Worksheet Sample
| Question Sheet | |||||||
|---|---|---|---|---|---|---|---|
| Customer name MR/MS |
Motor No. | Inverter No. | |||||
| Model & Year | Incident Date | ||||||
| VIN | Trans. | ||||||
| In Service Date | Mileage | km/mile | |||||
| Symptoms | □ Does not start | □ Hybrid system warning lamp is on | □ Does not to READY | ||||
| □ Water leak * | □ Noise * | □ Vibration * | □ Shock * | □ Gear noise * | |||
| □ Non driving * | □ Poor acceleration * | □ Poor torque * | □ Radio noise * | ||||
| □ Other * | * : If applied, enter in detail | ||||||
| Detailed symptom | |||||||
| Onomatopoeia | |||||||
| Frequency | □ All the time | □ Once | □ Sometimes (times a day) | □ Other | |||
| Weather conditions | □ Not affected | ||||||
| Weather | □ Fine | □ Clouding | □ Raining | □ Snowing | □ Other () | ||
| Temp. | □ Hot | □ Warm | □ Cool | □ Cold | □ Temp. (Approx.°C/°F) | ||
| Humidity | □ High | □ Middle | □ Low | □ Humidity (Approx.%) | |||
| Road conditions | □ Not affected | □ In town | □ Freeway | □ Off road (Up / Down) | □ Deplorable road | ||
| □ Flat road | □ While turning (Right / Left) | □ Bump | |||||
| □ Other | |||||||
| Shift position | □ Not affected | ||||||
| □ P position | □ R position | □ N position | □ D position | □ M mode | |||
| Gear position | □ 1st | □ 2nd | □ 3rd | □ 4th | □ 5th | ||
| □ 6th | □ 7th | □ All gear | |||||
| □ Shift up () → () | □ Shift down () → () | ||||||
| Shift speed | □ Slowly | □ Usually | □ Speedy | □ Other | |||
| Driving conditions | □ Not affected | ||||||
| □ Drive by engine | □ Drive by motor | □ Idling | |||||
| □ Ignition switch ON → OFF | □ Ignition switch OFF → ON | □ READY (stop the vehicle) | |||||
| □ While cruising | □ While decelerating | □ Just before stopping | □ Just after stopping | □ D position (stop the vehicle) | |||
| □ Other | □ Engine speed (RPM) | ||||||
| □ Vehicle speed [km/h (MPH)] | □ Accelerator pedal (/ 8) | ||||||
| Moments when malfunction disappears | □ Disappears while driving | □ Disappears when stopped | □ Disappears with select operation | ||||
| □ Disappears when ignition switch is OFF | □ Does not disappear | ||||||
| □ Other | |||||||
| Other | |||||||