diff --git a/vllm/distributed/device_communicators/all2all.py b/vllm/distributed/device_communicators/all2all.py
index 0066a60dd02..81006da401d 100644
--- a/vllm/distributed/device_communicators/all2all.py
+++ b/vllm/distributed/device_communicators/all2all.py
@@ -261,8 +261,13 @@ class DeepEPLLAll2AllManager(DeepEPAll2AllManagerBase):
     All2All communication based on DeepEP Low-Latency kernels.
     """
 
+    _buffer: Any = None
+    _mask: torch.Tensor | None = None
+    _last_mask: torch.Tensor | None = None
+
     def __init__(self, cpu_group, tcp_store_group=None):
         super().__init__(cpu_group, tcp_store_group)
+        self.support_fault_tolerance = False  # TODO: set to True when FT is supported.
 
     def _make_all2all_kwargs(
         self,
@@ -304,6 +309,7 @@ class DeepEPLLAll2AllManager(DeepEPAll2AllManagerBase):
             allow_nvlink_for_low_latency_mode=True,
             allow_mnnvl=envs.VLLM_DEEPEP_LOW_LATENCY_USE_MNNVL,
             explicitly_destroy=True,
+            enable_shrink=self.support_fault_tolerance,
         )
         return kwargs
 
@@ -319,12 +325,30 @@ class DeepEPLLAll2AllManager(DeepEPAll2AllManagerBase):
         handle: deep_ep.Buffer = self.handle_cache.get_or_create(
             buffer_kwargs, deep_ep.Buffer
         )
+        DeepEPLLAll2AllManager._buffer = handle
         return handle
 
     # DeepEP LL uses RDMA so no SMs are used for communication
     def max_sms_used(self) -> int | None:
         return 0
 
+    def query_active_mask(self) -> torch.Tensor:
+        buf = DeepEPLLAll2AllManager._buffer
+        assert buf is not None
+        if DeepEPLLAll2AllManager._mask is None:
+            DeepEPLLAll2AllManager._mask = torch.zeros(
+                self.world_size, device="cuda", dtype=torch.int32
+            )
+        buf.low_latency_query_mask_buffer(DeepEPLLAll2AllManager._mask)
+        return DeepEPLLAll2AllManager._mask
+
+    def query_fault(self) -> torch.Tensor:
+        current = self.query_active_mask()
+        if DeepEPLLAll2AllManager._last_mask is None:
+            DeepEPLLAll2AllManager._last_mask = torch.zeros_like(current)
+        has_fault = (current != DeepEPLLAll2AllManager._last_mask).any()
+        return has_fault
+
 
 @dataclass
 class _NixlEPBufferState:
@@ -341,6 +365,8 @@ class NixlEPAll2AllManager(All2AllManagerBase):
 
     _buffer: _NixlEPBufferState | None = None
     _lock = threading.RLock()
+    _mask: torch.Tensor | None = None
+    _last_mask: torch.Tensor | None = None
 
     def __init__(self, cpu_group, tcp_store_group=None):
         if tcp_store_group is None:
@@ -350,6 +376,7 @@ class NixlEPAll2AllManager(All2AllManagerBase):
                 store=dist.PrefixStore("nixl_ep", cpu_group.get_group_store()),
             )
         super().__init__(cpu_group, tcp_store_group)
+        self.support_fault_tolerance = True
 
         self.max_num_ep_ranks = envs.VLLM_NIXL_EP_MAX_NUM_RANKS
 
@@ -508,6 +535,25 @@ class NixlEPAll2AllManager(All2AllManagerBase):
     def max_sms_used(self) -> int | None:
         return 0
 
+    def query_active_mask(self) -> torch.Tensor:
+        state = NixlEPAll2AllManager._buffer
+        assert state is not None
+        if NixlEPAll2AllManager._mask is None:
+            NixlEPAll2AllManager._mask = torch.zeros(
+                self.max_num_ep_ranks, device="cuda", dtype=torch.int32
+            )
+        state.buffer.query_mask_buffer(NixlEPAll2AllManager._mask)
+        return NixlEPAll2AllManager._mask[: state.active_ep_size]
+
+    def query_fault(self) -> torch.Tensor:
+        current = self.query_active_mask()
+        last = NixlEPAll2AllManager._last_mask
+        if last is None or last.shape != current.shape:
+            NixlEPAll2AllManager._last_mask = torch.zeros_like(current)
+            last = NixlEPAll2AllManager._last_mask
+        has_fault = (current != last).any()
+        return has_fault
+
 
 class FlashInferNVLinkTwoSidedManager(All2AllManagerBase):
     """
diff --git a/vllm/distributed/device_communicators/base_device_communicator.py b/vllm/distributed/device_communicators/base_device_communicator.py
index 0b4b81f93bb..6fd889daeb0 100644
--- a/vllm/distributed/device_communicators/base_device_communicator.py
+++ b/vllm/distributed/device_communicators/base_device_communicator.py
@@ -62,6 +62,8 @@ class All2AllManagerBase:
                 in_the_same_node_as(tcp_store_group, source_rank=0)
             )
 
+        self.support_fault_tolerance = False
+
     def get_handle(self, kwargs):
         # get a handle for the all2all communication,
         # based on the kwargs.
@@ -102,6 +104,13 @@ class All2AllManagerBase:
         # - raise a clear error if extra_tensors is not supported.
         raise NotImplementedError
 
+    def query_active_mask(self) -> torch.Tensor:
+        raise NotImplementedError
+
+    def query_fault(self) -> torch.Tensor:
+        """Returns has_fault scalar."""
+        raise NotImplementedError
+
     def set_num_sms(self, num_sms: int):
         pass
 
diff --git a/vllm/model_executor/layers/fused_moe/all2all_utils.py b/vllm/model_executor/layers/fused_moe/all2all_utils.py
index 1351e87b5b5..6af93bfde90 100644
--- a/vllm/model_executor/layers/fused_moe/all2all_utils.py
+++ b/vllm/model_executor/layers/fused_moe/all2all_utils.py
@@ -56,7 +56,7 @@ if current_platform.is_cuda_alike():
         )
 
 
-def _get_ep_all2all_manager(eep_stage: bool = False) -> Any:
+def get_ep_all2all_manager(eep_stage: bool = False) -> Any:
     if eep_stage:
         from vllm.distributed.elastic_ep.standby_state import get_standby_ep_group
 
@@ -146,7 +146,7 @@ def maybe_make_prepare_finalize(
                 "Detected DP deployment with no --enable-expert-parallel. "
                 "Falling back to AllGather+ReduceScatter dispatch/combine."
             )
-            all2all_manager = _get_ep_all2all_manager(eep_stage)
+            all2all_manager = get_ep_all2all_manager(eep_stage)
             return make_moe_prepare_and_finalize_naive_dp_ep(
                 is_sequence_parallel=moe.moe_parallel_config.is_sequence_parallel,
                 num_dispatchers=all2all_manager.world_size,
@@ -155,7 +155,7 @@ def maybe_make_prepare_finalize(
         else:
             return make_moe_prepare_and_finalize_no_dp_ep(use_monolithic)
 
-    all2all_manager = _get_ep_all2all_manager(eep_stage)
+    all2all_manager = get_ep_all2all_manager(eep_stage)
 
     prepare_finalize: FusedMoEPrepareAndFinalize | None = None
 
diff --git a/vllm/v1/executor/multiproc_executor.py b/vllm/v1/executor/multiproc_executor.py
index 9b7581311e8..0937fad8f1f 100644
--- a/vllm/v1/executor/multiproc_executor.py
+++ b/vllm/v1/executor/multiproc_executor.py
@@ -939,7 +939,11 @@ class WorkerProc:
         converted to a FAILURE response.
         """
         if isinstance(output, AsyncModelRunnerOutput):
-            output = output.get_output()
+            try:
+                output = output.get_output()
+            except Exception as e:
+                logger.exception("Error getting async model runner output")
+                output = e
 
