Vehicle Emissions Smoke Inspection Form
Complete this Vehicle Emissions Smoke Inspection Form to record vehicle details, inspection observations, and emissions smoke test results.
Inspection Date
*
-
Month
-
Day
Year
Date
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
License Plate Number
*
Odometer Reading (miles)
*
Observed Smoke Color
*
No visible smoke
White smoke
Blue smoke
Black smoke
Smoke Opacity Level
*
Please Select
Clear (0-5%)
Light (6-20%)
Moderate (21-40%)
Heavy (41% or more)
Emissions Smoke Test Result
*
Pass
Fail
Inspector Observations
Inspector Conclusion
*
Vehicle meets emissions standards
Vehicle does not meet emissions standards
Submit Inspection
Should be Empty: