LIFE SAFETY SYSTEMS
VEHICLE INSPECTION
REPORT
1.1
Why we do this
My email for a copy:
Vehicle Number:
V003
V092
V097
V099
V174
V242
V275
V490
V514
V654
V774
V779
V782
Vehicle Milage:
NC Vehicle Inspection Due
:
NO
YES
Annual PM Due
:
NO
YES
Vehicle Number Decal Condition
:
Good
Needs Replacing
FLUIDS
Engine Oil
:
Good
Needs Attention
NA
Transmission Fluid
:
Good
Needs Attention
NA
Engine Coolant
:
Good
Needs Attention
NA
Brake Fluid
:
Good
Needs Attention
NA
Power Steering Fluid
:
Good
Needs Attention
NA
Windshield Washer Fluid
:
Good
Needs Attention
NA
Electric Vehicle Battery Water
:
Good
Needs Attention
NA
OPERATION
Head & Marker Lights
:
Good
NEEDS REPAIR
NA
Turn Signals
:
Good
NEEDS REPAIR
NA
Brake Lights
:
Good
NEEDS REPAIR
NA
Hazard & Backup Lights
:
Good
NEEDS REPAIR
NA
License Plate Lights
:
Good
NEEDS REPAIR
NA
Windshield Wipers
:
Good
NEEDS REPAIR
NA
Vehicle Horn
:
Good
Needs Attention
NA
TIRE PRESSURE / CONDITION
Left Front
:
Condition
:
Good
POOR
Right Front
:
Condition
:
Good
POOR
Left Rear
:
Condition
:
Good
POOR
Right Rear
:
Condition
:
Good
POOR
Left Rear Inner
:
Condition
:
NA
Good
POOR
Right Rear Inner
:
Condition
:
NA
Good
POOR
I have washed this vehicle this month
:
NO
YES
The interior is organized/uncluttered
:
NO
YES
Comments:
Due by the 5th of each month - Service Station Phone: 919-966-2967
*