Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                     Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Make:

Model no./designation:

Serial no.:

Capacity:

Tested 125% stability:

metres

Kg

Tested 110% overload and swing:

metres

Kg

Hydraulics                                                                                                                                           Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all the hydraulic hoses secure and clear of all moving components and do they have satisfactory ground clearance?

☐

☐

☐

2

Is the hydraulic system free from fluid leaks?

☐

☐

☐

Mounting                                                                                                                                            Check Yes, No, N/A as applicable:

Yes

No

N/A

3

Are all chassis alterations made in accordance with VSB6 Section H — Chassis?

☐

☐

4

Is the stress level in the chassis, when the loader is operated at its rated capacity, less than one-third the yield stress of the chassis material?

☐

☐

5

Are all platform lifting systems installed at the rear or left-hand side of the vehicle?

☐

☐

☐

6

Is the mounting method approved by the vehicle chassis manufacturer?

☐

☐

☐

7

Is the mounting method approved by the VMLS manufacturer?

☐

☐

☐

8

Is the VMLS mounted on a suitably designed sub-frame?

☐

☐

☐

9

Does all welding conform to all relevant Australian Standards?

☐

☐

10

Are all mounting bolts correctly torqued?

☐

☐

11

If a body, including demountable, is fitted, are all other modifications performed in accordance with VSB6 Section J — Body Mounting?

☐

☐

12

Do all safety devices operate correctly?

☐

☐

13

Is all equipment, when not deployed, free from protrusions so as to minimise the risk of injury to any person?

☐

☐

14

Does the method used to install the loader to the chassis or sub-frame conform to the vehicle manufacturer’s instructions, or, if these are not available, has the modifier ensured, before installation, that the vehicle has sufficient chassis reinforcement within the chassis frame design limits so as to withstand the load moment induced by lifting?

☐

☐

15

Can the loader and its associated components withstand a load to its rated capacity without causing any permanent deformation or excessive deflection?

☐

☐

16

Does the VMLS meet the relevant testing requirements of AS/NZS 1418?

☐

☐

Modification                                                                                                                                                   Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code R1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Have all relevant modification details and calculations been recorded in line with VSB6 record keeping requirements?

☐

☐

4

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Loader details                                                                                                                                        Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Has the loader and its installation been shown to meet the requirements of Australian Standard AS3856 Part 1 and Part 2?

☐

☐

2

Is the wheelchair loader installed as per the manufacturer’s specifications?

☐

☐

3

Excepting loaders installed for the dedicated use of the driver, is the loader installed at the rear or left-hand side of the vehicle?

☐

☐

4

Have all practical and reasonable steps been taken to install any external controls on the left or rear side of the vehicle?

☐

☐

5

Do all safety devices operate correctly?

☐

☐

6

Is all equipment, when not in use, free from protrusions which are likely to increase the risk of injury to any person?

☐

☐

7

Are anchorage plates fitted to support the upper section of the loader and attached to the frame of the vehicle?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code R2?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Have all of the modification details and all calculations applicable to the modification been recorded in accordance with the record keeping requirements of VSB6?

☐

☐

4

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Vehicle make, model and year used for comparison:

Vehicle modifier (company name):

Make

Model

Year

Certifying S2/S3 AVE name:

AVE no.:

S2/S3 design certificate number:

Component details

Component

Make/model

Manufacturer’s max.

Low/top ratios

GVM and

GCM ratings

Transmission

kg

kg

1:

1:

Aux. transmission

kg

kg

1:

1:

Rear axle(s)

kg

kg

1:

1:

Rear suspension

kg

kg

Front axle(s)

kg

kg

1:

1:

Front suspension

kg

kg

Tyres front

kg

Tyres rear

kg

Chassis section

kg

kg

Tow coupling / fifth wheel

D-rating

kN

Tow coupling overhang

Applicable:

Yes

☐

No

☐

Amount

mm

Wheelbase

mm

Overhang

mm

Modified GCM rating GCM assigned

Vehicle make/model, if used for comparison

kg

Assessment                                                                                                                                         Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the modified GVM/GCM within all the component manufacturer’s limits?

☐

☐

2

Have the following been kept for future audit:

·   details of components of the vehicle model used for reference; or

·   a copy of the S2/S3 design certification and checklist?

☐

☐

3

Is the vehicle identical, including air system compressor, chassis reinforcements, steering system, to:

·   the reference vehicle; or

·   according to the S2/S3 report specification?

☐

☐

4

Has the tyre placard, if fitted, been updated where necessary to record the correct tyre and rim sizes, axle configurations, axle loads and tyre inflation pressures for the modified vehicle?

☐

☐

☐

5

Are the tyres and rims fitted to the vehicle in accordance with the tyre placard?

☐

☐

☐

6

Has gradeability been established as adequate for the modified GVM/GCM?

☐

☐

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                     Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Modification                                                                                                                                                   Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code S1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the vehicle comply with all applicable Australian Design Rules (ADRs) requirements at the revised GVM/GCM

(i.e. vehicle rates to 4490kg, NB1 category requirements including but not limited to brake performance?)

☐

☐

4

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Wheelbase:

Forward radius:

Rear overhang:

Tow coupling overhang:

Drawbar length:

mm

mm

mm

mm

mm

Point of articulation to rear overhang line:

Modified ATM:

Modified GTM:

Tare mass:

mm

kg

kg

kg

Certifying S12 AVE name:

AVE no.:

S12 design certificate no.:

Component details:

Component

Make

Model

Compliance mark approval/SARN

Load rating

Control system

Braked axles

kg

Front suspension

kg

Rear suspension

kg

Tyre size

kg

Axle group: Front

Axle number 1

Axle number 2

Axle number 3

Axle group load

Brake chamber size

kg

Slack adjuster length

Axle group: Rear

Axle number 1

Axle number 2

Axle number 3

Axle number 4

Axle group load

Brake chamber size

kg

Slack adjuster length

Chassis section

Tow coupling / fifth wheel

Make

Model

D-rating

kN

Basis for rating determination

Reference trailer make/model for comparison

Compliance plate approval no. if ADR 38/.. approved

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Crane hydraulics                                                                                                                                    Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all hydraulic hoses secure and clear of all moving components?

☐

☐

☐

2

Do all hydraulic hoses have satisfactory ground clearance?

☐

☐

☐

Crane mounting                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

3

Is the mounting method of the vehicle towing system in accordance with the T2 approved design?

☐

☐

☐

4

Is the mounting method approved by the crane manufacturer or, alternatively, is it certified by the T2 approved design?

☐

☐

☐

5

Is the crane mounted on an appropriately designed sub-frame?

☐

☐

☐

6

Does all welding conform to all relevant Australian Standards?

☐

☐

☐

7

Are all mounting bolts correctly tightened?

☐

☐

☐

Crane specifications

8

Crane compliance                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

9

Is the quality of the work to an accepted industry standard?

☐

☐

☐

10

Does the crane meet the requirements of Australian Design Rule (ADR) 44/02 for this class of tow truck?

☐

☐

☐

11

Is the crane manufactured by an approved manufacturer or has the construction been supervised and approved by an AVE?

☐

☐

☐

Winch hydraulics                                                                                                                                   Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all hydraulic hoses secure and clear of all moving components?

☐

☐

☐

2

Do all hydraulic hoses have satisfactory ground clearance?

☐

☐

☐

Winch mounting                                                                                                                                    Check Yes, No, N/A as applicable:

Yes

No

N/A

3

Is the mounting method of the vehicle towing system in accordance with the T2 approved design?

☐

☐

☐

4

Is the mounting method approved by the winch manufacturer or, alternatively, is it certified by the T2 approved design?

☐

☐

☐

5

Is the winch mounted on an appropriately designed sub-frame?

☐

☐

☐

6

Does all welding conform to all relevant Australian Standards?

☐

☐

☐

7

Are all mounting bolts correctly tightened?

☐

☐

☐

Winch specifications

8

Winch compliance                                                                                                                                                              Check Yes or No:

Yes

No

9

Is the quality of the work to an accepted industry standard?

☐

☐

10

Does the winch meet the requirements of ADR 44/.. , AS 5400, Section T — Tow trucks and any other relevant sections of VSB6 for this class of tow truck?

☐

☐

Lift tray hydraulics                                                                                                                                Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all hydraulic hoses secure and clear of all moving components?

☐

☐

☐

2

Do all hydraulic hoses have satisfactory ground clearance?

☐

☐

☐

Lift tray mounting                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

3

Is the mounting method approved by the lift tray manufacturer or, alternatively, is it certified by the T2 approved design?

☐

☐

☐

4

Is the lift tray mounted on an appropriately designed sub-frame?

☐

☐

☐

5

Does all welding conform to all relevant Australian Standards?

☐

☐

☐

6

Are all mounting bolts correctly tightened?

☐

☐

☐

Lift tray compliance                                                                                                                                                            Check Yes or No:

Yes

No

7

Does the vehicle lift tray meet the requirements of ADR 44/.. , 5400, this Section T — Tow trucks and any other relevant sections of VSB6 for this class of tow truck?

☐

☐

8

Is the quality of the work to an accepted industry standard?

☐

☐

Tilt tray and slide hydraulics                                                                                                              Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all hydraulic hoses secure and clear of all moving components?

☐

☐

☐

2

Do all hydraulic hoses have satisfactory ground clearance?

☐

☐

☐

Tilt tray and slide mounting                                                                                                               Check Yes, No, N/A as applicable:

Yes

No

N/A

3

Is the mounting method approved by the tilt tray manufacturer or, alternatively, is it certified by the T2 approved design?

☐

☐

☐

4

Is the sub-frame appropriate for the mounted tilt tray?

☐

☐

☐

5

Has the welding been performed by a suitably qualified tradesperson and to accepted industry standards?

☐

☐

☐

6

Are all mounting bolts correctly tightened?

☐

☐

☐

Tilt tray and slide compliance                                                                                                                                          Check Yes or No:

Yes

No

7

Is the quality of the work to an accepted industry standard?

☐

☐

8

Does the tilt tray and slide – tray tow truck meet the requirements of ADR 44/.. , AS 5400, this Section T — Tow trucks and any other relevant sections of VSB6 for this class of tow truck?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does the vehicle as a whole meet the requirements of ADR 44/.. , AS 5400, this Section T — Tow trucks and any other the relevant sections of VSB6 for this class of tow truck?

☐

☐

2

Have all of the modification details applicable to the modification been recorded in accordance with the record keeping requirements of VSB6?

☐

☐

3

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code T1?

☐

☐

4

Is the quality of work to an accepted industry standard?

☐

☐

5

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Braking systems              Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted)

un-effected or re-certified after the vehicle

modification?

☐

☐

☐

Modification criteria                                                                                                                                       Check Yes, No as applicable:

Yes

No

1

Has the modification

been performed in

accordance

with the manufacturer’s

guidelines?

☐

☐

Frame                                                                                                                                                        Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Do chassis rail cut-outs satisfy manufacturer recommendations or

VSB6 Section H – Chassis?

☐

☐

☐

2

Have all cross-members that have been removed been replaced

with an original manufacturer-supplied like-for-like

cross member or a cross member as per VSB6Section H – Chassis?

☐

☐

☐

Engine                                                                                                                                                       Check Yes, No, N/A as applicable:

Yes

1

What is the maximum acceptable inlet depression?

2

What inlet depression was measured?

3

Is the measured depression within the acceptable inlet depression?

☐

☐

☐

4

What is the maximum acceptable exhaust back pressure?

5

What exhaust back pressure was measured?

6

Is the measured pressure within the acceptable exhaust back pressure?

☐

☐

☐

7

Does the engine air induction system, inlet depression and

exhaust back pressure within acceptable limits to ensure

compliance with Australian Design Rule (ADR) 30,

ADR 30/.. and/or ADR 80/.. as applicable?

☐

☐

8

Does the air compressor or the vacuum pump for

brakes meet the required performance for ADR 35/..

(specifically sections relating to

‘Special Provisions for Systems Using

‘Stored Energy’ (except Spring Brake Systems)’?

☐

☐

9

Has the replacement air compressor or vacuum pump

for the brakes been replaced in accordance with

VSB6 Section G — Brakes?

☐

☐

☐

10

Has adequate protection been provided for all hoses,

wiring harnesses, rubber and plastic components?

☐

☐

11

Are fuel lines secure and clear of the exhaust system

and any turbocharger?

☐

☐

12

Does the engine installation comply with all

applicable ADRs at the time of manufacture or later?

☐

☐

13

Is a diesel engine stop control fitted which will

prevent accidental or inadvertent starting? (diesel engines only)

☐

☐

☐

14

Are engine mountings suitable for automotive use

and designed to withstand vertical and torsional loads

transmitted by replacement engine?

☐

☐

15

Does the engine have adequate clearance

including between axle, chassis and cab?

☐

☐

16

Does the engine have performance requirements

to permit the vehicle to match or exceed the

manufacturer’s grade-ability specification or

the grade-ability requirements in VSB6

modification codes S3, S8 or S9?

☐

☐

17

Does the fuel system meet the engine manufacturer’s

requirements for fuel filtration, cooling and suction lift?

☐

☐

Modification                                                                                                                                                     Check Yes, No as applicable:

Yes

No

N/A

1

Does this modification meet all the requirements of the

manufacturer’s guidelines / Modification Code A1?

☐

☐

2

Is the quality of the work to an accepted

industry standard?

☐

☐

3

Does the modified vehicle continue to comply

with all affected ADRs?

☐

☐

4

If a gas fuel system has been fitted, has the installation

been performed in accordance with the

requirements of the energy regulator in the

relevant state or territory (i.e. installed by a certified gas fitter)?

☐

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                      Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                       Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Installation                                                                                                                                                        Check Yes, No as applicable:

Yes

No

1

What is the maximum acceptable inlet depression?

2

What inlet depression was measured?

3

Is the measured depression within the acceptable inlet depression?

☐

☐

4

Is the inlet depression within the acceptable limits to ensure compliance with Australian Design Rule (ADR) 30, ADR 30/.. and/or ADR 80/.. as applicable?

☐

☐

5

Is the engine air induction system matched to the requirements of the engine in efficiency and performance to maintain compliance with the applicable ADR?

☐

☐

6

Is the additional or alternative air cleaner assembly incorporated into the engine induction system of an appropriate size?

☐

☐

Modification                                                                                                                                                     Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code A2?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Other than modification criteria, if the answer to any relevant question is NO the modification is not acceptable.

Comments:

Examined by:

Company (if applicable):

AVE no.:

Signed:

Modification certificate no.:

Modification plate no.:

Date:

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Installation                                                                                                                                          Check Yes, No, N/A as applicable:

Yes

No

N/A

1

What is the maximum acceptable inlet depression?

2

What inlet depression was measured?

3

Is the measured depression within the acceptable inlet depression?

☐

☐

4

What is the maximum acceptable exhaust back pressure?

5

What exhaust back pressure was measured?

6

Is the measured pressure within the acceptable exhaust back pressure?

☐

☐

7

Does the engine air induction system, inlet depression and exhaust back pressure within acceptable limits to ensure compliance with Australian Design Rule (ADR) 30, ADR 30/.. and/or ADR 80/.. as applicable?

☐

☐

8

Has adequate protection been provided for all hoses, wiring harnesses, rubber and plastic components?

☐

☐

9

Are fuel lines secure and clear of the exhaust and turbocharger systems?

☐

☐

10

Has the engine output, after installation of the turbo charger, remained compatible with the vehicle drive train?

☐

☐

11

Where an exhaust system or manifold has been substituted, has it been substituted in accordance with VSB6 Modification Code A4?

☐

☐

☐

12

Where additional or substitute air cleaners are fitted, have they been fitted in accordance with VSB6 Modification Code A2?

☐

☐

☐

Modification                                                                                                                                               Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code A3?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADR?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Installation                                                                                                                                              Check Yes, No, N/A as applicable:

Yes

No

N/A

1

What is the maximum acceptable exhaust back pressure?

2

What exhaust back pressure was measured?

3

Is the measured pressure within the acceptable exhaust back pressure?

☐

☐

4

Is the exhaust back pressure within acceptable limits to ensure compliance with Australian Design Rule (ADR) 30, ADR 30/.. and/or ADR 80/.. as applicable?

☐

☐

☐

5

Does the exhaust system alteration meet the manufacturer’s design criteria for the engine and meet or exceed the requirements of the ADRs applying to both the engine and the vehicle installation at the time of original manufacture?

☐

☐

6

Is the location and direction of the exhaust outlet/s in accordance with ADR 42/.. requirements?

☐

☐

7

Has adequate protection been provided for all hoses, electrical harnesses, rubber, plastic components?

☐

☐

8

Are fuel lines secure and clear of the exhaust system?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code A4?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Vehicle details:

Method of speed limiting:

Road speed governors:

Applicable

☐

Rear axle ratio

Road speed governor

☐

Make

Transmission ratio highest gear

Geared speed control

☐

Model

Tyre size

Engine power

☐

Serial no.

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                  Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the vehicle manufacturer’s guidelines?

☐

☐

Installation                                                                                                                                          Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Has the supplier provided a certificate or other suitable evidence that the road speed governor complies with Australian Design Rule (ADR) 65/.. or BS AU 217:1987 requirements?

☐

☐

2

Has the road speed governor been installed in accordance with the limiter manufacturer’s requirements?

☐

☐

☐

3

Is the maximum road speed setting prevented from being temporarily increased or removed?

☐

☐

4

If road speed governor is not integrated into a system (e.g. intelligent cruise control or driver assist and safety systems) is its operation completely independent of the vehicle’s braking system?

☐

☐

☐

5

Are all components needed for full function of road speed governor energised when the vehicle is driven?

☐

☐

☐

6

Are lead seals fitted to the following parts to indicate attempts to tamper with road speed governor operation?

·  governor road speed adjustment mechanism

☐

☐

☐

·  two ends of the link between the road speed limiter and the injection pump

☐

☐

☐

·  two ends of the link between the road speed limiter and the device providing the road speed signal

☐

☐

☐

·  all internal parts of the mechanical road speed limiting equipment

☐

☐

☐

·  control unit of the electronic road speed governor

☐

☐

☐

Geared speed control

Applicable

☐

Rated engine speed (L)

Tyre size

Rear axle ratio

Tyre revolutions per kilometre (M)

Transmission ratio in highest gear

Calculated maximum road speed capability

Overall gear reduction ratio (A)

Road test

Applicable

☐

Has the accuracy of the speedometer been checked?

Yes

☐

No

☐

Actual speedometer reading at set speed of vehicle

km/h

Maximum true vehicle speed during test

Test 1

km/h

Test 2

km/h

Were vehicle testing and results in accordance with ADR 65/.. (or Item 4 of this modification code)?

Yes

☐

No

☐

Test using a dynamometer

Applicable

☐

Has the dynamometer been calibrated in the past six (6) months?

Yes

☐

No

☐

Date of calibration

Was the dynamometer set up to simulate test conditions outlined in ADR 65/.. or Section A – Engines?

Yes

☐

No

☐

Maximum vehicle speed reading

km/h

Modification                                                                                                                                                 Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code A5?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Tail shaft installation                                                                                                                            Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the length of the tail shaft(s) within the allowable limit for the maximum tail shaft speed and maximum transmitted torque?

