Customer Name

Inspector’s Name

Date Vehicle Brought in

/            /

Registration No.

Odometer Reading

km

miles

V.I.N.

Date Problem Occurred

/            /

Registration Year

/            /

Weather

Fine

Cloudy

Rainy

Snowy

Others:

Temperature

°C ( °F)

Road Condition

Flat road

Uphill

Downhill

Gravel road

Others:

Vehicle Operation

Starting

Idling

Driving

Details of Problem

Airbag Warning Light Operation

Normal (After turning the ignition switch to ON, lit for approximately 6 seconds and goes off.)

Remains ON

Remains OFF

DTC Output

OK code

DTC: (Code: )