Tire Pressure Monitoring System Control Module Inspection Form
Complete this form to document the inspection of a TPMS control module. Ensure all fields are filled accurately for each inspection.
Vehicle Identification Number (VIN)
*
TPMS Control Module Serial Number
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Module Visual Condition
*
No visible damage
Minor cosmetic wear
Damaged – requires replacement
Connector Pins Condition
*
Clean and intact
Corroded
Bent or broken
Power Supply Status
*
Within specification
Below specification
No power
Communication with Diagnostic Tool
*
Successful
Intermittent
No communication
TPMS Sensor Signal Reception
*
All sensors detected
One or more sensors missing
No sensors detected
Stored Error Codes
*
No error codes
Communication fault
Sensor fault
Power supply fault
Other
Additional Comments or Observations
Submit Inspection
Should be Empty: