Midpond Tech Sheet
Technical Inspection Sheet
Instructions: The participant is to bring this inspection form to an authorized technical inspection station with all necessary items needed for the event.
This inspection form must be filled out by the inspector and no changes shall be made to the equipment. All such changes will void the inspection sheet until equipment can be re-assessed by the inspector.
Date of Event __________________________
Event Title __________________________
Car # __________________________
Last Name __________________________
First Name __________________________
License Plate # __________________________
___ Hub Spacer/Adapter
___ Tires and Wheels
___ Brakes are properly bled, linkages in good order and free of wear
___ Brake pads should have more than 25% of useful life
___ Master cylinder and calipers within specifications
___ Brakes free of fluid leaks
___ Brake lamps in good working order
Body / Suspension
___ Tires have minimum tread, do not have exposed belting, and have a wear
___ rating of 180 or higher (no temporary spare tires allowed)
___ Lug nuts torque to specifications
___ Steering system is in good working order
___ Suspension system in working order
___ Windows cannot have cracks over5 inches in length or .5 inches in diameter
___ Battery secured properly, positive terminal covered
___ Air cleaner secured
___ Oils and fluids filled to specifications – No Leaks
___ Throttle action smooth / return spring to specifications
___ Ignition system and Fuel system – Cars with relocated Batteries, Fuel Cells or both Mush have an externally mounted Kill switch installed on the vehicle that disables the entire electrical system.
_______Drivers Initial if none is installed
___ Wiring harness secured
___ Exhaust system secured
___ Snell 2015 or newer rating approved DOT helmet
___ Seatbelts in proper locations and secured according to 4points from unibody or harness bar ___ All convertibles, open top, soft top cars must have a properly installed, approved roll bar.
___ Tow hooks or straps must be present on at least one location on vehicle and clearly marked
_______Drivers Initial If not present
___ Remove floor mat, lose items (audio systems)
___ No cage – No Tandem
___ Minimum 4 point hallo configuration and Door bars Required - DOM .95wall and 1.5” or Larger Diameter required – Roll bar Padding should be installed where driver or passenger head may come in contact .
Internal Use Only (to be filled out by a technical inspections representative)
Inspector.s Signature / Date: __________________________Date:___________________
Owner.s Acknowledgement: I hereby acknowledge that the technical inspections performed on my automobile are solely for the purpose of meeting minimum standards for the event. I release the inspector Santioning Body and any affiliated hosting parties from any liabilities and issues arising
from their inspection of my car, including the failure or omission of the items listed on this inspection form.
Driver.s Signature: __________________________Date:___________________