         if isinstance(output, Exception):
             result = (WorkerProc.ResponseStatus.FAILURE, str(output))
diff --git a/vllm/v1/worker/gpu_model_runner.py b/vllm/v1/worker/gpu_model_runner.py
index 022d598d6cb..84d989827c9 100644
--- a/vllm/v1/worker/gpu_model_runner.py
+++ b/vllm/v1/worker/gpu_model_runner.py
@@ -58,6 +58,7 @@ from vllm.logger import init_logger
 from vllm.lora.layers import LoRAMapping, LoRAMappingType
 from vllm.model_executor.layers.attention import Attention, MLAAttention
 from vllm.model_executor.layers.attention_layer_base import AttentionLayerBase
+from vllm.model_executor.layers.fused_moe.all2all_utils import get_ep_all2all_manager
 from vllm.model_executor.layers.fused_moe.routed_experts_capturer import (
     RoutedExpertsCapturer,
 )
@@ -249,6 +250,7 @@ class AsyncGPUModelRunnerOutput(AsyncModelRunnerOutput):
         async_output_copy_stream: torch.cuda.Stream,
         vocab_size: int,
         routed_experts: RoutedExpertsTensors | None = None,
+        check_ep_fault: bool = False,
     ):
         self._model_runner_output = model_runner_output
         self._invalid_req_indices = invalid_req_indices
@@ -262,6 +264,7 @@ class AsyncGPUModelRunnerOutput(AsyncModelRunnerOutput):
         self.vocab_size = vocab_size
         self._logprobs_tensors = logprobs_tensors
         self._routed_experts = routed_experts
+        self._has_fault: torch.Tensor | None = None
 
         # Initiate the copy on a separate stream, but do not synchronize it.
         default_stream = torch.cuda.current_stream()
@@ -280,6 +283,9 @@ class AsyncGPUModelRunnerOutput(AsyncModelRunnerOutput):
                 if self._routed_experts is not None
                 else None
             )
+            if check_ep_fault:
+                has_fault = get_ep_all2all_manager().query_fault()
+                self._has_fault = has_fault.to("cpu", non_blocking=True)
             self.async_copy_ready_event.record()
 
     def get_output(self) -> ModelRunnerOutput:
@@ -316,6 +322,14 @@ class AsyncGPUModelRunnerOutput(AsyncModelRunnerOutput):
             output.routed_experts = self._routed_experts_cpu.tolists()
         del self._routed_experts
 
+        if self._has_fault is not None and self._has_fault.item():
+            mask = get_ep_all2all_manager().query_active_mask()
+            raise RuntimeError(
+                "Fault detected in EP all2all communication: "
+                "one or more ranks timed out during dispatch/combine. "
+                f"Mask: {mask.cpu().tolist()}"
+            )
+
         return output
 
 
@@ -445,6 +459,10 @@ class GPUModelRunner(
         self.device = device
         self.dtype = self.model_config.dtype
 
+        self.check_ep_fault = False
+        if parallel_config.data_parallel_size > 1 and self.model_config.is_moe:
+            self.check_ep_fault = get_ep_all2all_manager().support_fault_tolerance
+
         self.kv_cache_dtype = kv_cache_dtype_str_to_dtype(
             cache_config.cache_dtype, self.model_config
         )
@@ -4695,6 +4713,7 @@ class GPUModelRunner(
                 async_output_copy_stream=self._get_or_create_async_output_copy_stream(),
                 vocab_size=self.input_batch.vocab_size,
                 routed_experts=routed_experts_snapshot,
+                check_ep_fault=self.check_ep_fault,
             )
         with record_function_or_nullcontext(
             "gpu_model_runner: set_async_sampled_token_ids"