Group1 Technician Check List

"*" indicates required fields

Date

MOC Service Tech Name*

MOC Service Tech Email*

Regional Manager Name*

Regional Manager Email*

Dealer Name*

State

Shop Forman Name*

Shop Forman Email*

Discussion with Shop Forman*

Questions to ask- any equipment issues, technician, additional equipment or adapters

Equipment Currently On-Site

Check all that apply

Brake

Power Steering

Coolant

Transmission

Driveline

Fuel Equipment On-Site

Check all that apply

Cat Tool

Drip Tools

EDR -3

EDR Advanced

Visual Machine Abuse or Disregard

List any machine abuse or product disregard

External - Machine Clean / Functioning

YES

If no, please explain issues - dirty, bad wheel(s), etc.

Internal - Machine Clean / Functioning

YES

If no, please explain issues - bad pump, clogged filter, etc.

Repair / Replace

YES

If yes, please explain repair / replace plan

Adapters Clean / Working Properly

YES

If no, list any new or repaired fittings

Equipment Before / After Images

Drop files here or

Max. file size: 50 MB.

Technician Questions or Concerns*

List any questions, concerns, or comments

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The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.

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