OPEN TRACK TECH INSPECTION FORM
(Please print this form, fill it out completely and bring to open track event)

DRIVER'S NAME (PRINT) ________________________________

CAR YEAR/MAKE/MODEL _______________________________

COLOR ________ TRACK EVENT _________________________

INSTRUCTIONS: Prior to bringing your car to Tech Inspection you should inspect each item on the car as noted on this Tech Inspection form. As you inspect each item, check it off under the "DRIVER" column. After all items have been checked, sign on the appropriate line at the bottom. Bring this form with you to Tech Inspection. Your complete inspection should be accomplished BEFORE you present your car at Tech Inspection. Assuring that your car is track-ready is YOUR RESPONSIBILITY. The Tech Inspection Team is only confirming that fact.

    DRIVER CHECKED INSPECTOR CHECKED
SAFETY
EQUIPMENT:
HELMET (SA 95 minimum)
SEATBELTS
(securely fastened)
__________
__________
____________
____________
EXTERIOR: BRAKE LIGHTS (operational)
GLASS
(no cracks)
EXHAUST
(muffler required)

__________
__________
__________

_____________
_____________
_____________
INTERIOR: ROLL BAR (required on open cars)
NO LOOSE ITEMS
MIRROR
__________
__________
__________
_____________
_____________
_____________

TRUNK:

NO LOOSE ITEMS

_________
 

___________
 
ENGINE
COMPARTMENT:
FLUID LEAKS, Brakes bled
BATTERY
securely fastened
THROTTLE
Operation and Springs
COOLANT CATCH CAN
_________
_________
_________
_________
 
___________
___________
___________
___________
 
BRAKES & SUSPENSION: BRAKES pads w/50% material
STEERING,
ball joints, tie rods tight
WHEEL BEARINGS,
tight
WHEELS
hub caps removed, lugs torqued

TIRES
_________
_________
_________
_________

_________
___________
___________
___________
___________

___________

I have inspected the above vehicle and take full responsibility for its condition at this open track event. I agree that the inspection by the SAAC-MCR inspectors is in no way intended to be a certification, representation or guarantee of any kind that said vehicle is fit or safe to drive. And, that the above technical inspection does not imply any liability on the part of the inspectors. The undersigned owner and/or driver agrees to pay, indemnify or otherwise hold harmless the Shelby American Automobile Club, Motor City Region, and anyone serving in a position of responsibility in this organization from any claims, litigation or liability arising from any person who seeks to hold SAAC-MCR, et al, responsible for any reason connected with said inspection.

SIGNED (OWNER/DRIVER) _______________________________________ DATE __________

I have inspected the above vehicle for this open track event

SIGNED (INSPECTOR) ___________________________________________ DATE __________