Hours Year 2013 Full VIN NA 1T9NS4A8QER825104 Engine Model NA Unit VIN (17 digits) Perform electronic cylinder cut-out or contribution test. If test is not available use infrared thermometer to measure exhaust temperature at each cylinder. Record results, and note any observations. 1. Jpro Hook Up Make Notes COULD NOT RUN DUE TO NO START TICO NA SCR equipped ECU Mileage 2. Minimum Required Pictures Engine tag that clearly shows the Engine Model & Serial # of the truck being inspected CAB WILL NOT OPEN UP TO ACCESS ENGINE Door tag that clearly shows the Transmission and Front Axle Model & Serial #’s ( If Applicable) NA Door tag that clearly shows the manufacturer / build date (month / year) Dash photo from driver’s door with steering wheel at center Photo of the left side of the vehicle from front to rear (Try to show DPF & Tank Configuration) 45° exterior photo from front left corner (should show front of truck + entire right side) Photo of the right side of the vehicle from front to rear 45° exterior photo from front right corner (should show front of truck + entire left side)

Transcript of USED TRUCK INSPECTION FORM

1 T 9 N 5 4 A 8 Q E R 8 2 5 1 0 4

OKSee

Notes

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Inspector's Name:

Xu

Inspections of used trucks (TA service code TIUT) are performed by TA Truck Service (a dba of TA Operating LLC) ASE Certified technicians.

Inspections are performed solely to report information about a truck at the time of inspection. A “Certified Used” emblem adhered to a truck

means only that the inspection reflected in this packet was conducted. This inspection, while thorough, does not and cannot address every item

on a truck, and serves only as a guide and aid in the inspection process. TA does not provide implied or express warranties of any kind in

connection with this inspection or the use of the “Certified Used” emblem. TA Operating LLC specifically disclaims any liability for any loss or

damage arising in connection with ownership or operation of the inspected truck, and further disclaims any liability for any damage or defects not

found during this inspection.

See bit.ly/UsedTruckInspections for details.

Transmission (if electronic Automated)

Active Fault Codes

Inactive Fault Codes

Door tag that clearly shows the Rear Axle Model & Serial #’s (If

Applicable)

Photo of rear of vehicle

Model PRO-SPOTTER

757

Odometer Mileage NA

Engine CPL No.

NA

UNABLE TO READ CODES

UNABLE TO READ CODES

Photo of front of vehicle (Stright on hood closed)

NA

DPF equipped NA

Engine HP Rating

AUTO

Connect JPRO. Print diagnostics report.

USED TRUCK INSPECTION FORM

Engine Make

NA

Engine Serial No.

CUMMINS

Engine Brake (Jake, None, Driveline, Exhaust) NONE

Engine Family Code

Hours

Year 2013

Full VIN

NA

1T9NS4A8QER825104

Engine Model

NA

Unit VIN (17 digits)

Perform electronic cylinder cut-out or contribution test. If test is not available use infrared thermometer to measure exhaust

temperature at each cylinder. Record results, and note any observations.

1. Jpro Hook Up

Make

Notes

COULD NOT RUN DUE TO NO START

TICO

NA

SCR equipped

ECU Mileage

2. Minimum Required Pictures

Engine tag that clearly shows the Engine Model & Serial # of the truck

being inspected CAB WILL NOT OPEN UP TO ACCESS ENGINE

Door tag that clearly shows the Transmission and Front Axle Model &

Serial #’s ( If Applicable) NA

Door tag that clearly shows the manufacturer / build date (month /

year)

Dash photo from driver’s door with steering wheel at center

Photo of the left side of the vehicle from front to rear (Try to show DPF

& Tank Configuration)

45° exterior photo from front left corner (should show front of truck +

entire right side)

Photo of the right side of the vehicle from front to rear

45° exterior photo from front right corner (should show front of truck +

entire left side)

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NA

AUTOMATIC

Upholstery (Cloth, Vinyl/Cloth, Leather, Vinyl, Button-Tuck) CLOTH

Seat Suspension (Dual Air, LH Air, None) NA

Interior Color BLACK

Interior Level (Mid, Low, High) LOW

Transmission Model NA

Transmission Speeds NA

Transmission Type - ( Automated or Manual )

Dual Beds - Y or N

Sleeper Type - (Integral Raised, Mid, Flat) (Boxed Raised, Mid, Flat)

(None)

Transmission - Make

Wheelbase (Distance from steer axle to center of drive axle)

Rear Wheels (Aluminum, Aluminum Outside, Steel, Spoke )

HUB PILOT

N

N

CONVENTIONAL

STEEL

STEEL

Interior photo from passenger’s door

45° exterior photo from right rear corner

Right side drive tires

3. Specifications

45° exterior photo from left rear corner

45° interior photo of right side of sleeper area (showing cabinetry & back

wall) If Applicable

45° interior photo of left side of sleeper area (showing cabinetry & back

wall) If Applicable

Photo of Odometer (clearly showing current miles/kilometers)

ALLISON

STEEL

DOUBLE

NA

Fuel Tank 2 Capacity

Fuel Tank 3 Capacity

NA Sleeper Size in Inches - Back wall of Sleeper to Curtain

Fuel Tanks - (Steel or Aluminum )

SINGLE

VERTICAL

5th Wheel (Air, Stationary, None )

Frame - ( Steel or Aluminum )

Frame - (Double or Single )

Exhaust - ( Single or Dual )

Exhaust - ( Vertical or Horizontal )

NA

Photo of Right side of engine

Photo of differential(s) from bottom (back from check plug to bottom of

differential)

Left side drive tires

Photo of DPF system NA

Photos of any defects in order they were listed on the report.

Exterior Visor (Fiberglass, Steel/ Aluminum, None) STEEL

Chassis Fairings ( None, Full, Partial ) NONE

Photo of Left side of engine

Interior photo from driver’s door

Exterior Paint Color WHITE

Mirrors - Heated ( Y or N ) YES

Mirrors - Power ( No, RH, Dual) DUAL

Bumper ( Aero, Chrome, Steel/Aluminum) STEEL

Photo of oil pan

Radio (None, AM/FM, Cassette, CD, MP3, Satelite, Weather Band) NA

Power Steering ( Y or N ) Y

Air Conditioning ( Y or N ) Y (DOES NOT WORK)

Interior Type ( Basic or Premium) BASIC

Body Type (Tractor, Truck, Cab and Chassis) TRACTOR

80 GALS

NA

NA

DIESEL

Fuel Tank 1 Capacity

AIR/HYRDRALIC

Fuel Type - ( Diesel, Gasoline, CNG, LNG )

Wheel Mounting - ( Stud Pilot, Hub Pilot, or Spoke)

Roof Fairing ( Y or N )

Side Extenders ( Y or N )

Cab Type ( Conventional or Cabover)

Front Wheels (Aluminum, Steel, Spoke )

STEEL

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X q

PTO ( Y or N) N

Rear Axle Type (Single, Tandem, Triaxle, Quad)

Wet Line Kit - ( Y or N )

Build Date (month/year)

Suspension (Air Ride, Heavy Duty, Spring) HEAVY DUTY

MERITOR

Front Axle -Load Capacity 12000

NA

N

08/2013

Front Axle Position - ( Set Back or Set Forward ) FORWARD

Rear Axle Make NA

Rear Axle Load Capacity NA

Auxiliary Axle - ( None, Tag, Pusher, or Liftable)

SINGLE

Seat Belts & Bunk Restraints

4. Engine Compartment

Record coolant protection level - Temp and SCA

CAB WILL NOT OPEN UP TO ACCESS ENGINEEngine Oil - Level

Coolant - Level

Turbo - Remove intake and visually inspect the turbine, the shaft, and

Exhaust system - manifold, turbo & piping

DASH TORN APART

Protection:

Radiator, reservoir, hoses

Measure engine blow-by with manometer no engine load). If condition

Check engine for irregular noies, vibrations, misses, etc

Clutch pedal free stroke

Mirrors- heated & power operation & condition

Emission Snap Test Performance

Radio & speakers

Dash, gauges, switches & interior lights

Belt - Alignmrent , Condition & Adjustment

NA

Steering wheel, tilt column, shafts & u-joints condition

Check engine oil pressure

A/C compressor, clutch & brackets

Front Axle Make

Engine oil leaks, seeps, or build up indicating a leak

Steering System - Steering gear, draglink, pump & hoses

Check air filter &/or restriction gauge

HVAC - Check main HVAC boxes for any abnormal drainage

Check engine Oil Pan. Note any leaks or any seeps with build-up,

Air System - compressor, governor & hoses

Start engine - Listen for unusual noises

Coolant - Condition

Air intake - manifold, air-to-air & piping

Gauge reading:

Fan hub, clutch, blade, shroud

Windshield wipers & washers condition

Door hinges, latches, regulators & knobs

Seats - air operation & condition

Upholstery, carpet, mats, etc..

