Attachment-J.1 AirbagRestraintRemoval.pdf

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Vehicle Safety Research
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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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