Snow-Go Owner

NANA Region SAR Equipment Inspection

Date: ______

SAR Mission #: ______

Snow-go Owner / Lights / Track / Engine / Steering
Head Lights / Tail Lights / Siderail/Track / Hifax / Shocks / Idlerwheels / Clutch / Main Engine / Exhaust / Starter / Carbs / Airbox / Skis/Carbides / Shocks/Springs
□
Working
□
Not Working / □
Working
□
Not Working / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad
□
Working
□
Not Working / □
Working
□
Not Working / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad
□
Working
□
Not Working / □
Working
□
Not Working / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad
□
Working
□
Not Working / □
Working
□
Not Working / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad / □ Good
□
Fair
□
Bad

If equipment inspection is not complete, I will not hold ACSAR responsible for repairs for any damages that my snowmachine incurs related to the SAR Mission.

Owner: ______Inspector: ______