Name of owner: ……………….…………………………………………………

Type of bike (circle): BMX / Road / Mountain / Child / Other .........................……………...

Colour:…………………………… Frame or identification number: ........................................…

Name of cycle training organisation CYCLE DIVAS

The purpose of this helmet and bike check is to examine the condition of the equipment prior to training. (Major faults must be fixed by a bike mechanic).

CHECKLIST (LEGAL REQUIREMENTS IN BOLD)CHECKLIST (LEGAL REQUIREMENTS IN BOLD)

OK ADJUST (REPAIRS NEEDED)ADJUST (REPAIRS NEEDED)

1 Helmet

2 Frame is in good order, no rust or cracks

3 Frame is right size for the client

4 Seat (secure and the right height)

5 Handlebar position (tight, secure)

6 Handlebar grips (cover the ends of the handlebars)

7 Headset and stem (tight, secure with no movement)

8 Front, rear shocks (if applicable) are working effectively

9 Front Brake (brake pads secure, check for wear - with disk brakes make sure the brake pads are making contact with the rotor)

10 Rear Brake (brake pads secure and check for wear With disk brakes make sure the brake pads are making contact with the rotor)

11 Wheels - wheel nut tight and wheels spin freely)

12 Pedals spin freely and not loose

13 Chain - lightly oiled and in good condition

14 Reflectors - front, read and pedals are visible, secure and clean

15 Tyres pumped up hard with lots of tread

Please have repairs/adjustments completed by:………………………….(date)

Bicycle And Helmet Check Form