Document MXEkwEDDD6Zp9aQKqGvNzQw9
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AMERICAN BRAICEBLOK DIVISION
WINCHESTER OFFICE
CAk.4*i'y
l PLAINTIFFS 1 EXHIBIT l AB-130
memorandum
June 19, 1972
SUBJECT:
ASBESTOS FIBERS EMISSIONS - FRICTION MATERIALS
The enclosed mailing from the FMSI Asbestos Study Committee is of great interest now that the EFA Emission study report is about to be released.
Note the item on "Brakes11, page 28. The assumption appears to be that disc brakes will be the "cure all".
We will attend the next meeting of the committee and will report further findings.
.' * c'(
E. H. Feierabend
EHF/le
cc; Messrs. G. L.. Romine D. K. Rennie S, M. Andrichak C. H. Borcherding. Jr. G. R. Graham J. J. Sheffield F. E. Tayler, Jr. A. M. Unger File
jUN 2 l 1972
abex corporation
medical DEPT.
SPRY 006096
-fnlCTION MATERIALS ST 'ARDS INSTITUTE, INC., E-310 Ra''" ,r4, PARA* US, N. J. 07652 June 6, 1972
TO: Members of Asbestos Study Committee SUBJECT: Asbestos Fibers Emissions - Friction Materials
A seminar was held at the Illinois Institute of Technology Research Insti tute back in April of this year. Dr. Colin Harwood of HTRI was one of the advisors to the Illinois Pollution Control Board who was in favor of the pro posed 1971 regulations as written--that is to include a ban on the" use of asbestos in the brake lining of vehicles manufactured after January 1, 1975 and sold for use in Illinois."
The pages from the IITRI paper are: pages 22, 25, 26, 27, 28, 46, 49, 65, 66, 67, 68, 69, 70, 71, 72, 73.
Your Chairman, Mr. I. H. Weaver, sent this data to me for distribution to the Committee. He commented on the paper: "The main issue I would "have with Dr. Harwood's conclusion would have to do with whether or not the free fibers or fibrils released from friction material decomposition are truly hazardous in any way, and I also believe he tends to underestimate the problems in non-asbestos containing braking systems. "
Your Chairman believes that a meeting of the Committee should be called. I'm
asking for a reply on the attached form, for which weeks not to call a meetino.
From this I will try to arrive at a meeting date (perhaps late July or late
August).
-
EWD/lmc
E. IV, Drislane Executive Secretary
iisswil
JUN 2 1 1972 abex CORPORATION
medical dept
SPNY 006097
attachments such that the dust created is arrested at the source and collected in filter bags. Commercial devices are available but normally firms with a sincere interest in pollution control, design and fabricate their own devices. Two examples of such devices are shown in Figures 6 and 7. These control hoods work on the high velocity, low volume principle and can be readily adapted to industrial vacuum cleaner systems.
When arrest-at~the-source systems are not possible, tech
niques similar to those employed by the asbestos spraying
industry may be utilized. Rules which relate more specifically
to fabrication of- asbestos products may be found in such publi
cations as:
.
.
. 1. "Recommended Practices for Fabricating, Handling and Construction Industries,11 Health and Safety .
Council-Asbestos Cement Products Association.
2. "Recommended Health Safety Practices for Handling ,,
and Applying Thermal Insulation Products Containing
Asbestos,". National Insulation Manufacturers * '
-Association (NIMA) .
-.
.
*
3. The Asbestos Research Council - Control and Safety ' Guides (London, England).
4. "Recommendations for Handling Asbestos," Engineering
Equipment Users Association (EEUA) , E.E.U.'A. Hand
book No. 33.
-.
3.3.3 Friction Material Applications
..
Typical friction materials contain 30 to 50% asbestos and
may be up to 70%, and the industry that manufactures these ma
terials is ranked third (19&9). in the consumption of asbestos
fibers. Crysotile is the preferred variety because it has
better frictional properties than amphibol asbestos and does
not exert-so much wear on the opposing surface.
,^
The^major uses of asbestos-containing friction materialsinclude^ brake linings, brake discs and clutch facings. These products have been applied to a wide variety of industrial and commerqial products.
I IT RESEARCH INSTITUTE
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SPAfY 006098
Sources of Emission - Emission of asbestos from friction materials results from normal day-to-day usage. An idea of the scope of this source can be gained from the estimation that the average automobile wears out 3 to 4 sets of brake linings, and " 1 to 2 sets of clutch facings during its lifetime and that commercial public transport vehicles wear out many more sets. Data concerning motor vehicle brake linings for the whole of the United states are given in the following;
Vehicle miles during 1968
1,010,000,000,000
Mileage life of brake linings
27,500
Brake lining sets on new vehicles' pounds of asbestos per set o/
10,718,000
brake linings
3
' Tests performed on brake linings have indicated that .
under conditions of normal usage, considerable alteration of
the asbestos occurs. It is reported that m6st of the dust
.
collected from brake drums appears non-fibrous and is Similar
in appearance to thermally degraded asbestos. The suggestion
4
is that high temperatures at the brake lining/drum contact
points actually reach degradation levels.
Tests on brake linings, brake discs and clutches have demonstrated that the quantity of fiber emitted is some function of the severity of the braking conditions (see Table 3) . How ever, even at the level of 1%, the total emissions must beconsiderable when the total tonnage in use is considered. Further, the emissions are likely to occur at places of high
* density population and restricted ventilation. That is, in busy main streets of towns surrounded by large buildings.
The effect of different braking conditions and different types-,of friction materials on asbestos emissions is the subject'
of a study being sponsored by the Environmental Protection Agency. Other studies are being conducted in California and. some work on roadsides has been done at Mt. Sinai, New York.- The EPA study w2.ll establish the extent and nature of the asbestos
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Table 3
ASBESTOS EMISSIONS FROM BRAKE LININGS (Test Results by Electron Micrograph)
- J*- *
Product.
- Brand
Test Method
No. of Samples
Conditions Presence of of Tosr-F Free Fibers
7. Free F1 her*
1. Automobile
A
drum brakes
Friction
6 300-000
Few
<1
2. It
B Friction
3. ' II
c . Friction
4. If ' C Friction
6 250-800
5 . 300-700 h 700-900
*None Few
Numerous
0 <1 '--10
S. *
6.
7.
8.
9.
10.
- *1
II . If
, ft it II
D French
Friction
E-
.F German
Fr riction Friction
G . Friction
G Friction H , Friction
S
'
t . 5' ,s
300-800
300-700 300-800'
2 * 100-500
:1
\t
2
600-700 100-600
11. Automobile
clutch
J
Dynamometer
1
12. Automobile
disk brake
K
Dynamometer ,
1
13. Bus drum
brake
L Dynamometer 1
14.
H
Friction
2
15. Truck drum
F
Friction
brake (light)
'
10
r_
.-
height estimated from fiber volume.
'*V
.
normal driving
normal driving
city driving
450-550
300-800
Few <1
Few <1
Few ' <1'
'*
Few Numerous
Few None
<1 <-*-15
<1 . 0
.. Few' "
<5
None
0
None Few
0 <1
'
*
: 26
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SPNY 006100
emitted from broke drums, disc brakes and clutches of vehicles
operating under real conditions. Hopefully the situation will
be more clearly understood at the end of those studies.
_'
Emission Control Techniques
'
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Emission at Overhaul - To avoid blowing the accumulated dust into the atmosphere at the time of overhaul devices have been suggested for extraction of the dust from brake and/or clutch housings by suction. Of the devices tried, a simple hand-beld vacuum cleaner has proven to be the most flexible unit. Changes to the original design have been limited to the addition of a disposable paper bag -inserted in the original
cloth bag. The paper bag may be easily sealed before removal
to prevent emission.
* -.,*
1
Substitution - Beyond the adaptation of better cleaning
practices during brake and clutch maintenance, as mentioned .
above, additional controls seem td be limited to improve_design
of brake and clutch assemblies and/or substitution of other
materials for asbestos.
'
.
The high temperature properties and exceptional tensile strength of asbestos have resulted in very compact and economi cal design. These same unique properties-which make asbestos applicable to friction materials also make the application of substitute materials very difficult. The'tensile strength^and modules of rigidity of asbestos as compared to several candidate substitute materials- follows:
Tensile strength lb/in.2
2 Modulus of Rigidity lb/in.
As'bestos
550,000
30,000., 000
Fiber yarns 180,000
- 3,000,000
Sl;eel wool .. 50,000
. 100,000
Mineral wool 25,000
*.
60,000
-
\
There, is no doubt that substitution of other materials for
asbestos is*possible, but the design changes required to accom
modate the stresses and temperatures involved would result in
. I IT RESEARCH INSTITUTE
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SPNY 006101
larger, more expensive components.
Brakes - The recent adoption of disc brakes by the auto
motive industry makes material substitution more plausible.
^
Disc brakes are capable of greater energy dissipation than
similar sized drum brakes because the design results in con
siderably lower heating rates. This is due to the fact that at
any one time the friction pad contacts only a section of the
disc surface. The lower operating temperatures permit the use
of friction materials which do not contain asbestos. Another
feature of disc brake design which has reduced the need of
asbestos material's is the lower strength requirement of the
friction material.
.-
- Clutches - The substitution .of other material for asbestos in clutch facings of traditional design'could only be done by changes in size and design. Two changes in clutch design which have reduced the requirement for asbestos-containing friction'
materials are the advent of the automatic transmission and the " redesign of manual clutch friction surface.
.*
. The clutch surface of the automatic transmission is im mersed in an oil bath which virtually eliminates airborne pollutants. Further, the cooling affect.of the oil hath reduces the requirement for high-temperature capability materials. Automatic transmission clutch facings may be made from either sintered metals or fibrous cellulose materials.
Many manual clutches have redesigned friction surfaces
which consist of numerous small circular pads or discs attached
to the clutch face as opposed to the standard annular ring
friction surface. These small pads act in the same manner as
the diac brakes friction pad. Thus, lower stresses and oper ating temperature associated with the new design reduce the
need for asbestos-containing friction materials.
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SPNY 006102
.]
,3 h
]
3 3 3
T
V 1 3 3 1 3
1.
I I 1 I !
.10 SPErrFTC PROBLEMS
10.1 Emission Levels
In understanding control techniques and their efficiencies, it is important not to be confused with efficiencies quoted on a weight basis and those based on a particle count basis.
Firstly, considering efficiency based on a weight basis, it is relatively easy to get a very high efficiency with parti cles whose size is in excess of 5fj, with a variety of ^control devices (see Figure 10) . However, the efficiency does drop off considerably with decrease of particle size, for example, see Figure 11 for ljx. particles. {It should* be noted that these graphs refer to spherical particles7 - information on fibrous particles is not presently available.)
Now consider what these apparent high efficiencies mean
-
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in terms of numbers of fibers. It can be assumed that 10
average fibers of asbestos weigh approximately 1' ng.
-
If 1. g of asbestos material approaches a filter rated at -
even as high as 99.999% efficiency, then-*the quantity passing
A~
*
through will be 0.00001 g, or 10 ng. And since 1 ng
3 10
fibers, then a total of 107 fibers will pass through the filter
for every 1 g of material impinging upon it.
.
This is a situation not frequently brought out, but is very
significant when exposure levels are monitored in terms of '
fibers per cubic centimeter.
*
. *' '
Thus the quoting of efficiency in terms of mass efficiency is a "red-herring" statement'that flatters to deceive. It bears no obvious relation to the number of fibers being emitted.
JEJ.owever, based on tests which actually measure the number
of fibers .being emitted, it would seem, that both fabric filters
and high efficiency wet scrubbers are capable of reducing- the "
fiber counts to acceptable levels. British experience is that
0.2 f/cc is routine and Johns Manville finds that L f/cc is an
acceptcile value when the results are averaged over a time
period^
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SPNY 006103
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The medical evidence as to the size of fiber responsible
for adverse health effects is not positive nor is the question
of whether fibrils of fibers are most hazardous. ` Until the
medical questions are fully resolved, it would seem premature
to impose inflexible or overly rigid regulations.
This has been the view held by the Federal occupational
health authorities in assessing their standards. It would seem
that thei approach in limiting exposure to that which is possi
ble -using good modern technology is sensible-.- The same may be
I said for their monitoring techniques. *
10.2 Water Pollution
.
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,
i ` Recycling of waste water is possible and is practiced in certain segments of the industry( The question of the damage
i done to streams1, rivers, and l$ikes by indiscriminant dumping of asbestos containing waste waters needs careful study. One'
must remember it is a natural material which will appear in " {
water in any case; On the other hand, there is evidence that
.asbestos particles ingested into the stomach may cause stomach
I cancer.
; * . . '.
_
-tr l
Again, until medical evidence is clear, it would seem
sensible to recycle water whenever this can
accomplished.
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SPNY 006104
' ASBESTOS AIR POLLUTION RESULTING
FROM THE WEAR OF BRAKE LININGS
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' . Colin F. Harwood, e4i.D. -
'. ` `
. ABSTRACT ,
* *.' * '
Asbestos containing brake lini/igs have been cited as a
source of ambient air'asbestos pollution. This paper reviews
the suggestion and an- estimate is. presented which indicates
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* -
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that the asbestbs -emission from brake linings is significant. '
The ways in which this' emission may be reduced or eliminated
are briefly reviewed. V' <
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. IIT RESEARCH INSTITUTE J .10 West 35th Street
Chicago, ..Illinois 60616
jSfr**'
UT RESEARCH INSTITUTE
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SPNY 006105
asbestos air pollution resulting
FROM THE WEAR OF BRAKE LININGS
TKTTRnP'JCTION
. " v(
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N Recent interest in asbestos and the realisation of its health hazard have raised the question of the extent to which people are exposed.to asbestos on a non-occupational basis. Measurements have been made on urban background levels^and it has been shown that small but definite concentrations are to be found in areas quite remote from any apparent source.
Since virtually every motor vehicles carries several pounds
of asbestos contained in its brake linings and since these are
worn away to some degree every time'the brakes are applied then
it is reasonable to expect that, they could present a significant
emission source. This.is. especially acceptable when one considers
the 100.million or so vehicles on the nations roads.
*'
The paper investigates the possible extent of such emissions and presents an estimate of the contribution to urban asbestos concentrations. Possible means of.reducing such emissions by use of an alternative or,, sealing the system are briefly reviewed.
The Extent of' the Emission
'.
' '
\
The best information available at the present time
' .
indicates that the percentage of 'asbestos contained in*'the dust
normally emitted from,brake linings' is of the order of 1%,
However, under conditions of severe breaking, this may rise to
15%.
'
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'
The,average brake friction material contains of the oirder of 50% asb.^tos, thus an explanation is necessary to account for
the discrepancy between the measured and. theoretical values. : , The most likely explanation results'from the known facts with-re-
gard to heat.generated at friction surfaces. The wprk of Bowden
and Taboij- has shown that when two surfaces ore placed together
the contact area is dramatically less than the apparent area.
.
.l.iT! RESEARCH INSTITUTE
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SPNY 006106
^
T-'WV* Tri">
This moans that very .large energy transfer takes place at these contact points and extremely high temperatures are reached.
In the case of brake linings, some evidence of these
temperatures has been generated in unpublished, work by the
T General Motors Company4. In this'study, a small hole was cut. i through a brake shoe and the radiation collected from the ex
r posed ;Thoe surface was monitored. The results suggested that
t
is under light braking temperatures of the order of 800-900C
r were fount}, while during heavy braking the temperature reached
f*-
1700-1800c.
'
.
'
4r* ' The significance of this data go the present case is
that it is known that asbestos decomposes above 500to give
forsterite (Mg2SiO^), talc (Mg^Si^Oj 0 (OH)
and water vapor.
.j>f Acceptance of'.the value: of _ 1% of .asbestos emitted allows
an estimate to be made of the effect of this emission on the
.i
quality of -.the atmosphere. ! I
1
.. : .
-
.
Estimation of Urban Concentrations of Asbestos'
From Brakes '
-------- ------------------- ;-------------------------- --- ;
< .-*
..
*
' '.
Assumptions . -''.'`r - , "r
/
' .J ' ' * '
a. - There are approximately 100 .miilign* motor vehicles.
b. Motor vehicles -have an approximate average weight
of 4 lbs of. friction material, when.new, of which
iV
. 50% is asbestos.
, - .
!
c. The average motor vehicle will require replacement
of the brakes after three years of use at which
time they will,have, lost 50% of their weight by
' abrasion. . - ....
. *
fr `
a- The. dust emitted will contain 1% of asbestos fibers.
f
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'
e. Of,the'.wear dust, 80% is emitted and 20% is lodged
within the system.
!.
i-'
..*
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Cl?inis there ajre 109,000,000 licenced vehicles in cluding 90,000,000.passenger vehicles and 19,p00,000 trpeks.
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SPNY 006107
,'M 3 t-nl , i t~ i on The total weight of broke linings in use is A.00'-2o6o0""X~ = 200, 000 Tons. -
_
The quantity worn off these linings per year follows from the assumptions made in c.
as 200,000 x | x ---- = "^-Q Tons/yr.
This wear dust contains 1% asbestos, hence emission is
iQ2sfiSfi
Tons/yr*
Allowing for the fact .that 20% is not emitted,
emission is thus
/.
2000
80 100
-
--1600 -
270
Tons/yr.
the total '
Effect: on the Atmosphere
There are no facts relating directly to asbestos on
>
which one may judge the effect of these emissions on urban air.
However, there has been a considerable ampunt of study done on
the diffusion of other materials from automobiles, particularly
lead and carbon monoxide. At a recent ACS Symposium in Minneapolis^ evidence was presented which placed the level for lead emission at 0.01 pg/m3 in Thule, Alaska and 2.5 *(ig3/m in
New York City. Next to busy highways a level in excess of
50 |ig/m may well be possible.' In the light of this data the value of 2 pg/m^ for average urban air conditions, suggested
by GM , seems eminently reasonable. Considering that 1.25 x 10 tons of lead ?re emitted in total from automobiles then the following factor is used.
Avg> Cone, asbestos
in city air from
automobiles
Quantity of
2 .|i.q/m city air
asbestos emitted
x 1*
n ,,5 ,
Pb from cars
Applying this figure to the present case and a'ssuming that
200 tons are emitted irj city areas, then we get tha't:
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HI klslarch instiiutc
68
SPNY 006108
The avg. cone.
200 x --------------;--c 1.25 x 10
3.2 x'10"3 pg/m3 v
3
or 3.2 x ng/m
A similar result is obtained using the dispersion factor
for carbon monoxide. However, the values for lead are preferred
since it is a particulate emission rather than a gas.
The Significance of This Value
*
The question of whether asbestos containing brake linings
constitute a significant source of ambient air background, asbestos levels can now*be considered.
- Firstly, it is pertinent to review the available evidence _
on asbestos levels in ambient air. Perhaps the most up-to-date
information is reported in a recent paper by Thompson and
Morgan of the EPA7 . Their data ' suggests that values 0.5-15
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3
*
3
ng/m are appropriate to urban sites, while 0.1 ng/m is to be
*3 found in nonurban sites. They give a figure of 0.01 ng/m for
remote sites.
.
.'
The California State Health Department in collaboration
with the School of Public Health, Berkeley, California, have
' tested ambient air for asbestos. Their results suggest values of 0.06 ng/m 3 in remote- sites and 3 ng/m 3 near a
source.
- .r
..
.*
R
Nicholson and Rohl of the Mt* Sinai School of Medicine
have also been active in the .measurement of asbestos in urban
ambient air. The analysis of a large number of samples has revealed that 33% of the samples contained 0-0.9 ng/m3, 55% contained 1.0-5.0 ng/m3 and 10% contained 5-20 ng/m3 and a few
were ii*f excess of this.
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7 ST
All^ of the workers have been at pains to point out that '
the results are to be considered preliminary. Thus they should
rc9arded not as final definite figures, but rather as good,
11T RESEARCH INSTITUTE
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SPNY 006109
considered, preliminary findings. The similarity of the figures i
reported by the various workers does suggest that at least an
order of magnitude has been established.
'
3'
Consider now the estimate of 3.2 ng/m calculated pre-
^ .
viously as the contribution from asbestos brake linings. -Firstly,
* it should be stated that this figure is a conservative estimate
and allowance has been made for the many factors which could re
duce this figure. Secondly, although there is no reason to doubt
the factor for the diffusion of lead, it should be realized that
this figure is an average value for the whole of the city air.
Consequently, much -higher concentrations are to be expected in
certain areas of high brake usage. For example, near inter
sections, tollbooths, etc.
In the light of the evidence here presented, one must
conclude that asbestos emitted from brake linings may be a
major contributing factor in the overall ambient air concen-
tration.
"
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__
`
Further work is necessary to establish more definitely
the'major contributors to urban asbestos concentration levels.
It is not possible to state with assurance how much these
`
low concentrations of asbestos constitute a; threat to the health
of the general public. Medical evidence and opinion is widely
divergent on this issue. However, asbestos, has been rated as a
hazardous substance by the EPA and1 as such it should be'`treated
with due respect. Emissions should be reduced or curbed
wherever this' is possible. To .this end it is -worth briefly
reviewing how this may be achieved.
OF ELIMINATING EMISSIONS
'
The emission of asbestos to the atmosphere from asbestos
containing brakes could be prevented in two ways: its use could be
banned altogether, or, the brakes could be sealed. In the
"
`Ormor case, an alternate would have to be found.
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SPNY 006110
A3 fernatives to Asbestos
For a replacement to be as suitable as, asbestos, it would
have to fulfill a list of desirable features as:
' '
o Resist, high temperatures without degradation or loss of frictional properties.
o Combine excellent friction characteristics
without severe abrasion.
.
o Provide great strength - asbestos fibers have
a greater tensile strength than steel and yet
. are more flexible.
}t
Have relative economy.
Of the materials which have been considered, sintered metal
with ceramics and fiberglass have been the most likely candi
dates thus far.
.
Sintered Metal - This material has been used and indeed -
has the desirable quality of being fade-free, for this reason it '
is still used in some racing cars. Hov.eydr, it )ias several dis
advantages*
It tends to be noisy and brake screetch is a
problem. They suffer from what is known^ in the trade as "morning '
sickness", this means that the first stop is very severe, or,
that the cold friction is high. Wear is higher than with asbestos
and thus the brakes have to be ^replaced more frequently. Replacing
the brakes is more difficult since all brakes are honeH to fit
the drum. material.
Honing metal is more difficult than asbestos friction ^,
Ceramic Metal (Cermets) - A sintered metal and ceramic
composition has been developed and tried. Its use at "this
time seems to be restricted to the clutches on heavy-duty
vehicles (tractors, etc.) ; in these cases it is usual to use
buttons of the material rather than *a complete annulus.
,
Although to a lesser degree, it suffers from the same complaints
fcs sintered metal with respect to noise, wear and severe first
stop, and in addition, it is relatively expensive. However,
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SPNY 006111
its anti-fade characteristics have led:to extensive testing. For example, the Ford Motor Company put inserts of ceramic metal at th'e position of maximum brake wear on their 19 58 ~ Thunderbird. The concept was abandoned, reportedly due to uneven braking leading to a directional pull when broking.
Fiberglass - Attempts to use fiberglass instead of
asbestos have been attempted since 1938. So far, no design
has met the exacting standards required. As with the*other
materials, the first stop is harsh. Apparently the design is
better for disc brakes than drums. A problem is the sensitivity
of the brake to moisture.
^
* Owens-Corning are undertaking development research in
this area. They are very guarded with regard to the status
of their work, but state that they are actively engaged in
developing a product. To date, no vehicles are known to employ
fiberglass in their brake friction product.
.
Sealed Systems '
*'
' Sealed systems have been seriously considered. Normally,
cars rely on air cooling and the movement of air round the '
brake caused by the motion of the car. However with`high
performance cars, more cooling is required. This is achieved
in a simple manner by fabricating a superstructure which
,
scoops up air and directs it inside the brake drum. If a
filter were added on the exiting side, this would cause a
substantial'reduction in emissions.
A more elaborate design which has been used is to liquid cool the brake system. This enables the braking system to be completely sealed and thus no emission are possible. The one problem area with this design is that the oil seals must be
,
extremely reliable. However, with a well designed system problems-Mue to overheating could be largely eliminated.
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SPNY006112
CONCLUSIONS
An estimate has been made of the asbestos concentrations to be found in urban air resulting from .the use of asbestos . containing brake materials. The results indicate that brake use may veil constitute a major source of asbestos background levels. The quantity in comparison to occupational levels is extremely, low. A time weighted average occupational ex posure level of 5 f/cc would be of the order of 100,000 times greater than a background level of 3.0 ng/m^. The medical
significance of these results is not known with any certainty.
' At the present time, no alternative to asbestos contain
ing friction ^products is developed to the stage of finesse
required by the industry. It is difficult to believe that
modern technology cannot overcome the problems presented by
the use of alternates.
,
The use of sealed brake units is a second possibility; Again there do not seem to be any insurmountable technologi cal problems> but no information is available,as to the cost 'and time factors.
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SPNY 006113
ABEX CORPORATION MEDICAL DEPT.
SPNY006114