Information
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Customer Name:
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Document No.
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Conducted on
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Vehicle Info: Year/Make/Model - License - Mileage
VEHICLE CONDITION
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Does the vehicle have any noticeable damage?
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Are their any warning lights on the dash?
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Which warning lights?
- Check Engine Light - Diagnostic Needed
- ABS Light
- Airbag Light
- Oil Light
- Traction Control light
- Other
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Operation of exterior lamps, hazard and brake lights
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Wiper blades and windshield condition?
- Wiper OK
- Windshield OK
- Wiper Worn *FAIL*
- Windshield Cracks
- Windshield Chips
- Rear Wiper Worn *FAIL*
- Wiper Attention Soon
CHECK FLUID LEVELS
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Engine oil
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If LOF performed, did you reset oil life/sticker?
- Oil Life Reset
- Service Sticker
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Brake fluid
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Transmission fluid
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Cooling system/fluid
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Power steering fluid
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Windshield washer fluid
ADDITIONAL CHECKS
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Battery and terminals
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Factory Scheduled Maintenance
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Service Due
- 30,000 Miles Service Due
- 60,000 Miles Service Due
- 90,000 Miles Service Due
- 120,000 Miles Service Due
- 150,000 Miles Service Due
- Others Service Due
Inspect for Visible Leaks:
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Fuel system (also including fuel filter)
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Engine, transmission, drive axle, transfer case
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Engine cooling system
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Shocks & struts - also check operation
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Other Fluid leaks
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What items are leaking?
- Transmission
- Oil pan
- Valve cover
- Rear differential
- Transfer Case
- Power steering
- Other
Inspect Visual Condition:
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Belts: engine, accessory, serpentine, and/or V-drive
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Hoses: engine, cooling, power steering and HVAC
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Engine air filter/cabin air filters
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Steering components and steering linkage
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CV drive axle boots or driveshafts and U- joints
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Exhaust system components
BRAKES INSPECTION
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Front brake linings/rotors
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Rear brake linings/rotors/drums
- Shoes: 4 mm or greater
- Shoes: 3 mm
- Shoes: 2 mm or less *FAIL*
- Uneven brakes wear
- Pads: 7 mm or greater
- Pads: 6 mm to 4 mm
- Pads: 3 mm or less *FAIL*
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Brake system (lines, hoses and emergency brake)
CHECK TIRES & TREAD DEPTH
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Tires and Tread Depth Condition?
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Tire Pressure: LF/RF-LR/RR (PSI)
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Tires/Wheel Services:
- Rotation needed
- Rotation performed
- Alignment needed
- Alignment performed
- Balanced needed
- Balance performed
- Wear pattern/damage uneven
OPTIONAL NOTES
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Additional Recommended Services
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Technician
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(GREEN: Checked and OK) - (YELLOW: May Be At Risk Soon) - (RED/ATTN: Requires Immediate Attention)