GENERAL CONDITION
Machine Starts and is OperableYes
S.O.S. (All Compartments)No
Tires are Aired Up and DrivableYes
Body
Frame
General
GENERAL APPEARANCE
Cleaning RequiredNo
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
Back Up Alarm FunctioningYes
Brakes FunctioningYes
ROPSYes
Safety Decals In PlaceYes
Safety Decals LegibleYes
Brake Hold
Glass / Mirrors
Horn
Parking Brake - SAFETY ITEMS
Secondary Exit
GAUGES, OPERATOR STATION, CONSOLE
Back Up AlarmYes
Current O&MMYes
Current Parts ManualYes
Current Safety ManualYes
ROPS Certification PlateYes
Air Conditioner
Dash Console
Door Latches
Door Latches & Hinges
Doors
EMS Panel / Warnings
Floor Boards
Floor Mats
Gauges
Glass/Mirrors
Heater
Interior Lights
Meter
Pans/Guards
Seat Belt - GAUGES, OPERATOR STATION, CONSOLE
Seat Cushion / Arm Rest
Switches
Windows
Windshield Wipers
ENGINE
Apparent Other Engine DamageNo
Blow ByNo
Compression in RadiatorNo
Engine Oil Level FullYes
Fluid Levels OK?Yes
Fuel LeaksNo
KnockingNo
Oil filter Cut and InspectedNo
Oil LeaksNo
Water in OilNo
Anti-Freeze ColorRed
Oil Pressure (H/L/N)Normal
Smoke (B/D/L/W)Normal
Air Cleaners
Belts / Pulleys - ENGINE
Engine Supports
Fuel Injection System
Fuel System
Governor
Operating Condition - ENGINE
Turbocharger
Turbocharger / Blower
COOLING SYSTEM
Leaks - COOLING SYSTEMNo
Leaks - COOLING SYSTEM 1No
Oil in Anti-FreezeNo
Belts / Pulleys - COOLING SYSTEM
Coolers
Fan
Fan Drive
Hoses
Hoses & Tubes - COOLING SYSTEM
Radiator
Water Pump
ELECTRICAL, STARTING AND CHARGING SYSTEM
Ether AidNo
Alternator
Batteries / Cables
Beacon
Lighting
Pre-Heater
Starter
Starter Air
Starter Electric
Wiring
TORQUE CONVERTER
Controls - TORQUE CONVERTER
Leaks - TORQUE CONVERTER
Torque Converter - TORQUE CONVERTER
Universal Joints - TORQUE CONVERTER
TRANSMISSION
Leaks - TRANSMISSIONNo
Transmission - NoisyNo
Case
Controls - TRANSMISSION
Cooler
Drive Shaft
Leaks - TRANSMISSION
Lines / Fittings - TRANSMISSION
Operating Condition - TRANSMISSION
Pump - TRANSMISSION
Seals
Temp / Pressure Gauges
Torque Converter - TRANSMISSION
Transmission
Transmission - Forward Shifts
Transmission - Reverse 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
Accumulator
Accumulators
Brake Linkage
Compressor
Control Valve
Hydraulic Pumps
Leaks - BRAKE
Lines
Lines / Tubes
Master Cylinder
Parking Brake - BRAKE
Pedal
Pump - BRAKE
AXLE ASSEMBLIES
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 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
Multi Purpose Cylinders
Quick Coupler
Segments
Teeth / Adapters
FINAL DRIVES
Leaks - FINAL DRIVESNo
Differentials
Front Axle
Front Final Drives
Oscillation
Rear Axle
Rear Final Drives
Trunion
Wheel Lugs & Rims - FINAL DRIVES
COMMENTS, MISC. REPAIRS, GENERAL REMARKS
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