VDS Sheet 4495 Coil Conversion Job Number Invoice Number Installer Customer First Name Customer Last Name Customer Email Customer Phone Fitment Date Pre or Post Rego Pre or Post Rego Pre Rego Post Rego Speedo Vehicle Make Vehicle Model Fitter First Name Fitter Last Name Fitter Qualification Q.A Inspector First Name Q.A Inspector Last Name Job Title/Position of Q.A Inspector Diff Housing Number JMACX Super Chassis or Cradle Number Vin Number Body Number Vehicle Lift Select Vehicle Lift 2 Inch 3 inch 4 Inch Reference From Centre Hub to Under Guard 585-595mm 2 Inch 600-610mm 3 Inch 635-645mm 4 Inch Reference From Top of Axle Tube to Under Chassis Rail 275-290mm 2 Inch 300-315mm 3 Inch 325-340mm 4 Inch Front Spring Was a coil spacer used? Yes No Please note these measurements are finished heights and should be measured upon vehicle completion. If Vehicle measurements are out of specifications as outlined in the reference above, the measurements will need to meet the specifications by 500Km check. This allows for a measure of settling in the suspension components. Please note in comment if the measurements were taken before or after bull bar fitment. LHS Before Fitting (mm) RHS Before Fitting (mm) LHS After Fitting (mm) RHS After Fitting (mm) Bull Bar Fitting Bar No Bar Bull Bar Weight Rear Spring Was a coil spacer used? No Spacer 5mm 15mm 30mm LHS Before Fitting (mm) RHS Before Fitting (mm) LHS After Fitting (mm) RHS After Fitting (mm) Wheel and Tyre Specs Wheel Size Wheel Width Wheel Offset Wheel Load Rating Tyre Size Tyre Speed Index Tyre Load Index Was The Vehicle Fitted With? Bullbar (Front) Yes Winch (Front) Yes Side Rails (Front) Yes Extra Battery (Front) Yes Tray Yes Canopy Yes Towbar (Rear) Yes Draws (Rear) Yes Roof Rack (Rear) Yes Spare Wheel LHS (Rear) Yes Spare Wheel RHS (Rear) Yes AUX Fuel Tank CRT (Rear) Yes Other Accessories Comments Was the customer notified they will need to come back for a 500km check and have the required QR stickers been fitted to the Customers OEM Manual as required? Select Yes No Was the gvm kit fitted to a vehicle from a different state or area? If yes did you notify the customer a 500km check will need to be performed at the nearest facility once receiving the vehicle? Select if customer notified Yes No If no tray/weight or accessories were fitted to the vehicle at time of completion, was the customer notified that the suspension including pinion angle will need to be adjusted once weight is applied or full build completed? Select if customer notified Yes No Please Upload A Photo Of The Front, Side And Rear Of The Vehicle No larger than 2MB Front of Vehicle LHS of Vehicle RHS of Vehicle Rear of Vehicle Top Down Front Left Guard Top Down Front Right Guard Top Down Rear Left Guard Top Down Rear Right Guard Blue GVM sticker and Tyre Placard fitted to door pillar If Vehicle Has A Chassis Extension Fitted Also Please Fill Out The Below Welder First Name Welder Last Name Welder Cert # Welder Phone Confirm welder's certification has been emailed to compliance@jmacx.com.au Yes Confirm battery disconnected or battery isolation device is fitted prior to welding Yes Stage 1 Preparation Battery disconnect photo Plug Weld holes & Cut Battery Disconnected Photo Cut Of Chassis DS Cut Of Chassis PS Stage 2 Show Process Leading To Completion Evidence of chassis fitted with plug welds complete DS Evidence of chassis fitted with plug welds complete PS Evidence of welds completed inside chassis DS Evidence of welds completed inside chassis PS Evidence of welds completed outside chassis DS Evidence of welds completed outside chassis PS Evidence of welds completed topside of chassis DS Evidence of welds completed topside of chassis PS General Overview Of Welded Chassis 1 General Overview Of Welded Chassis 2 Installer to Complete If any instructions/directions are unclear regarding work procedure DO NOT proceed. Contact JMACX for further clarification. Information & parts are supplied in commercial confidence. Only JMACX authorised parts may be used. Rust proofing must be completed thoroughly and correctly. Any failure involving workmanship is the installers responsibility. If rectification works are required this may incur towing costs to a workshop location of JMACX’s choice. JMACX reserves the right to choose the workshop to complete the rectifications. Failure to provide requested documentation will result in discontinuation of work as a JMACX approved installer. I/We (Installer) of (Installer) Confirmation Tick To Confirm I/We (Welder) of (Welder Company) Confirmation Tick To Confirm acknowledge that the install/welding procedure has been followed as set out in JMACX approved fitting instructions. Any persons who have completed works on this vehicle have been trained appropriately and is certified in the particular fields required. I/we confirm that the information given above is true and correct. Do you agree to the Terms and Conditions? I agree to the Jmacx Offroad Solutions Terms and Conditions Submit