Servisni izvestaj br.: / Service Report No.:

Mere levo / Measurement left	▲

Pravac voznje / Direction of travel	Mere desno / Measurement right
Spolja / Outer	Unutar / Inner
Unutar / Inner	Spolja / Outer
Osovina 1 / Axle 1	Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm

SAF Serijski-br

SAF serial number

Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm
Disk

Disc

mm	Disk

Disc

mm
Pokazatelj istrosenosti

Wearout indication

da / yes ne / no
Disk

Disc

mm	Disk

Disc

mm
Ukupna debljina diska

Total thickness of brake disc

mm
Odizuca / Lift axle

da / yes ne / no
Ukupna debljina diska

Total thickness of brake disc

mm
Osovina 2 / Axle 2	Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm

SAF Serijski-br

SAF serial number

Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm
Disk

Disc

mm	Disk

Disc

mm
Pokazatelj istrosenosti

Wearout indication

da / yes ne / no
Disk

Disc

mm	Disk

Disc

mm
Ukupna debljina diska

Total thickness of brake disc

mm
Odizuca / Lift axle

da / yes ne / no
Ukupna debljina diska

Total thickness of brake disc

mm
Osovina 2 / Axle 3	Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm

SAF Serijski-br

SAF serial number

Koc. obloge i metal.deo

Pad incl. plate

mm	Koc. obloge i metal.deo

Pad incl. plate

mm
Disk

Disc

mm	Disk

Disc

mm
Pokazatelj istrosenosti

Wearout indication

da / yes ne / no
Disk

Disc

mm	Disk

Disc

mm
Ukupna debljina diska

Total thickness of brake disc

mm
Odizuca / Lift axle

da / yes ne/ no
Ukupna debljina diska

Total thickness of brake disc

mm

Podaci o istrosenosti / Wear Data Assessment

SAF-HOLLAND GmbH • Hauptstr. 26 • D-63856 Bessenbach • Germany

Tel.: +49 (0) 6095 / 301 - 602 • Fax: +49 (0) 6095 / 301 - 259 • service@safholland.de • www.safholland.com	01.2006 CS/GB

Usluga - Obrazac

· Podaci o istrosenosti

Florian Schnabel

2005-09-06

Polak, Adriane

SAF-HOLLAND