VTC Vehicle Inspection Checklist

VTC Vehicle Inspection Checklist
Volunteer Driver *

First Name Last Name
Volunteer Phone Number *
Please enter a valid phone number.
Reason for Inspection *

New Car Annual Inspection Second Car Follow-up for Failed Inspection
Vehicle State Inspection Date *

Month Day Year
Date
Car Make *
Car Model *
Odometer *
Year *
Vehicle Color *
Plate # *
All items are mandatory. Please check as inspected. *

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 *

pass inspection fail inspection
Items that Need Fixing
Due Date for Follow-up Inspection (10, 30 or 90 days)

Month Day Year
Date
Location of Inspection *
Date *

Month Day Year
Date
Volunteer Driver Signature *

Clear
Inspector Signature *

Clear
Should be Empty: