VEHICLE INSPECTION REPORT
GENERAL INFORMATION
Inspector Name: Unit No.: Date: Engine Hrs:
AGHA M ABBAS 2135 Nov 01 2024 N/A
Year/Make/Model: Mileage: License Plate No.: Colour: Oil change due;
2021Chev/ EQ 120462 CTEK 204 WHITE 122000
EXTERIOR INTERIOR
Clean: Windshield Chips: Clean: Odours? / Smells?
Yes No Qty: 0 Yes No Yes No
Other (Windshield cracks, etc.): Other:
NO
(Check all that apply) Chips Broken Rust Scratch Dent Ok (Check all that apply) Burn Hole Torn Stain Ok
Rear Bumper OK Front Seats OK
LR Quarter OK Middle Row OK
LR Door OK Rear Seats OK
LF Door OK Int. Door Trim OK
LF Fender OK Carpets/Mats OK
Front Bumper OK Dashboard OK
Grill OK Comments:
Hood NO
Windshield OK
RR Quarter OK EQUIPMENT
RR Door OK Present Missing Comment/Condition
RF Fender OK First Aid YES
RF Door OK Fire Extinguisher NO
Wheel Covers N/A Highway Safety NO
Roof OK Paperwork YES
Antenna OK
Header Panel OK Comments / Mechanical Issues:
Tailgate N/A
LIGHTS
Working Broken Working Broken
Headlight YES FL Signal YES
High beams YES FR Signal YES INDICATE DAMAGE ON DIAGRAM BELOW
Reverse YES BL Signal YES “X” = Dent “R” = Rust “- ‐ ‐” = Scratch “O” = Missing
Brake YES BR Signal YES
Hazard YES Trailer N/A
TIRES
Good Worn Poor Damage
LF YES
LR YES
RF YES
RR YES
Spare YES
Trailer N/A N/A
CAN-SMS-10F022 R01 (01-FEB-2019)
