FEDERATION INTERNATIONALE DE L'AUTOMOBILE

HISTORIC MOTOR SPORT COMMISSION

ELIGIBILITY DELEGATE'S REPORT

Competition: Date: / / 2017

FIA Eligibility Delegate:

CHAMPIONSHIP(S) OR STATUS:

Organising Club: Country:

This report is mostly in the form of a check sheet. Please place a tick in the appropriate column. Please elaborate in the comments section on any unsatisfactory item. If you feel any part of your report requires particular attention, please write in red and indicate the section here:

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1- ORGANISATION: YES NO

a) Was adequate information received prior to the meeting?

b) Was the entry list available?

c) Were the regulations clear and easily understood?

d) Were the Scrutineers competent?

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Name of Scrutineers / Licence no.
1st
2nd
3rd
4th

Remarks:

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2 - SCRUTINEERING: YES NO

a) Were the scrutineering facilities satisfactory?

b) Was there a hoist or a trolley jack available?

c) Was there a weighing device available?

d) Was scrutineering held without complaint?

e) Were the Scrutineers satisfied with the safety of all the vehicles?

f) Were the Scrutineers satisfied with the eligibility of all the vehicles?

g) Did all the vehicles have the relevant FIA Historic Technical Passport?

h) Were the classes correct in the entry list?

i) Were the Parc Fermé regulations complied with?

j) Was the Parc Fermé effectively guarded?

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3 - ENTRIES:

Category / Number of cars entered
Remarks:

4 - PRE-EVENT SCRUTINEERING:

Category / Number of cars complying with App. K
Remarks:

5 - COMMENTS AND ADDITIONAL INFORMATION:

Decision of the Stewards:
Cars to be checked:
Items to be checked:

Results:

Competition number / Car / Competitor/driver
Remarks:

6 - COMMENTS AND ADDITIONAL INFORMATION:

Written proposal of the FIA Eligibility Delegate to the Stewards:
Decision of the Stewards:
Cars to be checked:
Items to be checked:

Results:

Competition number / Car / Competitor/driver
Remarks:

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7 – RED DOTS

CompetNo / HTP
No / Car:
make model / Car
Period
Group / Car
Classific. / Competitor/
driver / Item(s) covered by
the red dot / Stewards’
decision / Date of removal (mm/dd)

Remarks:

8 – BLACK DOTS

CompetNo / HTP
No / Car:
make model / Car
Period
Group / Car
Classific. / Competitor/
driver / Item(s) covered by
the red dot / Stewards’
decision / Date of removal (mm/dd)

Remarks:

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9 - PROTESTS

10 - SUMMARY

11 - ITEMS TO BE DISCUSSED BY THE TECHNICAL WORKING GROUP AND/OR THE COMMISSION:

FIA ELIGIBILITY DELEGATE'S SIGNATURE:

Date: / / 2017

Must be enclosed: One Programme

All relevant Stewards' decisions, penalties, appeals etc.

One list of Starters

PLEASE RETURN THIS REPORT VIA EMAIL within 48 hours TO :

or

APPENDIX “STATISTICS”

HISTORIC HILL CLIMBS ONLY

HISTORIC HILL CLIMB COMPETITORS

ENTERED / CATEGORY / INTERNATIONAL* / NATIONAL** / TOTAL
1
2
3
4
5
TOTAL
SCRUTINEERED / CATEGORY / INTERNATIONAL* / NATIONAL** / TOTAL
1
2
3
4
5
TOTAL
CLASSIFIED / CATEGORY / INTERNATIONAL* / NATIONAL** / TOTAL
1
2
3
4
5
TOTAL

* INTERNATIONAL = International licence and FIA HTP

** NATIONAL = national licence and/OR national HTP

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