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© 2006 GM Holden LTD. A.B.N. 84 006 893 232
Service Department
A “HOLDEN” Product.
BRISBANE SYDNEY MELBOURNE ADELAIDE PERTH
PRODUCT INFORMATION REPORT
HOLDEN LIMITED A.B.N. 84 006 893 232
USE THIS FORM TO REPORT ANY PRODUCT RELATED CONCERN AFFECTING ANY
HOLDEN PASSENGER OR LIGHT COMMERCIAL VEHICLE OR HSPO PART/ACCESSORY
Form No. GMH767 (REV 4/02) Re-Order Pad: SD 28331
SERIES
ie VX,JS,XC etc.
RETAILER NAME RETAILER CODE
DATE
ZONE: QLD NSW VIC S.A W.A HNZ
# AFFECTED ISO VIN(s)
(17 characters MANDATORY) ENGINE NUMBER
(Only if engine related)
BUILD DATE
(Day/Month/Year)
ODOMETER
(KM)
1
2
3
4
5
RELEVANT
OPTIONS
(Please tick)
MAN AUTO A/C
STD A/C
ECC ABS SRS IRS FE2 LPG “S”
PACK “SS”
PACK 9C1
POLICE HSV
DESCRIPTION OF COMPLAINT / FAILURE / DEFECT
AFFECTED PART No. PART DESCRIPTION
SUSPECTED CAUSE: ILLUS TRATE AS REQUIRED (Alternatively mark-up Service Manual
illustration and include as an attachment)
OPERATING CONDITIONS : (If related to condition)
CORR ECTIVE ACTION TAKEN:
WAS IT
SUCCESSFUL? YES NO NOT
KNOWN PLEASE PRINT
YOUR NAME
DISTRIBUTION
(Office use only)
LOADED VAP ENG SQA SERV HSPO HEC ZONE IGM HBD HSV
FAX THIS P.I.R TO EDAG FUTURE - FAX No. (03) 9552 8104
STIP006
GMH 767A
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
ABN 84 006 893 232
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
(
(
$$
CC
PROBLEM CO-ORDINATES
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G428-01
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
GMH 767A
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ABN 84 006 839 232
OWNER NAME
DEALER NAME
SELLING DEALER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
DEALERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
CODE
PROBLEM CO-ORDINATES
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ABCDEFGHI JKL MNOPQR
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SICD007
GMH 767A
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
ABN 84 006 893 232
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
(
(
$$
CC
PROBLEM CO-ORDINATES
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SICD008
GMH 767A
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
ABN 84 006 893 232
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
(
(
$$
CC
PROBLEM CO-ORDINATES
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DEALERSHIP NAME DEALER CODE DATE
ZONE QLD NSW VIC SA WA
SIP RELEASE DATE
SECTION AFFECTED TOPIC OR SUB-SECTION
NATURE OF PROBLEM
CONTACT NAME PHONE NUMBER
(please print)
FAX NUMBER
ACTION TAKEN
(Office Use Only)
DISTRIBUTION
Training and Technical Publications
Warranty
Service
Engineering
Datateck Publishing
Other
WHEN COMPLETE FAX TO: HOLDEN LIMITED - FAX NO. 03 9647 2525
Use this form to report any product related concern affecting the Holden
Service Information Package (SIP).
PRODUCT INFORMATION REPORT
HOLDEN SERVICE INFORMATION PACKAGE
Holden Limited A.B.N. 84 006 893 232
TYRE CONDITION REPORT
HOLDEN LIMITED A.B.N. 84 006 893 232
Holden Ltd FORM #GMH-TCR1
SERIES
DEALERSHIP NAME DEALER CODE
DATE
ZONE QLD NSW VIC S.A W.A
AFFECTED ISO V IN(s)
(17 characters MANDATORY) FLEET VEHICLE: YES NO BUILD DATE
(Day/Month/Year)
ODOMETER
(KM)
COMPANY:
RELEVANT
OPTIONS
(Please tick)
MAN AUTO TOWBAR: YES NO IRS FE2 LPG “S”
PA CK ”SS”
PACK 9C1
POLICE HSV
RATING: 1200 1590 2100
OPERATING CONDITIONS (include approximate towing and/or cargo loads, type of trailer & purpose):
TYRE BRAND/SIZE: ORIGINAL TYRES:
NO YES
IF NEW TYRES FITTED, ODOMETER READING WHEN FITTED: _____________KMS.
TYPE & SIZE: ________________________
TYRE TREAD DEPTH MEASUREMENTS (mm)
TYRE POSITION
LHF A _________ B _________ C _________
RHF A _________ B _________ C _________
LHR A _________ B _________ C _________
RHR A _________
B _________ C _________
FRONT REAR
SUSPENSION MEASUREMENTS
LEFT RIGHT LEFT RIGHT
TOE SETTINGS:
CAMBER SETTINGS:
TRIM HEIGHTS (at kerb weight):
SUSPENSION HEIGHTS (at kerb weight):
TYRE PRESSURES:
ACTION TAKEN:
FAX THIS FORM TO HOLDEN TAS WHEN COMPLETE
TICK ALL BOXES THAT ARE RELEVANT TO YOUR CONDITION!
DEALER
Date: Dealer Name: Dlr Code:
VEHICLE DATA
ISOVIN: Odometer:
Vehicle Model: VT VX VU WH Build Date:
ENGINE
Engine: V6 V6 S/C V8
DRIVETRAIN
Transmission: Manual Automatic
Rear Axl e: Standard LSD
Wheels/Tyres:
Standard wheels and OE tyres
Standard wheels and replacement ty r es
Tyre brand, type, size:
Non-Standard wheel s and tyres
Rim size, tyr e br and, type, s ize:
COMPLAINT
What did your customer complai n about (in their words)?
Can you reproduce the customer complaint? Yes No
How would you describe the complaint?
Is the complaint evident at ALL road s peeds or specific road speeds?
All S pecific (please list all road speeds if more than one):
a) km/h b) km/h c) km/h
Is the complaint evident at ALL engine speeds or specific engine speeds?
All S pecific (please list all engine speeds if more than one):
a) rpm b) rpm c) rpm
Driveline Noise, Vibration
and Refinement Report
Is the complaint evident in ALL gears or specific gears?
All S pecific (please list all gears if more than one):
a) gear b) gear c) gear
Engine Load:
No load Light Load Medium Load Heavy Load Any Load
When does it occur ?
Stationary Accelerating from stationary
Light Accelerati on Heavy Acceleration
Cruising at constant speed Coasting
Light Decelerati on Heavy Deceleration
Braking After Braking
Forward travel Reversing
Steering wheel straight ahead Steering wheel off centre
Steering wheel at full l ock
Transmission Upshif t Transmission Downshift
VIBRATION
Can the condit ion be felt (v ibration)? If yes, what word do you feel describes it?
Shake Roughness
Buzz Tingling
Where can you feel it?
Body Floor
Seats Brake Pedal
Accelerator Clutch Pedal
Gear Lever Steering Wheel
NOISE
Can the condition be heard (noise)? If yes, what word do you feel describes it?
Boom Moan or Drone
Howl Whine
Squeal or squeak Thump
Beat Shudder
Chatter Clunk
From which dir ection does the noise appear to come fr om?
Front Left Front Centre Front Right
Centre Left Centre Centre Right
Rear Left Rear Centre Rear Right
Can’t determine
REPAIRS
Were you able t o address the complaint?
Not at all Reduced the severity Fixed to customer’s satisfaction
What action di d you take while investigating the pr oblem?
Please fax dir ect l y to EDAG FUTURE on (03) 9552 8104. Thankyou for the r eport!
ENGINE OIL CONSUMPTION TEST REPORT
INTRODUCTION:Please complete this report when a customer complaint of oil consumption is received. It is
important that the actual consumption rate is first established before any work or disassembly is performed on the
vehicle. It is also extremely important that all variables are eliminated when checking the engine oil level at the start
and again at the finish of an oil consumption test. Please refer to the accompanying Engine Oil Level Measurement
Procedure.
Oil consum ption is best meas ured by determ ining the distance travelled for the oil level to move fr om the “FULL” m ark
to the “ADD” m ark on the dipstick . This m ethod is m or e reliable and acc urate than m easur ing the am ount of oil added
over a period of time or set kilometre frequency.
(tick boxes as required)
DEALERSHIP NAME DEALER CODE DATE
CUSTOMER
NAME CUSTOMER TYPE
(tick)O PRIVATE O FLEET O TAXI
ISOVIN
(17 digits) VEHICLE
USAGE
(tick)
O CITY O COUNTRY/HIGHWAY
O CITY/SUBURBAN O COMMERCIAL TRAVELLER
TRANS. FUEL SYSTEM ENGINE
TYPE ENGINE No. CURRENT ODOMETER LAST SERVICE ODOMETER
AUTO
OMAN
OPETROL
OLPG
OL4
OV6
OV8
Okm km
HOW DID CUSTOMER FIRST
NOTICE HIGH OIL USAGE (tick) O SMOKY
EXHAUST O OIL LEVEL BET WEEN
“FULL” AND “ADD” O OIL LEVE L
BELOW “ADD” O OIL LIGHT
“ON”
IF OIL CHANGED AT START OF OIL
CONSUMPTION TEST (or if known otherwise),
PLEASE STATE BRAND AND VISCOSITY
OIL BRAND VISCOS ITY
OIL CONSUMPTION TEST PROCEDURE
1. Check oil level as per Engine Oil Level Measurement Procedure
2. Top-up to “FULL” mark on dipstick (or as close as possible).
3. Measure actual oil level on dipstick with a ruler (1 mm increments) and record in the “start of test” column on
chart below.
Note: Record oil level if just above “FULL” mark as “+” mm.
Record oil level if just below “FULL” mark as “ - ” mm.
4. Run oil consumption test until oil level on dipstick reaches the “ADD” mark or below.
5. Measure actual level on dipstick (refer Engine Oil Level Measurement Procedure) and record in the “finish of
test” column on the chart below
DATA “START” OF TEST “F INISH” OF TEST RESULT
DATE / / / / DAYS
ODOMETER (km) KM KM KM
LEVEL ON DIPSTICK
“ + ” = above FULL
“ - ” = below FULL
+or mm
-- mm mm
TOP-UP AMO U NT
(millilitres) ml ml ml
WHERE FURTHER ACTION IS CONSIDERED NECESSARY AFTER THE DEALERSHIP HAS COMPLETED AN
ENGINE OIL CONSUMPTION TEST, CONTACT TAS DIRECTLY BY PHONE AND FURTHER FAX THE
COMPLETED TEST REPORT TO TAS FOR REVIEW AND FURTHER INSTRUCTIONS.
GENERAL MOTORS-HOLDEN’S AUTOMOTIVE LIMITED ABN 84 006 893 232
G733-01
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
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PROBLEM CO-ORDINATES
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G733-03
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
CODE
PROBLEM CO-ORDINATES
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ABCDEFGHI JKL MNOPQR
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5
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9
10
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G733-02
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
CODE
PROBLEM CO-ORDINATES
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ABCDEFGHI JKL MNOPQR
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G730-1
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
CODE
PROBLEM CO-ORDINATES
S
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ABCDEFGHI JKL MNOPQR
ABCDEFGHI JKL MNOPQR
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2
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10
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G815-01
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
CODE
PROBLEM CO-ORDINATES
S
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ABCDEFGHI JKLMNOPQR
ABCDEFGHI JKLMNOPQR
1
2
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5
6
7
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9
10
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G815-02
PROBLEM
CO-ORDINATES
FAILURE
CODE
MARK-UP LOCATION OF DEFECT ON SKETCH
TO DESCRIBE NATURE OF PROBLEM
CONJUNCTION WITH SQUARE CO-ORDINATES
AND USE APPROPRIATE FAILURE CODE IN
REPORTRINFORMATIONIPRODUCTP
BODY PAINT AND TRIM
GMHAL USE ONLY
HOLDEN LTD
ACN 006 839 232
OWNER NAME
RETAILER NAME
SELLING RETAILER NAME
SERIES
ISO VIN
ADDRESS
DATE OF BUILD
CODE
TRIM/PAINT CODE
DATE
REPAIR ORDER No.
ODOMETER
DEL. DATE
This combination P.I.R. can be used for paint, rust, water leaks, dust entry and sheet metal. The
form is to be used as follows: Defective points to be marked with cross in square. Failure code to
be entered in conjunction with square co- ordinates in square on P.I.R. form code. Failure codes
should be prefixed with applicable alpha followed by failure code number obtained from labour
time guide.
Paint
Rust
Alpha "P" Alpha "S" Alpha "D"
Alpha "R" Alpha "W"
Alpha "T"
Sheet Metal
Water Leaks
Dust Entry
Trim
DATE
APPROVED BY
TOTAL APPROVED
AUTHORISATION CODE
NOT VALID AFTER 30 DAYS
FROM DATE OF APPROVAL
DATE
RETAILERS SIGNATURE
WARRANTY LABOUR RATE $-
MATERIAL TOTAL HRS AT $-
TIMELABOUR
LABOUR
OPER. No.
LABOUR OPERATION
Explain work necessary if not
covered by published Labour Time
(
(
TIME HOURS
LABOUR
MATERIAL
$$CC
LINE TOTAL
AUTH.
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PROBLEM CO-ORDINATES
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