Subaru BASE - Page 63

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GENERAL

1a. Date of Service: 1b. Reoccurring problem: YES NO

2a. Original Date of Service (if applicable): 2b. Total number of visits:

Vehicle Details

4a. Vehicle Model: 4b.Year: 4c. Mileage: 4d. VIN:

A. Customer Interview Details

Condition Description

7. Condition Description Summary (per customer) please supply video or photo, if possible:

8. Last 5 actions performed

before symptom occurred

(List 1 to 5 in order)

Step 1:

Step 2:

Step 3:

Step 4:

Step 5:

9. Incident Date and Time: Cabin temperature:

10. Can duplicate Customer’s Complaint (please supply video or photo, if possible): YES NO

Condition when issue observed: Driving Mode (indicate where applies)

11. PARKED: Accessory On: YES NO Ignition On: YES NO

DRIVING: YES NO

12a. Error Message displayed: YES NO 12b. If YES, what is the content?

13a. Any Genuine Subaru or aftermarket accessories

installed?

13b. List cables used, if any:

13c. Genuine cables: YES NO

13d. No physical damage: YES NO

14. If the phones or other devices paired/connected to the unit, what type of phone/software/cell phone carrier (List all the data)?

NOTE: To verify if a compatible phone follow this link: http://www.subaru.com/owners/index

15. Display/touch switch

malfunction

Brightness / Contrast:  Discoloration:  No rear camera:  Partial Display: 

Lines in screen:  No Audio Control Screen:  No Navi Map on Screen:  Others: 

16. Operating problems

Display does not switch:  Display changes unexpectedly:  Response is dull/slow: 

Does not respond to key entry:  Does not respond to steering switch entry: 

Does not change to night mode screen:  Discs cannot be inserted or ejected:  Others: 

17. Radio malfunction

AM Station:  FM Station:  SXM Station:  HD Station:  No Sound: 

No/Poor Sound:  Noise /Static:  Sound cuts in/out:  Others: 

18. Audio malfunction

Does not sound:  Front R:  Front L:  Rear R:  Rear L:  Others: 

Operation related problems:  Cannot adjust volume level: 

Cannot use tone control or adjust tone range:  Cannot record:  Sound skipping: 

CD:  DVD:  Specific mode/disc:  Others: 

19. CD/USB/SD/iPod

malfunction

Will not accept:  Will no eject (CD):  Will not play:  Skips/Jump Chapter:  No Sound: 

Noise/Static:  Sound cuts in/out:  Shows Error:  Others: 

20. Voice Recognition

Voice recognition is not ready:  Not recognize commands:  Others: 

21. HVAC controls 21a. HVAC control screen displayed? YES NO 21b. HVAC controls work? YES NO

21c. If NO, which operation doesn’t work? ON/OFF:

Fan speed: Temp setting:

MODE SETTING: Auto:  Recirculation: 

21d. Brief description of condition:

B. For Retailer Personnel

Retailer Details

22a. Retailer Name: 22b. Retailer Code or Acct#: 22c. Contact Name:

22d. Phone:

Hardware Component Details (as applicable):

Cockpit Control Unit (CCU) 23a. SW Ver: 23b. Part Number:

Center Information Display (CID) 24a. SW Ver: 24b. Part Number:

Summary for Diagnostics

performed:

25a. Have any DTCs been set? YES NO 25b. If YES, list all:

26. All CP1 wiring harness connectors fully seated in the unit? YES NO

27. Is there any physical damage/tampering present? YES NO

28a. Has the video been taken? YES NO 28b. If YES, has it been shared? YES NO

29a. Has the data log been collected? YES NO 29b. If YES, has it been shared? YES NO

30. Have you checked the Service Manual? YES NO