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Date : ________________Inspected by : ____________________

Lic #: _______________________
Year/Make/Model : __________________________
Vin: ______________ Mileage: ____________________
1. Test Drive

Pass

Fail

UNDER HOOD
2. Oil Level
3. Coolant Condition/Level
4. Brake Fluid
5. Clutch Fluid
6. Power Steering Fluid
7. Battery Test/Charging
8. Windshield Solvent
9. Automatic Transmission Fluid
10. Air Filter/Cabin/Fuel
11. Belts
12. Radiator Hose
13. Heater Hoses
14. PVC Valve/Plugs/Wires

Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass

Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail

OUTSIDE VEHICLE
15. Headlights
16. Taillights
17. Brake Lights
18. Turn Signals
19. Backup Lights
20. Fog Lights
21. License Light
22. Windshield/Glass

Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass

Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail

TIRES
23. Inflation
24. Tread Depth/Size
25. Wear Pattern
26. Spare

Pass
Pass
Pass
Pass

Fail
Fail
Fail
Fail

INSIDE VEHICLE
27. Emergency Break
28. Steering Play
29. Brake Pedal
30. Clutch Operation
31. Horn/Radio/Gauge
32. Wipers/Washers
33. Seats/Belts/Mirrors
34. A/C Operation
35. Blower Operation
36. Window M/A

Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass
Pass

Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail
Fail

UNDER VEHICLE
37. CV Boots/Axles/Bearings
38. Shock Absorbers
39. Steering/Mount/Transmission
40. Fluid Leaks
41. Exhaust System
42. U-Joints/DriveShaft/Differential
43. Suspension

Pass
Pass
Pass
Pass
Pass
Pass
Pass

Fail
Fail
Fail
Fail
Fail
Fail
Fail

BRAKES
44. Remove/Inspect/Wheels
45. Pads/Linings
46. Hoses/Hydraulic/ABS

Pass
Pass
Pass

Fail
Fail
Fail

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