Steward's Report - Speedway Australia

Full name

Contact number

Track name

Track manager

Meeting name

Permit Number

Event start date

Event finish date

Track lighting

Track condittions

Weather condition

Were all race control lights working?

Yes No

Were communication systems operational?

Yes No

Name of medical organisation present:

Was an ambulance present during racing?

Yes No

Were Fire & Rescue services present during racing?

Yes No

Meeting started:

On time Late

Meeting run time:

On schedule Behind schedule Ahead of schedule

Finishing time of last race:

Name of Chief Scrutineer

Did all vehicles have pre-race safety checks?

Yes No

Did all racing vehicles attend with current logbooks?

Yes No

Were there any Protests or Appeals to report?

Yes No

Were there any incidents to report?

Yes No (if no, please skip to 'submit form') Yes but details will be provided in a separate form (please skip to 'submit form')

In the event of an incident, do not admit liability, accept responsibility or promise/offer compensation under any circumstances. Do not delay in completing this form to Speedway Australia. Failure to do so could jeopardise the entitlement to indemnity under the Public Liability Policy. Please answer all questions. If you don’t have all information, please interview a person who does. When completing this form, please provide FACTUAL INFORMATION ONLY.

Okay

Please provide incident time, division, location and a description of how the incident occured? In the event that multiple incidents have occurred, please number each incident 1,2,3,etc.

What form of lighting illuminated the area? (List for each incident)

Track Moisture (list for every incident)

Were there any witnesses?

Yes No

Please upload any photos of the incident

Were there any injuries?

Yes No

If yes, please list the injured person(s) name, approxomate age, gender, injuries sustained and severity and their role at the event

Was it neccessary to call for immediate medical assistance?

Yes No

If property was damaged during the incident, please provide the property damaged, the nature of the damage, owner (if known) and the estimated cost of repair or replacement

Steward’s Report

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