Mission #/Activity name \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<table>
<colgroup>
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<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="12"><strong>VEHICLE INSPECTION WORKSHEET</strong></td>
</tr>
<tr class="even">
<td colspan="2">WING:</td>
<td colspan="3">Date:</td>
<td colspan="7"><h3 id="odometer-reading">Odometer Reading:</h3></td>
</tr>
<tr class="odd">
<td colspan="2">Vehicle ID:</td>
<td colspan="3">Make:</td>
<td colspan="4">Model:</td>
<td colspan="3"><h3 id="year">Year:</h3></td>
</tr>
<tr class="even">
<td>1.</td>
<td colspan="3">Vehicle Documents</td>
<td>Y</td>
<td>N</td>
<td colspan="6">Comments</td>
</tr>
<tr class="odd">
<td>a.</td>
<td colspan="3"><blockquote>
<p>Registration [CAPR 77-1 para 4]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>b.</td>
<td colspan="3"><blockquote>
<p>Proof of Insurance [IAW State rules]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>2.</td>
<td colspan="3">Vehicle Interior</td>
<td>Y</td>
<td>N</td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>a.</td>
<td colspan="3"><blockquote>
<p>Vehicle interior’s condition</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>b.</td>
<td colspan="3"><blockquote>
<p>First aid kit [CAPR 77-1 para 8j]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>c.</td>
<td colspan="3"><blockquote>
<p>Fire extinguisher [CAPR 77-1 para 8j]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>d.</td>
<td colspan="3"><blockquote>
<p>Instruments [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>e.</td>
<td colspan="3"><blockquote>
<p>Horn [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>f.</td>
<td colspan="3"><blockquote>
<p>Radio mounts [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>g.</td>
<td colspan="3"><blockquote>
<p>Inspection stickers [IAW State laws]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>h.</td>
<td colspan="3"><blockquote>
<p>Windows (operation &amp; condition)</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>i.</td>
<td colspan="3"><blockquote>
<p>Windshield washer operation</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>j.</td>
<td colspan="3"><blockquote>
<p>Windshield wiper operation [para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>k.</td>
<td colspan="3"><blockquote>
<p>Seat belts and safety devices [para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>3.</td>
<td colspan="3">Vehicle Exterior</td>
<td>Y</td>
<td>N</td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>a.</td>
<td colspan="3"><blockquote>
<p>Windshield wiper condition [para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>b.</td>
<td colspan="3"><blockquote>
<p>Emergency flashers [para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>c.</td>
<td colspan="3"><blockquote>
<p>Lights [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>d.</td>
<td colspan="3"><blockquote>
<p>Back-up alarm [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>e.</td>
<td colspan="3"><blockquote>
<p>Mirrors [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>f.</td>
<td colspan="3"><blockquote>
<p>Exhaust system [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>g.</td>
<td colspan="3"><blockquote>
<p>Leaks [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td rowspan="6">h.</td>
<td colspan="3"><blockquote>
<p>Tires [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td>LF</td>
<td>RF</td>
<td>LR</td>
<td colspan="2">RR</td>
<td>Spare</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><blockquote>
<p>Mfr’s recommended pressure</p>
</blockquote></td>
<td colspan="2" rowspan="2">[CAPR 77-1 para 9a(5)]</td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"><blockquote>
<p>Actual pressure found</p>
</blockquote></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="2"><blockquote>
<p>Recommended tire load range</p>
</blockquote></td>
<td colspan="2" rowspan="2">[CAPR 77-1 para 8c]</td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2"><blockquote>
<p>Actual tire load range found</p>
</blockquote></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="4"><blockquote>
<p>General condition</p>
</blockquote></td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>i.</td>
<td colspan="3">General condition/damage</td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>j.</td>
<td colspan="3">Markings, decals, numbers [77-1 para 10]</td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>4.</td>
<td colspan="3">Engine Compartment</td>
<td>Y</td>
<td>N</td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>a.</td>
<td colspan="3"><blockquote>
<p>Fluid levels [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>b.</td>
<td colspan="3"><blockquote>
<p>Battery condition</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>c.</td>
<td colspan="3"><blockquote>
<p>Drive belts [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>d.</td>
<td colspan="3"><blockquote>
<p>Hoses [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>e.</td>
<td colspan="3"><blockquote>
<p>Leaks [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>5.</td>
<td colspan="3">Driving Vehicle</td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td>a.</td>
<td colspan="3"><blockquote>
<p>Steering [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
<tr class="odd">
<td>b.</td>
<td colspan="3"><blockquote>
<p>Brakes [CAPR 77-1 para 8a]</p>
</blockquote></td>
<td></td>
<td></td>
<td colspan="6"></td>
</tr>
</tbody>
</table>

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Odometer Reading last oil change \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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