Brake Application Questionnaire

Customer Information

 
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Application Questionaire

Standard Unit of Measurment:
New
Modified
Machine Mfr.:
Model No./Type:


Axle Mfr.:
Axle Model:
Max Speed:
Drive Shaft Appl:
Yes
No


Axle Driven Braked Tire Size Rolling Radius Empty Weight Loaded Weight Rotating Inertia Per Wheel
first Y
N
Y
N
mm/in kg/lb kg/lb kg-m/slug-ft
second Y
N
Y
N
mm/in kg/lb kg/lb kg-m/slug-ft
third Y
N
Y
N
mm/in kg/lb kg/lb kg-m/slug-ft


Brake Clearance OD:
Width: mm/in
Disk OD: mm/in
ID: mm/in
Thick: mm/in
Center of Gravity Height Empty: mm/in
Loaded: mm/in
Wheel Base: mm/in
Stop Distance Required: mm/ft
Stop Distance From Velocity: km/h mph
Decel Rate (if stop distance unkown): m/sec ft/sec
Or: g's
Normal Duty Cycle:
Stops Per: min/hr
From Speed: km/h mph
Wt: kg/lb
Max Duty Cycle: Stops
Per: min/hr
From Speed: km/h
Wt: kg/lb
Braking Std. to be Used:
Other Requirement:
Static Only:
Static/Dynamic:
Brake Location:
Grade Holding Req:
Disk OD: mm/in
Thickness: mm/in

Gear Reduction: Actuation: Mechanical Hydraulic Spring Applied/Hyd. Release


Hydraulic
Air Hydraulic
Other
Axle Manufacturer Model Number Max Pressure Fluid Type
first bar/psi
second bar/psi
third bar/psi

Axle Type of Brake Number Max Pressure Total Displacement
first Dry Drum Wet Other bar/psi
second Dry Drum Wet Other bar/psi
third Dry Drum Wet Other bar/psi

Power Sources Available Flow Rated Pressure Manufacturer Model Fluid Max Pressure
Steering Pump lpm/gpm bar/psi
Other Pump lpm/gpm bar/psi
System:Open Center Closed Center Load Sensing

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If you have comments or suggestions, email CIBF at carlisle@carlislebrake.com

 
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