Online Scrutineering Form

Scrutineering Form

Check all items below

1. TICKED = CHECKED
2. X = N/A NOT APPLICABLE
3. ? = REFER TO SCRUTINEER

EVENT

Competitor Name

Transponder #

Licence #

Date

Class

Race Number

Critical Safety

Axels

TICK - Condition of Stubs Condition of Rear Axle X ?

Helmet Protective

TICK - Approved Condition Correct Visors X ?

Brakes

TICK - Pad Returns Safety Cable Pads Brake Lines Brake Pad Retaining Bolts Safety Wired X ?

Steering

TICK - Mounting Column Clamp Tie Rods & Ends X ?

Important Safety

Body Work

TICK - Nose Cone Nassau Side Pods Numbers Front & Rear X ?

Exhaust

TICK - Cradle Mounting Safety Wire X ?

Wheels

TICK - No Sharp Edges No Loose Bearings X ?

Seat

TICK - Undamaged Undamaged Near Fastenings X ?

Fastenings

TICK - Steering Column Wheel Nuts Nose Cone Floor Tray X ?

Engine Mounts

TICK - Engine Mounts All Other Fasteners X ?

Guards

TICK - Chain Guard Rotary Finger Guard X ?

Crack / Weld Check

TICK - Chassis Floor Tray Stub Axles Brake Disc & Sprockets X ?

Tyres DRY & WET

TICK - Correct Type & Condition X ?

I/We agree I hereby state that I or my agent have inspected the vehicle against all items ticked above on this form and Confirm that the entered vehicle complies with all the relevant minimum safety and class eligibility requirements.

Driver / Guardian Signature: - (if Minor (under 18 years) Parent/Guardian Signature

Driver / Guardian Name:

Date

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