Northwest Alfa Romeo Club
VEHICLE INSPECTION FORM
 
OWNER'S NAME : ___________________________________________________________

INSPECTION NOTICE: THIS INSPECTION IS TO ASSESS THE SAFETY ASPECT OF THE VEHICLE FOR HIGH PERFORMANCE TRACK DRIVING. The undersigned hereby RELEASES, WAIVES, DISCHARGES, COVENANTS NOT TO SUE and agrees to INDEMNIFY and HOLD HARMLESS to the greatest extent available by law, the provider of this inspection and Northwest Alfa Romeo Club. Your vehicle inspection is valid up to the "morning of" attended track event. Please present this inspection form to registration on the day of your event participation.

Car Owner's Signature : ___________________________________________________________ Date : _______________

EXTERNAL : OK
Visual inspection of the body for signs of prior collision damage and corrosion
Condition of Glass, NO cracks, chips or scratches in windshield longer than 4 inches
All brake lights working properly and visable
Roll Bar/Roll Cage correct height [passes broomstick test] - SCCA Certified manufacture
Windshield wipers working properly - blades in good condition
Aerodynamic modifications securely fastened
Door, hood and trunk latches secure tightly
UNDERCARRAGE : OK
Visual inspection of the frame for signs of prior collision damage and corrosion
Engine/transmission mounts - cracking/tears
Overall condition and presence of leaks from:  
Differential/transfer case
Transmission/transaxle
Drive Axles, boots and seals
Fuel and brake lines
Fuel Tank
Engine Oil Pan
Power steering rack or gear box
STEERING AND SUSPENSION : OK
Overall condition and adjustment of components:  
Tie rod ends
Upper and lower ball joints
Control arms
Knuckles
Struts and/or shock absorbers
Strut mounts and bearings
Vehicle :
Year : ___  ___  ___  ___  
Make :  
Model :  
Color :  
Licence plate no. : ___  ___  ___  ___  ___  ___  ___  
TIRES : OK
Cracking or cuts in the tires
Tire tread depth at least 50%
Lugnuts - torqued to spec
Wheels - signs of cracks or bent rims
BRAKES : OK
Remaining % of front brake pads      LF%              RF%   
  
Remaining % of Rear brake pads      LR%              RR%   
  
Brake rotors - signs of cracking, appear serviceable
UNDER THE HOOD : OK
Belts and Hoses - cracking, signs of deterioration, properly clamped
Belt tensioner and pulleys - proper adjustment/condition
Throttle return springs - smooth operation and strong return
Exhaust system securely attached
Battery - properly clamped [DOES NOT MOVE], positive terminal cover, signs of leaking
Brake fluid reservoir full with clean brake fluid
Radiator overflow catch container - cracking, signs of deterioration, properly clamped
COCKPIT : OK
Pedals operate correctly with positive return
Seat/frame mounts in good condition
Seat belts/harness - pretensioner operation, signs of deterioration, properly mounted, SFI rating up-to-date
SHOP ADDRESS or STAMP:
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