IRPCA Autocross Registration and Tech Inspection Sheet

Name of Event:________________________________________Date of Event:___________

Driver's Name:__________________________Car No._______Today's Date:____________

Class:_______Year:________Model:_______Color:________License Plate #___________

Modifications:_________________________________________________________________

Run Group Color: Red Blue  Student? Yes No Instructors Name

Driver Self Checklist (Must be complete before car can be inspected!)

Driver:

¨Proper Shoes

¨ Approved Helmet

¨ Proper Clothing

¨ Good Attitude

¨ Car #s Displayed Clearly

Interior:

¨ Seats Secure

¨ Seat Belts - Left and right

¨ Pedals - Travel and Feel

¨ Fire Extinguisher (M class only)

¨ Steering Wheel Play

¨ Roll Bar (M class only)

Engine:

¨ Cleanliness

¨ Belts and Hoses

¨ Distributor Secure

¨ Air Cleaner Secure

¨ Linkages and Throttle Return

¨ Gas Lines

Front/Rear:

¨ Battery

¨ Brake Fluid Full

Date last changed_________

¨ Wiring

¨ Negative Camber in 356

Suspension:

¨Wheels

¨ Lug Nuts

¨ Tire Clearance

¨ Brake Pads & Disks

¨ Wheel Bearings

¨ Steering Mechanism

¨ Shock Absorbers

¨ Brake Lines

¨ Suspension Components

¨ Drive Line Components

¨ No Substantial Leakage

Comments:______________________________________________________________________

I acknowledge that I am solely responsible for the safe condition of my car,

and that I have read the IRPCA Autocross rules and understand them, and agree

to abide by them at all events.

Owner's Signature:_______________________________________Date:_________________

Official Tech Check

Tech Check

¨ Loose Objects Removed ¨ Floor Mats Removed
¨
Pedals - Travel and Feel ¨ Seat Belts ¨ Wheels & Tires
¨ Lug Nuts ¨ Wheel Bearings ¨ No Substantial Leakage
¨
Linkages and Throttle Return ¨ Battery Secure

Starter Check Reminder

¨ Helmet ¨Seat Belt Secure¨ Windows Down ¨Loose Objects Removed

¨ Pass ¨ Fail

Inspected By:____________________________________________Date:_________________