Attachment-J.1 AirbagRestraintRemoval.pdf
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Appendix‐J.1
VEHICLE AIR BAG AND RESTRAINT DEACTIVATION AND REMOVAL
Contract Number: Date:
NHTSA Number: Test Lab:
Model Year
Make
Model
Body Style
After all testing is completed and the NHTSA COR has given approval, deactivate and remove all air bags and restraints as outlined in the contract. Return this form to the NHTSA COR once the work has been completed.
In the table below, initial all restraints that have been deployed during testing or manually deployed/deactivated/removed. Mark non‐applicable restraints “N/A”.
Frontal Air bag
Side Torso Air bag
Side Curtain Air bag
Knee Air bag
Pre‐ tensioner
Seat Belts
Other Air bag
(Specify)
Driver
Front Center Passenger
Front Right
2nd Row Left
2nd Row Center
2nd Row Right
3rd Row Left
3rd Row Center
3rd Row Right
RECORDED BY: DATE:
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