Vehicle Maintenance Fluid Check Log Form
Record detailed vehicle fluid inspection results for maintenance tracking.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
License Plate Number
*
Engine Oil Level/Condition
*
Please Select
Full and Clean
Low
Dirty
Needs Replacement
Other
Coolant Level/Condition
*
Please Select
Full and Clean
Low
Dirty
Needs Replacement
Other
Brake Fluid Level/Condition
*
Please Select
Full and Clean
Low
Dirty
Needs Replacement
Other
Transmission Fluid Level/Condition
*
Please Select
Full and Clean
Low
Dirty
Needs Replacement
Other
Power Steering Fluid Level/Condition
*
Please Select
Full and Clean
Low
Dirty
Needs Replacement
Other
Windshield Washer Fluid Level
*
Please Select
Full
Low
Empty
Any Issues Found
Corrective Action Taken
Inspector Name
*
First Name
Last Name
Inspector Contact Information
Follow-up Notes / Recommendations
Submit Log
Should be Empty: