Transcription of MECHANICAL FITNESS ASSESSMENT - Alberta Motor …
1 CNHood LatchDoor Latches & HingesBumpersWindshield Wipers & WasherRear Wiper & WasherWindshieldWindowsDefrost/HeatersMi rrorsSeatsSeat Belts/AirbagsMudguardsWindow GlazingStructural IntegrityTires & WheelsCNTread DepthTread SectionSidewallsWheelsElectricalCNWiring BatterySwitchesAlternatorParking/Emergen cy BrakeHydraulic SystemVacuum SystemDrum BrakesDisc BrakesShoes/Pads Anti-Lock (if OEM equipped)SteeringCNSteering LashSteering LinkageRack & PinionPower Steering SystemKing PinBall JointsSuspensionCNLeaf springsStruts and ShocksCoil springTorsion BarIndependent/Multilink RearComputer ControlledDiagnosticCNDiagnostic Trouble CodesAcceleratorFuel SystemExhaustTransmissionFront/ rear /Spin dles AxlesClutchFluid Levels (power steering, brake)CV JointsLampsCNHead Lamp Hi BeamHead Lamp Lo BeamHead Lamp LocationDaytime Running LampsTail LampsBrake LampsTurn Signal LampsHazard Warning LampsLicence Plate LampBack-up LampsInstrumentsCNSpeedometer/OdometerIn dicator LampsHornHi Beam IndicatorThis is to certify that I have assessed the vehicle described above in accordance with the Traffic Safety Act, Vehicle Equipment Regulation (A/R 122/2009).
2 By signing this ASSESSMENT , I verify the contents of this document are true and correct. Signature of Certified Journeyman Technician: Technician Name (Print): Technician Trade Certificate Number: Date: I, the buyer of this vehicle, acknowledge receipt of this of BuyerBuyer (Print)Signature of SalespersonSalesperson (Print)DateTechnician CommentsDealer: AMVIC Licence Number:Address:VEHICLE INFORMATIONYear : Make: Model: Previous Province of Registration:Vehicle Identification Number: Odometer Reading: ( km / mi )m Truck m Motorcycle m Bus m Van m Light Truck m Auto m Motorized RVm OtherMECHANICAL FITNESS ASSESSMENTAs required by Vehicle Inspection Regulation (A/R 211/2006)This ASSESSMENT expires 120 days after the date it was 09/15/2014 CNCNP owertrain BrakesFrame & BodyPlease check mark ( ) each item as C=Complies or N=Non-Compliant.
3 If item is Not Applicable indicate as N/A in the C column
