1

RIGID TRUCK/TRACTOR 3 2 1 0
Age 0 - 5 years 6 - 12 years 13 - 15 years > 15 years
Ratio Engine Power/Effective GVW of the truck > or = 13 11< or =; ;< 13 9< or =; ;< 11 <9
Ratio Engine Power/Effective Combined GVW
> or = 9 8< or =; ;< 9 7< or =; ;< 8 <7
(truck/tractor with trailer)
Overload GVW for Truck (see ratio G) or
without overload overload
overload combined GVW (see ration L)
Tare plate (weights) and indications complete incomplete absent
Correct
absent/ineffective
Safety belt (driver/passenger)
On Board Computer functional incorrect connecting absent/ineffective
Dashboard indicators correct absent/ineffective
Tachograph functional no disc absent/defective
Windscreen wipers / wash effective no wash signs of wear absent/ineffective
Horns correct absent/ineffective
Engine start up / stop test correct does not start
Engine noise correct suspicious noise
Steering wheel play less than 5° more than 5°
Brake tests brake test results (Good=3; Bad=0)
Parking brake test on a slope (truck immobile=3; moving=0)
operational & good
Headlights with covers 1 or more faulty
condition
operational & good
Indicator light with covers 1 or more faulty
condition
Condition of the wind screen good condition average visibility damaged/bad visibility
Condition of the windows good condition average visibility damaged/bad visibility
Outside mirrors good condition average visibility absent/ineffective
Registration plate good condition not properly secured absent
Wheel nuts good condition signs of wear absent insufficient tighten
presence of
good condition
Condition of the wheel rims cracks/damaged
FR tyres good condition average 1 or more to be replaced
broken blades or missing
FR suspension good condition no greasing
element
Engine oil leak no leak leak
Air leak no leak leak
Rear tyres good condition average 1 or more to be replaced
broken blades or missing
Rear suspension good condition no greasing
element
cracks/not adapted
Condition of the chassis good condition rust small deformation
non-conform repair
Condition of axles good condition rust cracks
Under run bumper at rear side good condition rust absent
Under-run protecting bars on both sides (truck) good condition rust absent

Rev 1 PATROM Hydrocarbures Liquides Evaluation Véhicule

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operational + good
Brake lights complete with covers 1 or more faulty
condition
Rear reflector present absent
operational + good
Rear lights complete with covers 1 or more faulty
condition
good condition and absent/damaged/
Exhaust system (situation - condition) correctly placed wrong position
Exhaust smoke correct too dense
Flame arrestor or proof of no sparks correct non effective/absent
Cabin attachment correct to be improved not adapted
paint touch up deformations and
General condition of the cabin good condition
and bumps severe rust
good condition bad fixing/to be
Cabin access (3 points) correctly placed repaired/absent
Battery protector present to be improved absent
discontinuity defective
good condition
Electrical wiring insulation protection
faulty/incorrect
Battery cut-off switch operational
equipment/absent
Battery operational faulty
functional and
Fuse box no spare fuse missing
complete
present and
absent
Anti lock braking system functional
present and
absent
Endurance braking system functional
present and
absent
Speed limitation device functional

TRAILER or SEMI-TRAILER (if Tractor) 3 2 1 0

Age 0 - 5 years 6 - 12 years 13 - 20 years > 20 years
Trailer Overload - GCW (see ratio G) without overload overload
Tare plate (weights) and indications complete absent/incomplete
Coupling system correct ineffective/important play
Tractor-trailer hoses corrects leak
discontinuity/insufficient
correct
Tractor-trailer electrical connection protection
Air leak no leak leak
cracks/not adapted
Condition of the chassis good condition rust small deformation
non-conform repair
Condition of the axles good condition rust cracks

Rev 1 PATROM Hydrocarbures Liquides Evaluation Véhicule

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Under-run bumper at rear side good condition rust absent/ineffective

Under-run protecting bars on both sides good condition rust absent/ineffective
Trailer stands good condition absents/faulty
operational + good
Rear lights complete with covers 1 or more faulty
condition
operational + good
Indicators complete with covers 1 or more faulty
condition
operational + good
Brake lights complete with covers 1 or more faulty
condition
Rear reflector present absent
Tyres good condition average 1 or more to be replaced
broken blades or missing
Suspension good condition no greasing
element
Wheel nuts good condition signs of wear absent/insufficient tightness
presence of
good condition
Condition of the wheel rims cracks/damaged
Electrical wiring insulation correct insufficient
Brake tests brake test results (Good=3; Bad=0)
present and
absent
Anti lock braking system functional

TANK 3 2 1 0
Age 0 - 5 years 6 - 12 years 13 - 20 years > 20 years
good
condition/complete incomplete indications absent
Tank identification plate (attachment-indications) indication
Validity of last hydraulic pressure test (max 6 yrs) correct expired
Attachment (tank / chassis) correct to improve not adapting
Electrical earth strap between tank and chassis correct absent/ineffective
Length stop good state absent/ineffective
leaks/large deformations un-
slight bump
Condition of the tank and cradle correct re-paint/rusting adapted cradle/ needs
deformations
repair
Height of longitudinal axis <2,5m <2,5 to 3m >3m
Protection of fittings mounted on tank upper part correct absent/ineffective
Upper part in form of collecting edge correct absent/ineffective
Compartment numbering and capacities indication
correct absent/incorrect
at top
Manhole good condition average deformation / nuts missing
Presence and state of the sun visor good condition average deformation absent/ineffective
Baffle (if tank > 7500L) present needs repair/absent
Location of pipes and mechanism (lateral and rear) -
within vehicle space and not more than 200mm well located incorrect
away from the overall vehicle dimension

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Compartment cleanliness correct rusty dirty

good state with good state without absent/badly
Ladder
foldable handrail foldable handrail fixed/unadapted dangerous
Non-slip upper part correct absent
good state 2 good state one
Hand rail badly fixed/no handrail
handrail handrail
not closing/absence of joint
Manholes conforms
or leaking joint
conforms with
Pressure vents absent/non-conforming
inversion sealing
Dipping stick presence absent
punched by
Dipping reference absent/non-conforming
calibrator
Sealed filling marks conforms non-conforming
Safety foot valve (sealing tested) conforms absent/leaks inefficient
Condition of pipes correct diameter to be revised leaks/bad state
valve/coupling non
Condition of valves (tightness tested) conform-quick action
conforming- leaks
present and closes
1 or several absents or
Symmetrical cap on valve effectively
unadapted
sealing correct
Marked capacity / valve N° correct absent/incorrect
Hose housing correct inappropriate
Spillage recovery (under valves) correct absent/leaks

ACCESSORIES 3 2 1 0
Dry Powder fire extinguishers (9/6kg)
conforms/valid one only conforms absent or not conforming
(seals - validity date)
Dry Powder fire extinguisher - cabin (2 Kg)
conforms/valid absent or not conforming
(validity date)
First aid kit complete incomplete absent
Hazardous product sign (hazard class 3, sides and
legible difficult to read absent
rear of vehicle)
Product identity plate (orange plate one front and
legible difficult to read absent
one rear)
2 warning triangles present absent
present and
2 wheel Chocks (aluminium or wood) absent or not conforming
conforms
Spare wheel good condition acceptable-average worn out/absent

Rev 1 PATROM Hydrocarbures Liquides Evaluation Véhicule

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Tool for tighten symmetrical coupling present and

absent/ not adapted
(brass or aluminium) conforms
Pocket lamp explosion proof present absent or not conforming
Anti pollution bag conforms incomplete absent
Warning tape (100mm) conforms less than 100m absent
present only one good state but age > 6 leaks, deforms, unadapted,
Condition of hoses and type correct not outdated
not outdated years age>8 years
Hoses electric continuity correct defective
Condition of hoses couplings conforms non conform/leaks
1 or several absent or
Symmetrical caps on hoses present
unadapted
Aluminium bucket present absent
other metal not
min. 2 earthing contacts bronze not painted only one conforms absent/non conform
painted

Driver PPE 3 2 1 0
absent / not conforming,
conforms
Anti-static clothing bad state
absent / not conforming,
good state/conforms
Helmet bad state
absent / not conforming,
good state/conforms
Safety shoes bad state
absent / not conforming,
good state/conforms
Good state of gloves bad state
absent / not conforming,
good state/conforms
Safety goggles bad state

VEHICLE DOCUMENTS 3 2 1 0
Driving licence valid absent / out of date
Registration papers (rigid truck/tractor) present absent / out of date
Registration papers (semi-trailer, trailer) present absent / out of date
Insurance certificate valid absent / out of date
Transport authorisation valid absent / out of date
Dipping chart valid absent / out of date
Safety Instruction present to be corrected absent / non acceptable
Driver's handbook present absent / non acceptable

Rev 1 PATROM Hydrocarbures Liquides Evaluation Véhicule