Vehicle Inspection Checklist

Vehicle Inspection Checklist
Date*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option
Volunteer Driver*
Tell me about your car (check all that apply):*

new carannual inspectionprimary vehiclesecondary vehicle
NYS Inspection Due*
Make*
Model*
Odometer*
Year*
*If 15 years or older please make a note below.
Plate #*
Vehicle Color*
County*
Required:

Clean inside (free of trash) and outside (with exception of weather-related issues)No harsh odors (no smoke/cigarette odor)/ animal hairAll doors open/close freelyHeater /Air conditioner workSpeedometer and Odometer are in working orderWindshield wipers work and windshield is viewableAll seats equipped with functional seat beltsAll windows operate properlyAll headlights, taillights, turn signals and windshield wipers are in working orderGlass is free of breakage/cracksRearview mirror attached and viewableHorn worksSide mirrors are free of any breakage or cracksPenny RuleTires are free of any cuts, bubbles, exposed metal, or cracksSpare tire is present with vehicleA posted NO SMOKING sing in the vehicle
Does this Vehicle Pass Inspection?*
Notes
Take Photo of the License Plate*
Take Photo of the NYS Inspection/Registration Sticker*
Driver's signature*

Clear
Inspector's signature*

Clear
Date

MonthDayYear
Date
Should be Empty: