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Sample 3: Grade 12



Brake Inspection
Lab #2

Student name___________________ Class_______________________ Block____________________


Teacher's initials_________________ Start date____________________ End date_________________


Description of Vehicle Being Inspected

Year__________ Production date__________________ Make_________________ Model_____________________

VIN code _____________________________ Owner's name

Specifications: (Indicate inches or millimeters)

Original thickness of front discs (rotors) __________ in./mm * Discard thickness

Original thickness of rear discs __________ in. _________ mm * Discard thickness

Original diameter of rear brake drums ____________ in./mm * Discard thickness

Original thickness of front disc pads _________in. _________ mm

Original thickness of rear pads or shoes __________ in. __________ mm

Brake fluid type recommended for this vehicle __________________


Wheel lug nut torque ________________ foot-pounds or Newton-meters

Identify the source of your specifications, including page numbers or computer disc, to access for verification:



NOTE: For a routine (non-complaint) brake inspection, only two wheels are normally removed for inspection: one front and one rear wheel.

Left Front Brakes:

Thickness of pads: inner pad ______________ in./mm outer pad ______________ in./mm

Condition of caliper: _____________________ Condition of flexible line: _____________________

Disc thickness: _____________ in. ____________ mm Approved: ______________ (yes/no)

Right Front Brakes:

Thickness of pads: inner pad ______________ in./mm outer pad ______________ in./mm

Condition of caliper: _____________________ Condition of flexible line: _____________________

Disc thickness: _____________ in. ____________ mm Approved: ______________ (yes/no)

 

(page 2 of lab #2)

IMPORTANT NOTE: ****** DO NOT PUSH THE BRAKE PEDAL WHILE THE REAR BRAKES ARE BEING INSPECTED*******

Left Rear Brakes:

Thickness of brake lining: Front shoe ________________in./mm Back shoe _______________in./mm

Condition of wheel cylinder: ___________________ Condition of flexible line: ________________

Drum diameter: _________________ in./mm Approved: __________________ (yes/no)

Right Rear Brakes:

Thickness of brake lining: Front shoe ________________in./mm Back shoe _______________in./mm

Condition of wheel cylinder: ___________________ Condition of flexible line: ________________

Drum diameter: _________________ in./mm Approved: __________________ (yes/no)

Visually Inspect the Following:

** Brake master cylinder (condition) _________________ Approved _____________ (yes/no)

** All steel brake lines (condition) ___________________ Approved _____________ (yes/no)


VEHICLE INSPECTOR'S SIGNATURE _______________________________________________

NOTES:

Item

Problem
Remedy
     
     


TEACHER'S SIGNATURE AND DATE: ______________________________________________________________________

 


Rating Scale:

5-Excellent; criterion met to an exceptional or unusual degree
4-Very good; criterion met in a very effective way
3-Good; criterion met in a competent and effective manner
2-Satisfactory; criterion met but with considerable room for improvement
1-Minimally acceptable; criterion met to some extent
0-Not evident; criterion not met


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Revised: December 2001

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