Fillable VIN RECORD OF ONBOARD DIAGNOSTIC SCAN (Alberta Student Aid)

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VIN RECORD OF ONBOARD DIAGNOSTIC SCAN (Alberta Student Aid)

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VSSROS2012 P = PASS F = FAIL NA = Not Applicable
RECORD OF ONBOARD DIAGNOSTIC SCAN
V
ehicle Information
VIN
Make Model Year Odometer
Onboard Diagnostic Systems
Component P F NA Component P F NA
2.1a. PCM codes present. 2.4b. SRS lamp fails to illuminate.
2.1b. PCM (MIL, SES, etc) lamp fails to illuminate. 2.4c. SRS lamp remains illuminated.
2.2a. ABS codes present. 2.4d. Airbag(s) present.
2.2b. ABS lamp fails to illuminate. 2.4e. Airbag cover integrity.
2.2c. ABS lamp remains illuminated. 2.5. Electronic Stability Control (ESC).
2.3a. Brake system warning lamp fails to illuminate. 2.6. Powertrain Warning Lamps.
2.3b. Brake system warning lamp remains illuminated. 2.7. Other safety systems.
2.4a. SRS codes present.
Diagnostic Tool Used
Software Version
NOTES:
Certification
The vehicle for which this Record of Inspection is issued has PASSED FAILED the diagnostic scan and I certify it has been
inspected in accordance with the Vehicle Inspection Regulation, Alberta Regulation 211/2006 and the applicable Inspection Manual.
Date of Inspection Technician Number Facility Number Signature
P
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VIN RECORD OF ONBOARD DIAGNOSTIC SCAN (Alberta Student Aid)

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Completed 20 April 2021

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