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Please enable JavaScript in your browser to complete this form.
Team/ Event Information
Club
*
Select the host club from the dropdown
4SKA NSW
TEKA
Team name
*
Venue
*
Event Date
*
Kart Number
*
Team Manager
*
Transponder Number
*
Driver Apparel
Please name your drivers and tick each box to indicate you have self-scrutineered each team and all apparel is in good condition and safe order.
Driver 1 Name
*
Driver 1 Apparel
*
Helmet
Visor
Driving Suit
Gloves
Boots
Driver 2 Name
*
Driver 2 Apparel
*
Helmet
Visor
Driving Suit
Gloves
Boots
Driver 3 Name
Driver 3 Apparel
Helmet
Visor
Driving Suit
Gloves
Boots
Driver 4 Name
Driver 4 Apparel
Helmet
Visor
Driving Suit
Gloves
Boots
Engine Information
Ensure all seals are intact. If you have a spare engine list it here - this includes an engine that may be lent to other teams. Engines not recorded on this form are strictly ineligible.
Engine 1
Engine 1 No
*
Briggs Seals Intact
*
Seal 1
Seal 2
4SKA Seal 1 No
*
4SKA Seal 2 No
*
Engine 2
Engine 2 No
Briggs Seals Intact
Seal 1
Seal 2
4SKA Seal 1 No
4SKA Seal 2 No
Engine 3
Engine 3 No
Briggs Seals Intact
Seal 1
Seal 2
4SKA Seal 1 No
4SKA Seal 2 No
Scrutineering Check
To be filled out by a team representative - tick once checked
Scrutineering Check
*
Kart numbers visible and correct colour
Nuts on stub axles
Steering wheel for cracks
Throttle return springs
Wheels in good condition
Chassis - check for cracks
Muffler firmly attached
Brake pad retainers
Weight canisters comply with endurance rules
Seat inserts comply with endurance rules
Briggs 206 & 4SKA tags all intact
Exhaust header bolts lock-wired
Chassis has rear brakes only
Hillard Inferno clutch has four white springs and no weights are in use
King Pins
Steering Shaft
Floor Pan For Cracks
Correct Tyres Fitted
Fuel tank and hoses. Cable ties on connections
Chain guard in place
Side pods
Brakes, cables, hoses & fittings
Fixed weight to kart complies with endurance rule
Oil & fuel catch can fitted
Muffler is safety-wired to chassis
Engine oil fill & drain plugs lock-wired
Engine is mounted on right hand side of kart (to the right of the seat)
Fuel containers with control fuel have your team number clearly marked on them
Declaration
Team member has checked all items and found them to be in accordance with the current KNSW rules
Name
*
Date
*
Signature
*
Clear Signature
Phone
Submit
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Home
News
News & Announcements
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Get Started
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Get Started
Kart Class by Dave Sera
MyKarting™ Portal
Login
User Guide
Clubs
Current Track Licenses
Club Finder
Metro Zone
Combined Districts Kart Club
Hunter Valley Kart Club
Sydney Kart Racing Club
Sydney Illawarra Kart Club
Northern Zone
Gunnedah Kart Club
Manning Valley Kart Club
Tamworth Kart Racing Club
Southern Zone
Bathurst Kart Club
Canberra Kart Racing Club
Dubbo Kart Club
Grenfell Kart Club
Griffith Kart Club
Orange Kart Club
Sapphire Coast Kart Club
Wagga & District Kart Club
4 Stroke
Endurance Racing Club
Four Stroke Karting Association (4SKA)
SEK NSW
The Endurance Karting Association (TEKA)
Speedway
Central Coast Speedway Kart Club
NSW Speedway Kart Club
Retro / Vintage
Retro Karting Australia
Vintage & Historic Karts Australia
Calendar
Sprint (Bitumen)
Endurance
Speedway
Special Events
State Titles
Series Calendar
Coast 2 Country Series
Southern Star Series
TAG Tri Series
KZ2 Super Series
RKA Championship Series
Rules
Rule book
COVID-19
Technical Specifications
Forms & Policies
All Forms & Policies
Member Protection
Insurance Documents
Driver Sign On
Scrutineering Form – Sprint
Scrutineering Form – Endurance
About Us
Contact Us
Ambassadors
Constitution
Fee Structure
Annual Reports
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