Radiator Cap Pressure Release Inspection Form
Complete this form to document the inspection results of a radiator cap’s pressure release function.
Inspector Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Radiator Cap Serial or ID Number
*
Visual Inspection Result
*
No visible damage or corrosion
Minor wear, no functional issues
Visible damage or corrosion
Other
Pressure Release Test Method
*
Please Select
Manual Test
Pressure Tester Device
Other
Measured Pressure Release Value (psi)
*
Specified Pressure Range (psi)
Did the radiator cap pass the pressure release test?
*
Pass
Fail
Comments / Notes
Inspector Signature
*
Submit
Submit
Should be Empty: