Accident information from customer: |
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Workshop remarks: |
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Damage covered by comprehensive insurance: | ☐ | Damage covered by third-party liability insurance: | ☐ |
Tire tread depth: | |
Front left: _________mm | Front right: __________mm |
Rear left: ________ mm | Rear right: _________ mm |
Performed: | Initial condition: | ||
Vehicle exterior: | |||
OK | Not OK | ||
☐ | Check condition of vehicle exterior. | ☐ | ☐ |
☐ | Check condition of vehicle gap dimensions. | ☐ | ☐ |
Checklist for vehicle exterior: | |||||
Front area of vehicle | |||||
Visual inspection of detachable parts | OK | Not OK | Damage | Appraisal | |
Repair | New part | ||||
Front area | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Engine hood | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Fender | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Bumper | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Lamp units | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Windows | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Front doors | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Other detachable parts | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Checklist for vehicle exterior: | |||||
Rear area of vehicle | |||||
Visual inspection of detachable parts | OK | Not OK | Damage | Appraisal | |
Repair | New part | ||||
Fender | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Rear center section | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Liftgate | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Bumper | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Lamp units | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Windows | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Rear doors | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Other detachable parts | ☐ | ☐ | _________________________________________ | ☐ | ☐ |
Remarks on vehicle exterior: |
________________________________________________________________________________________________________________________________ |
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________________________________ |
Date and signature of mechanic |
Checklist for vehicle gap dimensions: | |||||||
Front area of vehicle | |||||||
Gap dimension inspection | Dimension | OK | Not OK | Damage | Appraisal | ||
Repair | New part | Completed | |||||
Engine hood to bumper | A | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Engine hood to fender | B | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Headlamp front to bumper | C | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Headlamp bottom to bumper | D | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Headlamp to fender | E | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Fender to bumper at front | F | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Fender to side wall (A-pillar) | G | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Front door to fender | H | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Checklist for vehicle gap dimensions: | |||||||
Rear area of vehicle | |||||||
Gap dimension inspection | Dimension | OK | Not OK | Damage | Appraisal | ||
Repair | New part | Completed | |||||
Roof spoiler to side wall | M | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Roof spoiler to roof | N | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate/trunk lid to side wall | O | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate/trunk lid to bumper at rear | P | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Outer tail lamp to side wall | Q | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Outer tail lamp to bumper at rear | R | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Outer tail lamp to liftgate | S | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Outside of taillamp to inside of taillamp | T | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate/trunk lid to inner tail lamp (top) | U | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate/trunk lid to inner tail lamp (bottom) | V | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Bumper at rear to side wall | W | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Trunk lid to rear window | X | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Remarks on vehicle gap dimensions: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
Date and signature of mechanic |
Performed: | Initial condition: | ||
Chassis: | |||
OK | Not OK | ||
☐ | Check condition of chassis components and vehicle underside. | ☐ | ☐ |
☐ | Perform wheel alignment check, if required. | ☐ | ☐ |
Checklist for chassis components: | ||||
Front area of vehicle | ||||
Suspension components visual check | OK | Not OK | Damage | New part |
Complete wheels | ☐ | ☐ | _________________________________________ | ☐ |
Front axle carrier | ☐ | ☐ | _________________________________________ | ☐ |
Steering components | ☐ | ☐ | _________________________________________ | ☐ |
Transverse control arm or wheel suspensions | ☐ | ☐ | _________________________________________ | ☐ |
Suspension struts | ☐ | ☐ | _________________________________________ | ☐ |
Stabilizer bar or torsion bar linkage | ☐ | ☐ | _________________________________________ | ☐ |
Torque struts | ☐ | ☐ | _________________________________________ | ☐ |
Spring control arm | ☐ | ☐ | _________________________________________ | ☐ |
Checklist for chassis components: | ||||
Rear area of vehicle | ||||
Suspension components visual check | OK | Not OK | Damage | New part |
Complete wheels | ☐ | ☐ | _________________________________________ | ☐ |
Rear axle carrier | ☐ | ☐ | _________________________________________ | ☐ |
Wheel suspensions | ☐ | ☐ | _________________________________________ | ☐ |
Shock absorber | ☐ | ☐ | _________________________________________ | ☐ |
Spring control arm | ☐ | ☐ | _________________________________________ | ☐ |
Axle shafts | ☐ | ☐ | _________________________________________ | ☐ |
Camber strut | ☐ | ☐ | _________________________________________ | ☐ |
Tie rods | ☐ | ☐ | _________________________________________ | ☐ |
Thrust arms | ☐ | ☐ | _________________________________________ | ☐ |
Torque struts | ☐ | ☐ | _________________________________________ | ☐ |
Stabilizer bar or torsion bar linkage | ☐ | ☐ | _________________________________________ | ☐ |
Remarks on chassis components: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
Date and signature of mechanic |
All check performed? | YES | ☐ | NO | ☐ |
Remark: _____________________________________________________________________________________________________________________ | ||||
________________________________________________________________________________________________________________________________ | ||||
________________________________ | ________________________________ | |||
Date and signature of service advisor | Date and signature of mechanic | |||