RiHaGo Vehicle Inspection

• Document No.:

• Audit Title:

• Conducted on:

  Date

• Auditor:

CLIENT INFORMATION

• CLIENT NAME:

• ADDRESS:

• CLIENT CODE:

VEHICLE INFORMATION

• MAKE:

• MODEL:

• MODEL YEAR:

• MANUFACTURE YEAR:

• REGISTRATION NUMBER:

• VIN / CHASIS NUMBER:

• ENGINE NUMBER / ID:

• BODY TYPE:

  Select SALOON SUV HATCHBACK PICKUP STATION WAGON VAN BUS TRUCK

  • SALOON
  • SUV
  • HATCHBACK
  • PICKUP
  • STATION WAGON
  • VAN
  • BUS
  • TRUCK

• TRANSMISSION:

  AUTOMATIC

  MANUAL

  OTHERS

• CONDITION:

  BRAND NEW

  FOREIGN USED

  LOCALLY USED

• FUEL TYPE:

  PETROL

  DIESEL

  HYBRID

  ELECTRIC

  OTHERS

• DRIVE SETUP:

  LEFTHAND DRIVE

  RIGHTHAND DRIVE

  OTHERS

• DRIVE TYPE:

  TWO WHEEL DRIVE

  FOUR WHEEL DRIVE

  OTHERS

• COLOR:

• MILAGE:

• TAG NUMBER:

VEHICLE INFORMATION

• AIR CONDITIONER

  Yes

  No

  N/A

• AIR CONDITION OK?

  Yes

  No

  N/A

• AM /FM RADIO

  Yes

  No

  N/A

• AM / FM RADIO OK?

  Yes

  No

  N/A

• BLUETOOTH

  Yes

  No

  N/A

• BLUETOOTH OK?

  Yes

  No

  N/A

• CD AUDIO SYSTEM

  Yes

  No

  N/A

• CD AUDIO SYSTEM OK?

  Yes

  No

  N/A

• CD AUDIO SYSTEM

  Yes

  No

  N/A

• CD AUDIO SYSTEM OK?

  Yes

  No

  N/A

• ELECTRIC SIDE MIRRORS

  Yes

  No

  N/A

• ELECTRIC SIDE MIRRIRS OK?

  Yes

  No

  N/A

• ELECTRIC WINDOWS

  Yes

  No

  N/A

• ELECTRIC WINDOW OK?

  Yes

  No

  N/A

• HEATED SEATS

  Yes

  No

  N/A

• HEATED SEATS OK?

  Yes

  No

  N/A

• POWER SUN ROOF

  Yes

  No

  N/A

• POWER SUN ROOF OK?

  Yes

  No

  N/A

• USB PORT

  Yes

  No

  N/A

• USB PORT OK?

  Yes

  No

  N/A

• AUXILIARY PORT

  Yes

  No

  N/A

• AUXILIARY PORT OK?

  Yes

  No

  N/A

• CRUISE CONTROL

  Yes

  No

  N/A

• CRUISE CONTROL OK?

  Yes

  No

  N/A

• POWER STEERING

  Yes

  No

  N/A

• POWER STEERING OK?

  Yes

  No

  N/A

• POWER DOOR LOCK

  Yes

  No

  N/A

• POWER DOOR LOCK OK?

  Yes

  No

  N/A

• ALARM SYSTEM

  Yes

  No

  N/A

• ALARM SYSTEM OK?

  Yes

  No

  N/A

• DVD PLAYER

  Yes

  No

  N/A

• DVD PLAYER OK?

  Yes

  No

  N/A

• NAVIGATION SYSTEM

  Yes

  No

  N/A

• NAVIGATION SYSTEM OK?

  Yes

  No

  N/A

• REAR DVD / TV

  Yes

  No

  N/A

• REAR DVD / TV OK?

  Yes

  No

  N/A

• DRIVER POWER SEAT

  Yes

  No

  N/A

• DRIVER POWER SEAT OK?

  Yes

  No

  N/A

• PASSENGER POWER SEAT

  Yes

  No

  N/A

• PASSENGER POWER SEAT OK?

  Yes

  No

  N/A

• PASSENGER POWER SEAT

  Yes

  No

  N/A

• PASSENGER POWER SEAT OK?

  Yes

  No

  N/A

• LEATHER SEATS

  Yes

  No

  N/A

• LEATHER SEATS OK?

  Yes

  No

  N/A

• ANTILOCK BRAKES

  Yes

  No

  N/A

• ANTILOCK BRAKES OK?

  Yes

  No

  N/A

• FOG LIGHTS

  Yes

  No

  N/A

• FOG LIGHTS OK?

  Yes

  No

  N/A

• REMOTE STARTER

  Yes

  No

  N/A

• REMOTE STARTER OK?