☐

☐

☐

2

Are the tail shaft components (i.e. tubing, universal joints and flanges) adequate for the transmitted torque?

☐

☐

☐

3

Are the universal joint operating angles within the recommended values under all operational conditions?

☐

☐

☐

4

Are the tail shaft yokes phased as per the driveline manufacturer’s recommendations or VSB6 (as applicable)?

☐

☐

☐

5

Does the slip-joint have an appropriate extended engagement length for all operational conditions?

☐

☐

☐

6

If the tail shaft has been lengthened by fitting a longer tube, has a new full length seamless tube been used?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code C1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Additional/Replacement axle make and model(s):

Axle rating(s) (kg):

Serial no(s).:

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                  Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Installation                                                                                                                                          Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Do the replacement or additional rear axles have mass ratings and gear ratios that are suitable for the mass ratings of the vehicle?

☐

☐

2

Is all welding on the axle housings (for spring seats, axle seats, torque rod brackets, etc.) performed in accordance with the axle manufacturer’s recommended procedure?

☐

☐

☐

3

Are the replacement or additional rear axles installed at the axle manufacturer’s recommended installation angle?

☐

☐

4

Are the brakes on any replacement rear axle either transferred from the original axle, identical brakes to those fitted on the original axle, or certified in accordance with VSB6 Section G — Brakes?

☐

☐

5

Where there are any additional axles, has the modification to the brake system been performed in accordance with VSB6 Section G — Brakes?

☐

☐

☐

6

If changes to the rear suspension or tail shaft are required, have the appropriate sections of VSB6 been followed, i.e. Sections C — Tail shafts and F — Suspension?

☐

☐

☐

7

If a change in axle ratio has been performed, has the modifier ensured that a suitable ratio is selected for road speed and gradeability, and that speedometer and road speed limiter accuracy is maintained? (Refer VSB6 Modification Code A5)

☐

☐

☐

Modification                                                                                                                                                 Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code D1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Differential                                                                                                                                             Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Do the replacement differentials have torque ratings and axle ratio suitable for the ratings of the vehicle?

☐

☐

2

If applicable, has all welding on the axle housing(s) been performed in accordance with the axle manufacturer’s recommended procedure?

☐

☐

☐

3

If changes to the tail shaft are required, have the manufacturer’s recommendations or VSB6 Section C – Tail shafts been followed?

☐

☐

☐

4

If the axle ratio is changed, is it ensured that maximum speed, gradeability and the accuracy of the speedometer and road speed limiter is maintained?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code D2?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Front axle make and model:

Axle rating (kg):

Serial no.:

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Axles                                                                                                                                                          Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Do the replacement or additional axles have a mass rating suitable for the mass rating of the vehicle?

☐

☐

2

Do the replacement or additional axles have spring/airbag spacing compatible with the spring mountings on the chassis?

☐

☐

3

Is all welding on the axle housing performed in accordance with the axle manufacturer’s recommendations?

☐

☐

☐

4

Is the axle installed within the axle/vehicle manufacturer’s recommended caster angle limits?

☐

☐

5

Does the width of the axle assembly and turning circle comply with the relevant Australian Design Rules (ADRs)?

☐

☐

6

Has any change in ride height resulted in continued compliance with ADR 84/.. requirements?

☐

☐

☐

Suspension                                                                                                                                               Check Yes, No, N/A as applicable:

Yes

No

N/A

7

Have all changes to the suspension been completed in accordance with VSB6 Section F — Suspension?

☐

☐

☐

Tail shafts                                                                                                                                                  Check Yes, No, N/A as applicable:

Yes

No

N/A

8

For vehicles with front driven axles, are all tail shaft alterations performed and certified in accordance with VSB6 Section C — Tail shafts?

☐

☐

☐

Brakes                                                                                                                                                      Check Yes, No, N/A as applicable:

Yes

No

N/A

9

Are any changes to the brakes performed and certified in accordance with VSB6 Section G — Brakes?

☐

☐

☐

Steering                                                                                                                                                   Check Yes, No, N/A as applicable:

Yes

No

N/A

10

Does the steering system have adequate clearance throughout the operating range and suspension travel?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code E1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                  Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Suspension                                                                                                                                          Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the substituted suspension suitable for the application of the vehicle?

☐

☐

☐

2

Are the maximum load ratings, GVM and GCM rating of replacement suspension sufficient for the mass ratings of the modified vehicle?

☐

☐

☐

3

If a non-load sharing type of suspension is replacing a load sharing type of suspension, has the vehicle’s GVM been reassessed in accordance with VSB6 Section S — Vehicle ratings?

☐

☐

☐

4

Is the substitute suspension assembled and fitted in accordance with the suspension manufacturer’s recommendations or VSB6 (as applicable)?

☐

☐

☐

5

Is the replacement suspension assembly, including springs, bushes, pins and shock absorbers, in serviceable condition?

☐

☐

☐

6

Is the replacement suspension the correct width to suit the chassis?

☐

☐

☐

7

Regarding all welding on the axle housings and angle of installation, are the axle(s) installed in the substitute suspension in accordance with the axle manufacturer’s instructions, the suspension manufacturer’s instructions and VSB6 Section D — Rear axles or VSB6 Section E — Front axle steering wheels and tyres (as applicable)?

☐

☐

☐

8

Are all suspension brackets (spring hanger brackets, torque rod brackets and shock absorber brackets) positioned and attached to the chassis in accordance with the suspension manufacturer’s requirements and the vehicle manufacturer’s requirements (as applicable)?

☐

☐

☐

9

Are all suspension brackets attached to the web of the chassis by at least ISO 10.9 (SAE Grade 8) bolts with self-locking nuts?

☐

☐

☐

10

Are all suspension bolts tightened to the correct torque?

☐

☐

☐

11

Are all suspension substitution-related chassis alterations, including the fitting of additional cross members, performed and certified in accordance with VSB6 Section H — Chassis?

☐

☐

☐

12

Is there clearance for all components under full suspension travel?

☐

☐

☐

13

Is the variable ride height or constant ride height mechanism, as fitted, adjusted in accordance with the suspension manufacturer’s recommendations?

☐

☐

☐

Modification                                                                                                                                                 Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code F1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                  Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Trailer suspension                                                                                                                                     Check Yes, No, as applicable:

Yes

No

1

Is the modified chassis configuration the same as the original configuration, i.e. is the category of registration unchanged?

☐

☐

2

Is the slope (rake) suitable for the intended application of the trailer?

☐

☐

3

Is the substitute suspension an approved load-sharing type as per the Commonwealth Road Vehicle Certification System publications and relevant heavy vehicle standards regulation?

☐

☐

4

Has the trailer braking system been re-certified under the VSB6 modification codes G3 or G8?

☐

☐

5

Is the replacement suspension system suitable for the proposed mass rating of the trailer?

☐

☐

6

If mass re-rating is required, has it been performed in accordance with VSB6 Modification Code S7?

☐

☐

7

Is the replacement suspension system the correct width for the chassis?

☐

☐

8

Are all suspension brackets suitably and adequately attached to the chassis?

☐

☐

9

Has the chassis been suitably reinforced at the attachment positions of the suspension hanger brackets and associated components?

☐

☐

10

Is the chassis cross-bracing suitable for the type of suspension?

☐

☐

11

Do all suspension, axle, wheel and chassis components have sufficient clearance to accommodate the entire range of travel of the suspension, including the complete deflation of an air bag in an air suspension?

☐

☐

12

Are axle catch straps and shock absorber mounts adequately designed, constructed and attached?

☐

☐

13

Have appropriate welding practices been followed?

☐

☐

14

Are all suspension substitution-related chassis alterations, including the fitting of additional cross members, performed and certified in accordance with VSB6 Modification Code H5?

☐

☐

15

Have the suspension brackets been properly positioned on the chassis?

☐

☐

16

Has the suspension been installed in accordance with the suspension manufacturer’s instructions?

☐

☐

17

Does the installation allow the proper alignment of the axles and have the axles been aligned?

☐

☐

Modification                                                                                                                                                 Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code F2?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Air brake relocation                                                                                                                                      Check Yes, No, as applicable:

Yes

No

1

Does the original brake circuit remain unaltered?

☐

☐

2

Do all original brake system components remain in the modified brake system?

☐

☐

3

On an ADR-certified vehicle, have the brake reaction times (application and release times) been shown to be within the requirements of the clauses relating to ‘Service Brake Actuating Time Test’ of Australian Design Rule (ADR) 35/.. or the clauses relating to ‘Time Response Measurement’ of ADR 38/.. ?

☐

☐

4

Are all brake components securely mounted/fastened to the vehicle?

☐

☐

5

Are all fittings of the correct type, size and compatible thread form and all joints free from leakage?

☐

☐

6

Are all air and hydraulic lines installed in a manner such that they are protected from exposure to excessive heat, abrasion, movement, stress or impact?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G1?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:                             

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Trailer air supply                                                                                                                                             Check Yes, No as applicable:

Yes

No

1

Is a tractor protection device fitted?

☐

☐

2

Is trailer air supply interrupted by activation of the device?

☐

☐

3

Does trailer air supply automatically disconnect when tractor air pressure depletes to 420 kPa in at least one of the prime mover circuits?

☐

☐

Trailer service signal                                                                                                                                                           Check Yes or No:

Yes

No

4

Is the trailer service signal interrupted when the tractor protection device is in the ‘off’ position?

[If a tractor protected reservoir is fitted, it is permissible for this to be depleted by brake application signals after the tractor protection valve is activated, provided it draws no further air from the truck system).

☐

☐

5

Was the response time measured in accordance with the test requirements in Australian Design Rule (ADR) 35/.. ?

☐

☐

6

Response time measured (in milliseconds):

ms

7

Is this less than 600 milliseconds for vehicles built before 1 July 1998 or 400 milliseconds for vehicles built on or after?

☐

☐

Trailer park brake                                                                                                                                                               Check Yes or No:

Yes

No

8

Is it possible to apply the trailer park brake from within the cabin of the prime mover?

☐

☐

Optional hand control                                                                                                                                                       Check Yes or No:

Yes

No

N/A

9

Does the brake light operate when the hand control is activated?

☐

☐

☐

10

Do the truck service brakes remain unapplied with the operation of the trailer hand control?

☐

☐

☐

Trailer air connections                                                                                                                                                       Check Yes or No:

Yes

No

11

Are trailer air connections in accordance with the requirements of ADR 35/02 or later?

☐

☐

12

Are trailer air connections colour-coded red = supply, blue or yellow = signal, or otherwise in accordance with AS 4945?

☐

☐

13

Are connections polarised, i.e. one male and one female?

☐

☐

14

Is supply connection on prime mover female type or outboard interference lug palm type?

☐

☐

Trailer electrical connections                                                                                                             Check Yes, No, N/A as applicable:

Yes

No

15

Are trailer electrical connections in accordance with the requirements of ADR 42/00 or later?

☐

☐

16

If the vehicle is required by the relevant ADR 35/.. to have an electrical connection for antilock system of a trailer, is one fitted in accordance with the relevant ADR 35/.. ?

☐

☐

Re-charge capacity                                                                                                                                Check Yes, No, N/A as applicable:

Yes

No

17

Does the recharge time meet the requirements of Section G — Overview?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G2?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-effected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

                                                                                                                                                                   Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Does the modified trailer meet all requirements of ADR 38/.. and the relevant heavy vehicle standards regulations as applicable?

☐

☐

2

For the modified trailer, list the following data:

3

From the comparison trailer or G8 design certificate, list the following data:

                                                                                                                                                                   Check Yes, No, N/A as applicable:

Yes

No

N/A

4

Are the entries in Section 2 and 3 (above) identical?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G3?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Auxiliary brake, exhaust, or retarder type                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

What is the maximum acceptable exhaust backpressure?

☐

2

What exhaust backpressure was measured?

☐

3

Is the result within the allowable exhaust backpressure?

☐

☐

☐

4

Does the engine exhaust back pressure meet the requirements of Australian Design Rule (ADR) 30/.. and ADR 80/.. as applicable?

☐

☐

☐

Auxiliary brake, exhaust, or retarder type                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Does the depression of either the clutch pedal or accelerator pedal render the brake inoperative?

☐

☐

☐

2

If a retarder that uses the engine cooling system is installed, has the vehicle a radiator of sufficient capacity for the rejection of additional heat generated by the retarder?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G5?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                 Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                  Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Pressure protection valves                                                                                                              Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all air operated accessories which derive air from the same source as the service brake system denied air supply when the pressure in the service brake system is less than 450 kPa?

☐

☐

☐

2

In the case of a failure of an auxiliary device, does the service brake maintain an air pressure of at least 450 kPa?

☐

☐

☐

3

If an additional tank is fitted for the air operated accessories, or after the pressure protection valve, does the vehicle comply with the re-charge requirements of Australian Design Rule (ADR) 35/.. or the relevant heavy vehicle standards regulation (as applicable)?

☐

☐

☐

General                                                                                                                                                Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Where an additional method of brake application is installed, does it operate on only the park brake system or the service brake system (i.e. not both)?

☐

☐

☐

2

Is the additional method of brake application rendered incapable of engaging the brakes when the vehicle is travelling in excess of 10 km/h in the forward direction or where the vehicle is a truck or trailer mounted attenuator 45km/h?

☐

☐

☐

3

Does the additional method of brake application trigger an in-cab audible and visual warning as to alert the driver when the system is activated?

☐

☐

☐

4

Is the control for the additional method of brake application within the reach of the driver in their normal seated position?

☐

☐

☐

Service brakes                                                                                                                                    Check Yes, No, N/A as applicable:

Yes

No

N/A

5

Where an additional method of brake application is installed, do the application and release method(s) meet the requirements of ADR 35/.. and ADR 38/.. as applicable?

☐

☐

☐

6

Does the additional system apply all of the road wheels?

☐

☐

☐

Park brakes                                                                                                                                         Check Yes, No, N/A as applicable:

Yes

No

N/A

7

If an alternative method of applying the vehicle’s park brake system has been added to the vehicle, is the system designed to minimise the possibility of inadvertent release of the brake?

☐

☐

☐

Modification                                                                                                                                                 Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G6?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Brake system substitution                                                                                                                  Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the replacement brake system sourced from a vehicle with an identical axle configuration as that of the modified vehicle?

☐

☐

2

Is the replacement brake system identical to a system fitted to a certified vehicle with a gross vehicle mass (GVM) equal to or greater than the proposed GVM of the modified vehicle?

