| Item | Pass | Fail | N/A | Notes |
|---|---|---|---|---|
| Exterior Body Condition | ||||
| Windshield & Windows | ||||
| Headlights / Tail Lights | ||||
| Turn Signals | ||||
| Brake Lights | ||||
| Tires / Wheels | ||||
| Mirrors | ||||
| Horn | ||||
| Brakes | ||||
| Steering | ||||
| Seat Belts | ||||
| Windshield Wipers | ||||
| Fluid Levels (oil, coolant, brake, etc.) | ||||
| Leaks | ||||
| Emergency Equipment (triangle, extinguisher, etc.) | ||||
| Additional Comments | ||||