Customer/Dealer name Date Gold VIN License/Stock # Year/Make/Model Mileage In/Out / Road Test Starts, idles Check Engine light Instrument panel lights Instrument panel gauges Speedometer, odometer Tachometer Engine Shift interlock Clutch Transmission Drive axle Transfer case Steering Suspension Brake pedal Brake operation - forward stop test No start Slow to crank Hard to start cold Hard to start hot Rough idle 4X4 ABS Air bags Oil pressure belts Service 4X4 Temperature Tire pressure Traction control Other Battery out of range Coolant temp out of range Oil pressure out of range Blue smoke White smoke Vibration Stalls/hesitates Abnormal noise Vibration Abnormal noise Slips Harsh shifts Front axle noise/vibration Noise/vibration Rear axle noise/vibration Stiff steering when cold Pulls Vibration Excessive play Drifts right or left Shudder or noise during parking maneuvers Bounce Hard ride High Low Spongy Hard Intermittent drop Sinking Pulls Abnormal noise Pulsation Lock up Fade Should start cold and hot. Should idle smoothly. Check Engine light must come on then go out when starting the engine. Note any service lights on (except the Check Engine light). Readings within normal range. Accelerates and cruises smoothly. No abnormal noise, smell, or vibration. Operates smoothly and w/proper adjustment. Shifts properly, no slipping or shuddering. Check for abnormal noise/vibration. Operation, Listen for noise. Steers normal, proper response, centering, free play, alignment appears correct. Stable handling, no excessive bounce or lean. Check for appropriate pedal effort and height. Check brake operation in a forward stop. Brake operation - reverse stop test Pulls Abnormal noise Pulsation Lock up Check brake operation in a reverse stop. ABS operation Parking brake operation Cruise control Wheel balance Exhaust Exterior Lighting - Exterior Brake/warning light on ABS light on ABS light flashing Excessive travel Binding Inoperative Front Rear Excessive noise Rattle Proper operation. Pulsation OK during ABS stops. Holds and releases. Operable over 40 mph. Check for vibration at highway speeds. Check for noise or rattle. Check Headlamps Check Turn Signals Check Parking Lights Check Brake Lights Check High Mount Brake Light Check Fog / Driving Lamps Hazard Lights Check License Plate Light Check Side Marker Lights Check Reverse Lights Front - Body Panels, Glass, Lighting Assemblies Operable, properly aligned, lens free from damage, auto on/off. Hood 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Grille 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Front Bumper 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Windshield 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Roof 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Version: 09/21/10 Page 1
Left Front Side - Body Panels, Glass, Lighting Assemblies Headlamp 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Fog Light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Corner Light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Fender 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Handle 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Glass 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Side Mirror 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Trim 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Rocker Panel 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Left Rear Side - Body Panels, Glass, Lighting Assemblies Door 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Handle 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Glass 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Quarter Panel 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Tail light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Rear - Body Panels, Glass, Lighting Assemblies Trunk / Tailgate 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Rear Bumper 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Windshield 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Right Rear Side - Body Panels, Glass, Lighting Assemblies Tail light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Quarter Panel 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Handle 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Glass 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Fuel Door 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Right Front Side - Body Panels, Glass, Lighting Assemblies Door 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Handle 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Door Glass 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Side Mirror 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Trim 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Version: 09/21/10 Page 2