Sleeper / cab privacy curtains & tracks

Cabinets, doors & hinges

Starter & solenoid - Proper mounting / Damage

Engine Oil - Condition

Exhaust system - manifold, turbo & piping

Engine Fuel Leaks

UNIT WILL NOT START

Glass - windshields, doors & mirrors

HVAC - Check refrigerant compressor for secure mounting, noticeable

Turbo - Check for any abnormal noises and vibrations. If any are found,

Turbo - Check for external oil leaks

Enter the measurement:

NA 1200 RPM:

BATTERIES ARE TESTING BAD

Idle:

WINDSHIELD IS CRACKED

5. Interior

Engine brake

Axle Ratio NA

Charging System- Record Voltage Reading:

Engine monitor display & LCD readout UNIT DOES NOT START

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NAe

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X b

X c

Backing

BFGD H Plates R C

BRST L YES V D

Cut

Dry rot

Tread Type

Recap

Virgin

Highway

Lug

Faults

Clean Idle Decal

Paint Defects

Paint Defects

Make Codes

BF Goodrich

Bridgestone

9. Tires

6. Exterior

Brake hoses- cracking & chafing CHAMBER IS RUSTED

Driveshafts, u-joints, yokes, carrier bearing

Transmission & rear axle - condition & leaks

Rear axle & suspension alignment

BAD BATTERIES

UNIT DOES NOT START

7. Powertrain: Ride Along With Driver

Check batteries for secure mounting, performance, and for any

Check alternator for secure mounting, operation, and wire corrosion

Check transmission for abnormal, shifting, grinding, noises, vibrations

Check ride-height and airbags.

Check rear axle(s) and hubs for any leaks or any seeps with build-up

Shocks, bushings & mount brackets

Wheel seals - leaks with build up

Check transmission lubricant for operating levels and metal shavings

Check rear axle(s) and hubs lubricant for operating levels and metal

shavings

Parking brake

Horn - City/ Air

UNIT DOES NOT START

UNIT DOES NOT START

UNIT DOES NOT START

8.Charging and starting system: Perform ESCR (Powernet test with Autometer)

Check rear axle(s) and hubs for abnormal noises or vibrations

Perform electrical systems diagnostics. Keep report for inspection

Mufflers, stanchion mounts, guards

Check drive-line for any loose/worn components prior to any lubrication

Check transmission seals for any leaks or any seeps with build-up

Hydraulic brake lines & components

Air Pressure Build Up- Governed Psi

Cab/sleeper air ride & mounting

5th wheel- plate, bushings, cylinder, etc.

Air leaks - dash, foot valve, shift knob, etc...

UNIT DOES NOT START

Check front and rear blower motors for abnormal noises and operation

at all speeds

Perform basic air-conditioning performance test: run AC on high with

Air dryer

Check heater core for operation and leaks UNIT DOES NOT START

Check operation of all HVAC control on each control unit UNIT DOES NOT START

Air leaks on outside of truck

Drain wet tank - oil in air system?

Front axle, king pins, tie rods & ends

Engine/transmission mounts: Visual Inspection Loose or Broken

Reading:

UNIT DOES NOT START

UNIT DOES NOT START

Suspension- springs,pins, hangers, etc.

