COLOUR PHOTOGRAPH OF THE REAR SUSPENSION Digital photograph of suitable resolution behind the braking system in longitudinal axis of the car 9 cm x 13 cm Signatory ASN: RACB Form n°: 2 – ENGINE 2.1 ENGINE [a] Is the engine as per the period specifications for this chassis? yes no [b] Clarification: [c] Is the position of the engine as per the period specifications? yes no [d] Clarification: [e] Is the cylinder block cast using the period specification material and dimensions? yes no Specify material: [f] Clarification: [g] Is the cylinder head cast using the period specification material and dimensions? yes no
Specify material: Casting number: [h] Clarification:: [i] Make: Casting number of the block: [j] Year of manufacture: Operating method: [k] Number of cylinders: Configuration (straight, V, etc.): [l] Bore: original: mm Stroke: original: mm actual: mm actual: mm [m] Engine capacity: original: cm3 actual: cm3 [n] Number of intake ports: Number of plugs per cylinder: Number of exhaust ports: Number of valves per cylinder: Number of transportation port (in case of two stroke engines): Number of rotors (in case of wankel/rotary engine): [o] Are the valve sizes as per the period specification? yes no [p] Clarification: [q] Are sensors fitted? yes no [r] If yes, list the sensors: Signatory ASN: RACB Form n°: 2.2 IGNITION [a] Is the system as per the period specifications? yes no [b] Clarification: [c] Type (magneto, breaker/coil, etc.): [d] If the ignition is electronic, specify the make and principle: [e] Are sensors fitted? yes no [f] If yes, list the sensors: 2.3 FUEL FEED [a] Are the make, type and number of carburettors / injection as per the period specifications? yes no [b] Clarification: [c] Carburettor: Make: Type: ø of venturi in mm:
[d] Injection : Make: Type: [e] If an air restrictor is fitted, diameter of the restrictor: mm [f] If supercharged, is the supercharger as per the period specifications? yes no [g] Clarification: [h] Supercharger: Make: Type: Number: [i] If an air cooler is fitted, is it as per the period specifications? yes no [j] Clarification: [k] Are sensors fitted? yes no [l] If yes, list the sensors: Signatory ASN: RACB Form n°: 2.4 FUEL SYSTEM [a] Is the fuel system as per the period specifications? yes no [b] Clarification: [c] Type of fuel feed (gravity, mechanical pump, electric pump, etc.): [d] Is a fuel cooler fitted yes no [e] Is the fuel tank as per the period specification location? yes no Does it comply with Appendix K? yes no [f] Clarification: [g] Are sensors fitted? yes no [h] If yes, list the sensors: 2.5 Lubrication [a] Is the system as per the period specifications? yes no [b] Clarification: [c] Type (wet sump, dry sump, etc.): [d] Is an oil cooler fitted? yes no [e] If yes, is the cooler as per the period specifications? yes no
[G] mm [H] mm [I] mm [J] mm [K] mm [L] mm [M] mm Dimensions (tolerance for all dimensions: +/-1%) [A] mm [B] mm [C] mm [D] mm max. [E] 50 mm min. [F] mm min. [G] mm [H] mm [I] mm [J] mm Signatory ASN: RACB Form n°: 13 – Extension – Roll Over Protection system – PART 1 1.1 Roll Over Protection system [a] System in accordance with: 1.2 FIA Homologated system [a] If on FIA homologation form: Name of manufacturer: Homologation number of the form: Number of the homologation extension: N.B.: A copy of the extension must be attached to the HTP. 1.3 ASN certified system [a] If certified by an ASN: Name of the ASN: Certificate / Test report number: