Engine Leak Diagnosis Checklist Form
Complete this checklist to document and diagnose vehicle engine oil/fluid leaks.
Vehicle Identification (VIN or License Plate)
*
Current Mileage
*
Leak Location
*
Please Select
Front of Engine
Rear of Engine
Left Side
Right Side
Underside
Other
Type of Fluid Leaking
*
Please Select
Engine Oil
Coolant/Antifreeze
Transmission Fluid
Power Steering Fluid
Brake Fluid
Unknown/Other
Leak Severity
*
Minor (seepage, no dripping)
Moderate (occasional drops)
Severe (constant dripping or pooling)
When was the leak first noticed?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are any of the following present?
*
Warning Lights On
Engine Overheating
Smoke Visible
None of the Above
Checklist: Visible Signs of Leakage (select all that apply)
Oil stains under vehicle
Wetness around gaskets/seals
Fluid on engine components
Drips on ground after parking
Other visible signs
Checklist: Likely Source of Leak (select all that apply)
Valve cover gasket
Oil pan gasket
Oil filter/housing
Drain plug
Front/rear main seal
Other/Unknown
Additional Notes/Details
Upload Photo of Leak Area (if available)
Upload a File
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Choose a file
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of
Submit Checklist
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