Writer/Inspector | Writer’s name | |
Inspector’s Name | |
Vehicle information | Car accessory equipment condition | Car accessory is installed to the windshield glass. | No/Yes (Position: ) |
Other | No/Yes (Accessory’s name: ) |
Is there any modification for the following items- | Suspension- | Not changed / Changed (Specifically: ) |
Headlight- | Not changed / Changed (Specifically: ) |
Tire size- | Not changed / Changed (Specifically: ) |
Front wiper- | Not changed / Changed (Specifically: ) |
How is the condition around camera- | Is there any scratch or damage on the windshield glass- | No/Yes (Specifically: ) |
Are antennas, etc. attached on the prohibited area- | No/Yes (Specifically: ) |
Is wide mirror or accessory attached- | No/Yes (Specifically: ) |
How is the surface condition of the windshield glass- | Presence of oil film, fogging, dirt and/or glass coating | No/Yes (Specifically: ) |
How is the condition of the dashboard- | Is there anything that can be easily reflected against the windshield glass on the dashboard- | No/Yes (Specifically: ) |
How is the deterioration of the wiper- | Does any streak or uneven wiping area remain in front of the camera- | No/Yes (Specifically: ) |
How is the condition of the tire- | Is there any wear- Is there any excessive wear difference- | No/Yes (Specifically: ) |
Is the air pressure proper- | Proper/Improper (Specifically: ) |
How is the condition of the camera lens filter- | Is there finger print adhesion or cracks on the lens filter- | No/Yes (Specifically: ) |
Description of malfunction | What kind of malfunction has been detected- | Failure / temporary stop / faulty operation of adaptive cruise control / faulty operation of pre-collision brake / other faulty operations |
What kind of DTC and/or cancel code is displayed- | |
How is the meter display- | EyeSight warning light | Off/On/Blink |
Pre-collision brake OFF indicator light | Off/On |
Lane departure warning OFF indicator light | Off/On |
Multi-information display | • Halt: camera view defectiveness • Halt: camera temperature range outside • Halt |
Occurrence conditions | Occurrence date | | Occurrence location | |
Vehicle speed at occurrence | Approx. km/h (MPH) | Occurrence timing | During driving / during stopping / continues after engine has started |
Road type | Express way / limited highway / main highway / general road | Weather | Fine/cloudy/rainy/snowy/other |
Road condition  | Dry/slippery (Rainy • compacted snow • icy road) | Ambient temperature | Approx. ° C(°F) |
Road condition  | Asphalt / gravel / earth and sand / other | Position of solar radiation | Described in the detailed chart when the weather is fine. |
Road shape | Uphill / downhill / bank / roll / uneven surface | Time elapsed after engine start | Immediately after engine start / within 5 minutes after engine start / more than 5 minutes after engine start |
Wiper operation status | OFF/INT/LO/HI/AUTO | Light on status | Off / LO On / HI On |
Vehicle weight | Number of passengers: ( ), Did the vehicle carry heavy load- (No/Yes (Approx. kg)) |
Detailed chart (Refer to the example of description.)
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In case of malfunction caused by temporary stop or faulty operation, describe the details by referring to the example below so that the following conditions can be recognized. (Images taken with a digital camera, etc. are acceptable.) • Road shape (straight, curve, tunnel, number of lane, etc.) • Road grade and it’s change • Presence of white line, guardrails and/or side wall (degree of clarity) • Position of the sun • Presence and shape of preceding vehicle, oncoming vehicle, vehicle running on the next lane or pedestrian • Presence and shape of surrounding building or structure • Traveled course of own vehicle and preceding vehicle |
Basic diagnostic procedure procedure
Clear active lane keep system learning value operation