Customer’s name | |
Date of purchase | |
Date of repair | |
Transmission model | Transmission | V.I.N. |
Odometer reading | km (miles) |
Frequency | Continuous Intermittent ( times/day) |
Weather | Fine Cloudy Rainy Snowy Other ( ) |
Place | Highland Suburbs Inner city Uphill Downhill Rough road Other ( ) |
Ambient air temperature | Hot Warm Cool Cold |
Vehicle speed | km/h (MPH) |
AT OIL TEMP light | Blinks continuously | Does not blink |
Select lever position | P R N D Manual mode |
Driving condition | Not affected At racing While decelerating | At starting While accelerating While turning ( RH/ LH) | While idling When cruising (Vehicle speed km/h) Immediately after starting the engine |
Manual mode | ON OFF |
Symptoms | Vehicle does not move ( Any position Particular position) |
Vehicle does not move (no load racing condition as in N range) |
Vehicle does not move (engine speed does not increase, felt as stall condition) |
Noise or vibration (Describe concretely: ) |
Shock felt at N > D selection ( seconds after shifting, when engine cold or after warm-up) |
Shock felt at N > R selection ( seconds after shifting, when engine cold or after warm-up) |
Shifting is wrong (Describe concretely: ) |
Shock or judder during driving |
Fails to accelerate. |
Engine speed increases abruptly during driving |
Shock or judder during standing start |
Select lever does not move |
Other ( ) |