Dd Form 1800 PDF Details

The DD Form 1800, also known as the Mobile Home Inspection Record, serves a critical role in ensuring the integrity and safety of mobile homes during the process of transportation. Instituted under the authority of 37 USC 406, 5 USC 5726, and Executive Order 9397, this form is meticulously designed to document the condition of mobile homes, both before and after transportation, thereby holding carriers accountable for their service quality. Its primary purposes include the inspection of mobile homes, noting any violations of the carrier's tender of service, and acting as a foundational document for any subsequent actions due to unsatisfactory performance by the carrier. The form requires comprehensive details ranging from shipment identification – including the carrier's name, social security number, and shipment details – to specifications like tire condition and dimensions of the mobile home. Notably, the form divides the inspection into two main phases: origin and destination inspections, ensuring a thorough check of the mobile home's condition at both ends of its journey. Moreover, the form enables recording the general condition of the mobile home, including any damage, and provides space for detailed reporting on the findings, emphasizing the importance of transparency and accuracy in the mobile home transportation process.

QuestionAnswer
Form NameDd Form 1800
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names17a, mobile home inspection checklist pdf, manufactured home inspection checklist, mobile home inspection checklist

Form Preview Example

MOBILE HOME INSPECTION RECORD

1.DATE (YYYYMMDD)

PRIVACY ACT STATEMENT

AUTHORITY: 37 USC 406; 5 USC 5726; and E.O. 9397.

PRINCIPAL PURPOSE(S): To document inspection of Mobile Homes and account for any violations of the carrier's tender of service; and to act as supporting documentation for any action arising from a carrier's unsatisfactory performance.

ROUTINE USE(S): Information contained in this system of records may be provided to a carrier in the course of adjudication or other action taken for unsatisfactory performance reasons.

DISCLOSURE: Voluntary; however, failure to provide the requested information may delay settlement of a claim.

PART I - SHIPMENT IDENTIFICATION

2a. NAME OF CARRIER

b. SCAC

c. CARRIER FREIGHT BILL NUMBER (To be completed by carrier at origin.)

d.GOVERNMENT BILL OF LADING NUMBER

3a. NAME OF MEMBER

b. SOCIAL SECURITY NUMBER

c. RANK/PAY GRADE

4a. ORIGIN SHIPPING OFFICE

b. GBLOC NO.

5a. DESTINATION SHIPPING OFFICE

b. GBLOC NO.

c. ORIGIN ADDRESS (Include city, state and zip code.)

c. DESTINATION ADDRESS (Include city, state and zip code.)

PART II - SPECIFICATIONS

6a. MOBILE HOME (Make)

 

 

7. TIRES (To be completed by the carrier at origin)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) SIZE

 

(2) PLY RATING

(3) MFR SERIAL NO.

(4) *CONDITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. LEFT 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. MODEL

8. DIMENSIONS (Actual)

b. LEFT 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) FEET & INCHES

(2) EXPANDO

c. LEFT 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. HEIGHT

 

d. LEFT 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e. RIGHT 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. SERIAL NUMBER

b. LENGTH

 

f. RIGHT 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

g. RIGHT 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. WIDTH

 

h. RIGHT 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*CONDITION: G - GOOD; F - FAIR; P - POOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PART III - INSPECTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. ORIGIN INSPECTION COLUMN - complete ONLY when a visual inspection of the Mobile Home is

(1) ORIGIN

(2) DESTINATION

made at origin by the Carrier or the ITO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a)

(b) ITO

 

(a)

(b) ITO

DESTINATION INSPECTION COLUMN - complete ONLY when a visual inspection of the Mobile Home

 

 

 

 

 

 

 

 

 

is made at destination by the Carrier or the ITO.

 

 

 

YES NO

YES NO

YES NO

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

a.Was the Mobile Home unblocked?

b.Do springs have adequate/normal arch?

c.Is there a minimum 3-inch clearance over each tire?

d.Does Mobile Home appear to be overloaded?

e.Do structural members, including A-Frame, appear sound - no damage?

f.Are all visible frame to body attachments/bolt connections in place and unbroken?

g.Does exterior paneling/molding appear to be tight and secure?

h.Are brake and clearance lights and turn signals operable at time of hook up?

i.Does member acknowledge that wheel bearings have been packed within the last 90 days?

j.Is Mobile Home equipped with operable brakes at time of hook up?

k.Are wheel lugs tight?

l.Does member acknowledge that plumbing has been drained and protected from freezing?

m.Does member acknowledge that all appliances/utilities have been serviced?

n.Have attached items been detached and stowed inside (TV ANTENNA, AIR CONDITIONER, ETC.)?

o.Are all fixtures which cannot be removed anchored securely?

p.Have all utilities been disconnected and secured?

q.Does member acknowledge that all prohibited items have been removed?

r.Does member acknowledge that all loose items/accessories in closets/cabinets have been properly packed and secured?

s.Have loose furniture and heavy moveable items been secured above and forward of axles?

t.Are drawers, cabinets, and sliding doors secured or taped?

u.Are mirrors, windows and other glass cross (X) taped?

v.Is Mobile Home equipped with valid license or permit?

w. Are interior contents properly inventoried and inventory provided to carrier?

x.Does the Mobile Home meet the transportation safety standards of destination and intermediate states?

y. Do exterior doors lock? Have keys been given to carrier?

DD FORM 1800, SEP 1998

PREVIOUS EDITION IS OBSOLETE.

Adobe Professional 8.0

10.GENERAL CONDITION. Record degree and precise location of any apparent damage at origin or destination to the Mobile Home equipment (fixed or installed), including interior and exterior surface such as dented panels, loose or missing trim, broken windows, scratched or marred surfaces, etc. USE DIAGRAM TO ILLUSTRATE DAMAGES. Use the illustrated codes to indicate origin/destination damage and who performed inspection. If no damage exists, indicate NONE.

ORIGIN

NOTE: MARK "X" = ITO/REPRESENTATIVE

DESTINATION

"O" = CARRIER

Left Side

Rear

Right Side

Front

 

 

 

Left Side

Rear

Right Side

 

 

 

Front

11.REPORT OF DAMAGES INDICATED. (Condition of Mobile Home and fixtures at "ORIGIN" and "DESTINATION" is as described above.)

 

 

 

 

 

12. ORIGIN ITO/INSPECTOR (If applicable)

 

13a. ORIGIN ITO/REPRESENTATIVE

 

b. DATE

TYPED OR PRINTED NAME (Last, First, Middle Initial)

SIGNATURE

 

(YYYYMMDD)

 

 

 

 

 

14a. ORIGIN CARRIER REPRESENTATIVE

b. DATE

15a. ORIGIN MEMBER/AGENT SIGNATURE

b. DATE

SIGNATURE

(YYYYMMDD)

 

 

(YYYYMMDD)

 

 

 

 

 

16. DESTINATION ITO/INSPECTOR (If applicable)

 

17a. DESTINATION ITO/REPRESENTATIVE

b. DATE

TYPED OR PRINTED NAME (Last, First, Middle Initial)

SIGNATURE

 

(YYYYMMDD)

 

 

 

 

 

18a. DESTINATION CARRIER REPRESENTATIVE

b. DATE

19a. DESTINATION MEMBER/AGENT

b. DATE

c. TIME OF

SIGNATURE

(YYYYMMDD)

SIGNATURE

(YYYYMMDD)

DELIVERY

 

 

 

 

 

DD FORM 1800 (BACK), SEP 1998

RESET

How to Edit Dd Form 1800 Online for Free

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In an effort to finalize this document, be sure you enter the necessary details in each blank field:

1. When completing the mobile home inspection checklist, make sure to complete all needed blank fields in the relevant section. This will help to hasten the process, making it possible for your information to be processed fast and correctly.

Part # 1 for submitting USC

2. Once this part is done, proceed to type in the applicable information in these - c WIDTH, a LEFT b LEFT c LEFT d LEFT e, ORIGIN INSPECTION COLUMN, ORIGIN a, b ITO, DESTINATION, b ITO, YES NO YES NO, YES NO YES NO, PART III INSPECTION, CONDITION G GOOD F FAIR P POOR, a Was the Mobile Home unblocked, b Do springs have adequatenormal, c Is there a minimum inch, and d Does Mobile Home appear to be.

Completing part 2 in USC

3. This next part is related to p Have all utilities been, q Does member acknowledge that all, t Are drawers cabinets and sliding, u Are mirrors windows and other, v Is Mobile Home equipped with, w Are interior contents properly, PREVIOUS EDITION IS OBSOLETE, and Adobe Professional - type in these blank fields.

q Does member acknowledge that all, t Are drawers cabinets and sliding, and p Have all utilities been in USC

You can potentially get it wrong when filling in your q Does member acknowledge that all, hence be sure you look again prior to when you submit it.

4. It's time to start working on this next form section! Here you've got all of these REPORT OF DAMAGES INDICATED fields to fill in.

Writing segment 4 in USC

5. To wrap up your document, the last section incorporates a couple of additional fields. Entering ORIGIN ITOINSPECTOR If applicable, a ORIGIN ITOREPRESENTATIVE, b DATE YYYYMMDD, a ORIGIN CARRIER REPRESENTATIVE, b DATE YYYYMMDD, a ORIGIN MEMBERAGENT SIGNATURE, b DATE YYYYMMDD, DESTINATION ITOINSPECTOR If, a DESTINATION ITOREPRESENTATIVE, b DATE YYYYMMDD, a DESTINATION CARRIER, b DATE YYYYMMDD, a DESTINATION MEMBERAGENT SIGNATURE, b DATE YYYYMMDD, and c TIME OF DELIVERY will finalize everything and you will be done before you know it!

a DESTINATION MEMBERAGENT SIGNATURE, a DESTINATION ITOREPRESENTATIVE, and DESTINATION ITOINSPECTOR If in USC

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