Appendix 2 F1
United Kingdom
Model test report form for an alternative automatic brake adjustment device as prescribed in point 3.7.5. of Appendix 1 to Annex VII to Regulation (EU) 2015/68
Test report No. …
1.
Identification
1.1.
Axle:
Make: …
Type: …
Model: …
Test axle load (F e identifier): ID3- … daN
Test Report No. for the alternative procedures for Type-I and Type-III tests for towed vehicle brakes (Annex VII, Appendix I to Regulation (EU) 2015/68) …
1.2.
Brake:
Make: …
Type: …
Model: …
Brake lining: …
Make/Type: …
1.3.
Actuation: …
Manufacturer: …
Type (cylinder/diaphragm) f1 : …
Model: …
Lever length (l): … mm
1.4.
Automatic brake adjustment device:
Manufacturer (name and address): …
Make: …
Type: …
Version: …
2.
Record of test results
2.1.
Performance of the automatic brake adjustment device
2.1.1.
Hot performance of service braking systems determined according to the test defined in point 3.6.2.1. (a) of Appendix 1 to Annex VII of Regulation (EU) 2015/68: … per cent
or
Actuator stroke s A determined according to the test defined in point 3.6.2.1. (b) of Appendix 1 to Annex VII of Regulation (EU) 2015/68: … mm
2.1.2.
Free running according to point 3.6.3. of Appendix 1 to Annex VII of Regulation (EU) 2015/68: yes / no
3.
Name of Technical Service/Type Approval Authority conducting the test: …
4.
Date of test: …
5.
This test has been carried out and the results reported in accordance with paragraph 3.6.2 of Appendix 1 to Annex VII of Regulation (EU) 2015/68
6.
At the end of test mentioned in point 5 the requirements of point 2.2.2.8.1. of Annex I to Regulation (EU) 2015/68 were deemed to be: Fulfilled / Not fulfilled
7.
Technical Service f2 carrying out the test
| Signed: … | Date: … |
8.
Approval Authority
| Signed: … | Date: … |
Annotations
Textual amendments
Footnotes
- f1
-
Strike out what does not apply.
- f2
-
To be signed by different persons even when the Technical Service and Approval Authority are the same or alternatively a separate Approval Authority authorization issued with the report.