Evaluation and inspection Form for Individual Vehicle Approval (IVA) for Category O1 & O2 trailers
(O1= <750KG laden)
(O2 =<3500Kg laden)
Part I of evaluation form is to be completed by the applicant (with the exception of areas verified by an NSAI ATC)
An NSAI Approved Test Centre (ATC) will verify and complete relevant sections of Part I where it states “verified by ATC” and inspection requirements as in Part III. Part III shall be signed and stamped by an ATC
The applicant shall submit with evaluation and inspection form:
-Braking calculations (compatibility results between control device and brake), drawings and diagrams, braking test reports
-A copy of installation instructions for the coupling device and a signed declaration that the installation instructions were followed
-Dimensional drawings and photographs describing the trailer build
-Copy of the Certificate of Conformity (COC) or Whole Vehicle Type Approval Certificate for the original trailer (if applicable).
-All EC/UN-ECE type approvals granted for the base vehicle (see page II). (if available)
Part I
Applicant’s Name
Applicant’s AddressVIN or Unique identifier
No. of Employees
Telephone number
Fax number
Web address
Applicant is a subsidiary of
0. / GENERAL
0.1. / Make trade name of manufacturer:
0.2. / Type:
Variant:
Version:
0.3 / Commercial name(s) if available:
0.4. / Incomplete/complete/completed:
0.5. / Type of bodywork:
(DA, DB, DC, DE)[1]
0.6. / Means of identification of type, if marked on the vehicle:
0.7. / Location of that marking:
0.8. / Category of trailer:
(O1, O2,)
0.9. / If applicable, classifications according to the dangerous goods which the vehicle is intended to transport:
0.10. / Name and address of manufacturer:
0.11. / Addresses of assembly plants:
1. / GENERAL CONSTRUCTION CHARACTERISTICS OF THE VEHICLE
1.1. / Photographs and/or drawings of a representative vehicle:
1.2. / Number of axles and wheels:
1.3. / Number and position of steered axles:
1.4. / Chassis, overall drawing:
1.5. / If fitted, position and arrangement of engine:
2. / MASSES AND DIMENSIONS in kg and mm. Refer to drawings where applicable.
2.1. / Note:
If the measured dimensions verified by ATC differ by more than 1 % from those stated by the applicant for the corresponding technical configurations within the type, the measured dimensions are used / Filled in by applicant / Verified by ATC
Wheelbases
For two axle vehicles: / mm / mm
For multi-axle vehicles:
(More than two axles)
Overall axle spacing (1st axle to last axle):
(axles numbered front to rear)
1st axle to 2nd axle:
2nd axle to 3rd axle:
3rd axle to 4th axle: / mm
mm
mm
mm
mm / mm
mm
mm
mm
mm
2.2. / Track of each steered axle (if applicable): / mm / mm
2.3. / Track of all other axles:
Axle 1:
Axle 2:
Axle 3:
Axle 4: / mm
mm
mm
mm / mm
mm
mm
mm
2.4. / Range of vehicle dimensions (overall)
Length: / mm / mm
Length of the loading area: / mm / mm
Width: / mm / mm
Height (in running order):
For suspensions adjustable for height, indicate normal running position: / mm
mm / mm
mm
2.6. / Mass of the vehicle with bodywork in running order: / Kg
2.7. / Distribution of this mass among the axles:
(Axles numbered front to rear) / Axle 1: kg. Axle 2: kg.
Axle 3: kg. Axle 4: kg.
2.8. / Technically permissible maximum laden mass stated by the manufacturer: / kg
2.9. / Distribution of this mass among the axles:
(Axles numbered front to rear) / Axle 1: kg. Axle 2: kg.
Axle 3: kg. Axle 4: kg.
2.10. / Technically permissible maximum mass on each axle: / Axle 1: kg. Axle 2: kg.
Axle 3: kg. Axle 4: kg.
2.11. / Technically permissible maximum mass on each axle group (tandem axles etc) (if applicable): / kg.
kg.
2.13. / Maximum mass of unbraked trailer (if applicable):
Maximum mass of braked trailer: / kg
kg
2.14. / Technically permissible maximum static vertical load/mass on the vehicles coupling point: / kg
5. / SUSPENSION
5.1. / Level adjustment: (Yes/No)
5.2. / Air-suspension: (Yes/No)
5.3. / Tyre / wheel combinations:
(for tyres indicate size designation, minimum load-capacity index, minimum speed category symbol, suspension)
Axle (numbered front to rear) / Tyre size and Type / Load Index / Speed Rating / Twin or Single / Suspension Type (air, steel, hydraulic etc)
Axle 1:
Axle 2:
Axle 3:
Axle 4:
5.5. / Upper and lower limits of rolling radii:
Axle 1:
Axle 2:
Axle 3:
Axle 4: / mm
mm
mm
mm
6. / Steering (if applicable)
6.0. / Brief description of steering system:
6.1. / Type of steering (specify for front and rear, if applicable):
6.2. / Method of assistance, if any (steering wedges, etc):
7. / BRAKES
7.0 / Brief description of braking system:
7.1. / Is vehicle fitted with an anti-lock braking system: (Yes/No): / Yes: ¨ No: ¨
7.1.1 / If yes state category of ABS (1, 2 or 3): / Category 1: ¨ Category 2: ¨ Category 3: ¨
7.2 / What type of brake system is fitted:
Full Air ¨ Air/Vacuum Hydraulic ¨ Hydraulic ¨ Electric ¨ Inertia ¨
Other ¨ (specify):
7.3 / Which axles have parking brakes fitted:
Axle 1 ¨ Axle 2 ¨ Axle 3 ¨ Axle 4 ¨
8. / BODYWORK
8.1. / Bodywork
8.2. / Incomplete/complete/completed:
8.3. / For incomplete trailer, type of bodywork:
(DA, DB, DC, DE):
8.4. / For complete or completed trailer, final description :
Caravan:
Horsebox:
Other:
(Specify)
For trailers fitted with a coupling device
EC approval number of coupling device:
Class of coupling device:
D-value:
S-value:
V-value:
U-value: / Filled in by applicant
kN
kg
kN
tonnes / Verified by ATC
8.5 / Vehicle is fitted with a statutory plate in accordance with EC Directive 76/114/EC (Yes / No)
Statutory plate contains: / Verified by ATC
· Name of manufacturer
· Type-approval number (if available at time of inspection)
· Vehicle Identification Number (VIN) or Unique Identifier
· Maximum permitted laden mass of the trailer.
· Maximum permitted road mass for each axle, listed in order from front to rear.
Verified by ATC
VIN or unique identifier is marked on chassis or other structure on right hand side in such a way that it cannot be obliterated or deteriorate
Part II
Table of compliance with IVA Requirements
Please indicate in the table below the EC or UN-ECE approvals and/or test reports in support of application for Individual Vehicle Approval.
Where an EC approval or test report is not available for any item, an inspection or test will be required at an Approved Test Centre (ATC) of your choice. Please see a list of ATCs at:
http://www.nsai.ie/Our-Services/Certification/Automotive-Certification/Type-Approval/Approved-Test-Centers.aspx
Item No. / Category / Subject / Base Directive Number / Yes: üNo: X / UN-ECE Regulation Number / Yes: ü
No: X / Test Report
Yes: ü
No: X
3 / O1, O2 / Fuel tanks
Rear under run / 70/221/EEC / R34, R67, R110
R58
4 / O1, O2 / Rear reg. plate space / 70/222/EEC / --
5 / O1, O2 / Steering effort[2] / 70/311/EEC / R79
9 / O2 / Braking / 71/320/EEC / R13, R13H,
R 90
10 / O1, O2 / Suppression (radio)[3] / 72/245/EEC / R10
18 / O1, O2 / Plates (statutory) / 76/114/EEC / --
20 / O1, O2
See Appendix1 / Installation of lighting and light signalling devices / 76/756/EEC / R48
21 / See 20 / Retro reflectors / 76/757/EEC / R3
22 / See 20 / End-outline front-position (side), rear-position (side), stop, side marker, daytime running lamps / 76/758/EEC / R7
23 / See 20 / Direction indicators / 76/759/EEC / R6
24 / See 20 / Rear reg. plate lamps / 76/760/EEC / R4
28 / See 20 / Rear fog lamps / 77/538/EEC / R38
29 / See 20 / Reversing lamps / 77/539/EEC / R23
36 / O1, O2 / Heating systems[4] / 2001/56/EEC / R122
43 / O1, O2 / Spray-suppression 4 / 91/226/EEC / --
45 / O1, O2 / Safety glass4 / 92/22/EEC / R43
46 / O1, O2 / Tyres / 92/23/EEC / R30, R54, R117
48 / O1, O2 / Masses and dimensions / 97/27/EC / --
50 / O1, O2 / Couplings / 94/20/EC / R55, R102
56 / O1, O2 / ADR Trailers4 / 98/91/EC / R105
Part III
Check list for IVA compliance of an O1 O2 trailer
To be performed by an NSAI ATC
3. Rear Under run / Result (Pass/Fail)· When the construction of the rear of the vehicle forms the rear under run protection device, then the ground clearance of the rear part of the vehicle must not exceed 550mm over a width which is not shorter than that of the rear axle by more than 100mm on either side (excluding any tyre bulging close to the ground).
4. Rear Registration plate space / Result (Pass/Fail)
· The space for mounting the rear registration plate shall comprise an even or virtually even rectangular surface with the following dimensions:
Width 520 or 120mm
Height 120 or 240mm
· The space must allow the mounting of a plate in a position as close to vertical as is possible by the vehicle structure available.
o 30º from the vertical if plate is facing upwards.
o 15º from the vertical if plate is facing downwards.
