Free Vehicle Emissions Testing Checklist Layout Template
Vehicle Emissions Testing Checklist Layout
Prepared by:
[YOUR NAME]
[YOUR COMPANY NAME]
Vehicle Information
|
Field |
Details |
|---|---|
|
Vehicle Make and Model |
|
|
Year of Manufacture |
|
|
Vehicle Identification Number (VIN) |
|
|
License Plate Number |
|
|
Odometer Reading |
Pre-Test Checks
|
Check |
Completed (Yes/No) |
Comments |
|---|---|---|
|
Engine Temperature Check |
||
|
Fuel Type Verification |
||
|
Check for Modifications |
||
|
Tire Pressure Check |
Emissions Test
|
Test Type |
Completed (Yes/No) |
Comments |
|---|---|---|
|
Tailpipe Emissions Test |
||
|
OBD (On-Board Diagnostics) Test |
||
|
Visual Inspection (if applicable) |
Test Parameters
|
Emissions Level |
Result (Pass/Fail) |
Comments |
|---|---|---|
|
Carbon Monoxide (CO) |
||
|
Hydrocarbons (HC) |
||
|
Nitrogen Oxides (NOx) |
||
|
Particulate Matter (Diesel only) |
||
|
Oxygen Content in Exhaust |
Post-Test Actions
Pass Results:
|
Action |
Completed (Yes/No) |
Comments |
|---|---|---|
|
Provide Emission Certificate |
||
|
Record Test Results |
Fail Results:
|
Action |
Completed (Yes/No) |
Comments |
|---|---|---|
|
List Components Needing Repair |
||
|
Advise Vehicle Owner on Repairs |
Retest Requirements:
|
Action |
Completed (Yes/No) |
Comments |
|---|---|---|
|
Outline Steps for Retesting |
||
|
Set Follow-Up Appointment |
Technician Notes
|
Notes |
|---|
