Yes : ✔ No : ✖
Good : ●●● Fair : ●● Poor : ● |
| GENERAL CONDITION |
| ET Download Available | ✔ |
| Machine Starts and is Operable | ✔ |
| Tires are Aired Up and Drivable | ✔ |
| ET Download Available | ✔ |
| Machine Starts and is Operable | ✔ |
| Tires are Aired Up and Drivable | ✔ |
| GENERAL APPEARANCE |
| Cab or Canopy | ●● |
| Counterweight | ●●● |
| Differential Supports | ●●● |
| Fenders | ●● |
| Front Frame | ●●● |
| Fuel Tank | ●●● |
| Grab Irons | ●●● |
| Paint | ●● |
| Plastic | ●● |
| Pre-Cleaner Bowl | ●●● |
| Radiator Grill & Shroud | ●●● |
| Rear Frame | ●●● |
| Steps / Ladder | ●●● |
| Cab or Canopy | ●● |
| Counterweight | ●●● |
| Differential Supports | ●●● |
| Fenders | ●● |
| Front Frame | ●●● |
| Fuel Tank | ●●● |
| Grab Irons | ●●● |
| Paint | ●● |
| Plastic | ●● |
| Pre-Cleaner Bowl | ●●● |
| Radiator Grill & Shroud | ●●● |
| Rear Frame | ●●● |
| Steps / Ladder | ●●● |
| SAFETY ITEMS |
| Back Up Alarm Functioning | ✔ |
| Safety Decals In Place | ✔ |
| Safety Decals Legible | ✔ |
| Back Up Alarm Functioning | ✔ |
| Safety Decals In Place | ✔ |
| Safety Decals Legible | ✔ |
| OPERATOR STATION |
| Air Conditioner | ●●● |
| Dash Console | ●●● |
| Door Latches & Hinges | ●● |
| Doors | ●● |
| Floor Mats | ●●● |
| Gauges | ●●● |
| Heater | ●●● |
| Interior Lights | ●●● |
| Meter | ●●● |
| Seat Cushion / Arm Rest | ●●● |
| Switches | ●●● |
| Windows | ●●● |
| Windshield Wipers | ●●● |
| Air Conditioner | ●●● |
| Dash Console | ●●● |
| Door Latches & Hinges | ●● |
| Doors | ●● |
| Floor Mats | ●●● |
| Gauges | ●●● |
| Heater | ●●● |
| Interior Lights | ●●● |
| Meter | ●●● |
| Seat Cushion / Arm Rest | ●●● |
| Switches | ●●● |
| Windows | ●●● |
| Windshield Wipers | ●●● |
| ENGINE |
| Blow By | ✖ |
| Compression in Radiator | ✖ |
| Emissions Decal | ✔ |
| Fluid Levels OK? | ✔ |
| Fuel Leaks | ✖ |
| Knocking | ✖ |
| Oil Leaks | ✖ |
| Water in Oil | ✖ |
| Blow By | ✖ |
| Compression in Radiator | ✖ |
| Emissions Decal | ✔ |
| Fluid Levels OK? | ✔ |
| Fuel Leaks | ✖ |
| Knocking | ✖ |
| Oil Leaks | ✖ |
| Water in Oil | ✖ |
| COOLING SYSTEM |
| Leaks - COOLING SYSTEM | ✔ |
| Oil in Anti-Freeze | ✖ |
| Leaks - COOLING SYSTEM | ✔ |
| Oil in Anti-Freeze | ✖ |
| ELECTRICAL, STARTING AND CHARGING SYSTEM |
| Block Heater | ✖ |
| Ether Aid | ✖ |
| Block Heater | ✖ |
| Ether Aid | ✖ |
| TRANSMISSION |
| Transmission - Noisy | ✖ |
| Transmission - Noisy | ✖ |
| STEERING |
| Articulate P & B | ●● |
| Lines / Fittings - STEERING | ●● |
| Steering Cylinder | ●● |
| Steering Linkage | ●●● |
| Steering Valves / Pumps | ●● |
| Steering Wheel Tilt / Extend | ●●● |
| Articulate P & B | ●● |
| Lines / Fittings - STEERING | ●● |
| Steering Cylinder | ●● |
| Steering Linkage | ●●● |
| Steering Valves / Pumps | ●● |
| Steering Wheel Tilt / Extend | ●●● |
| BRAKE |
| Holds In Park | ✔ |
| Leaks - BRAKE | ✖ |
| Holds In Park | ✔ |
| Leaks - BRAKE | ✖ |
| HYDRAULICS |
| Bucket & Hoist Kickout | ●●● |
| Control Linkage | ●●● |
| Hose Lines | ●●● |
| Lift Cylinders | ●●● |
| Overall Operating Condition | ●●● |
| Pumps & Valves | ●●● |
| Tilt Cylinder | ●●● |
| Bucket & Hoist Kickout | ●●● |
| Control Linkage | ●●● |
| Hose Lines | ●●● |
| Lift Cylinders | ●●● |
| Overall Operating Condition | ●●● |
| Pumps & Valves | ●●● |
| Tilt Cylinder | ●●● |
| BUCKET |
| Standard Lift | ✔ |
| Standard Lift | ✔ |
| FINAL DRIVES |
| Leaks - FINAL DRIVES | ✖ |
| Leaks - FINAL DRIVES | ✖ |
| TIRES |
| Average Life Remaining - TIRES | 50% |
| Notes - TIRES | Cracking in tread |
| Tire Size - TIRES | 17.5 R25 |
| Average Life Remaining - TIRES | 50% |
| Notes - TIRES | Cracking in tread |
| Tire Size - TIRES | 17.5 R25 |
| COMMENTS, MISC. REPAIRS, GENERAL REMARKS |
| comment 1 | Inspected 04-22-26 at 1740 hrs. |
| comment 2 | Machine runs, drives and operates as it should. Low hour |
| comment 3 | Ready to work. |
| comment 1 | Inspected 04-22-26 at 1740 hrs. |
| comment 2 | Machine runs, drives and operates as it should. Low hour |
| comment 3 | Ready to work. |
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