· The plate shall be visible in the whole space.
46. Tyres (Note - see appendix 2 below) / Result (Pass/Fail)
· is fitted with e or E marked tyres (record approval number)
· are marked with the appropriate speed and load ratings for their particular axle locations and the intended use of the vehicle.
(see appendix 2 below for indices)
· Each tyre fitted must have the same structure (eg bias-belted, crossply or radial), nominal size and aspect ratio as any other tyre on the same axle
20. Installation of lighting and light signalling devices (note-see appendix1 below)
Record approval number, characteristic and location of each light signalling device
Approval number and characteristic / No. of devices / Measured
Height* / Measured
width** / Measured
length***
Reversing
Lamp / n/a
Direction
Indicator
Lamp / n/a
Hazard warning signal
Lamp / n/a
Stop
Lamp / n/a
Rear
Registration
Lamp / n/a
Front position
Lamp / n/a
Rear position
Lamp / n/a
Rear fog
Lamp / n/a
End outline marker lamp / n/a
Rear retro reflector (triangular) / n/a
Front retro
Reflector / n/a
Side retro
Reflector
Side marker
Lamps
Conspicuity markings / n/a
* = height indicates distance from ground to lower edge of illuminated area
** = width indicates distance from nearest external vertical edge of trailer to nearest edge of illuminated area
*** = length indicates distance from rear external edge of trailer to nearest edge of illuminated area on side lamps/reflectors or the distance between adjacent lamps. It must be specified where measured is taken from
20. Installation of lighting and light signalling devices (note-see appendix 1 below)Requirement / Result (Pass/Fail) / Observation/ comments
-Check that all mandatory lighting devices and max and min number of each as described in Appendix 1 are evident:
Reversing lamp(white)
Direction indicator(amber)
Hazard warning signal(amber)
Stop lamp(red)
Rear Registration(white)
Front position lamp(white)
Rear position lamp(red)
Rear fog lamp(red)
End outline marker lamp (white front / red rear)
Rear retro reflector (triangular) (red)
Front retro reflector (white)
Side retro reflector (amber)
Side marker lamps (amber)
-Check measured results recorded above are within the limits set out in Appendix 1 for each of the positions of the required lamps/reflectors:
Reversing lamp(white)
Direction indicator(amber)
Hazard warning signal(amber)
Stop lamp(red)
Rear Registration(white)
Front position lamp(white)
Rear position lamp(red)
Rear fog lamp(red)
End outline marker lamp (white front / red rear)
Rear retro reflector (triangular) (red)
Front retro reflector (white)
Side retro reflector (amber)
Side marker lamps (amber)
20. Installation of lighting and light signalling devices (note-see appendix 1 below)
Requirement / Result (Pass/Fail) / Observation/ comments
-Check that the each of the lamps when activated have the required colour of light emitted and are activated by required control
i.e. brake pedal activates brake light, reverse gear activates reverse light etc:
Reversing lamp(white)
Direction indicator(amber)
Hazard warning signal(amber)
Stop lamp(red)
Rear Registration(white)
Front position lamp(white)
Rear position lamp(red)
Rear fog lamp(red)
End outline marker lamp (white front / red rear)
Rear retro reflector (triangular) (red)
Front retro reflector (white)
Side retro reflector (amber)
Side marker lamps (amber)
20. Installation of lighting and light signalling devices (note-see appendix 1 below)
Requirement / Result (Pass/Fail) / Observation/ comments
- Check the geometric visibility of each of the lighting devices against the requirements of appendix 1:
Reversing lamp(white)
Direction indicator(amber)
Hazard warning signal(amber)
Stop lamp(red)
Rear Registration(white)
Front position lamp(white)
Rear position lamp(red)
Rear fog lamp(red)
End outline marker lamp (white front / red rear)
Rear retro reflector (triangular) (red)
Front retro reflector (white)
Side retro reflector (amber)
Side marker lamps (amber)
9. Brakes (inertia brakes)
Result (Pass/Fail) / Observation/ comments
-A laden parking brake test shall be carried out on the trailer on an 18° gradient
- Check to see if reverse is capable with towing vehicle
Visual inspection of :
- sliding member to ensure brake can be fully applied
- sliding members of control device are protected by bellows or some equivalent device
5. Signature and Authorisation of ATC
I confirm that I have carried out the relevant inspections in accordance with the IVA test procedures for this category of vehicle and category of approval. The vehicle (identification) complies with the requirements.
Signature Date
------
Name
[official stamp of ATC]
Page 13 of 16
Rev.01
Appendix 1Colour / Presence / Number / Arrangement / Position* / Geometric Visibility
ß=horizontal angle
α= vertical angle / Electrical Connections / Tell-Tale
Reversing Lamp / White / Mandatory
O2, O3,O4,
optional on O1 trailers