William J. Hughes Technical Center
Motor Vehicle Program Office
SUV INSPECTION FORM
VEHICLE DESCRIPTION
DATE/TIME OF INSPECTION
Make:
Date:
Tag No.:
Odometer Reading:
Location:
Time:
Org.:
Inspector:
VEHICLE WALK-AROUND
Head Lights
Tail Lights
Signal Lights
Dashboard Warning Lights On
Wiper Blades
☐ Working
☐ Working
☐ Working
☐ Yes
☐ Working
☐ Not Working
☐ Not Working
☐ Not Working
☐ No
☐ Not Working
Driver’s Front Tire
Driver’s Rear Tire
Passenger Front Tire
Passengers Rear Tire
Good Condition
Good Condition
Good Condition
Good Condition
☐ Yes
☐ Yes
☐ Yes
☐ Yes
☐ No
☐ No
☐ No
☐ No
Interior - Needs Vacuum
Exterior - Needs Wash
Snow Brush in Vehicle
☐ Yes
☐ Yes
☐ Yes
☐ No
☐ No
☐ No
DESCRIBE PROBLEMS/WARNING INDICATORS: (REPORT ACCIDENTS)
NG Form 4670-7S (02/17)
Electronic (Adobe)