FixVault

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 for (_____) turns ON.
□ Noise □ Vibration
□ 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 □ Urban area □ Suburb area □ Highway□ Mountainous road (uphill or downhill) □ Rough road
Operating condition, etc. □ Irrelevant □ When traction motor starts □ During idling □ During driving □ During acceleration □ At constant speed driving □ During deceleration □ During cornering (right curve or left curve) □ When steering wheel is steered (to right or to left)
Other conditions  
Vehicle equipment
Memo