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Smog Check

General Information

Enter VIN #

Enter License Plate No.

Enter Mileage

Exhaust Configuration, when prompted (Single or Dual)

Vehicle Make

Body Type

Vehicle Model Name

Number of Cylinders

Engine Size

Transmission Type

Certification Type; (CA, FED, Referee)

BAR Referee Label Number

Fuel Type

Engine Make (Motor Homes, Referee)

Engine Year (Motor Homes, Referee)

Take photo of vehicle (optional)
Exhaust Emission Test Result

Hydrocarbons ppm (HC)

Carbon Monoxide % (CO)

Oxides of Nitrogen ppm (NOx)

COMPLETION

Comments/Recommendations

Full Name and Signature of Technician

Smog Checklist

Created by: SafetyCulture Staff | Industry: General |

This smog checklist is used by smog technicians to record the measured vehicle emissions and indicate if they are within acceptable levels according to regulations. Indicate measured Hydrocarbons (HC), Carbon Monoxide (CO), and Oxides of Nitrogen (NOx) to see if the vehicle passed or failed the smog check.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

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Smog Check

General Information

Enter VIN #

Enter License Plate No.

Enter Mileage

Exhaust Configuration, when prompted (Single or Dual)

Vehicle Make

Body Type

Vehicle Model Name

Number of Cylinders

Engine Size

Transmission Type

Certification Type; (CA, FED, Referee)

BAR Referee Label Number

Fuel Type

Engine Make (Motor Homes, Referee)

Engine Year (Motor Homes, Referee)

Take photo of vehicle (optional)
Exhaust Emission Test Result

Hydrocarbons ppm (HC)

Carbon Monoxide % (CO)

Oxides of Nitrogen ppm (NOx)

COMPLETION

Comments/Recommendations

Full Name and Signature of Technician