Make _____________________________ Model: _____________________________________________ Year: __________
I understand that the condition of my car is my responsibility and the technical inspector is not responsible for any potential failure of my car. I / we acknowledge that the Carolina Regional Mustang Club (CRMC) and the Open Track Staff hold me/us responsible for the condition of this vehicle. I release, acquit, and forever discharge the organizers, Carolina Motorsports Park, CRMC, the Open Track Staff and any sponsoring business, their officers, members, contractors, lessors, associates, successors or assigns from any and all liability, claims for damages or causes which may come from failure for whatever reason of inspected vehicle, whether or not due to negligence.
Date:______________ Driver/Owner Print: __________________________________Sign: _________________________________
Date:______________ 2nd Driver Print: __________________________________Sign: _________________________________
For 16 & 17 year old students:
Date:______________ Parent/Guardian Print: ________________________________Sign: ________________________________
Inspecting Service Shop: ___________________________________________________ Date: _____________________
Complete all lines with ___ before you come to the track
___ Brake lights: all working ___ Hub caps & beauty rings removed
___ Tire pressures - car specs or adjusted for track conditions ___ Tires good. Min. 2/32” tread, H,V or Z rating recommended
___ All lug nuts present & torqued to spec ___ Front & rear glass clean, unobstructed, no major cracks
___ No excessive fluid leaks; gas, oil, coolant, brake fluid. ___ Gas cap tight or taped shut
___ Windshield wipers working and in good condition ___ Mirrors: Left-hand exterior & windshield rear view required
Engine Compartment and Interior
___ Battery secured (no bungees), positive terminal covered ___ Cameras, gages, g-analyst, etc. mounted securely
___ Double throttle return springs required in carburetors ___ Brake fluid: fluid fresh, proper level, system bled
___ Throttle linkage: not sticky or sloppy Date of last brake fluid change ____/____/____
___ Coolant system: proper level, hoses good, clamps tight ___ Brake pedal firm and high
___ Radiator cap holds pressure ___ Engine belts: properly tightened, not frayed or cracked
Under Car – on lift or jack stands
___ Brake pads: adequate pad thickness (Minimum 5mm, consider bringing extras if not new)
___ Brake rotors: within factory specs, not warped or cracked ___ Calipers, hoses & lines: clean, dry & working properly
___ Wheel bearings: No excessive play ___ Wheels: straight, not damaged, no cracks
___ Steering linkage: No excessive play ___ Suspension: no excessive play, no cracks/bad rust in mounts
___ Check transmission and differential levels ___ Check rear engine, transmission seals for excessive seepage
___ Check for hydraulic leaks; axle seals, clutch slave cylinder ___ Exhaust: no under car leaks. All clamps and hardware tight
___ Check drive shaft & half-shaft bolts for looseness
Safety Equipment & Rules
___ Front seat belts: proper working condition. If harnesses used with harness bar, roll bar or roll cage, minimum 5 point required.
Equal protection must be provided for instructor/passenger.
___ Roll bar: Minimum 4-point mounting. Required for most convertibles in C, B & A groups. Adequate padding required
on bar/cage at any possible contact point with driver’s or passenger’s head.
___ No Nitrous or other fuel enhancements allowed.
At Track Only Helmet: Snell SA2010 or SA2015 with Snell sticker inside. Absolutely required to get on the track.
At Track Only Clothing: Long pants and long or short sleeve shirt of natural fibers, closed-toed shoes required.
At Track Only All loose items removed from interior and trunk. Glove box latched
At Track Use Only box will be used during At Track Safety Quick Check
Inspector Initials: __________ Notes: