of0010w300015a

Questionnaire on Repair Information for ACTROS MP II, customer driving trial vehicles, form

Type of · topic 00.10 · version 0101 · 2006-01-24

Applies to: MODEL 930, 932, 933, 934

Where it sits

Function group 0 Overall › 00 Overall vehicle › 00.10 Complete vehicle, technical data, tests required by law — Series 930 · Series 932 · Series 933 · Series 934

EinPAS 45 Data/information › 45.10 Overall vehicle › 45.10.20 Overall vehicle — Series 930 · Series 932 · Series 933 · Series 934

OF00.10-W-3000-15A

Questionnaire on Repair Information for ACTROS MP II, customer driving trial vehicles, form

MODEL 930, 932, 933, 934

Branch/Agency company No. Customer

Vehicle ident No. Repair order No.

Inspector: Name/ Tel. Date

License plate No. Original registration date MODEL Engine no. odometer reading: km/miles

1. Customer complaint

2. Classification of the technical complaint (please check as applies)

Class 1: Safety-critical

Class 2: Break-down

Class 3: Limp-home mode

Class 4: Slight function reduction

3. Damage code

4. Workshop findings/cause

5. Remedy

6 Complaints regarding electronic systems

Were any parts replaced?

NO yes, one yes, more than one

No. Designation of defective part Part number

6.1

6.2

6.3

6.4

6.5

Please send a printout of the initial quick test log from STAR DIAGNOSIS as well as the filled out questionnaire to:

GSP/SC-60 (Wörth plant): fax no. +49 (0) 07271/71-6189

7 Remarks