Brake Booster Push Rod Adjustment Form
Document each step of the brake booster push rod adjustment service for accurate maintenance records.
Technician Name
*
First Name
Last Name
Date of Service
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Identification Number (VIN)
*
Odometer Reading (miles)
*
Reason for Adjustment
*
Routine Maintenance
Brake Pedal Travel Issue
Replacement of Brake Booster
Other (specify below)
Initial Push Rod Length (mm)
*
Adjusted Push Rod Length (mm)
*
Adjustment Method Used
*
Please Select
Manual Measurement
Special Tool
Manufacturer Procedure
Parts Replaced During Service
*
Push Rod
Brake Booster
Seals/Gaskets
None
Other (specify below)
Technician Remarks / Observations
Submit
Should be Empty: