F1ANNEX I
(front side)
SPECIMEN TECHNICAL ROADSIDE INSPECTION REPORT INCORPORATING A CHECK-LIST
1.
Place of check …
2.
Date …
3.
Time …
4.
Vehicle nationality mark and registration number …
5.
Vehicle identification/VIN number …
6.Category of vehicle
- (a)
N2(a) (3,5 to 12 t)
- (b)
N3(a) (more than 12 t)
- (c)
O3(a) (3,5 to 10 t)
- (d)
O4(a) (more than 10 t)
- (e)
M2(a) (> 9 seats(b) to 5 t)
- (f)
M3(a) (> 9 seats(b) more than 5 t)
- (g)
Other vehicle category (Article 1(3))
7.Undertaking carrying out transport
- (a)
Name and address …
…
- (b)
Number of the Community licence(c) (Regulation (EC) No 1072/2009) …
8.
Nationality (driver) …
9.
Driver name …
10.Checklist…
Checked(d) | Not checked | Failed(e) | |
|---|---|---|---|
(0)identification(f) | | | |
(1)braking equipment | | | |
(2)steering(f) | | | |
(3)visibility(f) | | | |
(4)lighting equipment and electric system(f) | | | |
(5)axles, wheels, tyres, suspension(f) | | | |
(6)chassis and chassis attachments(f) | | | |
(7)other equipment including tachograph(f) and speed limitation device | | | |
(8)nuisance including emissions and spillage of fuel and/or oil | | | |
11.Result of inspection:
- Ban on using the vehicle, which has dangerous defects
12.
Miscellaneous/remarks: …
13.Authority/officer or inspector having carried out the inspection
Signature of:
Testing authority/officer or inspector … | Driver … |
Notes:
(a)
Vehicle category according to Annex II to Directive 2007/46/EC (OJ L 263, 9.10.2007, p. 1).
(b)
Number of seats including the driver’s seat (item S.1 of registration certificate).
(c)
If available.
(d)
‘Checked’ means that at least one or more of the inspection items listed in Annex II to Directive 2009/40/EC as amended by Directive 2010/48/EU of this group have been checked.
(e)
Defects indicated on the rear side.
(f)
Methods for testing and guidelines for assessment of defects according to Annex II to Directive 2009/40/EC as amended by Directive 2010/48/EU.
(reverse side)
0.IDENTIFICATION OF THE VEHICLE
0.1.
Registration number plates
0.2.
Vehicle identification/chassis/serial number
1.BRAKING EQUIPMENT
1.1.
Mechanical condition and operation
1.1.1.
Service brake pedal pivot
1.1.2.
Pedal condition and travel of brake operating device
1.1.3.
Vacuum pump or compressor and reservoirs
1.1.4.
Low pressure warning gauge or indicator
1.1.5.
Hand-operated brake control valve
1.1.6.
Parking brake activator, lever control, parking brake ratchet
1.1.7.
Braking valves (foot valves, un-loaders, governors)
1.1.8.
Couplings for trailer brakes (electrical and pneumatic)
1.1.9.
Energy storage reservoir pressure tank
1.1.10.
Brake servo units, master cylinder (hydraulic systems)
1.1.11.
Rigid brake pipes
1.1.12.
Flexible brake hoses
1.1.13.
Brake linings and pads
1.1.14.
Brake drums, brake discs
1.1.15.
Brake cables, rods, levers, linkages
1.1.16.
Brake actuators (including spring brakes or hydraulic cylinders)
1.1.17.
Load sensing valve
1.1.18.
Slack adjusters and indicators
1.1.19.
Endurance braking system (where fitted or required)
1.1.20.
Automatic operation of trailer brakes
1.1.21.
Complete braking system
1.1.22.
Test connections
1.2.
Service braking performance and efficiency
1.2.1.
Performance
1.2.2.
Efficiency
1.3.
Secondary (emergency) braking performance and efficiency
1.3.1.
Performance
1.3.2.
Efficiency
1.4.
Parking braking performance and efficiency
1.4.1.
Performance
1.4.2.
Efficiency
1.5.
Endurance braking system performance
1.6.
Anti-lock braking system
2.STEERING
2.1.
Mechanical condition
2.1.1.
Steering gear condition
2.1.2.
Steering gear casing attachment
2.1.3.
Steering linkage condition
2.1.4.
Steering linkage operation
2.1.5.
Power steering
2.2.
Steering wheel and column
2.2.1.
Steering wheel condition
2.2.2.
Steering column
2.3.
Steering play
2.4.
Wheel alignment
2.5.
Trailer steered axle turntable
3.VISIBILITY
3.1.
Field of vision
3.2.
Condition of glass
3.3.
Rear-view mirrors
3.4.
Windscreen wipers
3.5.
Windscreen washers
3.6.
Demisting system
4.LAMPS, REFLECTORS, ELECTRICAL EQUIPMENT
4.1.
Headlamps
4.1.1.
Condition and operation
4.1.2.
Alignment
4.1.3.
Switching
4.1.4.
Compliance with requirements
4.1.5.
Levelling devices
4.1.6.
Headlamp cleaning device
4.2.
Front and rear position lamps, side marker lamps and end outline marker lamps
4.2.1.
Condition and operation
4.2.2.
Switching
4.2.3.
Compliance with requirements
4.3.
Stop lamps
4.3.1.
Condition and operation
4.3.2.
Switching
4.3.3.
Compliance with requirements
4.4.
Direction indicator and hazard warning lamps
4.4.1.
Condition and operation
4.4.2.
Switching
4.4.3.
Compliance with requirements
4.4.4.
Flashing frequency
4.5.
Front and rear fog lamps
4.5.1.
Condition and operation
4.5.2.
Alignment
4.5.3.
Switching
4.5.4.
Compliance with requirements
4.6.
Reversing lamps
4.6.1.
Condition and operation
4.6.2.
Switching
4.6.3.
Compliance with requirements
4.7.
Rear registration plate lamp
4.7.1.
Condition and operation
4.7.2.
Compliance with requirements
4.8.
Retro-reflectors, conspicuity markings and rear marker plates
4.8.1.
Condition
4.8.2.
Compliance with requirements
4.9.
Tell-tales mandatory for lighting equipment
4.9.1.
Condition and operation
4.9.2.
Compliance with requirements
4.10.
Electrical connections between towing vehicle and trailer or semi-trailer
4.11.
Electrical wiring
4.12.
Non-obligatory lamps and reflectors
4.13.
Battery
5.AXLES, WHEELS, TYRES AND SUSPENSION
5.1.
Axles
5.1.1.
Axles
5.1.2.
Stub axles
5.1.3.
Wheel bearings
5.2.
Wheels and tyres
5.2.1.
Road wheel hub
5.2.2.
Wheels
5.2.3.
Tyres
5.3.
Suspension system
5.3.1.
Springs and stabilisers
5.3.2.
Shock absorbers
5.3.3.
Torque tubes, radius arms, wishbones and suspension arms
5.3.4.
Suspension joints
5.3.5.
Air suspension
6.CHASSIS AND CHASSIS ATTACHMENTS
6.1.
Chassis or frame and attachments
6.1.1.
General condition
6.1.2.
Exhaust pipes and silencers
6.1.3.
Fuel tank and pipes (including heating fuel tank and pipes)
6.1.4.
Bumpers, lateral protection and rear under-run devices
6.1.5.
Spare wheel carrier
6.1.6.
Coupling mechanisms and towing equipment
6.1.7.
Transmission
6.1.8.
Engine mountings
6.1.9.
Engine performance
6.2.
Cab and bodywork
6.2.1.
Condition
6.2.2.
Mounting
6.2.3.
Doors and door catches
6.2.4.
Floor
6.2.5.
Driver’s seat
6.2.6.
Other seats
6.2.7.
Driving controls
6.2.8.
Cab steps
6.2.9.
Other interior and exterior fittings and equipment
6.2.10.
Mudguards (wings), spray suppression devices
7.OTHER EQUIPMENT
7.1.
Safety belts/buckles
7.1.1.
Security of mounting
7.1.2.
Condition
7.1.3.
Safety belt load-limiter
7.1.4.
Safety belt pre-tensioners
7.1.5.
Airbag
7.1.6.
SRS systems
7.2.
Fire extinguisher
7.3.
Locks and anti-theft device
7.4.
Warning triangle
7.5.
First aid kit
7.6.
Wheel chocks (wedges)
7.7.
Audible warning device
7.8.
Speedometer
7.9.
Tachograph
7.10.
Speed limitation device
7.11.
Odometer
7.12.
Electronic stability control (ESC)
8.NOISE
8.1.
8.1 Noise suppression system
8.2.
Exhaust emissions
8.2.1.
Petrol engine emissions
8.2.1.1.
Exhaust emission control equipment
8.2.1.2.
Gaseous emissions
8.2.2.
Diesel engine emissions
8.2.2.1.
Exhaust emission control equipment
8.2.2.2.
Opacity
8.3.
Electromagnetic interference suppression
8.4.
Other items related to the environment
8.4.1.
Visible smoke
8.4.2.
Fluid leaks
Substituted by Commission Directive 2010/47/EU of 5 July 2010 adapting to technical progress Directive 2000/30/EC of the European Parliament and of the Council on the technical roadside inspection of the roadworthiness of commercial vehicles circulating in the Community.