Cvip Brake Inspection Worksheet - Cvse
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1CVIP BRAKE INSPECTION WORKSHEET
The following worksheet can be used for recording CVIP Brake Inspection data for a DRAFT
INSPECTION –please complete the measurements and attached to the DRAFT INSPECTION
REPORT for subsequent data entry purposes.
DRAFT INSPECTION REPORT NUMBER __________
Air Brake Chamber Type and Size
Axle 1
Axle 2
Axle 3
Axle 4
Axle 5
Axle 6
Axle 6
Axle 8
Axle 9
TYPE
see chart below
SIZE
see chart below
SLACK ADJUSTER
A / M
A / M
A / M
A / M
A / M
A / M
A / M
A / M
A / M
Circle inch or mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
Left
Right
Comments
Air Brake Chamber Types and Sizes CHART – used for recording TYPE and SIZE above
Type
Allowable Sizes
Bolt
A B C D E F G
Clamp
6 9 12 16 20 24 30 36 12L 16L 20L 24L 24LL 30 L
Disc
--- (not required – leave blank)
Roto
9R 12R 16R 20R 24R 30 R 36R 50R
Wedge
--- (not required – leave blank)
DD-3
30D
Other
--- (not required – leave blank)
Air Brake Camshaft Rotation Measurement (Degrees)
Axle 1
Axle 2
Axle 3
Axle 4
Axle 5
Axle 6
Axle 6
Axle 8
Axle 9
Left
Right
Comments
Brake Lining / Pad Measurement
Axle 1
Axle 2
Axle 3
Axle 4
Axle 5
Axle 6
Axle 6
Axle 8
Axle 9
Lining
Lining or Pad
Lining
Lining
Lining
Lining
Lining
Lining
Lining
Lining
Circle lining or pad
Pad
Pad
Pad
Pad
Pad
Pad
Pad
Pad
Pad
Circle inch or mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
Left
Right
Comments
Rotor Thickness or Drum Inside Diameter Measurement
Axle 1
Axle 2
Axle 3
Axle 4
Axle 5
Axle 6
Axle 6
Axle 8
Axle 9
Rotor or Drum
Rotor
Rotor
Rotor
Rotor
Rotor
Rotor
Rotor
Rotor
Rotor
Circle rotor or drum
Drum
Drum
Drum
Drum
Drum
Drum
Drum
Drum
Drum
Circle inch or mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
inch mm
Left
Right
Comments
July 2008
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