of0010w300018a

Questionnaire on Repair Information for ATEGO 2/AXOR 2, Customer driving trials (KFE) vehicles, Form

Type of · topic 00.10 · version 0100 · 2004-07-27

Applies to: MODEL 944 with BODY 944.890 MODEL 950, 952, 953, 954 with BODY 940.890 MODEL 970, 972, 974, 975, 976 with BODY 972.890

Where it sits

Function group 0 Overall › 00 Overall vehicle › 00.10 Complete vehicle, technical data, tests required by law — Series 940 (models 890) · Series 944 · Series 950 · Series 952 · Series 953 · Series 954 · Series 970 · Series 972 · Series 974 · Series 975 · Series 976

EinPAS 45 Data/information › 45.10 Overall vehicle › 45.10.20 Overall vehicle — Series 940 (models 890) · Series 944 · Series 950 · Series 952 · Series 953 · Series 954 · Series 970 · Series 972 · Series 974 · Series 975 · Series 976

OF00.10-W-3000-18A

Questionnaire on Repair Information for ATEGO 2/AXOR 2, Customer driving trials (KFE) vehicles, Form

MODEL 944 with BODY 944.890

MODEL 950, 952, 953, 954 with BODY 940.890

MODEL 970, 972, 974, 975, 976 with BODY 972.890

Branch/Agency - Firm no. Customer

Vehicle ident No. Repair order no.

Tester: Name Date

License plate no. Original registration date Model Engine no. Odometer reading: km/miles

1. Customer complaint

2. Classification of the technical complaint (please always make a selection)

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

Have parts been replaced?

No Yes, one Yes, more than one

No. Designation of damaged 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 7271/71-6189

7. Remarks