COMMERCIAL VEHICLE RECORD OF INSPECTION
TRAILER, SEMI-TRAILER, C-DOLLY, CONVERTER DOLLY
The original Record of Inspection must be given to the customer regardless of whether the vehicle passes or not.
Type of Vehicle Gross Vehicle Weight registered
Trailer kg
Vehicle Information
VIN 2 N E E 1 3 C 1 9 C S 0 0 4 6 9 1
Unit Number Year Make Model Odometer
T312 2012 N&N Premium
Registered Owner's Name Plate Number
Alibi Enterprises LTD. 6LC647
Address Postal Code Phone Number
1-9 Sylaire Close T4S2H6 (403) 887-2980
Drum Brakes: Disc Brakes:
LEFT FRONT RIGHT
305.25 mm Drums/Rotors 305.27 mm
n/a psi 70 psi 70 psi n/a psi
3.7 mm Linings/Pads 3.7 mm
n/a mm 4 mm
4 mm n/a mm
n/a mm Push Rod Travel n/a mm
305.23 mm Drums/Rotors 305.25 mm
n/a psi 70 psi 70 psi n/a psi
3.7 mm Linings/Pads 3.7 mm
n/a mm 6 mm 6 mm n/a mm
0 mm Push Rod Travel 0 mm
305.20 mm Drums/Rotors 305.24 mm
n/a psi 70 psi 70 psi n/a psi
3.7 mm Linings/Pads 3.7 mm
n/a mm 4 mm 5 mm n/a mm
0 mm Push Rod Travel 0 mm
mm Drums/Rotors mm
psi psi psi psi
mm Linings/Pads mm
mm mm mm mm
mm Push Rod Travel mm
mm Drums/Rotors mm
psi psi psi psi
mm Linings/Pads mm
mm mm mm mm
mm Push Rod Travel mm
mm Drums/Rotors mm
psi psi psi psi
mm Linings/Pads mm
mm mm mm mm
mm Push Rod Travel mm
Park Brake Lining Left n/a mm Right n/a mm Trans n/a mm
Wheel Torque Checked Inner n/a ft lbs Outer 150 ft lbs
VSSROI2018 P=PASS F=FAIL NA=Not Applicable Page 1 of 4
COMMERCIAL VEHICLE RECORD OF INSPECTION
TRAILER, SEMI-TRAILER, C-DOLLY, CONVERTER DOLLY
Section 1 - Power Train
Component P F NA Component P F NA
1.2. Exhaust System 1.12. Gasoline or Diesel Fuel System (LPG, CNG, & LNG) * SEE
APPENDIX A*
NOTES:
APPENDIX "A"
Component P F NA Component P F NA
A.1. Liquefied Petroleum Gas (LPG or Propane) Fuel System A.3. Liquefied Natural Gas (LNG) Fuel System
A.2. Compressed Natural Gas (CNG) Fuel System
NOTES:
Section 2 - Suspension
Component P F NA Component P F NA
2.1. Suspension & Frame Attachments 2.5. Air Suspension
2.2. Axle Attaching & Tracking Components 2.6. Self-Steer & Controlled-Steer Axle
2.3. Axle & Axle Assembly 2.7. Shock Absorber/Strut Assembly
2.4. Spring & Spring Attachment
NOTES:
Section 3H - Hydraulic Brakes
Component P F NA Component P F NA
3H.1. Hydraulic System Components 3H.10. Electric Brake System
3H.6. Air-Over-Hydraulic Brake System 3H.12. Drum Brake System Components
3H.7. Surge Brake Controller 3H.13. Disc Brake System Components
3H.8. Vacuum System 3H.19. Brake Performance
3H.9. Air-Boosted Trailer Brake System
NOTES:
Section 3A - Air Brakes
Component P F NA Component P F NA
3A.3. Air System Leakage 3A.16. S-Cam Drum Brake System
3A.4. Air Tank 3A.17. Brake Shoe Travel (Wedge Brakes)
3A.8. Brake Valves & Controls 3A.18. Disc Brake System Components
3A.12. Parking Brake & Emergency Application 3A.20. Anti-Lock Brake System (ABS)
3A.13. Air System Components 3A.22. Stability Control System (ESC) or (RSS)
3A.14. Brake Chamber 3A.23. Brake Performance
3A.15. Drum Brake System Components
NOTES:
Section 4 - Steering
Component P F NA Component P F NA
4.1. Steering Control & Linkage 4.5. Self Steer & Controlled-Steer Axle
4.4. Kingpin
NOTES:
VSSROI2018 P=PASS F=FAIL NA=Not Applicable Page 2 of 4
COMMERCIAL VEHICLE RECORD OF INSPECTION
TRAILER, SEMI-TRAILER, C-DOLLY, CONVERTER DOLLY
Section 5 - Instruments and Auxiliary Equipment
Component P F NA Component P F NA
5.1. Fire Extinguisher
NOTES:
Section 6 - Lamps
Component P F NA Component P F NA
6.1. Required Lamps 6.3. Retro-Reflective Marking
6.2. Reflex Reflector
NOTES:
Section 7 - Electrical System
Component P F NA Component P F NA
7.1. Wiring 7.3. Trailer Cord (output to towed vehicle)
7.2. Battery
NOTES:
Section 8 - Body
Component P F NA Component P F NA
8.5. Cargo Body 8.11. Refrigeration/Heater Unit Fuel System
8.6. Frame Rails & Mounts 8.21. Fender/Mud Flap
8.7. Unitized Body Elements 8.22. Landing Gear on Trailer
8.8. Cab or Cargo Door 8.23. Sliding Axle Assembly (Sliding Bogie)
8.9. Cargo Tank or Vessel 8.24. Aerodynamic Device & Attachment
8.10. Body, Device or Equipment Attached or Mounted to the 8.25. Rear Impact Guard (RIG)
Vehicle
NOTES:
Section 9 - Tires and Wheels
Component P F NA Component P F NA
9.1. Tire Tread Depth 9.7. Wheel/Rim
9.2. Tire Tread Condition 9.8. Multi-Piece Wheel/Rim
9.3. Tire Sidewall & Manufacturer Markings 9.9. Spoke Wheel/Demountable Rim System
9.4. Tire Inflation Pressure 9.10. Disc Wheel System
9.5. Wheel Hub 9.11. Wheel Fasteners (Nuts, Bolts,& Studs)
9.6. Wheel Bearing
NOTES:
Section 10 - Couplers and Hitches
Component P F NA Component P F NA
10.1. Hitch Assembly, Structure & Attaching Components 10.6. Automated Coupling Device
10.2. Secondary Attachment (Safety Chain or Cable) 10.7. Fifth Wheel Coupler
10.3. Pintle Hook, Pin Hitch, or Coupler Hitch 10.8. Oscillating Fifth Wheel Coupler
10.4. Ball Type Hitch 10.9. Ball-Bearing Type Turntable on Trailer
10.5. Roll-Coupling Hitch
VSSROI2018 P=PASS F=FAIL NA=Not Applicable Page 3 of 4
COMMERCIAL VEHICLE RECORD OF INSPECTION
TRAILER, SEMI-TRAILER, C-DOLLY, CONVERTER DOLLY
NOTES:
Certification
The Vehicle for which this Record of Inspection is issued has PASSED (Certificate #8083545) the inspection and I certify it has been inspected in
accordance with the Vehicle Inspection Regulation, Alberta Regulation 211/2006 and the applicable Inspection Manual.
Date of Inspection Technician Number Facility Number Signature
2025/04/14 A7555 20142
Customer Acknowledgment
I understand if a vehicle inspection identifies defects and repairs are required, once repaired, the vehicle Date (Year/Month/Day)
and this Record of Inspection (ROI) may be presented to any Vehicle Inspection Facility within 10 days of
2025/04/14
the initial inspection and only the failed items noted on this ROI are required to be re-inspected. If the
vehicle is not returned for re-inspection within 10 days of the initial date of inspection, a new inspection Customer Signature
must be conducted.
VSSROI2018 P=PASS F=FAIL NA=Not Applicable Page 4 of 4
