Brake System Inspection Report Form
Document the results of a thorough brake system inspection for vehicles.
Vehicle Information
Enter details about the vehicle being inspected.
Owner's Full Name
*
First Name
Last Name
Contact Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
License Plate or VIN
*
Inspection Details
Provide details about the inspection date and the inspector.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Name
*
First Name
Last Name
Brake System Component Assessment
*
Rows
Pass
Needs Attention
Fail
Brake Pads/Shoes
1
2
3
Brake Rotors/Drums
4
5
6
Brake Lines/Hoses
7
8
9
Brake Fluid Level
10
11
12
Brake Calipers/Wheel Cylinders
13
14
15
Parking Brake Operation
16
17
18
ABS Functionality
19
20
21
Additional Observations or Comments
Recommended Actions
No immediate action required
Schedule maintenance
Replace brake pads/shoes
Replace rotors/drums
Flush brake fluid
Repair/replace brake lines or hoses
Repair/replace calipers or wheel cylinders
Other
Signature of Vehicle Owner/Responsible Party
*
Submit Inspection Report
Submit Inspection Report
Should be Empty: