Vehicle Safety Inspection Checklist Form PDF Details

The Vehicle Safety Inspection Checklist form is a comprehensive tool designed to guide both professionals and vehicle owners through a thorough check of a vehicle's major systems and components. Utilized to assess the condition of a vehicle, it encompasses a wide range of inspection points from general items to under-the-hood checks. Notably, the form includes sections for inspecting lights, lubricant/fluids levels and conditions, battery status, belts and pulleys, hoses, and tires, ensuring each critical aspect is examined for safety and performance. It prompts the inspector to look at the functionality of wiper blades, mirrors, the horn, and various lights including headlights, tail lights, brake lights, and turn signals. Additionally, it delves into the vehicle's fluid levels—involving engine oil, transmission fluid, brake fluid, and more—to check for proper levels, condition, and any leaks. The battery’s condition, including the carrier/hold-down and cables, along with the wear and tension of belts and pulleys, are evaluated to prevent breakdowns. The form also reviews the state of hoses for any signs of leaks or wear and assesses tire pressure and tread depth for road safety. Concluding with an acknowledgment by the vehicle owner, it emphasizes that the inspection is a basic visual evaluation, acknowledging the potential for undiscovered issues and highlighting the owner's responsibility for the vehicle's maintenance and safe operation post-inspection. This checklist serves not only as a preventive measure to safeguard against vehicular malfunctions but also as a record of the vehicle’s condition at the time of inspection, without implying any warranty.

QuestionAnswer
Form NameVehicle Safety Inspection Checklist Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesVehicle Inspection Form, Car Safety Inspection Checklist form

Form Preview Example

VEHICLE INSPECTION CHECK LIST

Year __________ Make __________________ Model __________________

Mileage ________________ Inspection date ________________

S

U

GENERAL ITEMS

 

 

 

NOTES/RECOMMENDATIONS

 

 

Wiper blades

L

R

REAR

 

 

Mirrors

L

R

INSIDE

 

 

Horn

 

 

 

 

S

U

LIGHTS

 

 

 

 

 

Dash Indicators/Gauges

 

 

 

 

 

Headlights

L

R

Hi/Low

 

 

Park/Tail lights

LF/RF

LR/RR

 

 

 

Brake Lights

L

R

 

 

 

Back-up Lights

L

R

 

 

 

Turn Signals

LF/RF

LR/RR

 

 

 

Side Markers

LF/RF

LR/RR

 

 

 

License Plate lights

 

 

 

S

U

LUBRICANT/FLUIDS

 

 

 

 

 

 

 

Engine Oil

LEVEL

COND

LEAKS

 

 

 

 

Transmission Fluid

LEVEL

COND

LEAKS

 

 

 

 

Power Steering

LEVEL

COND

LEAKS

 

 

 

 

Brake Fluid

LEVEL

COND

LEAKS

 

 

 

 

Clutch Fluid

LEVEL

COND

LEAKS

 

 

 

 

Washer Fluid

LEVEL

COND

LEAKS

 

 

 

 

Coolant

LEVEL

COND

LEAKS

Antifreeze protection to

*F/*C

S

U

BATTERY

 

 

 

 

 

 

Carrier/Hold-Down

MISSING

LOOSE

CORRODED

 

 

 

Cables/Clamps/Terminals

MISSING

LOOSE

CORRODED

 

 

 

Charge Indicator

GREEN

DARK

CLEAR/YELLOW

Fluid Level

S

U

BELT/PULLEY

 

 

 

 

 

Alternator

WORN

LOOSE

PULLEY

 

 

Air Conditioning

WORN

LOOSE

PULLEY

 

 

Power Steering

WORN

LOOSE

PULLEY

 

 

Water Pump

WORN

LOOSE

PULLEY

 

 

Air Pump

WORN

LOOSE

PULLEY

 

 

Belt Tensioner

WORN

LOOSE

PULLEY

S

U

HOSES

 

 

 

 

 

 

 

 

Radiator

UPPER

LOWER

 

LEAKS

 

 

 

 

Heater

INLET

OUTLET

 

LEAKS

 

 

 

 

Bypass/Other

 

COND

 

LEAKS

 

 

 

 

Power Steering

LO-PRESS

HI-PRESS

 

LEAKS

 

 

 

 

Trans Cooler

INLET

OUTLET

 

LEAKS

 

 

 

 

Vacuum hoses

 

COND

 

LEAKS

 

 

 

 

Fuel (Underhood only)

 

COND

 

LEAKS

 

 

S

U

OTHER UNDERHOOD

 

 

 

 

 

 

 

 

Air Filter

DIRTY

MISSING

 

 

 

 

 

 

PCV Filter

DIRTY

MISSING

 

 

 

 

 

 

Intake Preheat Duct

UNHOOKED

MISSING

 

 

 

 

 

 

Radiator Cooling Fan(s)

MECHANICAL

ELECTRIC

 

 

 

 

S

U

TIRES

 

 

 

 

 

 

 

 

Pressure (psi)

LF

RF

LR

RR

SPARE

 

 

 

Tread ( /32”)

LF

RF

LR

RR

SPARE

Minimum Safe Depth 3/32”

 

 

DATE CODE

 

 

 

 

 

 

I have reviewed this vehicle checklist form and understand that it reflects the condition of my vehicle at the time of the inspection only. I recognize that this is a basic visual inspection, not a comprehensive vehicle evaluation, and additional problems may exist in systems and/or components that were not checked as part of this inspection. I accept that this inspection is made without a warranty of any kind, either express or implied, or arising by operation of law. I acknowledge that no action has been taken to correct any condition(s) reported, and that the safe operation and maintenance of the vehicle following this inspection is my sole responsibility.

Ragtops & Roadsters 215-257-1202

Client Signature ___________________________________

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2. Once your current task is complete, take the next step – fill out all of these fields - BELTPULLEY, S U S U S U LUBRICANTFLUIDS S U S, Radiator Heater BypassOther Trans, Power Steering, Alternator Air Conditioning Water, Air Filter PCV Filter Intake, Pressure psi Tread DATE CODE, Fuel Underhood only, Power Steering, HOSES, TIRES, WORN, WORN, WORN, and WORN with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Stage number 2 for submitting Vehicle Safety Inspection Checklist Form

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Ragtops  Roadsters  Client, Ragtops  Roadsters  Client, and reported and that the safe in Vehicle Safety Inspection Checklist Form

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