To be filled in by authorized professional distributor or dealer. The installing dealer should maintain a
copy of the completed installation Sign-off Sheet and provide the original to the customer along with
the remainder of the Installation Manual, to be kept with the vehicle in which the hand control is
installed.
Customer:
Cut Along this Line
Serial No.:
Part:
new
used
Time:
Date of Installation:
Car:
License Plate:
Installation:
Technician Supervisor
Signature:Signature:
Test Drive Completed
Installation OK
Additional Parts needed:
Remarks:
Part No:
All bolts tightened and sealed Ball sockets are fitted with safety clips
Connectors are secure
Linkage is moving freely
Sufficient pedal travel is achieved
Full throttle/idle positions are
reached
Rods are countered and secured,
safety clips are installed
Serial number noted
Customer has relieved installation and
operation manual
Type label attached
Cables/wires free from chafing
Covers installed
All joints lubricated
INSTALLATION SIGN-OFF SHEET
12
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