Fade/Color Rocker Panel 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Fender 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Headlamp 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Fog Light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Corner Light 0 1 2 3 4 Scratch/Chip Dent/Ding Rust/Corrosion Peel/Bubble Fade/Color Drivers - Interior Door Panel Tilt / Telescopic Steering Column Lock Steering Wheel Controls Instrument Panel Warning Lights Courtesy Lights Vanity Mirror & Light Moon Roof / Power Top Warning Chimes Mirror Controls Lighter / Power Outlet Clock Ashtrays Center Console Adjustable Pedals Horn Trunk Release Belts Air Bag Radio AM/ FM Cassette / CD. Video Antenna Speakers L Front Speakers R Front Speakers L Rear Speakers R Rear Heated Motor Check Heating System Check AC System Blower Speeds Blower Defrost Blower Center Blower Lower Vent Controls Windshield Defogger Rear Window Defrost Hood Release Passenger - Interior Faded Burned Stained Worn Ripped/Torn Faded Burned Stained Worn Ripped/Torn Damaged Damaged Damaged Damaged 4X4 ABS Air bags Oil pressure belts Service 4X4 Temperature Tire pressure Traction control Other Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Missing SRS Light On Damaged Damaged Damaged Blown Blown Blown Blown Damaged Damaged Faded Burned Stained Worn Ripped/Torn Faded Cut Burned Stained Worn Ripped/Torn Missing Damaged Damaged Damaged Damaged Damaged Damaged Damaged Damaged Note any service lights on (except the Check Engine light). Operable, proper tone. Intact. Dash light indicates operable. No codes. Air feels hot. Operable at all speeds. All vents operable. All vents operable. All vents operable. Version: 09/21/10 Page 3
Faded Burned Stained Worn Ripped/Torn Door Panel Faded Burned Stained Worn Ripped/Torn Glove Box Damaged Vanity Mirror & Light Damaged Sun Visor Damaged Belts Damaged Damaged Air Bag Damaged Missing SRS Light On Damaged Damaged Heated Damaged Motor Damaged Faded Burned Stained Worn Ripped/Torn Faded Cut Burned Stained Worn Ripped/Torn Missing R Rear Passengers - Interior Intact. Dash light indicates operable. No codes. Faded Burned Stained Worn Ripped/Torn Door Panels Faded Burned Stained Worn Ripped/Torn Belts Damaged Damaged Damaged Damaged Fold Down Latch Damaged Arm Rest Faded Burned Stained Worn Ripped/Torn Faded Burned Stained Worn Ripped/Torn Faded Cut Burned Stained Worn Ripped/Torn Missing Ashtrays Damaged Luggage Compartment - Interior Trunk Operation / Latch / Key Trunk interior Water damage Inside emergency release Jack & Kit (Lug Wrench) Damaged Spare Tire Damaged Wheel Lock Damaged Trunk Light Damaged Truck Latch Damaged L Rear Passengers - Interior Condition of carpet, cargo net, trim, etc. Available and operable. Not rusted or corroded. Correct size & type. At least 50% tread remaining, air pressure matches OE requirements, properly mounted. If a wheel lock key is required for the vehicle, then it must be present. Door Panels Belts Fold Down Latch Arm Rest Ashtray Fluids - Underhood Faded Burned Stained Worn Ripped/Torn Faded Burned Stained Worn Ripped/Torn Damaged Damaged Damaged Damaged Damaged Faded Burned Stained Worn Ripped/Torn Faded Burned Stained Worn Ripped/Torn Faded Cut Burned Stained Worn Ripped/Torn Missing Damaged Version: 09/21/10 Page 4
Check Engine Oil Check Coolant Level Check Brake Fluid Check Transmission Fluid Check Power Steering Fluid Check Clutch Fluid Check Washer Fluid Check Differential Fluid Transmission Type Sealed Transmission Transmission Fluid Sample Engine Oil Sample Belts And Hoses - Underhood Low Leaking Low Leaking Low Leaking Visible contamination Low Leaking Low Leaking Low Leaking Front needs fluid Rear needs fluid Front leaking Rear leaking Low Leaking Manual Automatic Yes No Check condition and level. Adjust or change as required. Check condition and level. Check for evidence of contamination. Check condition and level. Adjust or change as required. Check condition and level. Adjust or change as required. Check Drive Belts Check Belt Tensioner Check Pulleys Check Radiator Hoses Check