Roadside Inspection Report
No.RSIR-2026-07-14-001
Document title for the roadside vehicle inspection report.
1. General Information
Record the inspection date, time, location, officer details, and driver information.
| Inspection date | 7/14/2026 | Time | 2:30 PM — 3:15 PM |
| Address | M1 Northbound, Mile Marker 45, near Leicester | Basis for inspection | Random enforcement stop |
2. Object of Inspection
Identify the vehicle by type, name, technical state, mileage, release date, and start of operation.
| Object type | Commercial Vehicle | Object name | Volvo FH16 |
| Technical condition | not filled in | Odometer Reading, mi | 120000 |
| Release date | 3/15/2019 | Start of operation | 4/1/2019 |
3. Main Parameters
Enter vehicle identification details such as VIN, license plate, make, model, year, and odometer reading.
| VIN | 1HGBH41JXMN109186 | License Plate | AB12 CDE |
| Make and Model | Volvo FH16 | Year | 2019 |
| Odometer Reading | 120000 |
4. Inspection Conditions
Note any environmental or operational conditions that may affect the inspection.
5. Violations
List any violations found during the inspection, including type, description, severity, location, and photos.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - 1 | not filled in |
6. Additional Information
Provide overall condition assessment, enforcement action taken, and remarks.
| Identification was carried out | VIN: 1HGBH41JXMN109186, Plate: AB12 CDE, Driver: John Smith |
| There are remarks | Vehicle placed out of service due to critical brake violation. |
7. Inspection Participants
Record the names and roles of the enforcement officer and driver.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Officer Sarah Connor | Enforcement Officer | Conducted inspection |
| 2 | John Smith | Driver | Present during inspection |
Signatures
Collect signatures from the officer and driver to acknowledge the inspection.