VTC Vehicle Inspection Checklist
Volunteer Driver
*
First Name
Last Name
Volunteer Phone Number
*
Please enter a valid phone number.
Reason for Inspection
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New Car
Annual Inspection
Second Car
Follow-up for Failed Inspection
Vehicle State Inspection Date
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-
Month
-
Day
Year
Date
Car Make
*
Car Model
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Odometer
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Year
*
Vehicle Color
*
Plate #
*
All items are mandatory. Please check as inspected.
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Clean inside (free of trash) and outside (with exception of weather related issues)
No harsh odors (no smoke/cigarette odor)/ animal hair
All doors open/close freely
Heater /Air conditioner work
Speedometer and Odometer are in working order
Windshield wipers work and windshield is viewable
All seats equipped with functional seat belts (# of belts __________)
All windows operate properly
All headlights, taillights,turn signals and windshield wipers are in working order
Glass is free ofbreakage/cracks
Rear view mirror attached and viewable
Horn works
Side mirrors are free of breakage/viewable
Penny rule
Tires are free of any cuts,bubbles, exposed metal, or cracks
Spare tire is present with vehicle
Optional Items. Please check all that apply.
Vehicle contains disposable glovesand a First Aid Kit
Accident Report Forms are on hand
Fire extinguisher with 1A:BC rating and bearing the label of Underwriter’s Laboratory is securely mounted in the vehicle in a clearly marked compartment
Vehicle contains roadside reflective or warning devices
Vehicle contains a workingflashlight
Vehicle maintenance log is maintained and present in vehicle
Did the vehicle
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pass inspection
fail inspection
Items that Need Fixing
Due Date for Follow-up Inspection (10, 30 or 90 days)
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Month
-
Day
Year
Date
Location of Inspection
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Date
*
-
Month
-
Day
Year
Date
Volunteer Driver Signature
*
Clear
Inspector Signature
*
Clear
Submit
Should be Empty: