Annex V STANDARD FORM FOR REPORTING TO THE COMMISSION
United Kingdom
The standard form shall be drawn up in a computer-processable format and transmitted by electronic means using standard office software.
Each Member State shall produce:
-
one single summary table; and
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for each country of registration of vehicles checked in a more detailed inspection, a separate detailed table containing information on checked and detected deficiencies for each vehicle category.
Summary table
of all (initial and more detailed) inspections
| Reporting Member State: | e.g. Belgium | Reporting period | year [X] | to | year [X+1] |
| Failed vehicles with major or dangerous deficiencies as per Annex IV. | ||||||||||||||||||
| Vehicle Category: | N2 | N3 | M2 | M3 | O3 | O4 | T5 | Other categories(optional) | Total | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Country of registration | Number of vehicles checked | Number of vehicles failedf1 | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed |
| Belgium | ||||||||||||||||||
| Bulgaria | ||||||||||||||||||
| Czech Republic | ||||||||||||||||||
| Denmark | ||||||||||||||||||
| Germany | ||||||||||||||||||
| Estonia | ||||||||||||||||||
| Ireland | ||||||||||||||||||
| Greece | ||||||||||||||||||
| Spain | ||||||||||||||||||
| France | ||||||||||||||||||
| Croatia | ||||||||||||||||||
| Italy | ||||||||||||||||||
| Cyprus | ||||||||||||||||||
| Latvia | ||||||||||||||||||
| Lithuania | ||||||||||||||||||
| Luxembourg | ||||||||||||||||||
| Hungary | ||||||||||||||||||
| Malta | ||||||||||||||||||
| Netherlands | ||||||||||||||||||
| Austria | ||||||||||||||||||
| Poland | ||||||||||||||||||
| Portugal | ||||||||||||||||||
| Romania | ||||||||||||||||||
| Slovenia | ||||||||||||||||||
| Slovakia | ||||||||||||||||||
| Finland | ||||||||||||||||||
| Sweden | ||||||||||||||||||
| United Kingdom | ||||||||||||||||||
| Albania | ||||||||||||||||||
| Andorra | ||||||||||||||||||
| Armenia | ||||||||||||||||||
| Azerbaijan | ||||||||||||||||||
| Belarus | ||||||||||||||||||
| Bosnia and Herzegovina | ||||||||||||||||||
| Georgia | ||||||||||||||||||
| Kazakhstan | ||||||||||||||||||
| Liechtenstein | ||||||||||||||||||
| Monaco | ||||||||||||||||||
| Montenegro | ||||||||||||||||||
| Norway | ||||||||||||||||||
| Republic of Moldova | ||||||||||||||||||
| Russian Federation | ||||||||||||||||||
| San Marino | ||||||||||||||||||
| Serbia | ||||||||||||||||||
| Switzerland | ||||||||||||||||||
| Tajikistan | ||||||||||||||||||
| Turkey | Turkey | |||||||||||||||||
| Turkmenistan | ||||||||||||||||||
| Ukraine | ||||||||||||||||||
| Uzbekistan | ||||||||||||||||||
| The former Yugoslav Republic of Macedonia | ||||||||||||||||||
| Other third countries (please specify) | ||||||||||||||||||
Results of more detailed inspections
| Reporting Member State: | e.g. Belgium | ||||
| Name of the reporting Member State | |||||
| Country of Registration: | e.g. Bulgaria | PERIOD: from | 01/year [x] | to | 12/year [x+1] |
| Name of the country of vehicles registration | |||||
| Failed vehicles with major or dangerous deficiencies as per Annex IV. | ||||||||||||||||||
| Vehicle Category: | N2 | N3 | M2 | M3 | O3 | O4 | T5 | Other categories(optional) | Total | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of vehicles checked | Number of vehicles failedf2 | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | Number of vehicles checked | Number of vehicles failed | |
| Defect detail | ||||||||||||||||||
| Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | Checked | Failed | |
| (0) Identification | ||||||||||||||||||
| (1) Braking equipment | ||||||||||||||||||
| (2) Steering | ||||||||||||||||||
| (3) Visibility | ||||||||||||||||||
| (4) Lighting equipment and electrical system | ||||||||||||||||||
| (5) Axles, wheels, tyres, suspension | ||||||||||||||||||
| (6) Chassis and chassis attachments | ||||||||||||||||||
| (7) Other equipment including tachograph and speed limitation devices | ||||||||||||||||||
| (8) Nuisance including emissions and spillage of fuel and/or oil | ||||||||||||||||||
| (9) Supplementary tests for M2/M3 | ||||||||||||||||||
| (10) Cargo securing | ||||||||||||||||||
| Defect details (additional) | ||||||||||||||||||
| 1.1.1 | ||||||||||||||||||
| 1.1.2 | ||||||||||||||||||
| … | ||||||||||||||||||
| 2.1.1 | ||||||||||||||||||
| 2.1.2 | ||||||||||||||||||
| … | ||||||||||||||||||
| 3.1 | ||||||||||||||||||
| 3.2 | ||||||||||||||||||
| … | ||||||||||||||||||
| 20.6.2 | ||||||||||||||||||
| 30 | ||||||||||||||||||
| Total number of failures | ||||||||||||||||||
Annotations
Footnotes
- f1
-
Failed vehicles with major or dangerous deficiencies as per Annex IV.
- f2
-
Failed vehicles with major or dangerous deficiencies as per Annex IV.