CLERK OF COURSE REPORT

Clerk of Course Report
Motorcycling Victoria PO Box 3, Broadford VIC 3658 (03) 5784 2827 infol@motorcyclingvic.com.au
CLERK OF COURSE REPORT
ACTION

No further actionMedical OnlyOther
Promoter
Meeting Name
Venue
Date

DayMonthYear
Date
Permit No.
Type of event

ClubInterclub/RegionStateNational
Clerk of Course
Chief Scrutineer
Secretary of Meeting
Chief Medical Officer

Commentary

	Practice	Competition
Track Conditions at commencement of
Weather conditions during
Officials present - Stewards
All nominated Senior Officials
Sufficent Other Officials
Doctor (if applicable)
Other services Present
Ambulance/FIV (Number of vehicles)
Operational Medical Centre
Operational timing
Operational Communications
Fire extinguishers as per By laws Fire
Travelling Marshalls
Mobile Rescue Units
Recovery Vehicles
Start
Permission to start given by the steward
Scheduled start time
Actual start time

Commentary

	Practice	Competition
Did the programme run to schedule?
Was it necessary to seek Stewards permission to vary the Supplementary Regulations or the Programme?
Were any charges laid?
Were any protests received?
Were there any injury/Accident reports?

If so give brief details and attach relevant reports for each occasion
Take Photo of any reports
File Upload of any reports

Cancelof
11. Brief statement summarising the meeting, including any matters brought to the Stewards attention
THIS REPORT IS CONFIRMED BY THE SIGNATURE OF THE CLERK OF COURSE:
Name
MA Licence No.
Date

DayMonthYear
Date
Time

Hour Minutes

AM/PM Option
Signature

Clear
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN VICTORIA
Should be Empty: