Vehicle Safety Inspection Report
No.VS-2026-0714-001
1. General Information
| Inspection date | 7/14/2026 | Address | 456 Oak Avenue, Denver, CO 80202 |
| Basis for inspection | Annual safety inspection for registration renewal |
2. Object of Inspection
| Object type | not filled in | Object name | 2021 Honda Civic LX |
| Technical condition | not filled in | Odometer Reading, mi | 45000 |
| Release date | 6/10/2021 | Start of operation | 7/1/2021 |
3. Main Parameters
| VIN | 2HGFC2F67MH123456 | Make | Honda |
| Model | Civic LX | Year | 2021 |
| License Plate | XYZ 5678 | Odometer Reading | 45000 |
4. Inspection Conditions
5. Defects
| No. | Damage description | Photos |
|---|---|---|
| 1 | - 2 | not filled in |
6. Additional Information
| Identification was carried out | VIN and license plate verified |
| There are remarks | Vehicle passed all safety checks except minor brake pad wear noted. |
7. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Emily Davis | Inspector | Lead inspector |
| 2 | Michael Brown | Vehicle Owner | Owner present during inspection |