Smog Failure Diagnostic Checklist
Vehicle Information
Owner Name
Vehicle Make/Model
Year
License Plate
Date of Inspection
Failure Details
Smog Test Failure Code(s)
Failure Description
Diagnostic Checklist
Visual Inspection Completed
Engine Codes Read
Evaporative Emissions System Checked
Exhaust System Inspected
O2 Sensors Tested
Catalytic Converter Checked
Gas Cap Tested
Vacuum Leaks Inspected
Other (specify below)
Notes
Recommended Repairs
Technician Name
Date