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Sample company (fictional) · Loading DocksDraft generated Oct 30, 2026

Dock PM report

Aug 20, 2026

Record

CompanySample company (fictional)
TradeLoading Docks
PM visitAug 20, 2026

Dock equipment

Door numberDO-4137
EquipmentEdge-of-dock leveler
DriveAir-powered
ManufacturerTollin Industrial
ModelMO-4137
Serial numberSE-4137
Rated capacity8 lb
Put into serviceAug 18, 2026
PM interval9 months

PM visit

ScheduledAug 20, 2026
CompletedAug 20, 2026
StatusCompleted

Leveler

Lip, lip hinge and pins: cracks, bends and wearPass
Deck plate and welds: cracks and bendsFail
Cylinders, hoses and fittings dry; fluid at the mark (hydraulic levelers)Pass
Lift springs and hold-down: tension and wear (mechanical levelers)Pass
Maintenance strut present and holds the deck upPass
Toe guards in place on both sidesPass
Bumpers present and not worn throughPass
Push buttons work and their labels read clearlyPass
Full cycle: raise, lip out, ride down to the trailer bed, back to storedPass
Hinge and pivot points greasedPass
Capacity label readablePass

Door

Panels and hinges: dents, cracks and loose fastenersPass
Tracks, rollers and brackets aligned and tightPass
Springs, cables and drums: wear and frayingPass
Door stays balanced with the opener releasedPass
Opener stops at its open and close limitsPass
Reversing edge or photo eye sends the door back upPass
Bottom seal and weatherstrip intactPass

Restraint seal

Restraint hook or arm catches the trailer's rear impact guard (ICC bar)Pass
Inside and outside lights change when the restraint locks and releasesPass
Manual release worksPass
Seal pads and shelter curtains: tears and worn pleatsPass
Head curtain reaches the trailer roof linePass
Dock light works and the arm swings freelyPass

Photos

Photos taken on the phone at the job print here, each captioned with what it shows.

Findings

SeverityFindingStatus
Out of serviceDeck plate and welds: cracks and bends. Failed at this pm visit.Open

Signature

The signature drawn on the phone at the job prints here.

Next due

Planned maintenanceMay 20, 2027Set by your contract