OF00.00-N-3000-15A | Technical Product Report, form |
MODEL 374, 375, 414, 638, 639, 668, 669, 670, 901, 902, 903, 904, 905, 930, 932, 933, 934, 940, 942, 943, 944, 950, 952, 953, 954, 957, 958, 970, 972, 974, 975, 976
Technical Product Report
Group
Report prepared by
Country
Report no..
Model
Vehicle identification number
Engine no.
Major assembly no.
First registration
Odometer reading
km/miles
Customer
Service work carried out
Yes
no
Erratic
Non-MB workshops
by vehicle owner
MB agency
Type of complaint
Brief description of vehicle(s)
Special versions
Condition of vehicle (s)
Total circulation of the model,
Number of other vehicles with the same complaint
Vehicle ident. number of the vehicle(s)
Body and make
Operating conditions
City traffic
Local traffic
Long-distance traffic
WITH
without trailer
Line operation/Intercity
Off-road traffic
Dumping traffic
Engine operation when stationary
Respective km-reading
Enclosures
Signatures
Date
Taken to dispatch
Date
Mode of shipment
Receiver
Parts complained about, oil/fuel sample
Road conditions, off-road conditions, climate conditions
Road surface
Gradients
Miscellaneous
%
Length
m
Height above NN
Air conditioning
m
Type of loading
Oil consumption sheet
Speedo disk
Brake diagram
Weighbridge ticket
Miscellaneous
Overload
if detectable
Yes
no
How high?
kg
% of permissible gross vehicle weight
FA-load
RA-load
kg
Gross weight
kg
kg
Notes for follow-up and/or improvement proposals
Overall situation, vehicle suitability for given use (evaluation including customer Kunden opinion)
Type of competition and behavior under the same conditions of use (evaluation including customer opinion)
Detailed information on complaint: Specify part or major assembly no., enclose photographs and sketches.
Use a separate sheet for special explanations.
Findings and cause
Remedy: