PREVENTIVE MAINTENANCE INSPECTION SHEET

PLEASE MAIL A COPY OF THIS INSPECTION ALONG WITH YOUR INVOICE TO WARNER FLEET SERVICES UPON COMPLETION.

VEHICLE & SERVICE CENTER INFO

SHOP NAME: __________________________PHONE#_________________ INSPECTOR NAME: _________________________ UNIT #:_________________________WFS PO#________________________ VIN #: ___________________________________ THIS INSPECTOR MEETS THE QUALIFICATIONS PURSUANT TO 49 CFR SECTION 396.19 __YES __NO DATE: ___________________ YEAR: ___________________ MODEL: _________________ MILEAGE: _______________

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
______ ______ ______ ______ ______ ______ Slack Adjusters S-Cams & Bushings Brake Drums ______ ______ ______ ______ ______ ______ Glad Hands Hoses Drain Air Tank ______ ______

SAFETY
Placards & Holders Fire Extinguishers ______ ______

KINGPIN
Check For Wear Check Kingpin Plate For Cracks ______ ______ ______ ______ ______ ______ ______ ______ ______

BODY
Damage Electrical Side Panels Graphics Door Operation/Seals Door Roller / Hinge Lube and inspect. Hose Carriers/Valves Floor Damage Inspect Welds

SUSPENSION
Springs Spring Hangers Equalizers U-Bolts Cross Members For Cracks Air Bags and Height ______ ______ ______ ______

WHEELS
Oil Seals Wheels & Tires Studs & Lug Nuts Flaps & Hangers

_____/32 Brake Linings

ELEC
______ ______ ______ ______ ______ Turn Signals Tail Lights Clearance Lights And Reflectors 7 Way Plug and Junction Boxes WiringRouting and chaffing

CODE LIFT GATE (form lg101)

_______ Completed and attached the Airgas lift gate supplemental checklist (form lg101).

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:____________________________________

SUPPLEMENTAL LIFTGATE PREVENTATIVE MAINTENANCE CHECKLIST (FORM LG101)

Odometer or Hubometer_______________ Liftgate Make or model:__________________ Mechanic:____________________________ Date of last hydraulic fluid change____________ Truck or Trailer VIN________________________ W/O # _________________ Date:_____/_______/______ Location:__________________

Gate Serial # ________________________ WFS PO#___________________

PM Interval: 90 days

SUPPLEMENTAL LIFTGATE INSPECTION FOR ALL MODELS

Check Upon Completion " "

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 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 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 check ground straps Check the gear pump for unusual noise. I.e.. Squealing or extreme RPM output Checking oil level: Check for contamination, change if needed. Check batteries on Trailer gates: load test, corrosion, cables, hold downs and water level 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

MAXON BMRA Series ADDITIONAL INSPECTION ITEMS

Check Upon Completion " "

Dual pump units: If equipped, alternate switch position to alternate pump and motor Replace spin on filter in pump box and change hydraulic fluid.
THIS ONLY NEEDS TO BE DONE ONCE ANNUALLY.

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 half level. Power Down open liftgate and raise to bed height the sight glass should be at half level. Check for contamination, change if needed.

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