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Pre-Repair Diagnostic Scan Documentation Form

Pre-Repair Diagnostic Scan Documentation Form

Technician form for recording pre-repair diagnostic scan results, DTCs, and ADAS module baseline status before teardown so collision-related faults can be distinguished from pre-existing conditions.

Vehicle and Repair Order Details

  • Repair Order Number
  • Vehicle Identification Number (VIN)
  • Vehicle Year
  • Vehicle Make
  • Vehicle Model
  • Pre-Repair Scan Date
  • Repair Stage at Time of Scan

Scan Tool and Technician Information

  • Technician Name
  • Scan Tool Vendor
  • Scan Tool Model
  • Software / Database Version
  • Scan Type Performed
  • Scan Notes

Module Baseline and DTC Results

  • Modules Checked
  • Baseline Status Before Teardown
  • DTC Summary
  • Are any faults believed to be collision-related?
  • Are any faults believed to be pre-existing?
  • Fault Classification Notes

ADAS and Safety System Observations

  • Is the vehicle equipped with ADAS?
  • ADAS Systems Observed
  • Calibration Needed?
  • Dashboard or Safety Warnings Observed

Supporting Evidence and Technician Attestation

  • Upload Scan Report
  • Supporting Photos
  • Technician Attestation
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