Information

  • Document No.

  • Conducted on

  • Prepared by

  • Location
  • Select date

  • Take a picture of the vehicle being

VEHICLE DESCRIPTION

  • Drivers Name

  • Vehicle Make

  • Vehicle Model

EXTERIOR LIGTING (Take photo's of any damage)

  • The high and low beams are operational.

  • The left and right front turn signals are operational.

  • The left and right tail lights are operational.

  • The left and right rear turn signals are operational.

  • The left and right break lights are operational.

  • The left and right back-up lights are operational.

  • The front and back license plate lights are operational.

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

  • The windshield is free of cracks and chips.

  • The front hood, grill and bumper are free of damage.

  • The left side free of damage.

  • The rear window is free of cracks and chips.

  • The rear of the vehicle and bumper are free of damage.

  • The right side is free of damage.

TIRES

  • The front driver tire is in a good condition with no visible signs of damage.

  • The rear driver tire is in a good condition with no visible signs of damage.

  • The rear passenger tire is in a good condition with no visible signs of damage.

  • The front passenger tire is in a good condition with no visible signs of damage.

  • The inside dual tires are in good condition.

  • The spare tire is in a good condition with no visible signs of damage.

INTERIOR

  • The interior is clean and free of loose objects.

  • The interior is in good condition. No smoke smell or burns in seats or ceiling of interior.

REQUIRED DOCUMENTATION

  • The vehicle is serviced according to the manufacturers schedule.

SIGNATURES

  • Signature of inspector

  • Signature of driver / responsible person

SUMMARY

  • Final comments / conclusion

  • Negative responses

  • Positive responses

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