I declare the vehicle detailed on this entry form complies with the vehicle safety items set out below (as applicable) and will be presented on request to an appointed scrutineer or Technical Officer complying at all times with the safety and eligibility requirements detailed in the National Sporting Code and its Appendices and Schedules.

Critical Safety
• Helmet
• Head & Neck Restraint
• Protective Clothing
• Safety Harness
• Window Net(s)
• Roll Bar / Safety Cage
• Seat(s) and Mounts
• Fire Extinguisher
• Wheels and Tyres
• Brake System
• Steering & Suspension Systems
• Fuel Tank(s) / Fillers / Lines

Non-Critical Safety
• Engine & Transmission Mounts
• Flexible Fluid Lines & Hoses
• Throttle Return (Failsafe)
• Engine Starter Operation
• Reverse Gear Operation
• Exhaust System
• Oil Catch Tank(s)
• Electrical Wiring
• Ignition / Circuit Breaker
• Battery
• Lighting Systems
• Brake Lights
• Rear Lights / Rain Lights
• Bodyshell / Chassis Condition
• Exterior Appearance
• Panels / Covers
• Doors
• Windows
• Wipers & Demisting
• Rear Vision Mirrors
• Aerofoils & Spoilers
• Cockpit Construction / Fittings
• Bulkheads
• Tow Eyes

Non Safety
• Ballast (Security)
• Competition Numbers
• Registration & WOF Labels
• LVV / MSNZ Authority Card
• LVV Plate
• Optional Equipment

I acknowledge that where any breach of the Safety Schedule is found during a Safety Audit I will be subject to penalties under the National Sporting Code and my signature below indicates my acceptance of this undertaking.