Heater Hoses Check Bypass Hose Check PCV Hose Check Vacuum Hoses Battery - Underhood Missing Frayed Cracked Noise Missing Damaged Noise Missing Damaged Leaking Leaking Leaking Missing Damaged Missing Damaged Leaking Misrouted Check & Test Battery Check Terminal Ends Check Battery Cables Fuel System - Underhood Leaking Corrosion Corrosion Damaged Corrosion Damaged Fuel Pump Fuel Filter Cooling System - Underhood Damaged Leaking Corrosion Radiator Radiator Cap Water Pump Thermostat Housing Coolant Recovery Tank Coolant Fan Components - Underhood Leaking Corrosion Damaged Leaking Missing Leaking Noisy Leaking Damaged Missing Leaking Damaged Check for leaks and unusual noise. Check for leaks. Make sure level sensor is connected. Check Secondary Hood Latch Check Hood Supports Check Air Filter Check Ignition Wires Check Power Steering Pump Check Engine Mounts - Upper Transmission mounts - upper Brakes - Wheels Off Missing Bent Inoperative Damaged Missing Restricted Damaged Worn Misrouted Leaking Noisy Leaking Broken Cracked Missing Leaking Broken Cracked Missing Check for leaks, breaks, separations. Check for leaks, breaks, separations. Brake Linings L Front 32nds Brake Linings R Front 32nds Brake Linings L Rear 32nds Brake Linings R Rear 32nds Brake Type Rear Disc Rear Drum Rotor or Drum Linings L Front in. or mm Warped / Pulsation Corrosion Version: 09/21/10 Page 5
Rotor or Drum Linings R Front Rotor or Drum Linings L Rear Rotor or Drum Linings R Rear Calipers & Wheel Cylinders L Front in. or mm Warped / Pulsation Corrosion in. or mm Warped / Pulsation Corrosion in. or mm Warped / Pulsation Corrosion Leaking Calipers & Wheel Cylinders R Front Leaking Calipers & Wheel Cylinders L Rear Leaking Calipers & Wheel Cylinders R Rear Leaking Check Brake Hoses Check Master Cylinder Check Brake Hardware Check Parking Brake Check Power Booster Check ABS Operation Tires - Wheels Off Leaking Leaking Missing Damaged Corrosion Excessive Travel Binding Inoperative ABS Light On ABS Light Flashing Check for leaks, damage, corrosion. Check and Correct Tire Pressure Tire Tread Depth L Front Depth 32nds Damaged Abnormal Wear Tire Tread Depth R Front Depth 32nds Damaged Abnormal Wear Tire Tread Depth L Rear Depth 32nds Damaged Abnormal Wear Tire Tread Depth R Rear Depth 32nds Damaged Abnormal Wear Suspension & Steering - Under Vehicle Control Arms & Bushings L Front Upper Control Arms & Bushings R Front Upper Control Arms & Bushings L Front Lower Control Arms & Bushings R Front Lower Ball Joints L Front Upper Ball Joints R Front Upper Ball Joints L Front Lower Ball Joints R Front Lower Tie Rod Ends L Front Inner Tie Rod Ends R Front Inner Tie Rod Ends L Front Outer Tie Rod Ends R Front Outer Struts / Shocks L Front Struts / Shocks R Front Struts / Shocks L Rear Struts / Shocks R Rear Springs L Front Springs R Front Springs L Rear Springs R Rear CV Axles L Front CV Axles R Front CV Axles L Rear CV Axles R Rear Check Pitman Arm Check Sway Bar Links Check Idler Arm Check Engine Mounts - Lower Rack & Pinion Check Frame Exhaust - Under Vehicle Damaged Worn Damaged Worn Damaged Worn Damaged Worn Damaged Worn Noise Damaged Worn Noise Damaged Worn Noise Damaged Worn Noise Damaged Worn Damaged Worn Damaged Worn Damaged Worn Leaking Damaged Worn Noise Leaking Damaged Worn Noise Leaking Damaged Worn Noise Leaking Damaged Worn Noise Damaged Worn Damaged Worn Damaged Worn Damaged Worn Torn Noise Vibration Torn Noise Vibration Torn Noise Vibration Torn Noise Vibration Missing Damaged Worn Missing Damaged Worn Missing Damaged Worn Missing Damaged Worn Leaking Damaged Bent Exhaust Manifold Leaking Warped Cracked Version: 09/21/10 Page 6
Catalytic Converter Muffler / Resonator Gasket / Flanges Hangers & Clamps Accessory Tips Heat Shield Tail pipes Studs / Bolts Heat Risers Oxygen sensors Transmission - Under Vehicle Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion Missing Leaking Damaged Corrosion LF LR RF RR Note location. Note location. Note location. Note location. Clutch Transmission Check Transmission Mounts Transfer Case Noise Vibration Noise Slips Harsh Shifts Leaks Missing Damaged Worn Noise Vibration Operates smoothly and w/proper adjustment. Shifts properly, no slipping or shuddering. Check for leaks, breaks, separations. Operation, Listen for noise. Repair Estimate Total Technician Comments Customer signature Technician Initials Printed name Service Manager Initials Version: 09/21/10 Page 7