________________________________________________________________________________________________________________________________ | ||
Company-owned sales and service outlet/Dealer no. | Customer | |
__________________________________________________________ | ||
Vehicle identification number | Repair order no. | |
__________________________________________________________ | ||
Tester: Name | Date | |
________________________________________________________________________________________________________________________________ | ||
License plate number Initial registration Model | Engine no. | Odometer reading: km/miles |
Accident information from customer: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
Workshop remarks: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
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: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
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 fender | A | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Engine hood to bumper | B | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Protrusion of radiator trim/soft nose, engine hood | B1 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Bumper to fender | C | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Fender to headlamp | D | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Bumper to headlamp at bottom | E1 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Bumper to headlamp, side | E2 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
E3 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ | |
Engine hood to headlamp | F | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Front door to fender | G | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Checklist for vehicle gap dimensions: | |||||||
Rear area of vehicle | |||||||
Gap dimension inspection | Dimension | OK | Not OK | Damage | Appraisal | ||
Repair | New part | Completed | |||||
Front door to rear door | H | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Rear door to side wall | I | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Side wall to bumper at rear | J | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Sidewall to liftgate | K | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Side wall to outer tail lamp | L | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Outer tail lamp to bumper at rear | M | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate to rear bumper | N1 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
N2 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ | |
Liftgate to inner tail lamp | O1 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
O2 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ | |
Outside of taillamp to inside of taillamp | P | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Liftgate to rear window | Q | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Rear window to rear spoiler | R1 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Rear window to side spoiler | R2 | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Rear spoiler to roof | S | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Side spoiler to rear side window | T | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
Fuel filler flap | U | ☐ | ☐ | ______________________ | ☐ | ☐ | ☐ |
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 and wheel suspension | ☐ | ☐ | _________________________________________ | ☐ |
Suspension strut | ☐ | ☐ | _________________________________________ | ☐ |
Axle shaft (with code M005 (4MATIC)) | ☐ | ☐ | _________________________________________ | ☐ |
Stabilizer bar or torsion bar linkage | ☐ | ☐ | _________________________________________ | ☐ |
Strut rod | ☐ | ☐ | _________________________________________ | ☐ |
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 suspension | ☐ | ☐ | _________________________________________ | ☐ |
Shock absorber | ☐ | ☐ | _________________________________________ | ☐ |
Spring control arm | ☐ | ☐ | _________________________________________ | ☐ |
Axle shaft | ☐ | ☐ | _________________________________________ | ☐ |
Camber strut | ☐ | ☐ | _________________________________________ | ☐ |
Tie rod | ☐ | ☐ | _________________________________________ | ☐ |
Thrust arm | ☐ | ☐ | _________________________________________ | ☐ |
Strut rod | ☐ | ☐ | _________________________________________ | ☐ |
Stabilizer bar or torsion bar linkage | ☐ | ☐ | _________________________________________ | ☐ |
Remarks on chassis components: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
Date and signature of mechanic |
Performed: | Initial condition: | ||
Visual inspection of structural components: | |||
OK | Not OK | ||
☐ | Perform visual check on structural components. | ☐ | ☐ |
Note: Before the structural components are inspected, the corresponding detachable parts must be removed. | |||
If cracks, folds or deformation are present, always replace the corresponding structural component. The required min. strength of the structural components can otherwise not be guaranteed. | |||
Checklist for structural components: | |||||
Front area of vehicle | |||||
Visual inspection of structural components | OK | Not OK | Damage | Appraisal | |
New part | |||||
Suspension strut tower | Left | ☐ | ☐ | _______________________________________ | ☐ |
Right | ☐ | ☐ | _______________________________________ | ☐ | |
Checklist for structural components: | |||||
Rear area of vehicle | |||||
Visual inspection of structural components | OK | Not OK | Damage | Appraisal | |
New part | |||||
Rear longitudinal member | Left | ☐ | ☐ | _______________________________________ | ☐ |
Right | ☐ | ☐ | _______________________________________ | ☐ | |
Damper strut dome | Left | ☐ | ☐ | _______________________________________ | ☐ |
Right | ☐ | ☐ | _______________________________________ | ☐ | |
Remarks on structural components: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
Date and signature of mechanic |
Performed: | Initial condition: | ||
Measurement of structural components: | |||
OK | Not OK | ||
☐ | Carry out measurements on the structural components. | ☐ | ☐ |
Note: Measurement of structural components only in combination with approved electronic measuring systems. | |||
Note: Before measuring the structural components, the corresponding detachable parts must be removed and the screws of the front crossmember and the front axle carrier at the front must be released. | |||
If cracks, folds or deformation are present, always replace the corresponding structural component. The required min. strength of the structural components can otherwise not be guaranteed. | |||
Checklist for structural components: | |||||||
Front area of vehicle | |||||||
Structural component measurement | Actual value (deviation) in | Appraisal | |||||
"X" | "Y" | "Z" | OK | New part | |||
Suspension strut tower: | |||||||
Measuring point 4 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Checklist for structural components: | |||||||
Rear area of vehicle | |||||||
Structural component measurement | Actual value (deviation) in | Appraisal | |||||
"X" | "Y" | "Z" | OK | New part | |||
Rear longitudinal member: | |||||||
Measuring point 5 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Measuring point 6 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Measuring point 7 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Shock-absorber strut tower: | |||||||
Measuring point 8 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Measuring point 9 | Left | ____ | ____ | ____ | ☐ | ☐ | |
Right | ____ | ____ | ____ | ☐ | ☐ | ||
Remarks on structural components: |
________________________________________________________________________________________________________________________________ |
________________________________________________________________________________________________________________________________ |
________________________________ |
Date and signature of mechanic |
All check performed? | YES | ☐ | NO | ☐ |
Remark: _____________________________________________________________________________________________________________________ | ||||
________________________________________________________________________________________________________________________________ | ||||
________________________________ | ________________________________ | |||
Date and signature of service advisor | Date and signature of mechanic | |||