Scrutineering Form - Sprint - Karting New South Wales

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Results | Live timing

Scrutineering Form - Sprint & Speedway

We handle your personal information in accordance with KNSW Privacy Policy and Website Terms of Use

Driver Name *

First

Last

Club - PLEASE SELECT THE CLUB YOU ARE RACING AT *

Please select the club you are racing at from the list.

Event *

Class *

Kart Number *

Transponder Number *

Licence Number *

Licence Grade *

Checks *

M.2.10 - Kart Numbers
T.2.1 - Frame (Check for Cracks)
T.2.12 - Floorpan (Check for Cracks)
T.2.10 - Sidepods
T.2.5 - Wheels/Nuts/Bead Retention
T.2.16 B) D) - Steering (Check for Cracks)
T.2.17 C) - Brake Pads, Retainers
T.2.17 A) D) - Brake Rods, Cables, Hoses
T.2.18 - Throttle Pedal/ Return Springs
T.1.5 D) - Weights
T.3.2 C) - Battery Bracket/Mounting
T.3.4 C) D) - Kill Switch/Clutch Retention
T.3.5 - Chain/Sprocket Guards
T.3.7 - Fuel Tank & Lines
T.3.9 - Airbox & Adaptor
T.3.11 - Muffler Springs/ Safety Cable
T.4.1 - Approved/Control Fuel
T.5.1 - Tyres - Approved Set
T.5.3 - Tyres - No Modifications
T.5.5 - Tyres - Usage/Marking
T.8.2 - Helmet & Visor
T.8.3 - Driving Suit
T.8.4 - Gloves
T.8.5 - Shoes

Please record your engine details below

Engine Make (1st) *

Engine No (1st) *

Engine Seal/ Tag No (1st)

Engine Make (2nd)

Engine No (2nd)

Engine Seal/ Tag No (2nd)

Engine Make (3rd)

Engine No (3rd)

Engine Seal/ Tag No (3rd)

Please record your chassis details below

Chassis Make (1st) *

Chassis No (1st) *

Chassis Seal/ Tag No (1st)

Chassis Make (2nd)

Chassis No (2nd)

Chassis Seal/ Tag No (2nd)

If required, please record your tyre details below

Dry Tyre Barcodes/ Serial Numbers

1.

2.

3.

4.

R.

Wet Weather Tyre Barcodes/ Serial Numbers

1.

2.

3.

4.

R.

Declaration:

I have checked, or have been authorised to check, all items and found them to be in accordance with the current KNSW Regulations.

Guardian/ Authorised Representative Name

Guardian/ Authorised Representative Signature

Driver Signature *

Date *

Guardian/ Pit Crew Details

Is the driver under 18? *

Guardian Name *

Do you have any pit crew? *

Pit Crew Name *

Name

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