Safety Inspection Portal
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Driver/Team Name:
Car Number:
Tech Serial #:
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Date:
Personal Protection Sheet
Chassis Manufacture:
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Longhorn
Rocket
Black Diamond
Capital
MB Custom
BWRC
Other
Year of Chassis:
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2020
2021
2022
2023
2024
2025
2026
Other
*Seat Belts Certified to SFI 16.1 or 16.5:
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Crow
Simpson
Impact
G-Force
RaceQuip
Schroth
Other
Date on belts:
*Head and Neck Restraint meets SFI 38.1:
Select Brand...
HANS
Simpson Hybrid
NecksGen
Zamp
Other
Y
N
*Driving Gloves meet SFI Spec 3.3:
Y
N
*Racing Suit meets SFI Spec 3.2A/5:
Select Brand...
Simpson
K1
Impact
Alpinestars
Sparco
Velocita
RaceQuip
Other
Y
N
*Helmet certified to FIA 8860-2018, Snell EA2016, SA2015, SA2020, SFI 31.1/2015 or SFI 31.1/2020:
Select Brand...
Bell
Simpson
Impact
Zamp
Stilo
RaceQuip
Stilo
Zamp
Arai
Other
Y
N
*Car has a full containment seat and meets SFI 39-2:
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ButlerBuilt
Kirkey
Ultra Shield
LaJoie
FibreWorks
Other
Y
N
*Fire Suppression System meets or exceeds SFI 17.1:
Select Brand...
Safecraft
FSE
Fire Bottle
Other
Y
N
*Car has a shut off switch behind the driver's cockpit and labeled:
Y
N
*Fuel cell meets FIA/FT3 or SFI 28.3 Specifications:
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ATL
Fuel Safe
Schultz
BWRC
Pyrotect
Jaz
Other
World of Outlaw/DIRTcar serial number on fuel cell:
*All weights are painted white and have two bolts:
Y
N
*Intrusion Plate Meets approved installation and/or mounting as the manufacturer requires:
Y
N
Notes:
Official Signature:
Driver and/or team representative Signature:
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