National Round 4 – Scrutineering - Karting South Africa

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Racing Number *

First Name *

Last Name *

Class *

Chassis *

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Scrutineering

Engine 1 Number *

Engine 1 Seal Number *

Engine 2 Number *

Engine 2 Seal Number *

PLEASE NOTE: IF USING ONLY ONE ENGINE MAKE ENGINE 2 NUMBER 000 AND ENGINE 2 SEAL NUMBER 000

HelmetVisor ClearStrap CorrectGood Condition

Race SuitNo loose partsNo Holes

Race BootsGood Condition

GlovesGood Condition

Fire ExtinguisherServiced in the last 12 monthsIt is important to have your fire extinguisher on your trolley at all times.

Nose ConeNo damageCorrect fitmentYou need to come to the pre race grid with your nose cone off.

Wheel bearingsNo play in bearingsNo play in lock nuts

Steering SystemNo wearTight

PedalsNot protrudingReturn springs

General SafetyNo cracksNo loose bolts

Side PodsCorrect attachment

BallastBolted to kart

BrakesOperational

Side PodsCorrectly attached

Rear BumperCorrectly attached

Chain GuardFull cover guard

Rear AxleWheel bearings no play

Fuel Tank and Fuel LinesNo leaksFirmly attachedFuel lines secure

NumbersNumbers correct sizeNumbers correct colourNumbers on front, rear and sides

TransponderFitted on the original bracketIn correct position under the bib behind the front axle

LogosKart.co.za stickers on front and rear number platesRotax Max Challenge South Africa Stickers on the side pods

DECLARATION/UNDERTAKING BY SUBMITTING THIS SCRUTNEERING FORM. INDEMNITY MOTOR RACING IS DANGEROUS. I/WE SIGNIFY MY/OUR AGREEMENT TO THE TERMS AND CONDITIONS BY SUBMITTING THIS SCRUTINEERING FORM.

I agree

National Round 4 – Scrutineering FORM

Driver Information

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Scrutineering

Driver Information

Contact Information

Scrutineering