☐

☐

3

Is the tubing used in the brake system of the correct type and size for the application?

☐

☐

4

Are all fittings used in the brake system of the correct type for the application?                 

☐

☐

Wheelbase extension                                                                                                                                                        Check Yes or No:

Yes

No

5

Is the wheelbase of the modified vehicle greater than the minimum optional wheelbase available in the model vehicle from which the replacement brake system is sourced?

☐

☐

6

In the case of an air brake system, if the wheelbase of the modified vehicle is greater than the maximum optional wheelbase offered by the manufacturer for the particular model from which the replacement brake system is sourced, have the brake application response times at the new pipe lengths been shown to meet the requirements of the section relating to ‘Service Brake Actuating Test’ of Australian Design Rule (ADR) 35/.. ?

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code G7?

☐

☐

2

Is the quality of the work to an accepted industry standard?

☐

☐

3

Does the modified vehicle continue to comply with all affected ADRs?

☐

☐

Vehicle make:

Vehicle model:

Month and year of manufacture:

VIN (if applicable):

Vehicle chassis no. (if applicable):

Vehicle modifier (company name):

Braking systems                                                                                                                                     Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Is the advanced braking system (where fitted) un-affected or re-certified after the vehicle modification?

☐

☐

☐

Modification criteria                                                                                                                                      Check Yes, No as applicable:

Yes

No

1

Has the modification been performed in accordance with the manufacturer’s guidelines?

☐

☐

Frame                                                                                                                                                       Check Yes, No, N/A as applicable:

Yes

No

N/A

1

Are all of the dimensions of the frame rail (including all sections of a multichannel frame) identical to that offered by the manufacturer for the equivalent model or acceptable as per the relevant engineer’s calculation?

☐

☐

☐

2

Are the dimensions of the additional reinforcement identical to those stated in the calculations?

☐

☐

☐

3

Are the material specifications and tensile yield strength of the original frame rail, frame rail extension and additional reinforcement compatible?

☐

☐

☐

4

Is the modified chassis frame of sufficient strength for the proposed application?

☐

☐

☐

5

Is the stress at maximum load less in the modified frame than in a standard unmodified vehicle with the same chassis rail and an equal or longer wheelbase, or within the acceptable factor of safety as per relevant engineer’s calculations?

☐

☐

☐

6

Is the type of additional reinforcement as per the manufacturer’s recommendations or as per VSB6 Section H?

☐

☐

☐

7

Is the location and attachment of additional reinforcement as per the manufacturer’s recommendations or VSB6 Section H?

☐

☐

☐

8

Are all the additional cross members of the same design, material specifications, dimension and equivalent attachment as that offered by the manufacturer for the original vehicle?

☐

☐

☐

9

Is the spacing of the cross members on the modified chassis no more than the manufacturer’s standard cross member spacing for that model vehicle or alternatively this VSB6 Section H?

☐

☐

☐

10

Are the chassis modifications in accordance with the manufacturer’s recommendations or, where the manufacturer’s recommendations are unavailable, VSB6 Section H?

☐

☐

☐

Vehicle specifications                                                                                                                           Check Yes, No, N/A as applicable:

Yes

No

N/A

11

Has the vehicle been shown to comply with the requirements of applicable VSB6 Section G — Brakes?

☐

☐

☐

12

Has the vehicle stability system, if fitted, been validated by the vehicle or equipment manufacturer as being correctly set up for the changed specification?

☐

☐

Welding                                                                                                                                                   Check Yes, No, N/A as applicable:

Yes

No

N/A

13

Has welding been performed in accordance with the manufacturer’s recommendations, or, where the manufacturer’s recommendations are unavailable, VSB6?

☐

☐

☐

14

Has the welding been performed by a suitably qualified tradesperson and to accepted industry standards?

☐

☐

☐

Heat treated frame rail                                                                                                                        Check Yes, No, N/A as applicable:

Yes

No

N/A

15

When establishing the size of additional reinforcement, has allowance been made for the reduction in material strength due to welding?

☐

☐

☐

Driveline                                                                                                                                                  Check Yes, No, N/A as applicable:

Yes

No

N/A

16

Have the modification(s) to the driveline been completed in accordance with VSB6 Section B — Transmissions and VSB6 Section C — Tail shafts, as applicable?

☐

☐

☐

Modification                                                                                                                                                    Check Yes, No as applicable:

Yes

No

1

Does this modification meet all the requirements of the manufacturer’s guidelines / Modification Code H1?

☐

☐

2

Does the modified vehicle satisfy the requirements of the relevant heavy vehicle standards regulation and regulation mass limits imposed by the relevant heavy vehicle regulator?

☐

☐

3

Have all of the modification details and all calculations applicable to the modification been recorded in accordance with the record keeping requirement of VSB6?

☐

☐

4

Is the quality of the work to an accepted industry standard?

☐

☐

5

Does the modified vehicle continue to comply with all affected Australian Design Rules?

☐

☐