REQUEST AN APPOINTMENT
TYPE OF SERVICEREPAIR
CAR YEAR19001901190219031904190519061907190819091910191119121913191419151916191719181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018
TIME08:0009:0010:0011:0012:0013:0014:0015:0016:0017:00
SUBMIT
Client Name
Vehicle Make/Model
Year
VIN / Chassis No.
Mileage
Location
Date
Technician
Client authorisation received Vehicle insured (client confirmation) Safe working environment Adequate lighting & ventilation Vehicle cold prior to start (if applicable)
Visible fluid leaks under vehicle Bodywork damage observed Under-bonnet visual condition Belts & hoses (visible condition only) Signs of rodent activity / corrosion
Notes
Engine oil level OKLOWHIGH
Coolant level OKLOW
Brake fluid level OKLOW
Power steering fluid OKLOWN/A
Transmission fluid OKN/A
Battery voltage check Battery terminals clean & secure Signs of battery leakage or swelling Battery charger connected (if applicable) Electrical warning indicators present
Battery Status HealthyWeakAttention Required
Front Left: Pressure
Front Left Status OKAdjusted
Front Right: Pressure
Front Right Status OKAdjusted
Rear Left: Pressure
Rear Left Status OKAdjusted
Rear Right: Pressure
Rear Right Status OKAdjusted
Tyre age visible (DOT) Cracking / sidewall damage Flat spotting evident Wheel damage observed
Safe to start vehicle Cold start performed Engine cranks normally Stable idle Abnormal noises present Smoke observed from exhaust
Dashboard Warning Lights NoneCheck EngineOilBatteryOther
Other Warning Light
Steering feel (static) Brake pedal feel (static) Gear engagement (P–R–N–D / clutch operation) Handbrake / parking brake operation
Complete ONLY if authorised by client and deemed safe
Test Drive Authorisation YesNo
Distance / Duration
Smooth pull-away Clutch engagement normal (manual) Transmission engagement smooth No hesitation or stalling
Engine response normal No misfire or hesitation Abnormal vibrations Drivetrain noises under load
Automatic shifts smooth Manual gear engagement normal No slipping or jerking No warning lights triggered
Steering alignment feel Steering wheel vibration Suspension noises over bumps Vehicle tracks straight
Brake pedal feel normal Vehicle stops straight No vibration under braking No abnormal brake noise
Engine temperature normal No new warning lights Oil pressure normal (if visible)
Test Drive Notes
Fluid leaks post-drive Abnormal smells Cooling fan operation Warning lights re-checked
Overall Vehicle Status HealthyAttention RecommendedImmediate Workshop Attention Advised
Key Observations
Recommended Action Continue monitoringSchedule workshop inspectionTransport to workshop advised
I confirm the above checks were carried out in accordance with The Collectors Workshop Concierge Service procedures and are inspection only.
Technician Signature / Name
