Volunteer Vehicle Inspection Checklist

Vehicle Inspection Checklist
Date*

MonthDayYear
Date
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 hairA posted NO SMOKING sing in the vehicleAll doors open/close freelyHeater /air conditioner workSpeedometer and odometer are in working orderAll seats equipped with functional seat beltsAll windows operate properlyAll headlights, taillights, turn signals and windshield wipers are in working orderGlass is free of breakage/cracksHorn worksRearview/side mirrors are present and free of any breakage or cracksTires are free of any cuts, bubbles, exposed metal, or cracksSpare tire is present with vehicle (optional)Stocked with personal protective equipment for driver
Does this Vehicle Pass Inspection?*
Notes
Take Photo of the License Plate*
Take Photo of the No Smoking sign*
Take Photo of the NYS Inspection/Registration Sticker*
Take Photo of BACKSEAT of the vehicle to ensure cleanliness*
Driver's signature*
Inspector's signature*
Date

MonthDayYear
Date
Should be Empty: