Windshield Inspection Checklist Form
Complete this checklist to assess the condition of a vehicle's windshield and related components.
Date of Inspection
*
-
Month
-
Day
Year
Date
Vehicle Identification Number (VIN)
*
Inspector Name
*
Are there any cracks on the windshield?
*
Yes
No
Are there any chips or pits present?
*
Yes
No
Is visibility through the windshield clear?
*
Clear
Partially Obstructed
Obstructed
Windshield wipers condition
*
Good
Worn
Damaged
Windshield washer fluid level
*
Full
Low
Empty
Additional Observations or Notes
Overall Inspection Outcome
*
Pass
Fail
Submit Inspection
Should be Empty: