Please check any item that needs attention and then include additional details under the comments section below.
Start the Engine and Test The Following:
Unusual Noises: Noises OK [__] Needs Attention [__]
Gauges: Fuel OK [__] Needs Attention [__] Temperature OK [__] Needs Attention [__] Dashboard Warning Light OK [__] Needs Attention [__]
Lights: Headlights OK [__] Needs Attention [__] Break Lights OK [__] Needs Attention [__] Turn Signals OK [__] Needs Attention [__] Hazard Lights OK [__] Needs Attention [__]
Other: Windshield Wipers OK [__] Needs Attention [__] Fans and Defroster OK [__] Needs Attention [__] Brakes OK [__] Needs Attention [__] Parking Break OK [__] Needs Attention [__] Mirrors OK [__] Needs Attention [__] Horn OK [__] Needs Attention [__] Exhaust System OK [__] Needs Attention [__]
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Tires: Proper Inflation OK [__] Needs Attention [__] Adequate Tread OK [__] Needs Attention [__] Spare Inflated OK [__] Needs Attention [__]
Leaks: Oil OK [__] Needs Attention [__] Other OK [__] Needs Attention [__]
Safety Equipment: Fire Extinguisher OK [__] Needs Attention [__] First Aid Kit OK [__] Needs Attention [__] Flares OK [__] Needs Attention [__] Spare Bulbs/Fuses OK [__] Needs Attention [__] GPS OK [__] Needs Attention [__] Seat Belts OK [__] Needs Attention [__]
[__] Acceptable: The vehicle may be driven without further inspection.
[__] Requires Attention: The vehicle may be driven and it should be serviced in the next week. [__] Requires Immediate Attention: The vehicle should not be driven until it has been serviced.
______________________________________________________________________________ Driver’s Signature Date
______________________________________________________________________________ Inspector’s Signature Date
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