HT Lyons Vehicle Inspection

• Conducted on

  Date

• Vehicle #

  206

  220

  253

  242

• License Plate #: JCD4926

• Vehicle ID # (Last 5 Digits of VIN): 64792

• Driver: John Doe

• License Plate #: YVJ0064

• Vehicle ID # (Last 5 Digits of VIN): 27177

• Driver: Eric Smith

• Inspection Due:

• Present Mileage:

• Mileage next Service (Check Window Sticker):

Check the condition of the following Items:

• First Aid Kit

  Yes

  No

  N/A

• Repairs Needed?

• Accident Report Form

  Yes

  No

  N/A

• Repairs Needed?

• Emergency Response Guide

  Yes

  No

  N/A

• Repairs Needed?

• Registration & Insurance Card

  Yes

  No

  N/A

• Repairs Needed?

• Expiration Date of Registration?

• Expiration of Insurance Card?

Vehicle Exterior

• Windshield & Windows

  Yes

  No

  N/A

• Repairs Needed?

• Wiper Blades

  Yes

  No

  N/A

• Repairs Needed?

• Mirrors

  Yes

  No

  N/A

• Repairs Needed?

• Horn

  Yes

  No

  N/A

• Repairs Needed?

• Safety First Sticker

  Yes

  No

  N/A

• Repairs Needed?

Tires

• Left Front

  Yes

  No

  N/A

• Repairs Needed?

• Right Front

  Yes

  No

  N/A

• Repairs Needed?

• Left Rear

  Yes

  No

  N/A

• Repairs Needed?

• Right Rear

  Yes

  No

  N/A

• Repairs Needed?

Brakes

• Firm Pedal

  Yes

  No

  N/A

• Repairs Needed?

• Parking Brake Holds Vehicle

  Yes

  No

  N/A

• Repairs Needed?

Lights

• Headlights (High & Low Beams)

  Yes

  No

  N/A

• Repairs Needed?

• Taillights

  Yes

  No

  N/A

• Repairs Needed?

• Brake Lights

  Yes

  No

  N/A

• Repairs Needed?

• Turn Signals

  Yes

  No

  N/A

• Repairs Needed?

• 4 Way Flashers

  Yes

  No

  N/A

• Repairs Needed?

Fire Extinguisher

• Fire Extinguisher Present

  Yes

  No

  N/A

• Please Ask Shop for Replacement Extinguisher

• Expiration Date

Engine Compartment

• RADIATOR

• Coolant Level

  1\4

  1\2

  3\4

  FULL

• Proper Anti-Freeze : Water Ratio

  Yes

  No

  N/A

• BATTERY

• Connection Condition

  Safe

  At Risk

  N/A

• Fluid Level

  1\4

  1\2

  3\4

  FULL

• Fan Belt

  Good

  Bad

• Oil Level

  1\4

  1\2

  3\4

  FULL

• Oil Leaks

  Yes

  No

  N/A

• Repairs Needed?

• Oil Consumption

  None

  1qt every 1000 mi.

  1qt every 2000 mi.

  1qt more often

• Comments

• Pictures Of Repairs Needing Attention

  Media

• Ladder Inspection

  Off

  On

Ladder Inspection Under Construction

• Drivers Signature

  Sign