COMPETITION REPORT (STEWARD/REFEREE)

COMPETITION REPORT (STEWARD/REFEREE)
Motorcycling Australia PO Box 2162 Gladstone Park, VIC, 3043

T: (+61-3) 9684 0500 F: (+61-3) 9684 0555
IMPORTANT:
This report must be filled out completely with all forms attached and returned to the relevant controlling body within 5 days* of the event.
Steward or Referee
Ridernet ID
Phone number
EVENT
Promoter
Venue
Date

DayMonthYear
Date
Permit Number
TYPE OF EVENT, Check all that are relevant.

CompetitionRecreationalJuniorSeniorInternationalNational ChampionshipOpen Event / State ChampionshipInterclub / Zone LevelClub LevelRoad RaceMX / SXTrialsTrackEnduroSpeedwaySupermotoOther

OFFICIALS

	NAME	RiderNet. NO.	LEVEL
Deputy/Assistant. Steward Referee
Clerk of Course
Deputy/Assistant. Clerk of Course
Race Secretary
Deputy/Assistant. Race Secretary
Chief Technical Officer
Chief Marshal
Chief Timekeeper

COMPETENCY ASSESSMENTS CONDUCTED

	NAME	UPGRADE OR RENEWAL	RiderNet. NO.	LEVEL
1.
2.
3.
4.

NUMBER OF COMPETITORS: *MUST BE COMPLETED
Senior
Junior
INSTRUCTIONS FOR COMPLETING COMPETITION REPORT CHECKLIST
OK = If an item listed in the table below, complies with all relevant MA regulations and policies, the Supp Regs and any Final Instructions applying to this meeting and, if it does NOT require any comment, written report or supporting documentation
RA = Report Attached
If an item listed in the table below, does not comply with any MA regulations and policies, the Supp Regs or any Final Instructions applying to this meeting or, if it requires any comment, explanation, clarification, written report or supporting documentation - tick the RA box and then make sure you submit a separate written comment (on the separate comments sheet and numbered appropriately) identifying the time and location, the issue, parties involved, subsequent actions taken and/or resulting outcomes. Please ensure that any other documentation provided by third parties (ie: Medical or Incident Reports) are attached.
N/A = Not Applicable
The item does not apply to this meeting - tick N/A
ITEM

TRACK AND VENUE

	OK	RA	N/A
Track licence
Current status of Venue works programs
Notices to the public
Pit paddock
Pit lane, mechanics and/or signalling areas
Condition of track
First line of protection
Second line of protection
Protective devices
Flag marshal positions / signalling devices

THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Motorcycling Australia PO Box 2162 Gladstone Park, VIC, 3043

T: (+61-3) 9684 0500 F: (+61-3) 9684 0555

mail@ma.org.au www.ma.org.au

	-	-	-
Communication system
Starting system
Artificial lighting
Fire Precautions
TRA’s actioned
Other

ITEM

OFFICIALS AND VOLUNTEERS

	OK	RA	N/A
Officials Briefings
Sufficient numbers
Suitably Equipped
Supervision and welfare
Performance (Competency Assessments conducted)
Other

ITEM

COMPETITORS

	OK	RA	N/A
Riders Briefing held and all competitors attended
Determinations
Penalties
Fines
Protests
Other

ITEM

ADMINISTRATION

	OK	RA	N/A
Permit
Competitor sign on and indemnity form check
Officials and Volunteer sign on
Medical facilities, patient transport and medical personnel
Programme
Disclaimers
WWCC

THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
T: (+61-3) 9684 0500 F: (+61-3) 9684 0555

Othermail@ma.org.au www.ma.org.auMotorcycling Australia PO Box 2162 Gladstone Park, VIC, 3043
ITEM

TECHNICAL INSPECTIONS

	OK	RA	N/A
Competitor licence checks
Helmet checks
Protective clothing checks
Machine compliance checks
Machine eligibility checks
Sound testing
Fuel testing
Other

ITEM

PRACTICE AND/OR COMPETITION

	OK	RA	N/A
Schedule and/or program changes
Supplementary Regulation altered
Modifications to track
Event or Race stoppages
Incident “Hot Spots
Recorded competitor crashes
Competitor contact with first or second line of protection
Medical interventions, injuries and/or transports
Review of all event results affected by stoppages, determinations and/or protests
Other

THE STEWARD/REFEREE MUST ALSO SUBMIT THE FOLLOWING DOCUMENTS WITH THIS REPORT:
Type a question

ProgramCompetitor Sign on SheetsVolunteer Sign On SheetsMedical ReportsMedical ClearancesIncident ReportsCOC ReportCommunication LogsSteward DeterminationsProtest forms that have not been acceptedProtest forms that have been acceptedReceipts of fines paidOfficials Competency AssessmentsDot point comment sheetSteward ReccomendationsCommunication LogsCOC DeterminationsResults
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
STEWARD TO TICK THE RELEVANT BOXES ABOVE TO CONFIRM WHICH DOCUMENTS ARE ATTACHED TO THIS REPORT.
COMMENTS AND RECOMMENDATIONS
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Motorcycling Australia PO Box 2162 Gladstone Park, VIC, 3043

T: (+61-3) 9684 0500 F: (+61-3) 9684 0555
I confirm that by accepting the role of Steward or Referee for this meeting, I will act with respect to and on behalf of Motorcycling Australia and/or any Relevant Controlling Body. I agree to act to the best of my ability and within the scope and authority of an accredited MA Official Steward or Referee. I will submit this report and all supporting documentation within 5 working days of the meeting* and provide it as an accurate representation of the meeting held on the date/s of my appointment. *Note: If a critical incident has been recorded at the meeting, all relevant documents and reports must be submitted to the RCB within 24hours.
Name of Steward
Signature

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Date

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Date
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MAMNSWMQMSAMANTMTASMVICMWA
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Motorcycling Australia PO Box 2162 Gladstone Park, VIC, 3043

T: (+61-3) 9684 0500 F: (+61-3) 9684 0555
FINANCIAL INFORMATION

This form must accompany the Stewards Report of each event

	NAME	ADDRESS	FINE DESCRIPTION	FINE	PAID YES/NO	CHEQUE/ CASH OR CREDIT

Please complete details of all fines, protest fees and licence declaration fees in the above. This must include fines which have not been paid on the day and require invoicing. If fine is not paid, please indicate reason.

Please include the address of the rider so an invoice or receipt can be processed and sent.
Signed
(Steward) Date

MonthDayYear
Date
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN AUSTRALIA AFFILIATED TO THE FEDERATION INTERNATIONALE MOTORCYCLISME (F.I.M)
Should be Empty:

COMPETITION REPORT (STEWARD/REFEREE)

IMPORTANT:

EVENT

NUMBER OF COMPETITORS: *MUST BE COMPLETED

INSTRUCTIONS FOR COMPLETING COMPETITION REPORT CHECKLIST

RA = Report Attached

N/A = Not Applicable

ITEM

ITEM

ITEM

ITEM

ITEM

ITEM

THE STEWARD/REFEREE MUST ALSO SUBMIT THE FOLLOWING DOCUMENTS WITH THIS REPORT:

COMMENTS AND RECOMMENDATIONS

FINANCIAL INFORMATION