Transfer Case Shift Motor Inspection Form
Document your inspection of the transfer case shift motor efficiently and accurately.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle or Equipment ID
*
Shift Motor Serial Number
*
Physical Condition of Shift Motor
*
Excellent
Good
Fair
Poor
Electrical Function Test
*
Pass
Fail
Not Tested
Wiring & Connector Condition
*
Intact & Secure
Damaged
Loose
Overall Inspection Result
*
Pass
Fail
Needs Further Review
Additional Comments or Notes
Submit Inspection
Should be Empty: