Attachment_A.7.3.1_ARS_45_Annual_Vehicle_Inspection_Checklist.pdf
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Attachment A.7.3.1, ARS 45, Annual Vehicle Inspection Checklist
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VEHICLE INSPECTION CHECK LIST
VEHICLE NO. TAG NO. MILEAGE
INSTRUCTIONS: Retain the original in the vehicle. Mail one copy to your Servicing Personal Property Section.
Code: O = OK X = Adjustment Made R = Repairs Needed
YEAR MAKE MODEL
DATE REGION
ENGINE and UNDERHOOD Code Repair Estimate
1. Radiator, Cap, Hoses, Coolant
2. Belts: Fan, Alternator, Power Steering
3. Water Pump
4. Carburetor Air Cleaner
5. Carburetor Adjustment
6. Manifold Heat Control Valve
7. Head Bolts and Manifold Bolts
8. Engine Mounting Bolts
9. Fuel Pump Pressure
10. Timing, Spark Plugs, Points
11. Compression
12. Battery: Connections, Charge, Water Level
13. Alternator and Regulator
14. Check for oil leaks
15. Oil Level, Filter, Breather Cap
16. PCV Valve
17. Windshield Washer Fluid
18. Air Conditioner, Freon Gas
19. Power Steering, Oil Level
20. Electronic Ignition System
21. EPA Exhaust Emission Test (where required)
CHASSIS
22. Front End Alignment
23. Front Wheel Bearings
24. Wheel Lug Bolts
25. Steering Tie Rods, Drag Link, Idler Arm
26. Shock Absorbers
27. Spring and Body "U" Bolts
28. Drive Shaft
29. Universal Joints
30. Differential
31. Muffler, Exhaust System
32. Tailpipe, Hangers
33. Brakes: Foot and Hand
34. Brake Cylinders, Brake Fluid Reservoir
35. Automatic Transmission
36.
37.
(Bands, Linkage, Fluids, etc.)
Repair EstimateCodeBODY
38. Headlights, Alignment
39. Taillights, Back-Up Lights, Stop Lights
40. Turn Signals, 4-Way Flashers
41. Parking, Clearance Lights
42. Glass
43. Doors, Hood and Trunk (Fit and Latches)
44. Body Bolts
45. Bumpers
46. Paint, General Appearance
47. Door Locks
48. Lock, Spare Tire (Trucks)
49. Endgate or Tailgate
50. Windshield Wipers and Washers
51.
52.
INTERIOR
53. Brake Pedal Travel
54. Parking Brake
55. Clutch Pedal (Free play of ¾ inch)
56. Mirrors
57. Horn Operation
58. Instrumentation Operation, Switches, Dashlights
59. Seat Belts, Shoulder Harness (Anchor Bolts, etc.)
60. Defroster, Heater
61.
MISCELLANEOUS
62. Tires (Condition and Pressure)
63. Winch Mechanism
64. Road Test
65. License Plates (Brackets and Bolts)
66. Jack and Lugwrench
67. Door and Dashboard Decals
68. Emergency Kit
69. Cost of Inspection (Labor)
70. Repairs Made
71.
72.
Yes No
NAME AND ADDRESS (Custodian or Operator) NAME AND ADDRESS OF FIRM MAKING INSPECTION
Form ARS-45 (9/83) USDA-ARS
SUB-TOTAL TOTAL REPAIR ESTIMATE $
This form was electronically produced by USDA/ARS/OCIO/EASB.
73.
c:\\docume~1\\admini~1.for\\mydocu~1\\accounts\\usda2\\origin~1\\set3~1\\ars45.wpf Administrator D:20050417123807- 04'00' D:20050426133037- 04'00'
VEHICLE INSPECTION CHECK LIST
VEHICLE NO.
TAG NO.
MILEAGE
INSTRUCTIONS: Retain the original in the vehicle. Mail one copy to your Servicing Personal Property Section.
Code: O = OK X = Adjustment Made R = Repairs Needed
YEAR
MAKE
MODEL
DATE
REGION
ENGINE and UNDERHOOD Code Repair Estimate
1. Radiator, Cap, Hoses, Coolant
2. Belts: Fan, Alternator, Power Steering
3. Water Pump
4. Carburetor Air Cleaner
5. Carburetor Adjustment
6. Manifold Heat Control Valve
7. Head Bolts and Manifold Bolts
8. Engine Mounting Bolts
9. Fuel Pump Pressure
10. Timing, Spark Plugs, Points
11. Compression
12. Battery: Connections, Charge, Water Level
13. Alternator and Regulator
14. Check for oil leaks
15. Oil Level, Filter, Breather Cap
16. PCV Valve
17. Windshield Washer Fluid
18. Air Conditioner, Freon Gas
19. Power Steering, Oil Level
20. Electronic Ignition System
21. EPA Exhaust Emission Test (where required)
CHASSIS
22. Front End Alignment
23. Front Wheel Bearings
24. Wheel Lug Bolts
25. Steering Tie Rods, Drag Link, Idler Arm
26. Shock Absorbers
27. Spring and Body "U" Bolts
28. Drive Shaft
29. Universal Joints
30. Differential
31. Muffler, Exhaust System
32. Tailpipe, Hangers
33. Brakes: Foot and Hand
34. Brake Cylinders, Brake Fluid Reservoir
35. Automatic Transmission 36.
37.
(Bands, Linkage, Fluids, etc.)
Repair Estimate Code
BODY
38. Headlights, Alignment
39. Taillights, Back-Up Lights, Stop Lights
40. Turn Signals, 4-Way Flashers
41. Parking, Clearance Lights
42. Glass
43. Doors, Hood and Trunk (Fit and Latches)
44. Body Bolts
45. Bumpers
46. Paint, General Appearance
47. Door Locks
48. Lock, Spare Tire (Trucks)
49. Endgate or Tailgate
50. Windshield Wipers and Washers 51.
52.
INTERIOR
53. Brake Pedal Travel
54. Parking Brake
55. Clutch Pedal (Free play of ¾ inch)
56. Mirrors
57. Horn Operation
58. Instrumentation Operation, Switches, Dashlights
59. Seat Belts, Shoulder Harness (Anchor Bolts, etc.)
60. Defroster, Heater 61.
MISCELLANEOUS
62. Tires (Condition and Pressure)
63. Winch Mechanism
64. Road Test
65. License Plates (Brackets and Bolts)
66. Jack and Lugwrench
67. Door and Dashboard Decals
68. Emergency Kit
69. Cost of Inspection (Labor)
70. Repairs Made 71.
72.
Yes No NAME AND ADDRESS (Custodian or Operator)
NAME AND ADDRESS OF FIRM MAKING INSPECTION
Form ARS-45 (9/83)
USDA-ARS
SUB-TOTAL
TOTAL REPAIR ESTIMATE
This form was electronically produced by USDA/ARS/OCIO/EASB.
73.
| 70. Repairs made. Check if Yes.: 0 |
| Check if No.: 0 |
| Enter date using format MM/DD/YYYY.: |
| Mileage.: |
| Year.: |
| Repair estimates. Line 1.: |
| Repair estimates. Line 2.: |
| Repair estimates. Line 3.: |
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| Repair estimates. Line 36.: |
| Repair estimates. Line 37.: |
| Sub-Total. : |
| Repair estimates. Line 1.: |
| Repair estimates. Line 2.: |
| Repair estimates. Line 3.: |
| Repair estimates. Line 4.: |
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| Repair estimates. Line 28.: |
| Repair estimates. Line 29.: |
| Repair estimates. Line 30.: |
| Repair estimates. Line 31.: |
| Repair estimates. Line 32.: |
| Repair estimates. Line 33.: |
| Repair estimates. Line 34.: |
| Repair estimates. Line 35.: |
| Total repair estimate. : |
| Vehicle inspection check list. Enter vehicle number.: |
| Tag number.: |
| Make.: |
| Model.: |
| Region.: |
| Engine and underhood. 1. Radiator, Cap, Hoses, Coolant. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 1.: |
| 2. Belts: Fan, Alternator, Power Steering. : |
| 3. Water pump. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 3.: |
| 4. Carburetor Air Cleaner. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 4.: |
| 5. Carburetor Adjustment. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 5.: |
| 6. Manifold Heat Control Valve. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 6.: |
| 7. Head bolts and manifold bolts. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 7.: |
| 8. Engine mounting bolts. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 8.: |
| 9. Fuel pump pressure. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 9.: |
| 10. Timing, spark plugs, points. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 10.: |
| 11. Compression. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 11.: |
| 12. Battery: Connections, charge, water level. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 12.: |
| 13. Alternator and regulator. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 13.: |
| 14. Check for oil leaks. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 14.: |
| 15. Oil level, filter, breather cap. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 15.: |
| 16. PCV Valve. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 16.: |
| 17. Windshield washer fluid. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 17.: |
| 18. Air conditioner, freon gas. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 18.: |
| 19. Power steering, oil level. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 19.: |
| 20. Electronic ignition system. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 20.: |
| 21. EPA Exhaust emission test (where required). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 21.: |
| Chassis. 22. Front end alignment. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 22.: |
| 23. Front wheel bearings. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 23.: |
| 24. Wheel lug bolts. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 24.: |
| 25. Steering tie rods, drag link, idler arm. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 25.: |
| 26. Shock absorbers. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 26.: |
| 27. Spring and body "U" bolts. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 27.: |
| 28. Drive shaft. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 28.: |
| 29. Universal joints. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 29.: |
| 30. Differential. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 30.: |
| 31. Muffler, exhaust system. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 31.: |
| 32. Tailpipe, hangers. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 32.: |
| 33. Brakes: Foot and hand. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 33.: |
| 34. Brake cylinders, brake fluid reservoir. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 34.: |
| 35. Automatic transmission (Bands, linkage, fluids, etc.). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 35.: |
| 36. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 36.: |
| 37. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 37.: |
| Body. 38. Headlights, alignment. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 1.: |
| 39. Taillights, Back-up lights, Stop lights. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 2.: |
| 40. Turn signals, 4-way flashers. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 3.: |
| 41. Parking, clearance lights. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 4.: |
| 42. Glass. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 5.: |
| 43. Doors, hood and trunk (Fit and latches). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 6.: |
| 44. Body bolts. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 7.: |
| Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 8.: |
| 46. Paint, general appearance. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 9.: |
| 47. Door locks. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 10.: |
| 48. Lock, spare tire (Trucks). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 11.: |
| 49. Endgate or tailgate. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 12.: |
| 50. Windshield wipers and washers. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 13.: |
| 51. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 14.: |
| Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 15.: |
| Interior. 53. Brake pedal travel. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 16.: |
| 54. Parking brake. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 17.: |
| 55. Clutch pedal (Free play of 3/4 inch). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 18.: |
| 56. Mirrors. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 19.: |
| 57. Horn operation. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 20.: |
| 58. Instrumentation operation, switches, dashlights. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 21.: |
| 59. Seat belts, shoulder harness (Anchor bolts, etc.). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 22.: |
| 60. Defroster, heater. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 23.: |
| 61. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 24.: |
| Miscellaneous. 62. Tires (Condition and pressure). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 25.: |
| 63. Winch mechanism. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 26.: |
| 64. Road test. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 27.: |
| 65. License plates (Brackets and bolts). Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 28.: |
| 66. Jack and lugwrench. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 29.: |
| 67. Door and dashboard decals. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 30.: |
| 68. Emergency kit. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 31.: |
| 71. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 34.: |
| 72. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 35.: |
| 72. Miscellaneous. Enter code. Check for OK, Mark X for Adjustment made, Enter R for Repairs needed. Line 35.: |
| 36. Miscellaneous. : |
| 36. Miscellaneous. : |
| 51. Miscellaneous. : |
| 52. Miscellaneous. : |
| 61. Miscellaneous. : |
| 71. Miscellaneous. : |
| 72. Miscellaneous. : |
| Name and address (Custodian or operator). Line 1.: |
| Name and address of firm making inspection. Line 1.: |
| Repair estimates. Line 35.: |
| 72. Miscellaneous. : |
File details come from the government source that posted it.