FixVault

Worksheet Sample

Question sheet
Customer's name MR/MS Registration number   Initial year registration YearMonth
day
Vehicle type   Chassis No.  
Storage date YearMonth
day
Engine   Mileage km
Symptom □ Vehicle does not start. (□ R position □ D position □ L position □ M position)
□ Upshifting does not occur. □ Downshifting does not occur.
□ Lock-up malfunction
□ Shift point is too high. □ Shift point is too low.
□ Shift shock (□ N→D□ Lock-up □ R, D, L and M position)
□ Slip (□ N→D□ Lock-up □ R, D, L and M position)
□ Noise□ Vibration
When selector lever position is shifted, shift pattern does not change.
□ Other
()
First occurrence □ Recently (as from month of year)
Frequency of occurrence □ Always □ Under certain conditions □ Sometimes (time (s)/day)
Climate conditions   Irrelevant
  Weather □ Clear□ Cloud□ Rain□ Snow□ Others)
  Temperature □ Hot□ Warm□ Cool□ Cold□ Temperature (Approx.°C)
  Relative humidity □ High□ Moderate□ Low
Transaxle condition □ In cold-start □ During warm-up (approx. °C)□ After warm-up
□Engine speed: RPM
Road conditions □ Urban area□ Suburb area□ Highway
□ Mountainous road (uphill or downhill)
Operating condition, etc. Irrelevant
□ When engine starts□ During idling
□ During driving□ During acceleration
□ At constant speed driving□ During deceleration
□ During cornering (RH curve or LH curve)
Other conditions