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PREVENTIVE MAINTENANCE INSPECTION SHEET

PLEASE MAIL A COPY OF THIS INSPECTION ALONG WITH YOUR INVOICE TO

WARNER FLEET SERVICES UPON COMPLETION.

VEHICLE & SERVICE CENTER INFOSHOP NAME: __________________________PHONE#_________________ DATE: ___________________

INSPECTOR NAME: _________________________ YEAR: ___________________

UNIT #:_________________________WFS PO#________________________ MODEL: _________________

VIN #: ___________________________________ MILEAGE: _______________

THIS INSPECTOR MEETS THE QUALIFICATIONS PURSUANT TO

49 CFR SECTION 396.19 __YES __NO

Trailer PM--90 Days

Please Mark Body Damage On Trailer Image

VISUALLY INSPECT AND ADVISE / CHECK EACH ITEM AS COMPLETED

= Satisfactory O = Adjustments or Repairs Made X=Repairs Needed_____ADJUST ALL BRAKES _____GREASE ALL FITTINGS

_______

DOT INSPECTION CURRENT?

BRAKES SAFETY KINGPIN BODY

______ Slack Adjusters ______ Placards & Holders ______ Check For Wear ______ Damage

______ S-Cams & Bushings ______ Fire Extinguishers ______ Check Kingpin Plate For Cracks ______ Electrical

______ Brake Drums SUSPENSION WHEELS ______ Side Panels

_____/32 Brake Linings ______ Springs ______ Oil Seals ______ Graphics

______ Glad Hands ______ Spring Hangers ______ Wheels & Tires ______ Door Operation/Seals

______ Hoses ______ Equalizers ______ Studs & Lug Nuts ______ Door Roller / Hinge

Lube and inspect.______ Drain Air Tank ______ U-Bolts ______ Flaps & Hangers ______ Hose Carriers/Valves

ELEC ______ Cross Members For Cracks ______ Floor Damage

______ Turn Signals ______ Air Bags and Height ______ Inspect Welds

______ Tail Lights CODE LIFT GATE (form lg101)

______ Clearance Lights And Reflectors _______Completed and attached the Airgas

______ 7 Way Plug and Junction Boxes liftgate supplemental checklist (form lg101).

______ WiringRouting and chaffing

COMMENTS:_______________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

CERTIFICATION: This vehicle has passed all items for the annual vehicle inspection report in accordance with 49 CFR 396

CERTIFIED INSPECTOR (please print)___________________________SIGNATURE:____________________________________

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Odometer or Hubometer_______________ Truck or Trailer VIN________________________ Date:_____/_______/______

Liftgate Make or model:__________________ W/O #_________________ Location:__________________

Mechanic:____________________________ Gate Serial #________________________ WFS PO#___________________

Date of last hydraulic fluid change____________ PM Interval: 90 days

For more detailed information please refer to the product maintenance manuals. Use only Genuine OE replacement

parts.

SUPPLEMENTAL LIFTGATE INSPECTION FOR ALL MODELS

Check for loose or missing nuts, bolts, covers, roll pins, screws and pins

Check for cracked welds at: Columns, runners, platform, chain arms, pump box and door frame

Check platform lowering speed: Range is 15 - 25 seconds. Check "D" valves for proper operation

Check open and close speed: Range is 4-7 seconds in either direction. Adjust if necessary

Checking oil level: Gravity Down with the liftgate open and on the ground the sight glass should be at halflevel. Power Down open liftgate and raise to bed height the sight glass should be at half level. Check forcontamination, change if needed.

Checking oil level: Check for contamination, change if needed.

Check batteries on Trailer gates: load test, corrosion, cables, hold downs and water level

MAXON BMRA Series ADDITIONAL INSPECTION ITEMS

SUPPLEMENTAL LIFTGATE PREVENTATIVE MAINTENANCE CHECKLIST

(FORM LG101)

Check Upon Completion " "

Check Upon Completion " "

Check chains for twisting wear or link damage

Check operation of cart stop ramps

Inspect wear on slide pads. See if shimming is required

Check all charging and ground cable connections

Verify if the Quarterly or Annual PM is Due by checking the PM sticker on the Roadside Liftgate column

Check for Oil Leaks at: cylinders, fittings, hoses, valves, oil filter and fittings inside of pump box

Check for damage: bent ramps, platform, column, runners and runners hydraulic tubes

Dual pump units: If equipped, alternate switch position to alternate pump and motor

Replace spin on filter in pump box and change hydraulic fluid.

Check platform pins and couplers. Check roller assemblies

Check platform raising speed: Range is 20-40 seconds

Check switches, circuit breaker and wiring connections at the gate as well as inside pump box. Also checkground straps

Check the gear pump for unusual noise. I.e.. Squealing or extreme RPM output

THIS ONLY NEEDS TO BE DONE ONCE

ANNUALLY.