Worksheet Sample
WARNING: This page is about a different car, the 2016 Infiniti QX60. However, it is still accessible from the selected car via links, so may be relevant.
| 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/mile | |
| Symptom | □ Vehicle does not start. (□ R position □ D position □ L 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, and L position) | |||||
| □ Slip (□ N→D□ Lock-up □ R, D, and L position) | |||||
| □ Noise□ Vibration | |||||
| When selector lever position is shifted, shift pattern does not change. | |||||
| □ Other () |
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| 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/°F) | ||||
| Relative humidity | □ High□ Moderate□ Low | ||||
| Transaxle condition | □ In cold-start □ During warm-up (approx. °C/°F)□ After warm-up □Engine speed: RPM |
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| Road conditions | □ Urban area□ Suburb area□ Highway □ Mountainous road (uphill or downhill) |
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| 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) |
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| Other conditions | |||||