  Yes

  No

  N/A

• KEYLESS START

  Yes

  No

  N/A

• KEYLESS START OK?

  Yes

  No

  N/A

• PARKING ASSIST SYSTEM

  Yes

  No

  N/A

• PARKING ASSIST SYSTEM OK?

  Yes

  No

  N/A

• PARKING ASSIST SYSTEM

  Yes

  No

  N/A

• PARKING ASSIST SYSTEM OK?

  Yes

  No

  N/A

• REVERSE CAMERA

  Yes

  No

  N/A

• REVERSE CAMERA OK?

  Yes

  No

  N/A

• VOICE CONTROL

  Yes

  No

  N/A

• VOICE CONTROL OK?

  Yes

  No

  N/A

• DRIVER AIRBAG

  Yes

  No

  N/A

• DRIVER AIRBAG OK?

  Yes

  No

  N/A

• PASSENGER AIRBAG

  Yes

  No

  N/A

• PASSENGER AIRBAG OK?

  Yes

  No

  N/A

• SIDE AIRBAG

  Yes

  No

  N/A

• SIDE AIRBAG OK?

  Yes

  No

  N/A

• REAR SEAT AIRBAG

  Yes

  No

  N/A

• REAR SEAT AIRBAG OK?

  Yes

  No

  N/A

• CUPHOLDER

  Yes

  No

  N/A

• CUPHOLDER OK?

  Yes

  No

  N/A

• ROOF RACK

  Yes

  No

  N/A

• ROOF RACK OK?

  Yes

  No

  N/A

• ALUMINUM/ ALLOY WHEELS

  Yes

  No

  N/A

• ALUMINUM/ ALLOY WHEELS OK?

  Yes

  No

  N/A

• XENON HEADLIGHTS

  Yes

  No

  N/A

• XENON HEADLIGHTS OK?

  Yes

  No

  N/A

• SPARE TIRE

  Yes

  No

  N/A

• SPARE TIRE OK?

  Yes

  No

  N/A

CONDITION OF VEHICLE

• WINDSHIELD (FRONT)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• HOOD / BONNET

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• GRILLE

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• FRONT BUMPER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• HEADLIGHT (PASSENGER SIDE)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• HEADLIGHT (DRIVER SIDE)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER SIDE FRONT WHEEL FENDER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER DOOR

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DASH BOARD

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• STEERING WHEEL

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER SEAT

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER CARPET

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER REAR DOOR

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• REAR SEATS

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• REAR CARPETS

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• DRIVER SIDE REAR WHEEL FENDER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• WINDSHIELD (REAR)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• TRUNK

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• REAR BUMPER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• TAIL LIGHT (DRIVER SIDE)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• TAIL LIGHT (PASSENGER SIDE)

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER SIDE REAR WHEEL FENDER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER REAR DOOR

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER DOOR

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER SEAT

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER CARPET

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• PASSENGER SIDE FRONT WHEEL FENDER

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• ROOF

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• VEHICLE PILLAR

  Select OK HAIRLINE SCRATCH PITTED TORN BENT GLASS CRACKED MISSING ACCIDENT SMASHED RUSTY CREASED SCRATCHED STAINED BROKEN DENTED

  • OK
  • HAIRLINE SCRATCH
  • PITTED
  • TORN
  • BENT
  • GLASS CRACKED
  • MISSING
  • ACCIDENT
  • SMASHED
  • RUSTY
  • CREASED
  • SCRATCHED
  • STAINED
  • BROKEN
  • DENTED

• ADDITIONAL INFORMATION

TEST CARRIED OUT

• ROAD TEST

• DIAGNOSTIC TEST

DIAGNOSTIC REPORT

• ANTILOCK BRAKING SYSTEM (ABS)

  OK

  NOT OK

  NOT TESTED

  N / A

• AIR CONDITIONER

  OK

  NOT OK

  NOT TESTED

  N / A

• AIRBAG

  OK

  NOT OK

  NOT TESTED

  N / A

• A/C / HEATING ELECTRONICS

  OK

  NOT OK

  NOT TESTED

  N / A

• VSC / TRC / ESP

  OK

  NOT OK

  NOT TESTED

  N / A

• AUTOMATIC TRANSAXLE

  OK

  NOT OK

  NOT TESTED

  N / A

• AUTOMATIC TRANSMISSION

  OK

  NOT OK

  NOT TESTED

  N / A

• BATTERY

  OK

  NOT OK

  NOT TESTED

  N / A

• BODY ELECTRONIC SYSTEM (BCM)

