FHWA Inspection Return to Forms Page Step 1 of 2 50% FHWA - PERIODIC INSPECTIONMonth* Enter 3 characters max.Year* Trailer* W/O # Registered Owner Controlling Owner License Number State Enter state abbreviation (2-letters)Vehicle Identification Number (VIN) Location Inspection Performed Hub Reading Item CheckedLIGHTS OK?* Type 'OK' in the text box.LIGHTS Notes REFLECTORS OK?* Type 'OK' in the text box.REFLECTORS Notes WIRING OK?* Type 'OK' in the text box.WIRING Notes BRAKES OK?* Type 'OK' in the text box.BRAKES Notes AIRLINES OK?* Type 'OK' in the text box.AIRLINES Notes KINGPIN OK?* Type 'OK' in the text box.KINGPIN Notes TIRES OK?* Type 'OK' in the text box.TIRES Notes WHEELS & RIMS OK?* Type 'OK' in the text box.WHEELS & RIMS Notes FRAME & ASSEMBLY OK?* Type 'OK' in the text box.FRAME & ASSEMBLY Notes SUSPENSION OK?* Type 'OK' in the text box.SUSPENSION Notes AXLE OK?* Type 'OK' in the text box.AXLE Notes Verify Inspection* By checking this box, I certify that this unit was inspected and meets all FHWA-P149 C.F.R. Part396 requirements. Date* MM slash DD slash YYYY Inspector's Name* Inspector's Signature
