SUPPLEMENTAL RESTRAINT SYSTEM – TROUBLESHOOTING RS–43 CUSTOMER PROBLEM ANALYSIS CHECK SHEET Supplemental Restraint System Check Sheet Inspector's Name: Customer's Name Registration No. Registration Year / / Frame No. Date Vehicle Brought In / / Odometer Reading km Miles Date Problem First Occurred / / Weather • Fine • Cloudy • Rainy • Snowy • Other_______ Temperature Approx. °C (°F) Vehicle Operation • Starting • Idling • Driving [• Constant speed • Acceleration • Deceleration • Other_______________________] Road Conditions Details of Problem Vehicle Inspection, Repair History Prior to Occurrence of Malfunction (Including Supplemental Restraint System) Diagnosis System Inspection SRS Warning Light Inspection 1st Time • Remains ON • Sometimes Lights Up • Does Not Light Up 2nd Time • Remains ON • Sometimes Lights Up • Does Not Light Up Diagnostic Trouble Code Inspection 1st Time • Normal Code • Malfunction Code [Code ] 2nd Time • Normal Code • Malfunction Code [Code. ]