RASSI || SEAT

SAVE CHANGES

CANCEL

SAVE CHANGES

CANCEL

SEAT

Unit Number

Seat Number

Occupant Number

Seat Position

Belt Availability

Belt Usage

Belt Failure

Shoulder Belt Upper Anchorage Adjustment

Primary Source of Belt use Determination

Pretensioner Availability/Actuation

Seat Performance

Seat Performance (specify)

Seat Back Incline Prior and Post Impact

Type of Child Safety Seat

Front Airbag Availability/Function

Front Airbag Deployment

Other Front Airbag Availability/Function

Other Front Airbag Deployment

Type of Airbag

Prior Maintenance/Service on Airbag

Airbag Deployment Accident Event Sequence Number

Were Airbag Module Cover Flaps Damaged?

Did Airbag Module Cover Flaps Open at Tear Points?

Was There Damage to the Airbag?

Curtain Airbag Availability

Curtain Airbag Deployment

Seat airbag Availability

Seat Airbag Deployment

Door Airbag Availability

Door Airbag Deployment

Airbag System Failure

Airbag System Failure (specify)