Jiffix Post Repair Health & Risk Report

• Site conducted

  Select

• Client Name

• Location
  Address

• Prepared by

• Conducted on

  Date

Vehicle Indification Information

• Car make

• Model

• Year

• VIN

• License Plate #

• Vehicle mileage

• Mileage unit

  Km/h

  Mph

• Engine size

  4 Cylinder

  V6

  V8

  12 Cylinder

• Engine capacity

• Picture of vehicle (Front, Rear, Right, Left, Engine bay)

  Media

WORK DONE

• Activity/Service performed

• Parts replaced

• Pictures of all old parts replaced

  Media

• Pictures of all new parts purchased/used

  Media

• Parts repaired

• Parts serviced/machined

• Pictures of all parts machined/repaired/serviced

  Media

IDLING ENGINE

• Engine starts properly

  Yes

  No

  N/A

• Engine idles properly

  Yes

  No

  N/A

• Remote start/ignition system operational

  Yes

  No

  N/A

• Engine raises properly/smoothly

  Yes

  No

  N/A

• Engine noise is normal

  Yes

  No

  N/A

• Any abnormal noise present

  Yes

  None

VEHICLE INTERIOR

• Dashboard warning lights

  Yes

  None

• Antilock Braking System (ABS)

  On

  Off

• Vehicle Stability Control (VSC)

  On

  Off

• Check Engine

  On

  Off

• Air bags

  On

  Off

• Safety belts

  On

  Off

• Tyre Pressure Monitoring System (TPMS)

  On

  Off

• Oil Pressure

  On

  Off

• Battery

  On

  Off

Audio, Alarms & Visual Systems

• Radio, Cassette, CD

  OK

  Needs Repair

  Not Applicable

  Repaired

• Speaker/Stereo

  OK

  Needs Repair

  Not Applicable

  Repaired

• LCD Display

  OK

  Needs Repair

  Not Applicable

  Repaired

• Alarm/Theft-deterrent System

  OK

  Needs Repair

  Not Applicable

  Repaired

Heat/Vent/AC

• Air Conditioning System

  Good

  Fair

  Poor

  N/A

• Blower vents

  Good

  Fair

  Poor

  N/A

Interior Amenities

• Rearview camera

  OK

  Needs Repair

  Not Applicable

  Repaired

• Horn

  OK

  Needs Repair

  Not Applicable

  Repaired

• Windshield wiper control

  OK

  Needs Repair

  Not Applicable

  Repaired

• Rear window wiper control

  OK

  Needs Repair

  Not Applicable

  Repaired

• Wiper washer

  OK

  Needs Repair

  Not Applicable

  Repaired

• Outside rearview mirrors control

  OK

  Needs Repair

  Not Applicable

  Repaired

• Sun visors, vanity mirror and light

  OK

  Needs Repair

  Not Applicable

  Repaired

VEHICLE EXTERIOR

Body Panels and Bumpers

• Rusts

  Several

  Few

  None

• Dents

  Several

  Few

  None

• Scratches

  Several

  Few

  None

• Cracks/chips

  Several

  Few

  None

Doors, Hood, Decklid, Tailgate

• Hood release mechanism operates properly

  Yes

  No

  N/A

• Hood hinges/struts operates properly

  Yes

  No

  N/A

• Tailgate hinges/struts operates properly

  Yes

  No

  N/A

• Power liftgate operation

  OK

  Needs Repair

  Not Applicable

  Repaired

Glass & Outside Mirrors

• Glass free of cracks, discoloration

  OK

  Needs replacement

• Outside mirror free of cracks, discoloration

  OK

  Needs replacement

• Wiper blades

  OK

  Needs replacement

Exterior Lights

• Head lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Fog lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Turn signal lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Brake lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Reverse lights

  OK

  Needs Repair

  Not Applicable

  Repaired

UNDERHOOD

Engine

• Visible fluid leakage on upper part of engine

  Yes

  None

• Visible fluid leakage on side walls of engine

  Yes

  None

• Visible fluid leakage on the underneath portion of engine

  Yes

  None

• Fan belt condition

  Good

  Fair

  Poor

  N/A

• Engine coolant level

  Pass

  Fail

  N/A

• Engine oil level

  Pass

  Fail

  N/A

• Coolant reservoir condition

  Pass

  Fail

  N/A

UNDERBODY

• Normal Tire wear

  Yes

  No

  N/A

• Tire thread depth

  OK

  Needs replacement

• Tire size/specification

ENVIRONMENTAL COMPLIANCE

• What's the age of the engine?

  1 - 5 years

  6 - 10 years

  10 - 15 years

  Above 15 years

• Are there any signs that the engine (combustion chamber) has been rebuilt/repaired/opened?

  Yes

  None

• Are there any record of proper routine maintenance being observed?

  Yes

  No

  N/A

• Any indication of catalytic converter(s) absent in vehicle?

  Yes

  None

• What brands of tyres are being used?

  Top grade

  Middle grade

  Lower grade

• Are there traces of vehicle fluids escaping into the environment?

  Yes

  None

SUMMARY

• List any other conditions which may prevent safe operation of this vehicle

• Enter any other observations

• List of DTC on this vehicle (Before deleting the codes)

• List of DTC on this vehicle (After deleting the codes)

• Rate the overall condition of the vehicle

  Excellent

  Good

  Average

  Poor

  High Risk

Recommendations

• Enter recommendations here

COMPLETION

• Full Name and Signature of Inspector

  Sign