Pre Delivery Inspection Form
Customer's Name
First Name
Last Name
Customer's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Customer's Signature
Date
*
 /
Month
 /
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Model
Mileage
INSPECTION OF COMPARTMENTS
BODY EXTERIOR & WHEELS & TIRES
Rows
Fail
Pass
Any Comments
1. Corrosion
1
2
2. Door Locks
3
4
3. Fuel Filler Cover
5
6
4. Front Left Tyre
7
8
5. Front Right Tyre
9
10
6. General Bodywork Condition
11
12
7. Glass
13
14
8. Operation
15
16
9. Petrol Cap
17
18
10. Rear Left Tyre
19
20
11. Rear Right Tyre
21
22
12. Spare Tyre
23
24
ENGINE COMPARTMENT
Rows
Fail
Pass
Any Comments
1. Antifreeze
25
26
2. Brake Fluid Level
27
28
3. Caps
29
30
4. Clutch Fluid Level
31
32
5. Cold Starting
33
34
6. Coolant Leaks
35
36
7. Coolant Level
37
38
8. Drive Belts
39
40
9. Engine Mounts
41
42
10. Engine Oil Level
43
44
11. Excess Fumes
45
46
12. External Engine Leaks
47
48
13. Fast Idle When Engine Cold
49
50
14. Fuel Pump & Pipes
51
52
15. Hoses & Pipes
53
54
16. Noise Level When Engine Cold
55
56
17. Power Steering Fluid Level
57
58
18. Radiator
59
60
19. Smoke
61
62
20. Supercharger
63
64
21. Turbo
65
66
22. Water Pump
67
68
FUEL SYSTEM
Rows
Fail
Pass
Any Comments
1. Breather Pipes
69
70
2. Evidence of Leaks
71
72
3. Fuel Lines
73
74
4. Fuel Tank
75
76
5. Fuel Tank Fixing
77
78
ELECTRICAL CONTROLS
Rows
Fail
Pass
Any Comments
1. Auxiliary Lights
79
80
2. Battery Charging System
81
82
3. Brake Lights
83
84
4. Controls
85
86
5. Controls Function
87
88
6. Dashboard Illumination
89
90
7. Fog Lights
91
92
8. Hazard Lights
93
94
9. Headlights
95
96
10. Horn
97
98
11. Ignition Lock
99
100
12. Indicators
101
102
13. Instrument
103
104
14. Jet Washers
105
106
15. Number Plate Illumination
107
108
16. Panel Lights
109
110
17. Rear Lights
111
112
18. Reverse
113
114
19. Running Lights
115
116
20. Side Lights
117
118
21. Starting System
119
120
22. Sunroof Operation
121
122
23. Switches
123
124
24. Windows
125
126
25. Wipers
127
128
BRAKES
Rows
Fail
Pass
Any Comments
Adjustments
129
130
Discs
131
132
Fluid Leaks
133
134
Flexible Hoses
135
136
Hand Brake Linkage
137
138
Hand Brake Operation
139
140
Linkage
141
142
Master Cylinder Security
143
144
Pads
145
146
Pedal
147
148
Pipes
149
150
Power System
151
152
Servo
153
154
Unions & Connections
155
156
CLUTCH & TRANSMISSION
Rows
Fail
Pass
Any Comments
Adjustment
157
158
Bearings
159
160
Cables
161
162
Casings
163
164
Clutch Backlash
165
166
Drive Shaft Assemblies
167
168
Fluid
169
170
Hydraulic System
171
172
Linkages
173
174
Mountings
175
176
Oil Leaks
177
178
Propshaft(s)
179
180
Rubber Gaiters
181
182
Sliding Joints
183
184
Supports
185
186
Universal
187
188
EXHAUST SYSTEM
Rows
Fail
Pass
Any Comments
Catalytic Converter
189
190
Couplings
191
192
Heat Shields
193
194
Inlet Manifold
195
196
Joints
197
198
Mountings
199
200
Outlet Manifold
201
202
Overall System Condition
203
204
Pipes
205
206
Silencer(s)
207
208
SUSPENSION & UNDERFRAME & STEERING
Rows
Fail
Pass
Any Comments
Anti Roll Bars
209
210
Ball Joints
211
212
Bearings
213
214
Bumper Stops
215
216
Bushes
217
218
Chassis Corrosion
219
220
Chassis Members
221
222
Dampers
223
224
Engine Underside Leaks
225
226
Evidence of Floor
227
228
Fixings
229
230
Gaiters
231
232
Hoses
233
234
Hubs
235
236
Mountings
237
238
Pipes
239
240
Power Steering
241
242
Springs
243
244
Steering Joints
245
246
Steering Rack
247
248
Subframes
249
250
Suspension Unit
251
252
Suspension Arms
253
254
Tie Bars
255
256
Wheels
257
258
ROAD TEST
Rows
Fail
Pass
Any Comments
Clutch Operation
259
260
Controls Functioning
261
262
Cooling Fan Operation
263
264
Engine - Excessive Fumes or Smoke
265
266
Engine - Noise
267
268
Engine - Performance
269
270
Evidence of Overheating
271
272
Final Drive Operation
273
274
Footbrake Operation
275
276
Gearbox Operation
277
278
General Steering
279
280
Handling
281
282
Hand Brake Operation
283
284
Instruments
285
286
Noise Level
287
288
Road Holding Stability
289
290
Suspension Noise
291
292
Warning Lights
293
294
INTERIOR & LUGGAGE COMPARTMENT
Rows
Fail
Pass
Any Comments
Boot
295
296
Internal Mirrors
297
298
Seat Belts
299
300
Seat Mechanism
301
302
Tailgate Lock
303
304
CONVENIENCE
Rows
Fail
Pass
Any Comments
History
305
306
Keys
307
308
Owners Manual
309
310
Remote Controls
311
312
Service Book
313
314
Inspection Agency
Agency's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Inspector's Name
First Name
Last Name
Inspector's Signature
Submit
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