Owners Name___________________________________ Tractor Make_______________
Address_______________________________________ Tractor Name_____________
City/Sate/Zip___________________________________ Phone #__________________
Engine Make ___________________ Engine Serial Number______________________
Tractor ID # __________________ Tractor Inspection #(office only) ______________
Class: Off Lawn Diesel Stock Altered Sport Stock Pro Stock Open/Unlimited Mini Rod
ITEMS TO BE INSPECTED NA PASS FAIL
Frame/sheet metal modification
A. Frame ______ ______ ______
B. Sheet Metal Modification Except Exhaust Pipe ______ ______ ______
Safety Equipment
A. Kill Switch ______ ______ ______
B. Fuel Shut Off – Electric/Manual ______ ______ ______
C. Secure Seat With 3 Inch Back ______ ______ ______
D. Fire Equipment ______ ______ ______
Shielding
A. Spark Plug Blowout Protection ______ _______ _______
B. 360 Degrees – 1/8 Inch Thick
B. 1. Clutch ______ ______ ______
B. 2. Engine Flywheel
B . 2 A. Solid Steel or Billet Aluminum/No Welding_____ ______ ______
B . 2 B. Points Cover ______ ______ ______
B. 2 C. Vertical Exhaust – Min 12 Inch From Port ______ ______ ______
B. 3. U-Joints ______ ______ ______
B. 4. Vibration Dampener ______ ______ ______
B. 5. All Rotating Parts – Belts & Chains, Etc. ______ ______ ______
Wheelie Bars
A. Min 5 Inches Behind Rear Face of Rear Tires ______ ______ ______
B. Max 5 Inches Off Ground. Measured To Center ______ ______ ______
Point of Wheel or Rear Edge of Skid Plate
Brakes: Must Be Able to Lock Both Rear Wheels ______ ______ ______
Deadman Throttle: Mandatory All Classes Ex OL ______ ______ ______
Inspector Comments/Notes: ______________________________________________
Inspectors Signature________________________________ Date ________________