GENERAL CONDITION
Machine Starts and is OperableYes
S.O.S. (All Compartments)No
Tires are Aired Up and DrivableYes
VIDS/VIMS Download AvailableNo
Body
Frame
General
GENERAL APPEARANCE
Cleaning RequiredYes
S.O.S. TakenNo
Bumper
Cab or Canopy
Counterweight
Crankcase Guard / Battery Box
Decals
Differential Supports
Eng. Enclose Hood / Stack
Fenders
Fiberglass
Front Frame
Fuel Tank
Grab Irons
Guards / Screens
Paint
Plastic
Pre-Cleaner Bowl
Radiator Grill & Shroud
Rear Frame
Sheet Metal
Steps / Ladder
SAFETY ITEMS
ROPS Certification PlateNo
Safety Decals In PlaceYes
Safety Decals LegibleYes
Horn
ROPS
Secondary Exit
OPERATOR STATION
Diesel Exhaust Fluid (DEF) Level - OPERATOR STATION81%
Fuel Level - OPERATOR STATION3/4
Current O&MMYes
Current Parts ManualNo
Current Safety ManualYes
Sound ProofingYes
Air Conditioner
CMS Panel
Dash Console
Door Latches & Hinges
EMS Panel / Warnings
Gauges
Interior Lights
Pans/Guards
Switches
Windows
Windshield Wipers
ENGINE
Apparent Other Engine DamageNo
Blow ByNo
Fuel LeaksNo
KnockingNo
Oil LeaksNo
Water in OilNo
Hours On Engine6111.7
Oil Pressure (H/L/N)Normal
Belts / Pulleys - ENGINE
Fuel Injection System
Governor
Operating Condition - ENGINE
Other
Turbocharger / Blower
COOLING SYSTEM
Compression in RadiatorNo
Oil in Anti-FreezeNo
Current Hours on Radiator6111.7
Belts / Pulleys - COOLING SYSTEM
Coolers
Fan
Radiator
Water Pump
ELECTRICAL, STARTING AND CHARGING SYSTEM
Block HeaterYes
Ether AidNo
Alternator
Batteries / Cables
Pre-Heater
Wiring
TORQUE CONVERTER
Hours on Torque Converter6111.7
Magnetic Screens InspectedNo
Controls - TORQUE CONVERTER
Leaks - TORQUE CONVERTER
Torque Converter - TORQUE CONVERTER
Universal Joints - TORQUE CONVERTER
TRANSMISSION
Leaks - TRANSMISSIONNo
Mag Screens CheckedNo
Transmission - NoisyNo
Case
Controls - TRANSMISSION
Cooler
Drive Shaft
Lines / Fittings - TRANSMISSION
Operating Condition - TRANSMISSION
Pump - TRANSMISSION
Seals
Temp / Pressure Gauges
Torque Converter - TRANSMISSION
Transmission
Transmission - Forward Shifts
Universal Joints - TRANSMISSION
STEERING
Articulate P & B
Hand Metering Unit
Lines / Fittings - STEERING
Pumps
Steering Cylinder
Steering Linkage
Steering Valves / Pumps
Steering Wheel Tilt / Extend
Supplemental Steer
Valves
BRAKE
Holds In ParkYes
Leaks - BRAKENo
Holding What Gear?All
Accumulator
Accumulators
Brake Drums / Rotors
Brake Linkage
Compressor
Control Valve
Hydraulic Pumps
Leaks - BRAKE
Lines
Lines / Tubes
Master Cylinder
Parking Brake - BRAKE
Pedal
Pump - BRAKE
Type (Wet, Dry)
AXLE ASSEMBLIES
Front Differential Hours6111.7
Left Front Final Drive Hours6111.7
Left Rear Final Drive Hours6111.7
Rear Differential Hours6111.7
Right Front Final Drive Hours6111.7
Right Rear Final Drive Hours6111.7
Front Differential Mag Plug CheckedNo
Left Front Final Mag Plug CheckedNo
Left Rear Final Mag Plug CheckedNo
Rear Differential Mag Plug CheckedNo
Right Front Final Mag Plug CheckedNo
Right Rear Final Mag Plug CheckedNo
Front Axle
Front Axle Housing
Rear Axle Housing
Wheel Lugs & Rims - AXLE ASSEMBLIES
HYDRAULICS
Leaks - HYDRAULICSNo
Accumulator Charge - Ride Control
Attachment Cylinder
Bucket & Hoist Kickout
Bucket Cylinder
Control Linkage
Hose Lines
Hoses & Tubes - HYDRAULICS
Lift Cylinders
Overall Operating Condition
Pumps & Valves
Tank
Tilt Cylinder
ATTACHMENTS / WORK TOOLS
Angle BroomNo
Asphalt CutterNo
BladeNo
ForksNo
GrappleNo
Hydraulic SweeperNo
Lift BoomNo
Material Handling ArmNo
Vibratory Compactor PlateNo
BUCKET
High LiftNo
Standard LiftYes
Bucket Bottom
Bucket Floor
Bucket Linkage - BUCKET
Bucket Linkage - BUCKET 1
Bucket P & B
Bucket Sides
Cutting Edges
Loader Frame
Loader Pins & Bushings
Quick Coupler
Segments
FINAL DRIVES
Leaks - FINAL DRIVESNo
Differentials
Front Axle
Front Final Drives
Oscillation
Rear Axle
Rear Final Drives
Trunion
Wheel Lugs & Rims - FINAL DRIVES
TIRES
Average Life Remaining - TIRES35%
Number of Chains0
Percentage Remaining on Chains0
Rim Depth12”
Tire Size - TIRES20.5R25
SpareNo