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Diagnostic Work Sheet

DESCRIPTION 

INTERVIEW SHEET SAMPLE 

Interview sheet
Customer name MR/MS Registration number   Initial year registration  
Vehicle type   VIN  
Storage date   Engine/traction motor   Mileage km (Mile)
Symptom □ Does not operate (_____) function
□ Warning lamp turns ON.
SYMBOL or SYMBOLSYMBOL or SYMBOLSYMBOLSYMBOL □ Other (_____)
□ Noise (Location:) □ Vibration (Location:)
□ Other (_____)
First occurrence □ Recently □ Other (_____)
Frequency of occurrence □ Always □ Under a certain conditions of □ Sometimes (time (s)/day)
Climate conditions   □ Irrelevant
Weather □ Fine □ Cloud □ Rain □Snow □ Others (_____)
Temperature □ Hot □Warm □ Cool □ Cold □ Temperature [Approx. °C (°F)]
Relative humidity □ High □ Moderate □ Low
Road conditions □ Ordinary road □ Highway □ Mountainous road (uphill or downhill) □ Rough road
Operating condition, etc. □ Irrelevant
□ When engine/traction motor starts □ During idling
□ During driving □ During acceleration □ At constant speed driving
□ During deceleration
□ Immediately before stop [Vehicle speed: Approx. km/h (MPH)]
□ During cornering (right curve or left curve)
□ When steering wheel is steered (to right or to left)
Other conditions VDC OFF switch operation □ Yes □ No
Use of other functions
(ex. ICC)
□ Yes □ No (_____)
Presence of non-genuine parts installation □ Yes □ No (_____)
 
Memo