Frame & Crossmembers

Lights & reflectors UNIT DOES NOT START

Trailer cord, air lines, glad-hands, hangers

Fuel tanks & mounting

Batteries, cables & terminals BAD

Mirrors & mounting brackets

Mud flaps, 1/4 fenders, brackets

CONT NO F

DUNP M

FIRE R

GDYR W

GENR X2

HANK X3

KUMH

MICH

TOYO

YOKO

OTHR

Make

Model

Size

Date

Type

Tread

32nds

Faults

Make

Model

Size

Date

Type

Tread

32nds

Faults

Size Size Size

Flat

Mismatch Tread/Casings

Wheel Damage

Irregular Wear

Recapped twice

Recapped three times

Make Make Make

Model

Faults Faults Faults

Size LP22.5 Size LP22.5

LP22.5 Size LP22.5 Size LP22.5 Size LP22.5

Tread Tread Tread

32nds 32nds 32nds

Date Date

Type Type Type

Right Front Outside

BRST

M710

2812

R

L

11

D

Date

Model G399 Model M710

2112 Date 3111

Type R Type R

Left Front Inside Right Front Inside

Make

Model

Date

Type

Tread

32nds

Faults

MICH

XZE3

1911

R

L

12

D

Additional Notes

Tread L Tread L

32nds 10 32nds 10

Faults F, D Faults D

Left Rear Outside Left Rear Inside Right Rear Inside Right Rear Outside

Model Model

Date

Right Steer

Make MICH

Model XZA3

32nds 10 32nds

Date 3412 Date

Type R Type

Tread

10

GDYR Make BRST

3312

R

L

Left Front Outside

Faults D Faults D

GARY FRANKLIN 5/26/2019

(PRINT NAME) (SIGNATURE) (Date)

Other

Continental

Dunlop

Inspection completed by:

UNIT WOULD NOT START, THERE WILL NOT BE AN ESCR OR JPRO REPORT FOR THIS INSPECTION

Fireston

Goodyear

General

Hankook

Kuhmo

Tread

Left Steer

Make MICH

Model XZA3

Michelin

Toyo L

Yokohama

Make

Driver Print (Required) Technician Print (Required)

Driver Signature (Required) Technician Signature (Required)

I CERTIFY I HAVE INSPECTED THE EQUIPMENT LISTED ABOVE IN ACCORDANCE WITH 49 CFR 393 APPENDIX G.

Pass

FailInspection

Facility NameInspection

Facility Address

Site Number Customer Name

Work Order Inspection Number Date

Year Make

Unit # License # / State

RegisteredOwner

Site Information

Chamber:

Inspection StatusTractor DOT Inspection

This Vehicle Inspection is in accordance with, and the following list of components are to be inspected per the criteria listed in 49 CFR Part 396.17 through 396.23 Appendix G to Subchapter B, Minimum Periodic Inspection Standards.

Pa

ss

Fa

il

√ = Inspected

NA = Not Applicable

1 Brake System

a. Operation, Adjustments, Leaks (Service

& Parking Brakes)

b. Friction Parts (Shoes, Linings, Drums,

Rotors, etc…)

c. Hoses, Tubing, etc…

d. Low Pressure Warning Device

e. Tractor Protection Valve(s)

f. Air Compressor

g. Electric Brakes

h Hydraulic Brakes

i Vacuum System

j. Antilock Brake System

k. Automatic Brake Adjusters

2 Coupling Devices

a. Fifth Wheel, Saddle Mounts, etc…

b. Pintle Hook

c. Drawbar/Towbar Eye/Tongue

d. Safety Devices

3 Exhaust System

a. No part of the exhaust system of

required by Part 393 shall be operable

Pa

ss

Fa

il

√ = Inspected

NA = Not Applicable

6 Safe Loading

a. Part(s) of vehicle or condition of

b. Protection Against Shifting Cargo - Any

vehicle without a front-end structure

or equivalent device as required

7 Steering Mechanism

a. Steering Wheel Free Play

b. Steering Column

c. Front Axle Beam & All Steering

Components other than Steering

Column

other axle positioning part(s) cracked,

broken, loose, or missing resulting in

shifting of an axle from its normal

position

b. Spring Assembly

c. Torque Radius or Tracking Components

9 Frame

a. Frame Members

b. Tire & Wheel Clearance

c. Bumper, Mud Flaps & Brackets

d. Adjustable Axle Assemblies (Sliding

Subframe)

Pa

ss

Fa

il

√ = Inspected

NA = Not Applicable

10 Tires

a. Steer Tires

b. All other tires

c. Tires marked "Not for highway use" or

otherwise marked and having like

meaning

d. Installation of speed restricted tires

unless specifically designated by motor

carrier

11 Wheels And Rims

a. Lock or Side Ring

b Wheels and Rims

c Fasteners

d. Welds

Pa

ss

Fa

il

√ = Inspected

NA = Not Applicable

12 Windshield Glazing

a. Requirements and exceptions as stated

pertaining to any crack, discoloration

or vision reducing matter (reference

393.60 for exceptions).

