Vehicle Inspection Form

Next Service Date *

MM

DD

YYYY

Check Oil *

Good

Problem

Check Washer Fluid *

Good

Problem

Check Transmission Fluid *

Good

Problem

Fuel Level *

Good

Problem

Horn *

Good

Problem

Steering Wheel Feel *

Good

Problem

Foot Brake/Park Brake *

Good

Problem

Registration/Insurance Card *

Good

Problem

Heat/Defrost/AC *

Good

Problem

Interior Lights *

Good

Problem

Upholstery, Loose Objects *

Good

Problem

Seatbelts *

Good

Problem

First Aid Kit *

Good

Problem

Fire Extinguisher *

Good

Problem

Emergency Kit *

Good

Problem

Wipers *

Good

Problem

Mirrors, Clean Glass, Clear View *

Good

Problem

Headlights (High/Low) *

Good

Problem

Turn Signals (Front/Rear) *

Good

Problem

Emergency Flashers *

Good

Problem

Tires (Wear, PSI w/gauge) *

Good

Problem

Spare Tire Pressure *

Good

Problem

Tail Lights/Reverse Lights *

Good

Problem

Exhaust (Sound/Emissions) *

Good

Problem

Dents/Scratches *

Good

Problem

Leaking Fluids *

Good

Problem

Loose/Hanging Objects *

Good

Problem

Driver Signature *

Check here to certify that vehicle has been inspected and all information is accurate to the best of your knowledge

Date *

MM

DD

YYYY