Post-Repair Diagnostic Scan Verification Form

Technician form to verify post-repair diagnostic scan results, confirm DTCs were cleared, and document that no new faults were introduced after repair.

Workfile and Vehicle Identification

• Repair Order Number
• Vehicle Identification Number (VIN)
  Enter the 17-character VIN exactly as shown on the vehicle or workfile.
• Year / Make / Model
• Repair Completion Date

Diagnostic Scan Details

• Post-Repair Scan Date
• Post-Repair Scan Time
• Scan Tool / Diagnostic System Used
• Scan Type
• OEM Position Statement or Procedure Reference
  Enter the OEM document name, bulletin number, or procedure reference if applicable.

Scan Results and Fault Verification

• Were any diagnostic trouble codes (DTCs) present after the scan?
• Were all applicable DTCs cleared or addressed?
• Did the repair introduce any new faults or warning indicators?
• Remaining Codes or Warning Indicators
  Describe any remaining DTCs, warning lights, or unresolved faults. If none, enter 'None'.

Technician Attestation and Supporting Records

• Technician Name
• Technician Signature
• Supporting Scan Report or Screenshot
  Upload the scan report, screenshot, or export to support the workfile record.
• Technician Attestation