loading such that the spare tire or any

part of the load or dunnage can fall

onto the roadway

4 Fuel System

a. Visible Leak

b. Fuel Tank Filler Cap Missing

c. Fuel Tank Securely Attached

5 Lighting Devices

a. All lighting devices and reflectors

14 Other

b. Any exhaust system determined to be leaking at a point forward of or directly below the driver/sleeper compartment

a. List any other condition(s) which may prevent safe operation of this vehicle

13 Windshield Wipers

Any power unit that has an inoperative

wiper, or missing or damaged parts

that render it ineffective

any motor vehicle shall be so located as

would be likely to result in burning,

charring, or damaging the electrical

wiring, the fuel supply, or any

combustible part of the motor vehicle

DOTTCR1.2

c. Container securement devices on

intermodal equipment

d. Steering Gear Box

e. Pitman Arm

f. Power Steering

g. Ball and Socket Joints

h. Tie Rods and Drag Links

i. Nuts

j. Steering System

8 Suspension

a. Any U-bolt(s), spring hanger(s), or

AMAZON GARY FRANKLIN

AMAZON TRANSPORTATION SERVICE

TA Florence

7777 Burlington Pike, Florence, KY 41042

093

282286 5/26/2019

TC14008

14

TEMP / KY

Tractor Information

amazon

N A

N A

N A

N A

32nds32nds 32nds 32nds

Left Push Rod Travel RightShort StrokeLong Stroke

In:

In:

In:

Brake Thickness

Chamber: Chamber:

In:

24 24

00

1/21/2

11 11

Steer✔

32nds32nds 32nds 32nds

Left Push Rod Travel RightShort StrokeLong Stroke

In:

In:

In:

Brake Thickness

Chamber: Chamber:

In:

30 30

00

1/21/2

12 12 11 11

Front Drive✔

page 1 of 2

WST

VIN 1T954A8QER825104

Odometer 757

This Vehicle Inspection is in accordance with, and the following list of components are to be inspected per the criteria listed in 49 CRF Part 396.17 through 396.23 Appendix G to Subpart B, Minimum Periodic Inspection Standards.

This Vehicle Inspection is in accordance with, and the following list of components are to be inspected per the criteria listed in 49 CRF Part 396.17 through 396.23 Appendix G to Subpart B, Minimum Periodic Inspection Standards.

Pass

FailInspection

Facility NameInspection

Facility Address

Site Number Customer Name

Work Order Inspection Number Date

Year Make

Unit # License # / State

RegisteredOwner

Site Information Inspection Status

This Vehicle Inspection is in accordance with, and the following list of components are to be inspected per the criteria listed in 49 CFR Part 396.17 through 396.23 Appendix G to Subchapter B, Minimum Periodic Inspection Standards.

Tractor DOT Inspection

AMAZON TRANSPORTATION SERVICE

TA Florence

7777 Burlington Pike, Florence, KY 41042

093

282286 5/26/2019

TC14008

14

123001Odometer

TEMP / KY

Tractor Information

516H4GFDXJH226389VIN

WST

amazon

Section Comment

1. BRAKE SYSTEM b. Friction Parts (Shoes, Linings,Drums,etc...)

brake chambers rusted at seam

2. COUPLING DEVICES d. Safety Devices windshield broken

10. TIRES a. Steer Tires dry rot

10. TIRES b. All other tires tires dry rotted and left inside tire has large bolt in sidewallarea

12. WINDSHIELD GLAZING a. Requirements andexceptions as stated pertaining to any crack, discoloration orvision reducing matter (reference 393.60 for exceptions).

windshield broken

14. OTHER a. Any power unit that has an inoperative wiper,or missing or damaged parts that render it ineffective

had none

page 2 of 2

TC14008

Cab right side Cab left side

TC14008

Cab front right 45 Cab front left 45

TC14008

Cab front Cab rear

TC14008

Cab right rear 45 Cab left rear 45

TC14008

Tires left Tires right

TC14008

Tire left Tires right rear

TC14008

Vin plate Hours

TC14008

Dash cluster Fuse box

TC14008

Gauge cluster Control switch

TC14008

Interior of cab Interior of cab

TC14008

Engine Engine

TC14008

Differential Differential

TC14008

Oil pan Oil pan

TC14008

Rusted brake chamber Rusted brake chamber

TC14008

Cracked windshield Batteries