SCRUTINY SHEET RACE

To be completed by competitor before mechanical scrutiny

Competition number.
Organising club: Event date: Entrant / Driver:

Mondello Park Sports Club

Engine CC: No. of engine valves:

14 / Feb. / 2014
Make / Model:

Trevor Gray

1600
Chassis No.:

8
CIS No.:

Sheane F / Vee
Camera fitted (y/n) Class entered:

14022014
Fire Extinguisher

000014 N/A

No
Fuel tank:

Formula Vee Steel behind Seat

Safety cell :

Registration number (if applicable)

Hand held Plumbed in X

Size:

1.75 AFFF
Seat Homologation number(if applicable) CS: N/A /

Safety Harness No's:

T98

Integrated with chassis/Bolt in/Weld in

Yes No

Was this vehicle involved in a collision / incident since its last MI / MSA event

if yes elaborate on a separate sheet

Guidelines to mechanical scrutiny for Scrutineers.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. *Head lamps, Driving Lamps. *Brake Lights, Indicators, Reverse Lights. *Steering, Brakes, Suspension. *Wipers, Washers, Horn, Mirror. *Fuel Tank, Fuel-Oil-Water-Lines. *Fire Extinguishers. *Safety Belts / Harness. *Tyres and Wheels. *Noise Control. *Securing of equipment incl. Battery. *Throttle Closing. *Warning Triangle. *L.P.G. Gas. (if appropriate) *General Condition. *Fire Walls. *Complete Roll Cage. (Including Intrusion Bars) *Helmets. (Two) *Bonnet and Boot Fastenings. *Laminated Windscreen. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. *Headrests & Seats. *Towing eyes. *General circuit breaker. *Clothing Overalls, Balaclava, Boors, Socks, & Gloves. *Drivers window webbing (if this window is to be open during competition recommended for Rallies) *Sunroof. (if appropriate) *First Aid Kit. (recommended) *Logbooks. *Eligibility. *SOS / OK Board. #Steering Lock (rendered inoperative) **Advertising on windows &&Drivers & Co.-Drivers name on front wings &&National flag on front wings &&Blood group on front wings

* MI. Yearbook Appendix 2, **Appendix 2 III, # FIA Appendix J.&& International Rallies

Scrutineers comments :

I, the undersigned, as an Motorsport Ireland / R.I.A.C. licensed scrutineer, have examined the above mentioned vehicle and the protective clothing submitted by the driver / entrant / presenter and I am satisfied that it complies with all the safety requirements Motorsport Ireland / R.I.A.C. General Competition Rules, the current Motorsport Ireland / R.I.A.C. Yearbook and the F.I.A. Yearbook where applicable.

if different from Driver / Entrant Vehicle presented by : _____________________________

Signed : _____________________

Signed :_______________________________ Licence No________ Signed :____________________________ Licence No._______ Driver / Entrant. M.I. Scrutineer.

SCRUTINY SHEET RACE

To be completed by competitor before mechanical scrutiny
Competition number.
Organising club: Event date: Entrant / Driver:

Engine CC:

No. of engine valves:

Make / Model:

Chassis No.:

CIS No.:

Camera fitted (y/n)

Class entered:

Fire Extinguisher

Hand held Plumbed in Safety Harness No's:

Size:

Registration number (if applicable)

Fuel tank:

Seat Homologation number(if applicable) CS:

Safety cell :

Integrated with chassis/Bolt in/Weld in

Was this vehicle involved in a collision / incident since its last MI / MSA event
Yes No

if yes elaborate on a separate sheet

Guidelines to mechanical scrutiny for Scrutineers.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. *Head lamps, Driving Lamps. *Brake Lights, Indicators, Reverse Lights. *Steering, Brakes, Suspension. *Wipers, Washers, Horn, Mirror. *Fuel Tank, Fuel-Oil-Water-Lines. *Fire Extinguishers. *Safety Belts / Harness. *Tyres and Wheels. *Noise Control. *Securing of equipment incl. Battery. *Throttle Closing. *Warning Triangle. *L.P.G. Gas. (if appropriate) *General Condition. *Fire Walls. *Complete Roll Cage. (Including Intrusion Bars) *Helmets. (Two) *Bonnet and Boot Fastenings. *Laminated Windscreen. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. *Headrests & Seats. *Towing eyes. *General circuit breaker. *Clothing Overalls, Balaclava, Boors, Socks, & Gloves. *Drivers window webbing (if this window is to be open during competition recommended for Rallies) *Sunroof. (if appropriate) *First Aid Kit. (recommended) *Logbooks. *Eligibility. *SOS / OK Board. #Steering Lock (rendered inoperative) **Advertising on windows &&Drivers & Co.-Drivers name on front wings &&National flag on front wings &&Blood group on front wings

* MI. Yearbook Appendix 2, **Appendix 2 III, # FIA Appendix J.&& International Rallies

Scrutineers comments :

I, the undersigned, as an Motorsport Ireland / R.I.A.C. licensed scrutineer, have examined the above mentioned vehicle and the protective clothing submitted by the driver / entrant / presenter and I am satisfied that it complies with all the safety requirements Motorsport Ireland / R.I.A.C. General Competition Rules, the current Motorsport Ireland / R.I.A.C. Yearbook and the F.I.A. Yearbook where applicable.

Was this vehicle involved in a collision / incident since its last MI / MSA event

Yes

No

if yes elaborate on separate sheet

if different from Driver / Entrant Vehicle presented by : _____________________________

Signed : _____________________

Signed :_______________________________ Licence No________ Signed :____________________________ Licence No._______ Driver / Entrant. M.I. Scrutineer.