Bike-Safety-Inspection-Checklist by shitingting

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									                   CF CYCLE FOR LIFE - Bicycle Safety Inspection Check List
                               PARTICIPATING BIKE SHOPS LISTED ON THE BACK OF THIS FORM
Name: ____________________________________________                       Date:____________________________
Phone#:___________________________________________

REPAIR                         REPAIR                           REPAIR                      REPAIR
         Axle                           Cup                              Headset                      Seat Rails
         Ball bearing                   Cyclocomputer                    Hood                         Seat lug
         Bar ends                       Derailleur hanger abc            Hub                          Seat tube
         Bar end caps                   Derailleur                       Hub dynamo                   Seat bag
         Belt-drive                     Down tube                        Indicator                    Seatpost
         Basket                         Dropout                          Inner tube                   Seatstay
         Bottle cage                    Dustcap                          Jockey wheel                 Shaft-drive
         Bottom bracket                 Dynamo                           Kickstand                    Shifter
         Brakes                         Eyelet                           Lawyer tab                   Shock absorber
         Braze-on                       Fairing                          Locknut                      Skirt guard
         Cable guide                    Fender                           Lockring                     Spindle
         Cable                          Ferrule                          Lug                          Spoke
         Cartridge bearing              Fork                             Mirror (s)                   Steering tube
         Cassette                       Frame                            Pannier                      Tire Front
         Chain                          Freehub                          Pedal                        Tire Back
         Chainring                      Freewheel                        Quick release                Tire rim front
         Chainstay                      Hanger                           Rack                         Tire rim back
         Cogset                         Handlebar plug                   Reflector                    Top clips
         Cone                           Handlebar tape                   Rotor                        Top tube
         Crankset                       Handlebar                        Safety levers                Value
         Cotter                         Head badge                       Saddle                       Value cover
         Coupler                        Head tube                        Seat

                                                     COMMENTS
                          CF CYCLE FOR LIFE - SPONSORED SAFTEY BIKE SHOPS

Sample:                                                                   Sample:
Amazing Bicycles                                                          Amazing Bicycles
123 Bike Tour Lane                                                        123 Bike Tour Lane
Anywhere, USA 11111                                                       Anywhere, USA 11111
Phone: (000)-000-0000                                                     Phone: (000)-000-0000
Web Site Address: www.samplewebsite.com                                   Web Site Address: www.samplewebsite.com


Sample:                                                                   Sample:
Amazing Bicycles                                                          Amazing Bicycles
123 Bike Tour Lane                                                        123 Bike Tour Lane
Anywhere, USA 11111                                                       Anywhere, USA 11111
Phone: (000)-000-0000                                                     Phone: (000)-000-0000
Web Site Address: www.samplewebsite.com                                   Web Site Address: www.samplewebsite.com


Sample:                                                                   Sample:
Amazing Bicycles                                                          Amazing Bicycles
123 Bike Tour Lane                                                        123 Bike Tour Lane
Anywhere, USA 11111                                                       Anywhere, USA 11111
Phone: (000)-000-0000                                                     Phone: (000)-000-0000
Web Site Address: www.samplewebsite.com                                   Web Site Address: www.samplewebsite.com


Sample:                                                                   Sample:
Amazing Bicycles                                                          Amazing Bicycles
123 Bike Tour Lane                                                        123 Bike Tour Lane
Anywhere, USA 11111                                                       Anywhere, USA 11111
Phone: (000)-000-0000                                                     Phone: (000)-000-0000
Web Site Address: www.samplewebsite.com                                   Web Site Address: www.samplewebsite.com


        Use an additional sheet if needed to add more bike shops
        If using an additional sheet, but clear the back side of this form of all bike shops and make a separate document listing
        all participating bike shops. This prevents the preception of favortisim

								
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