Event Scrutineering Form Challenge/Open/Production ECD78765C9244093A5982604EF246897 EVENT SCRUTINEERING CHECKSHEET This is a pre-event checklist only, and in no way substitutes for a logbook inspection or proper pre-event car preparation, whether mechanical or other. The scrutineer will take all due care, but it’s the competitors responsibility to make sure that all rules and specifications are adhered tO. Competitor Name Team Name Event Name Event Date Car Number Log book in date, complete, no outstanding issues, ROPS and photos matches car PASS FAIL Driver & co driver’s license s and ambulance memberships PASS FAIL Door handles (internal & external) operational PASS FAIL Fire ext secure, in green 1 x 2.5 or 2 x 0.9 in and out + label on wagon PASS FAIL Harnesses in good condition and secure PASS FAIL Seats secure PASS FAIL Roll cage fully welded PASS FAIL ROPS number label undamaged PASS FAIL Cabin items secure PASS FAIL Kill switch 12V & 24V, cut off at 2,500rpm PASS FAIL UHF CB radio functioning PASS FAIL Firewall, floor and rear wall sealed PASS FAIL Cargo barrier (wagon) or rear window (ute) fitted PASS FAIL Window nets secure PASS FAIL Windscreen and other glass unbroken PASS FAIL All forward facing lights dip to a low beam from one switch PASS FAIL Wipers and washers working PASS FAIL Brakes operational including park brake PASS FAIL Working brake and tail lights PASS FAIL No sharp edges inside or outside of cab PASS FAIL Battery, kill switch, solenoid, winch and any other positive terminals covered PASS FAIL Batteries secure, cables and wiring protected and secured as and where needed PASS FAIL No oil or fuel leaks PASS FAIL Fuel lines secured and away from heat PASS FAIL Steering system is in good working order PASS FAIL All panels secure PASS FAIL Body, grille and exterior – no sharp edges PASS FAIL Wheel arch flares, tyres must be covered 70% viewed from above PASS FAIL Roll over valve on fuel breather PASS FAIL Multi car amber/Red flashing light viewed from 100m behind if applic PASS FAIL Soft tops have appropriate roof (2mm steel or 3mm alloy) PASS FAIL N/A Winch (including brake) operational, winch rope good condition PASS FAIL Recovery points painted Red or Yellow front and rear PASS FAIL Suitable gloves for both driver and co -driver PASS FAIL Helmets (good condition, no marks, A.S. label, buckles not rusted) PASS FAIL First aid kit PASS FAIL Snatch strap (60mm 8t min.) PASS FAIL Tree trunk protector (75mm 12t min.) PASS FAIL Cable dampener (900 x 500 1kg dry min.) PASS FAIL Snatch block (7t min.) PASS FAIL Winch extension strap (75mm 8t or 10mm 8.5t min.) PASS FAIL Shackles (3.25t min ) PASS FAIL Jack & wheel brace suit lift and wheel nuts PASS FAIL Spare wheel of similar size to main tyres PASS FAIL Garbage bag (at least 1) PASS FAIL Tool kit PASS FAIL Competitor acceptance. Competitor accepts this record as true and correct. Scruitineer Name Submit
