# Commission Implementing Regulation (EU) 2015/504 of 11 March 2015 implementing Regulation (EU) No 167/2013 of the European Parliament and of the Council with regard to the administrative requirements for the approval and market surveillance of agricultural and forestry vehicles (Text with EEA relevance), Appendix 2

Extent: E+W+S+N.I.

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) : …
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 carrying out the test
Signed: …
Date: …
8.
Approval Authority
Signed: …
Date: …

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Source: https://www.legislation.gov.uk/eur/2015/504/annex/VIII/appendix/2 (the official version)
Page: https://openlegislation.uk/eu-regulation-2015-504/annex-VIII/appendix-2
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.