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Nomad Transit 19-Point Vehicle Inspection

This 19-point vehicle inspection form contains sections for a vehicle operator to provide their information, a certified inspector to check various parts of the vehicle and indicate if they pass or fail inspection, and a summary section for the inspector to fill out with the vehicle details and inspection results.

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gizelle carvalho
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165 views1 page

Nomad Transit 19-Point Vehicle Inspection

This 19-point vehicle inspection form contains sections for a vehicle operator to provide their information, a certified inspector to check various parts of the vehicle and indicate if they pass or fail inspection, and a summary section for the inspector to fill out with the vehicle details and inspection results.

Uploaded by

gizelle carvalho
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Nomad Transit, LLC Los Angeles

19 - Point Vehicle Inspection Form

To be completed by vehicle operator:


Full Name: Email Address:
Phone Number: Date:

To be completed by certified inspector:

INSPECTION POINTS INSPECTION POINTS


Pass Fail Pass Fail
Foot Brakes Doors (Open/Close/Lock)
Emergency Brakes Speedometer
Steering Mechanism Bumpers
Windshield Muffler & Exhaust System
Rear Window & Other Glass Conditions of Tires, Incuding Tread Depth
Windshield Wipers Interior/Exterior Rearview Mirrors
Headlights Safety Belts Driver & Passenger{s}
Tail Lights Front Seat Adjustment Mechanism
Turn Indicator Lights Horn
Stop Lights

To be completed by certified inspector:

INSPECTION SUMMARY
Vehicle Make & Model: VIN #:
License Plate #: Wheelchair Accesible? Yes No
Vehicle Year:

All inspection points must pass in order to pass:

Inspectors, Please circle one option: PASS FAIL


Inspector Name: Inspection Date:
*This certification is valid for one (1) year from certified
Inspection Company: inspection date.

Inspector Signature: Inspection Address:

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