  OK

  NOT OK

  NOT TESTED

  N / A

• BLUETOOTH

  OK

  NOT OK

  NOT TESTED

  N / A

• BORNET CABLE

  OK

  NOT OK

  NOT TESTED

  N / A

• BRAKES

  OK

  NOT OK

  NOT TESTED

  N / A

• BRAKES ELECTRONICS

  OK

  NOT OK

  NOT TESTED

  N / A

• CRUISE CONTROL

  OK

  NOT OK

  NOT TESTED

  N / A

• CENTRAL LOCKING SYSTEM

  OK

  NOT OK

  NOT TESTED

  N / A

• D - DOOR MOTOR

  OK

  NOT OK

  NOT TESTED

  N / A

• ENGINE

  OK

  NOT OK

  NOT TESTED

  N / A

• ENGINE AND ECT

  OK

  NOT OK

  NOT TESTED

  N / A

• ENGINE ELECTRONICS

  OK

  NOT OK

  NOT TESTED

  N / A

• EMPS

  OK

  NOT OK

  NOT TESTED

  N / A

• EXHAUST

  OK

  NOT OK

  NOT TESTED

  N / A

• E-TENSIONER

  OK

  NOT OK

  NOT TESTED

  N / A

• FRONT WHEEL SENSOR

  OK

  NOT OK

  NOT TESTED

  N / A

• GATEWAY DATABOX

  OK

  NOT OK

  NOT TESTED

  N / A

• GEAR BOX

  OK

  NOT OK

  NOT TESTED

  N / A

• HEATED SEATS

  OK

  NOT OK

  NOT TESTED

  N / A

• IMMOBILIZER

  OK

  NOT OK

  NOT TESTED

  N / A

• INSTRUMENT CLUSTER

  OK

  NOT OK

  NOT TESTED

  N / A

• MAIN BODY

  OK

  NOT OK

  NOT TESTED

  N / A

• NAVIGATION SYSTEM

  OK

  NOT OK

  NOT TESTED

  N / A

• POWER WINDOWS

  OK

  NOT OK

  NOT TESTED

  N / A

• POWER LOCKS

  OK

  NOT OK

  NOT TESTED

  N / A

• POWER SEATS

  OK

  NOT OK

  NOT TESTED

  N / A

• POWER STEERING

  OK

  NOT OK

  NOT TESTED

  N / A

• POWER ROOF

  OK

  NOT OK

  NOT TESTED

  N / A

• PARKING ASSIST SYSTEM

  OK

  NOT OK

  NOT TESTED

  N / A

• PGM-FI / DIESEL (SYSTEM ENGINE)

  OK

  NOT OK

  NOT TESTED

  N / A

• REAR CAMERA

  OK

  NOT OK

  NOT TESTED

  N / A

• RADIO PERFORMANCE

  OK

  NOT OK

  NOT TESTED

  N / A

• REMOTE KEY / SMART KEY UNIT

  OK

  NOT OK

  NOT TESTED

  N / A

• REAR WHEEL SENSOR

  OK

  NOT OK

  NOT TESTED

  N / A

• STEERING WHEEL ELECTRONICS

  OK

  NOT OK

  NOT TESTED

  N / A

• SEAT ADJUSTMENT

  OK

  NOT OK

  NOT TESTED

  N / A

• SUSPENSION

  OK

  NOT OK

  NOT TESTED

  N / A

• SERVICE REQUIRED

  YES

  NO

• SRS (SUPPLEMENTAL INFLATABLE RESTRAINT SYSTEM)

  OK

  NOT OK

  NOT TESTED

  N / A

• SWS (SEAT WEIGHT SENSOR)

  OK

  NOT OK

  NOT TESTED

  N / A

• TRANSMISSION / CLUTCH

  OK

  NOT OK

  NOT TESTED

  N / A

• TRANSMISSION ELECTRONICS

  OK

  NOT OK

  NOT TESTED

  N / A

• TYRES (4)

  OK

  NOT OK

  NOT TESTED

  N / A

• TYRE (SPARE)

  OK

  NOT OK

  NOT TESTED

  N / A

• TYRE PRESSURE MONITOR

  OK

  NOT OK

  NOT TESTED

  N / A

• USB CHARGING PORT

  OK

  NOT OK

  NOT TESTED

  N / A

• ADDITIONAL INFORMATION

ADDITIONAL IMAGES

• IMAGE 1

  Media

• IMAGE 2

  Media

• IMAGE 3

  Media

• IMAGE 4

  Media

• IMAGE 5

  Media

• IMAGE 6

  Media

• IMAGE 7

  Media

• IMAGE 8

  Media

• IMAGE 9

  Media

• IMAGE 10

  Media

• IMAGE 11

  Media

• IMAGE 12

  Media

• IMAGE 13

  Media

• IMAGE 14

  Media

• IMAGE 15

  Media

INSPECTOR

• INSPECTION CARRIED OUT BY

• SIGNATURE

  Sign

• DATE

  Date