Rasa Vehicle Inspection

• Prepared by

  Select

• Location

  Select

• Conducted on

  Date

Vehicle Information

• Vehicle Make and Model?

• VIN / Motor Number

• Vehicle Mileage

• Oil Change Sticker Mileage

• Oil change schedule being followed?

  Yes

  No

  N/A

Maintenance Check

• Do you wish to conduct a maintenance check of this vehicle in this inspection?

  Yes

  No

  N/A

• Are engine oil levels within acceptable ranges?

  Yes

  No

  N/A

• Is the vehicle free of grease leaks?

  Yes

  No

  N/A

• Are coolant levels within acceptable ranges?

  Yes

  No

  N/A

• Are brake fluid levels within acceptable ranges?

  Yes

  No

  N/A

• Are transmission fluid levels within acceptable ranges?

  Yes

  No

  N/A

• Are Power Steering fluid levels within acceptable ranges?

  Yes

  No

  N/A

• Is battery working and the vehicle starts?

  Yes

  No

  N/A

• Are windshield washers in working order, with water filled?

  Yes

  No

  N/A

• Are all doors and door locks operational?

  Yes

  No

  N/A

• Does the car horn function correctly?

  Yes

  No

  N/A

• Is the air conditioning operational?

  Yes

  No

  N/A

• Are the emergency and/or hand brakes operational and in good condition?

  Yes

  No

  N/A

• Are the vehicle power brakes operational and in good condition?

  Yes

  No

  N/A

Vehicle Inspection

• Do you wish to check the exterior of this vehicle in this inspection?

  Yes

  No

  N/A

External Check

• Spare tire in present and in proper location?

  Yes

  No

  N/A

• Windshield free of damage?

  Yes

  No

  N/A

• Headlights, Brake Lights free of damage and fully operational? (Check third brake light)

  Yes

  No

  N/A

• Overall bodywork / paintwork free of damage?

  Yes

  No

  N/A

• Vehicle Tires both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• undefined

• Is the exterior of the vehicle acceptably clean?

  Yes

  No

  N/A

• Do you wish to check the interior of this vehicle in this inspection?

  Yes

  No

  N/A

Internal Check

• Is inside the vehicle in a clean and tidy condition?

  Yes

  No

  N/A

• Is there a Safety Bag Kit on board?

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Is the vehicle free of any warning lights?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

Documentation Check

• Do you wish to review vehicle documentation in this inspection?

  Yes

  No

  N/A

• Registration document present inside vehicle?

  Yes

  No

  N/A

• Insurance document present inside vehicle?

  Yes

  No

  N/A

• Does vehicle has a current valid inspection sticker?

  Yes

  No

  N/A

Trailer (if applicable)

• Trailer tires in good shape?

  Yes

  No

  N/A

• Spare tire for trailer present and in good shape?

  Yes

  No

  N/A

• Trailer signal lights fully work?

  Yes

  No

  N/A

• Trailer brake lights fully work?

  Yes

  No

  N/A

• Trailer running lights fully work?

  Yes

  No

  N/A

• Trailer frame in good shape? (check jack stand)

  Yes

  No

  N/A

• Trailer has a license plate with sticker current?

  Yes

  No

  N/A

Sign Off

• I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

• Inspector Name and Signature

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• Branch Employee ( Ops Mgr or Branch Mgr )

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