GENERAL APPEARANCE
Cleaning RequiredYes
S.O.S. TakenNo
Bumper
Cab or Canopy
Counterweight
Crankcase Guard / Battery Box
Eng. Enclose Hood / Stack
Fenders
Fiberglass
Fuel Tank
Grab Irons
Main Frame Welds
Paint
Plastic
Pre-Cleaner Bowl
Radiator Grill & Shroud
Sheet Metal
Steps / Ladder
SAFETY ITEMS
ROPSYes
Safety Decals In PlaceYes
Safety Decals LegibleYes
Horn
Parking Brake
GAUGES, OPERATOR STATION, CONSOLE
Back Up AlarmYes
Current O&MMYes
Current Parts ManualYes
Current Safety ManualYes
ROPS Certification PlateYes
Diesel Exhaust Fluid (DEF) Level3/8
Fuel Level3/4
Air Conditioner
Dash Console
Door Latches
EMS Panel / Warnings
Floor Boards
Gauges
Glass/Mirrors
Heater
Hydraulic Controls
Interior Lights
Meter
Seat Belt
Seat Cushion / Arm Rest
Switches
Windshield Wipers
ENGINE
Blow ByNo
Compression in RadiatorNo
Emissions DecalYes
Fluid Levels OK?Yes
KnockingNo
Oil LeaksNo
Water in OilNo
Anti-Freeze ColorRed
Oil Pressure (H/L/N)Normal
Smoke (B/D/L/W)None
Air Cleaners
Belts / Pulleys
Engine Supports
Exhaust / Muffler
Fuel Injection System
Governor
Oil Filter Condition (CUT)
Overall Operating Condition - ENGINE
Turbocharger / Blower
COOLING SYSTEM
Leaks - COOLING SYSTEMNo
Coolers
Fan
Fan Drive
Hoses
Radiator
Water Pump
ELECTRICAL, STARTING AND CHARGING SYSTEM
Block HeaterYes
Ether AidNo
Alternator
Batteries / Cables
Lighting
Pre-Heater
Starter
Wiring
TANDEMS/GEARS/BEARINGS/CHAINS
Front Torsion Bars
Lines / Linkages
Operating Condition
Rear Torsion Bars
Torsion Axles
Travel Controls
Travel Motors
Travel Pumps
HYDRAULICS
Leaks - HYDRAULICSNo
Detent Switch
Filter Condition (CUT)
Hoses / Lines
Lift Cylinders
Overall Operating Condition - HYDRAULICS
Pump & Valves
Tank
Tilt Cylinder
ATTACHMENTS / WORK TOOLS
Angle BroomNo
AugerNo
Cold PlanerNo
HammerNo
Lanscape TillerNo
Pick-up BroomNo
Stump GrinderNo
TrencherNo
Wheel SawNo
OtherBucket
Overall Operating Condition - ATTACHMENTS / WORK TOOLS
BUCKET
Bucket Capacity.57 yards
Bucket S/NA421bbk22859
Bucket Bottom
Bucket Linkage
Bucket Sides
Cutting Edges
Loader Frame
Loader Pins & Bushings
Multi Purpose Cylinders
Quick Coupler
Teeth / Adapters
UNDERCARRIAGE
Idlers
Roller
Roller Frame
Sprocket
Track / Belt Condition
COMMENTS, MISC. REPAIRS, GENERAL REMARKS
comment 1Back up alarm doesn’t work
comment 2Front wiper arm
comment 3Battery door handle