Worksheet Sample
| Question Sheet | |||||||
|---|---|---|---|---|---|---|---|
| Customer name | MR/MS | Registration number | Manuf. Date | ||||
| VIN | Model & Year | ||||||
| In Service Date | Engine | Mileage | km / Mile | ||||
| Symptoms | □ Vehicle does not move (□ Any position □ Particular position) | ||||||
| □ No up-shift | □ No down-shift | ||||||
| □ Lock-up malfunction | |||||||
| □ Shift point too high | □ Shift point too low | ||||||
| □ Shift shock (□ N → D □ N → R □ Lock-up □ R, D, L, Manual position) | |||||||
| □ Slip (□ N → D □ N → R □ Lock-up □ R, D, L, Manual position) | |||||||
| □ Noise | □ Vibration | ||||||
| □ No pattern select | |||||||
| □ Others () |
|||||||
| First occurrence | □ Recently (Indicate approximate month and year) | ||||||
| Frequency | □ All the time | □ Under certain conditions | □ Sometimes (times a day) | ||||
| Weather conditions | □ Not affected | ||||||
| Weather | □ Fine | □ Clouding | □ Raining | □ Snowing | □ Other () | ||
| Temp. | □ Hot | □ Warm | □ Cool | □ Cold | □ Temp. [Approx. °C (°F)] | ||
| Humidity | □ High | □ Middle | □ Low | ||||
| Transaxle conditions | □ Cold | □ During warm-up | □ After warm-up | ||||
| □ Engine speed (rpm) | |||||||
| Road conditions | □ In town | □ In suburbs | □ Freeway | □ Off road (Up / Down) | |||
| Driving conditions | □ Not affected | ||||||
| □ At starting | □ While idling | □ While engine racing | □ At racing | □ While cruising | |||
| □ While accelerating | □ While decelerating | □ While turning (Right / Left) | |||||
| □ Vehicle speed [ km/h (MPH)] | |||||||
| Other conditions | |||||||