Vs 1074S Form PDF Details

The meticulous process of ensuring vehicle safety is encapsulated in the use of the VS-1074S form, a critical tool utilized by inspection facilities. This document, under the aegis of the New York State Department of Motor Vehicles, acts as a comprehensive record for safety inspections performed and certificates issued within the state. It is meticulously designed to accommodate detailed information, ranging from the facility's credentials to the inspector's certification number, laying down a clear procedure for both passing and rejecting vehicles based on their safety standards. Instructions embedded within the form guide the facility through each step, emphasizing the importance of accurate entry of details such as the vehicle's odometer reading, make, year, and license plate number, alongside specific inspection findings like tire pressure and airbag system checks. Furthermore, it delineates the protocol for handling vehicles that fail the inspection, including the issuance of a "Rejected" status and the management of any necessary repairs, authenticated by repair order numbers and a conclusive inspection certificate. This form not only serves as a record-keeping mandate with a requisite two-year retention period but also underscores the state's commitment to road safety and consumer protection. The VS-1074S form, thus, stands as a testament to a regulated approach towards vehicle safety inspections, ensuring both the integrity of the inspection process and the safety of the motoring public.

QuestionAnswer
Form NameVs 1074S Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesVS-1074S, 1998, vs 1074m, New_York

Form Preview Example

Facility

 

 

 

 

Facility

 

 

 

 

New York State Department of Motor Vehicles

 

 

 

Name

 

 

 

 

ID No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bureau of Consumer and Facility Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address - Street or Road

 

City

County

ZIP Code

 

 

VEHICLEINSPECTIONRECORD-SAFETY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(SeeinstructionsonPage2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

 

6

7

8

9

10 Safety Rejection—

11

12

 

Check System Rejected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Odometer

 

 

 

 

Specify

 

Enter:serial number of

 

 

Air

 

Tire

 

 

 

 

 

 

 

 

 

 

 

Year________

Reading

Year

Make

 

 

What

 

 

Inspection Certificate

Inspector’s

 

Bag

Pressure

of

of

 

 

Repair

 

if vehicle passes;

Certification

 

Nota

Nota

 

(Indicate if Broken,

New York State Plate Number *

Wheel is

 

Susp.

(Month/Day)

Missing or Trailer)

Vehicle

Vehicle

Pulled

Order No.

Enter: “Rejected” if

Number

Brakes Lights Tires Steering Other

Reject

Reject

 

 

 

 

 

 

 

 

 

vehicle fails

 

 

 

 

 

/

 

*If the vehicle does not have a plate, or displays a “Dealer” plate, enter the VIN. If an out-of state plate, enter the state and plate number.

VS-1074S (4/12)

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INSTRUCTIONS FOR COMPLETING VEHICLE INSPECTION RECORD-SAFETY -FORMVS-1074S

TheVehicle Inspection Record (VS-1074S) is used to record inspections performed and inspection certificates issued. It is also used to record information about vehicles that are rejected after inspection. When completed, the form must be kept by the facility for two years after the last entry. The inspection station must enter the facility name, address and facility numberinthespaceprovidedoneachform.

Use the VS-1074S to record ONLYSafety inspections and certificates. Motorcycle inspections and certificates must be recorded on a VS-1074M; heavy vehicle and safety/diesel inspections and certificates must be recorded on a VS-1074SD. Be sure to use the correct form for the type of inspection and certificate you are recording, and to issue and record certificatesinconsecutiveorder.If you have a NYVIPCVIS - Do not use this form.All inspection records must be maintained on the NYVIPCVIS.

When a vehicle is presented for inspection, you must perform a complete and thorough inspection. If the vehicle fails because of items that need repair, adjustment or replacement, you must notify the customer of this and request authorization before performing repairs. If the customer authorizes the repairs, complete the repairs, enter the repair order number in column 7 and the certificate number in column 8. If the customer chooses not to have the vehicle repaired, write “Rejected” in column 8.After repairs are completed, the inspection data should be recorded on the VS-1074S. This includes any items that were cause for failure. These items must be checked in column 10; any notification items should be checked in columns 11 and 12. Any items that would cause the vehicle to fail if repairs were NOT made, must be checkedontheVS-1074S.

Foreachinspectionperformed,enterthefollowinginformationinthe appropriatenumberedcolumn:

1.Entertheyearoftheinspectionatthetop ofthecolumn;thenenterthe dateoftheinspection(Month/Day).

2.Entertheodometerreading,as it appears on the vehicle.Iftheodometerisbrokenormissing,orifthe vehicleisatrailer,enterbroken,missingortrailer.

3.Enterthemodelyearofthe vehicle,asitappearsonthe registrationorotherdocuments.Iftheyear ofthevehicle iswrong,tellthecustomerthatitshouldbecorrected,butdonot reject thevehicleforthewrongyear.

4.Enterthemakeofthevehicle.

5.Enterthelicenseplatenumber.Ifthe vehicledoesnothave aplate,ordisplaysa“Dealer”plate,entertheVehicle IdentificationNumber(VIN)instead.Ifthevehicle hasanout-of-stateplate,enterthestate andplate number.

6.Identifywhichwheelwaspulledforbrakeinspection.Ifmorethanonewheelwaspulled,indicatewhichones (RF,LF,RR,LR).

7.Enterthenumberofthe repairorder,ifonewasprepared.(Ifrepairsaretobeperformed,aninvoicemustbe preparedandthe customer’sauthorizationmustbeobtained.)

8.Ifthevehiclepassesinspection,enterthenumberofthecertificateissued.Ifthevehiclefailsinspection,entertheword “Rejected”.

9.Fromthecertifiedinspector’scard,enterthenumberofthecertifiedinspectorwhoperformedthe inspection.

10.Ifthevehiclefailsthesafetyinspection,checktheproperbox(es)forthefaileditem(s).

11.Checkthe boxifthereisa malfunctionoftheAirBagReadinessLight (1998andnewermodelyearvehicles). This is not a rejection.Themotoristmustbenotifiedoftheproblem,inwriting.

12.Checkthisboxiftirepressureisnot withinspecifications.Do not reject the vehicle.Themotoristmustbe notifiedoftheproblem.

VS-1074S(4/12)

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