Emissions Aftertreatment System Intake Inspection Form
Please complete all fields to document the intake inspection of the emissions aftertreatment system.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment/Vehicle ID
*
Equipment/Vehicle Type
*
Please Select
Truck
Bus
Construction Equipment
Agricultural Vehicle
Other
Odometer/Engine Hours
*
Intake System Condition
*
Clean
Moderately Dirty
Heavily Contaminated
Visible Symptoms at Intake
*
Oil Residue
Soot Buildup
Unusual Odor
Moisture Present
No Visible Symptoms
Other
Checklist: Common Intake Issues
*
Loose Connections
Damaged Hoses
Missing Clamps
Cracked Components
No Issues Found
Inspection Result
*
Passed
Requires Cleaning
Requires Repair
Failed
Recommended Next Action
*
Please Select
No Action Needed
Schedule Cleaning
Schedule Repair
Refer to Specialist
Other
Submit Inspection
Should be Empty: