GENERAL CONDITION
Machine Starts and is OperableYes
Tires are Aired Up and DrivableNo
Body
Frame
General
GENERAL APPEARANCE
Cleaning RequiredNo
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 PlateYes
Safety Decals In PlaceYes
Safety Decals LegibleYes
Horn
ROPS
Secondary Exit
OPERATOR STATION
Diesel Exhaust Fluid (DEF) Level - OPERATOR STATION3/4
Fuel Level - OPERATOR STATION1/4
Current O&MMNo
Current Parts ManualNo
Current Safety ManualNo
Sound ProofingNo
Air Conditioner
Dash Console
Gauges
Interior Lights
Pans/Guards
Switches
Windows
Windshield Wipers
ENGINE
Apparent Other Engine DamageNo
Blow ByYes
Fuel LeaksNo
KnockingNo
Oil LeaksYes
Water in OilNo
Hours On Engine2750
Oil Pressure (H/L/N)Normal
Belts / Pulleys - ENGINE
Fuel Injection System
Governor
Operating Condition - ENGINE
Turbocharger / Blower
COOLING SYSTEM
Compression in RadiatorNo
Oil in Anti-FreezeNo
Belts / Pulleys - COOLING SYSTEM
Coolers
Fan
Radiator
Water Pump
ELECTRICAL, STARTING AND CHARGING SYSTEM
Block HeaterYes
Ether AidYes
Alternator
Pre-Heater
Wiring
TRANSMISSION
Mag Screens CheckedNo
Transmission - NoisyNo
Case
Controls - TRANSMISSION
Cooler
Drive Shaft
Leaks - TRANSMISSION
Lines / Fittings - TRANSMISSION
Oil Filter Condition (CUT) - TRANSMISSION
Operating Condition - TRANSMISSION
Pump - TRANSMISSION
Temp / Pressure Gauges
Transmission
Transmission - Forward Shifts
Transmission - Reverse Shifts
Universal Joints - TRANSMISSION
STEERING
Articulate P & B
Lines / Fittings - STEERING
Pumps
Steering Cylinder
Steering Linkage
Steering Valves / Pumps
Steering Wheel Tilt / Extend
Valves
BRAKE
Holds In ParkYes
Leaks - BRAKENo
Accumulator
Accumulators
Control Valve
Hydraulic Pumps
Leaks - BRAKE
Lines
Lines / Tubes
Parking Brake - BRAKE
Pedal
Type (Wet, Dry)
HYDRAULICS
Leaks - HYDRAULICSNo
Accumulator Charge - Ride Control
Bucket & Hoist Kickout
Control Linkage
Filter Condition (CUT)
Hose Lines
Hoses & Tubes - HYDRAULICS
Lift Cylinders
Overall Operating Condition
Pumps & Valves
Tank
Tilt Cylinder
ATTACHMENTS / WORK TOOLS
Angle BroomYes
Asphalt CutterNo
BladeNo
ForksNo
GrappleNo
Hydraulic SweeperNo
Lift BoomYes
Material Handling ArmNo
Vibratory Compactor PlateNo
Operating Condition - ATTACHMENTS / WORK TOOLS
BUCKET
High LiftNo
Standard LiftYes
Bucket Bottom
Bucket Floor
Bucket Linkage - BUCKET
Bucket P & B
Bucket Sides
Cutting Edges
Loader Frame
Loader Pins & Bushings
Quick Coupler
FINAL DRIVES
Leaks - FINAL DRIVESNo
Differentials
Front Axle
Front Final Drives
Oscillation
Rear Axle
Rear Final Drives
Trunion
Wheel Lugs & Rims - FINAL DRIVES