INSPECTOR'S CLEARANCE

NAME

RIDER NO.:

TEAM

TIME OF INSPECTION:

CLOTHING

HELMET

FULL FACE

OPEN FACE

MOUTH PROTECTOR

LONG SLEEVED SHIRT (extended to rider's wrists)

ELBOW PADS

LONG PANTS (tight fitting at ankles)

KNEE PADS

GLOVES (fingers completely covered)

BICYCLE

RIM

SIZE (20" or 22.5" to 26"):

FRAME

SAFETY PAD on top tube of the frame

HANDLE BAR

WIDTH (< 74 cm.)

RISE (< 30 cm.)

CROSS BAR SAFETY PADS

STEM COVER SAFETY PAD

STEERING HEAD

STEERING HEAD SAFETY PAD

FORK STEM

WHEEL AXLES

SPOKES

TIRES

HUB BEARINGS

QUICK RELEASE AXLES

RELEASE LEVERS (taped or wired)

BRAKES

COASTER or

CALIPER

HANDBRAKE LEVER

BRAKE CABLES (capped/soldered/covered)

SEAT

SEAT POST

SEAT CLAMP (< 5 mm)

CRANK ARM CLEARANCE

BOTTOM BRACKET BEARING

PEDALS

PEDAL AXLES

PEDAL CAGE TEETH

PEDAL CLEAT (test rider)

TOE CLIPS & STRAPS (not allowed)

NUMBER PLATE SIZE

NUMBER PLATE not extending above crossbar

(20-25 x 25-30 cm)

CONFORME:

INSPECTED BY:

RIDER's or TEAM MANAGER's SIGNATURE

INSPECTOR’s SIGNATURE