Title Page
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Checked on:
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Serviced by:
Car Serviced
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Description of Car (make, model, color)
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Please include a photo of the car.
Safety Issues
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Did you experience any muscle strain?
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Were you injured? <br>(cuts, bruises, burns, etc.)
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For minor scratches, immediately disinfect the wound and apply band-aid.<br>
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For moderate muscle strain, <br>try stretching exercises in between service jobs.
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For severe muscle strain, seek professional help from/schedule a consultation with a physical therapist.
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For all types of injuries, go to the nearest emergency room or clinic.
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Did you follow the correct safety protocols (pre-service procedure + safety equipment)?
Car Parts Checked
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Did you check for oil leaks?
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Did you check the engine oil level?
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Did you check the engine coolant level?
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Did you check the engine air filter?
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Did you check the brake fluid level?
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Did you check the clutch fluid level?
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Did you check the car battery condition?
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Did you check the timing belt condition?
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Did you check the tire pressure and rotation?
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Did you check if the headlights are working?
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Did you check if the windshield wipers are working?
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Did you check if the horns were working?
Sign Off
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Name and Signature
