Automotive Vehicle Safety Standards Audit Form
Complete this form to assess and document compliance with vehicle safety standards during an automotive audit.
Audit Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Audit Location
*
Inspector Full Name
*
First Name
Last Name
Inspector Contact Email
*
example@example.com
Vehicle Make and Model
*
Vehicle Year
*
Vehicle Identification Number (VIN)
*
Vehicle License Plate Number
*
Vehicle Safety Standards Checklist
*
Rows
Pass
Fail
N/A
Brakes and Brake System
1
2
3
Steering Mechanism
4
5
6
Lighting and Reflectors
7
8
9
Tires and Wheels
10
11
12
Windshield and Wipers
13
14
15
Seat Belts and Restraints
16
17
18
Mirrors
19
20
21
Horn
22
23
24
Emergency Equipment (e.g., triangle, extinguisher)
25
26
27
Exhaust System
28
29
30
Overall Vehicle Compliance Status
*
Compliant
Non-Compliant
Conditional (Requires Attention)
Additional Comments or Observations
Submit Audit
Should be Empty: